2021-2022 Monessen SD Home Technology Survey
Without Internet access and connected devices, many students lack the ability to participate in remote learning and complete homework after the school day has ended.

The data collected from this survey will greatly assist our schools with obtaining local, state and federal broadband funding to provide additional resources to our students and families.

Thank you in advance for your time in taking this survey!

Please submit your answers by August 1, 2021
Logga in på Google för att spara förloppet. Läs mer
House Number and Street Name *
City *
Zip Code *
Number of students (K-12) residing in your household who will attend public school for the upcoming 2021-2022 school year: *
Do you have Internet access in your home that is sufficient enough to allow each school-age child to participate in online classes with video at the same time? (Do not consider any school-provided Internet access.) *
If you have Internet access, do you receive assistance from a federal program such as Lifeline or Emergency Broadband Benefit (EBB)? *
Does every school-age child in your home have access to their own up-to-date computer (desktop, tablet, or laptop) so they can actively participate in remote learning and/or completing homework all at the same time? (Do not consider any school-provided computers.) *
Please list all student names and grade levels for the 2021-2022 school year: (example John Doe - Grade 4) *
Parent/Guardian Name
Skicka
Rensa formuläret
Skicka aldrig lösenord med Google Formulär
Formuläret skapades på Monessen City School District. Anmäl otillåten användning