COVID-19 Parent Survey

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Please complete the following survey once for EACH of your children under 18 years old in the home. This will help us best prepare to support students during this prolonged school closure.

What is your child's first and last name? *

What is your street address? *

What town do you live in? *

What school does your child attend? *

What grade is your child in? *

too young to attend school

PreK

9-12th grade

If your child is in preK-grade 8, who is your child's homeroom teacher? (Last name only)

RSU 12 can provide daily meals (breakfast and lunch) for your child free of charge. They will be delivered by bus on Mondays, Wednesdays, and Fridays beginning this Wednesday. You or your child must be available at the bus stop 2 hours later than typical morning pickup time to collect the meals. Do you want meals for your child? *

Yes

Teachers will be preparing learning packets for students in grades preK - 8 as well. These will be delivered by bus on Friday. You or your child must be available at the bus stop 2 hours later than the typical morning pickup time in order to collect the packet. Please indicate whether you would like learning packets for your child. *

Yes

Not relevant (my child is under school age or attends an area high school)

Submit

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