Returning to School Question Title * 1. What is your student’s grade level? (If you have multiple students at different school levels, please fill out the form once for each level) Pre-K-6 - Elementary School 7-8 - Middle School 9-12 High School Question Title * 2. 2. Assuming that schools would be allowed to open for business as usual in August, would you send your child/children to school. Yes No Uncertain at this time Question Title * 3. 3. What would your family need to support online learning at home for your child? (select all that apply) A computer for the child Access to the internet in your home Online material in his/her native language Training for the parent/guardian Nothing Other Other (please specify) Question Title * 4. Which of the following learning situations would you prefer for your student if students are allowed in buildings but the number of students in the building is limited? Blended Learning (a combination of attending school part-time with class sizes small enough to participate in social distancing and learning from home part-time over the internet. Example: students attend school every other day and work from home every other day) Completely Online (learning over the internet at home with the assigned classroom teacher facilitating. At the Elementary level, this requires a significant amount of parent involvement) Question Title * 5. What safety measures would need to be in place for you to be comfortable sending your child/children to attend school? (select all that apply) Every child and staff member has to wear a mask (they would be provided by the district) Social distancing Hand washing stations easily accessible to classrooms and playgrounds Smaller number of students in areas during lunch shifts Smaller number of students in areas during break times (recess, passing periods, etc) No all school or grade-level gatherings (assemblies, pep rallies, etc) Daily temperature/symptom checks of students and staff Immediate seclusion of anyone showing signs of COVID-19 Daily sanitizing of hard surfaces (desk, doorknobs, keyboards, etc) No safety measures are needed Other Other (please specify) Question Title * 6. Contact Information (Optional)In order for the District to better understand the complexities of this issue they may have follow up questions. Please provide us with your contact information so that we can reach out if we need additional information. Name of Student Name of Parent or Guardian Student's School Contact Email Contact Phone Number Done