2020-21 Return to School Family Interest Survey

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Parent/Guardian Last Name *

Parent/Guardian First Name *

Parent/Guardian Phone Number

Parent/Guardian Email Address

Youngest (or only) Child's Last Name *

Youngest (or only) Child's First Name *

Youngest (or only) Child's Age *

Please add the first and last names of your other children in Creighton schools

School *

1. Do you have reliable, wireless internet capabilities at home (do not include your cell phone)? *

Yes, we are successfully connected

I have internet at home, but had difficulty using all of the school’s remote resources

No, I do not have internet access but I can get to a reasonable location that has internet access

No, I do not have internet access in my home and I cannot get to a location with internet access

2. Would you be interested in connecting with other parents? *

Yes

3. Would you be interested in parent training? *

Yes

4. What topics would you like to learn about? (Check all that apply) *

Creating learning routines in your home

Ways for keeping my child motivated

Hands-on activities at home

Ideas to keep my child socially connected

How to navigate the online programs used for remote learning (Exp. SeeSaw)

Required

5. Once in-person learning can resume, which will you choose for your child(ren)? *

Return physically to the school building (student attends school all day)

Continue remote learning

I would like to continue with remote learning but I may want to transition into in-person learning later

6. What time of day are you generally available to assist your child(ren) with remote learning? *

I can ensure my child will participate in live remote lessons in the morning (7:30am – 11:30am)

I can ensure my child will participate in live remote lessons in the afternoon (12:00pm – 4:00pm)

I can ensure my child will participate in live remote lessons in the evening (5:00pm – 9:00pm)

7. Where will your child be during remote learning time? *

At home

At a friends or family member's home

At a child care center

I do not know at this time

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