COVID-19 COVID 19 To help us plan for the governor issued closing of schools to combat the spread of COVID 19, please answer the following questions as soon as possible. OK Question Title * 1. Family Name OK Question Title * 2. We have internet service at home or a device, i.e. a cell phone with data plan, that can connect to the internet. Yes No OK Question Title * 3. Is your connection high speed? Yes No OK Question Title * 4. We have a device that my student(s) could use for school work. I.e. computer, tablet, phone. Yes No OK Question Title * 5. If not, would you be interested in having a device to use at home? Yes No OK Question Title * 6. My family meets the criteria of being medical workers, emergency personnel, or law enforcement and will need childcare for our elementary aged children up to age 12 and/or children who are currently enrolled in preschool. Proof of employment will be needed. Yes No OK Question Title * 7. If yes, how many children? OK Question Title * 8. We will provide meals for our school aged children on days school would normally be in session. If needed, please indicate below how many breakfast and lunches you would need. Breakfast needed Lunch needed OK Question Title * 9. Consent to receive meals signature, type your name in box below. We will be calling you to verify. OK DONE