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Family Internet Check
The goal of this survey is to gather updated information on your ability to support online learning if needed. Please fill out for only one student per household unless students would access Internet from different locations.
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* Indicates required question
Family name
*
Your answer
Address
*
Your answer
Number of students in the household
*
1
2
3
4 or more
Name of Student(s) - First and Last
*
Your answer
Schools students attend (check all that apply)
*
Albany
Barton
Brownington
Glover
Irasburg
Orleans
Lake Region
Preschool
Remote Academy
Required
For your students in grades K through 8, how many devices are you requesting?
*
Choose
0
1
2
3
4
5
6
Where does or would your student primarily use the Internet outside of school for assignments?
*
home using wireless
home using a phone
relative or friend's house
public area (library parking lot, etc.)
we have no access to the Internet
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This form was created inside of Orleans Central Supervisory Union 34.
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