EVSD K-8 Student Home Technology Survey
This survey is only for students in grades K-8.  If your child is a high school student, they should already have a laptop checked out to them.

Please fill out one survey for each child.
Sign in to Google to save your progress. Learn more
Parent/Guardian first and last name? *
What is your student's first and last name? *
What is your email address?
What is your physical address?
What is the best phone number to reach you at?
What school does your child attend? *
Required
What is your child's grade level? *
Do you prefer learning materials to be printed or electronic? *
Does your student receive free or reduced priced meals? *
Do you have a computer or other device at home that connects to the Internet (such as iPad/tablet, laptop, desktop, Chromebook, smartphone)? *
Do you have access to WiFi or an internet connection at home? *
Do you have any comments?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of East Valley School District #361. Report Abuse
Google Forms