JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
FMTC Student Check-In
FMTC students, we are contacting you to "check-in." We hope you and your family are doing well and continuing to stay safe. Please take some time to complete this brief survey. The following sites provide information regarding hurricane recovery assistance if needed:
ESPN Southwest Florida Hurricane Central
Lee County Government Hurricane and Recovery Site
United Way 211 Resources
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
FMTC Program
*
Choose
Automotive Collision Technology Technician
Automotive Service Technician
Biomedical Equipment Repair Technology
Carpentry
Cosmetology
Early Childhood Education
Electricity
Electronic Technology
HVAC/R
Major Appliance and Refrigeration Technician
Marine Service Technologies
Mechatronics Technology
Medical Assisting
Medical Coder/Biller
.NET Application Development & Programming
Nursing Assistant (Articulated)
Plumbing
Practical Nursing
Professional Culinary Arts & Hospitality
Specialized Career Instruction
Turbine Generator Maintenance, Inspection and Repair
Web Application Development & Programming
Welding Technology
Are you ok?
*
Yes
No
If not ok, please explain.
Your answer
What is your current living situation?
*
Staying at my current home
Staying at a shelter
Moved in with someone else or another family member
Living in a car, temporary mobile home, camper, or public space
Living in a hotel/motel
If you are living in a different location, please provide the name and address.
Your answer
Do you have food and/or water?
*
Yes
No
Other:
What is the best phone number to call and/or text information?
*
Your answer
What is the best email address to send information?
*
Your answer
What other information would you like to share about your family (optional)?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The School District of Lee County.
Report Abuse
Forms