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SOH at Low ES Student Technology Survey
Please complete this form ONLY if your child needs technology for the upcoming school year. If your child has access to technology (electronic device with a camera), please DO NOT complete this form. Thanks!
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Student's Last Name
Your answer
Student's First Name
Your answer
Parent's Last Name
Your answer
Parent's First Name
Your answer
Contact Phone Number
Your answer
Contact Email Address
Your answer
Do you have internet access?
Yes
No
Clear selection
Grade Level
Choose
PK
K
1st
2nd
3rd
4th
5th
Is your child on a 504 Plan?
Yes
No
Clear selection
Does your child have an IEP?
Yes
No
Clear selection
Is your child an ELL (English Language Learner?)
Yes
No
Clear selection
Submit
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