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* 1. What is your student(s) name (s)? {Please only fill out one survey per family}

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* 2. Do you currently have internet access at your home?

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* 3. Does your family own a working device (iPad, desktop, laptop, or Chromebook), other than a smart phone at home that your student can use to access the internet?

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* 4. Does your child have a Playstation or XBox with a keyboard that they would want to use instead of a iPad, Chromebook, or laptop?

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* 5. Do you currently have a student at Liberty Ranch or Galt High School?

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* 6. Are you already signed up to receive technology from any other programs being offered at this time?

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