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Carmi-White County Unit #5 Technology Survey
This survey will be used to determine technology capabilities and to meet the needs of our students.
(Survey due by Friday, March 27th)
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* Indicates required question
Email
*
Your email
Student name(s). Please list all students attending Carmi White County Unit #5.
*
Your answer
Parent/Guardian Name
*
Your answer
Student grade level or levels. Please check all that apply for your student(s)
*
PreK
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Required
Please type in your address: Street, City, State & Zip
*
Your answer
Do you have wifi at your home? This could also be in the form of using a hotspot.
*
Yes
No
If you do have wifi, is it reliable?
Yes
No
Clear selection
If you do have service, are there any limitations (EX:-Spotty Service, Data Limits). Please type in your answer.
Your answer
If you do not have service and a mobile hotspot could be provided, would it work in your area?
Yes, it would work.
No, it wouldn't work.
I'm not sure
Clear selection
What type of electronic device(s) do you have available for your student to utilize? PLEASE CHECK ALL THAT APPLY. (Pre-K through 3rd Grade only)
Laptop or desktop
Tablet
Smartphone
My student does not have access to any of these devices at home
If you have a laptop or desktop, do you run on Windows or Mac? Please check one. * (Pre-K through 3rd only)
Windows
Mac
We do not have a laptop or desktop
Clear selection
Additional comments or questions regarding technology or digital learning.
Your answer
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