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

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

Yes

No

Maybe

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?

Yes

No

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?

Yes

No

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

Yes

No

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

Yes

No