RCS Out-of-School Digital Device Access Survey             

The purpose of this survey is to fulfill session law "§ 115C-102.9 calling for the collection and reporting of data regarding all students access to digital devices and internet access at home. This information will be used to help target areas of need and ensure that all NC students have adequate access to devices and the internet to access learning. Note that the information gathered will be kept private and confidential. 

Please submit separate forms for each child if you have multiple children. 

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Please select the school your student attends. *
Student's Grade Level *

Does this student have a digital device(s) at home? 

 *

If devices are provided by the home, indicate which device(s) are available for home use. Select all that apply. 

 *
Required

If students do not have access to digital devices at home, please indicate the reason(s). Select all that apply. 

 *
Required

Do students in your home have consistent internet access at home that is adequate to complete schoolwork? 

 *

Which type(s) of internet service does the student(s) have access to at home? Select all that apply. 

 *
Required

Please indicate any reason(s) for the lack of consistent, dependable internet access. Select all that apply.   Select N/A if this does not apply to you.

 *
Required

What other sources do the students have for connecting to the internet outside of the home (when not in school)? Select all that apply. 

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