Lowell Family Needs Survey

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Please fill out this survey to help us plan for Monday 3/23 school pick up and to help us survey family needs so we can strategically plan to use school resources to support the areas of greatest need.

Guardian/Parent First and Last Name *

Best phone number to reach you at *

Student # 1 First and Last Name *

Student # 1 Grade and Teacher *

Student # 2 First and Last Name

Student # 2 Grade and Teacher

Student # 3 First and Last Name

Student # 3 Grade and Teacher

Computer Needs

Lowell will have devices available for pick up on Monday @ Lowell. The times for pick up are:

10:30 a.m. - 11:30 a.m. Families with last names starting with A-H

12:00 p.m. - 1:00 p.m. Families with last names starting with I-P

1:00 p.m. - 2:00 p.m. Families with last names starting with Q-Z

Will you need to check out a computer from Lowell? *

Yes

Will you be able to make the designated time for Monday 3/23 Computer pick up or will we need to call you to schedule a different time?

I will come to Lowell during the designated time on Monday 3/23

I need a phone call to arrange a different time

Other:

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School Item Pick Up Monday 3/23

If you need items from your child's desk and/or cubby or you plan to pick up medication on Monday- please indicate below.

We would like to have the items waiting for you at the office. The schedule is the same as the Computer Pick Up Schedule:

10:30 a.m. - 11:30 a.m. Families with last names starting with A-H

12:00 p.m. - 1:00 p.m. Families with last names starting with I-P

1:00 p.m. - 2:00 p.m. Families with last names starting with Q-Z

I plan to come to Lowell during my designated time to pick up items from my child's classroom or to collect my child's medication. *

Yes

What items do you plan to pick up?

Family Needs

Please indicate below what needs your family may have so we can align our school resources to support the areas of highest need.

What needs or concerns do you have right now?

Food for me

Food for my child/children

Household items

Internet for my child/children to do school work from home

Counseling or mental healthcare

Doctors or physical healthcare

Childcare

Job loss and money

Other:

Questions, Comments, Concerns?

Submit

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