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* 1. Your Name

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* 2. Your child's name

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* 3. Do you have internet access at home?

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* 4. Is there an adult at home during the day to help your child with online school?

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* 5. Which block will you be available to help your child with their online school?

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* 6. Rate your level of comfort with helping your child do online school.

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* 7. Do you feel your child will be successful with online schooling?

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* 8. If a shutdown would occur, how can SMART Academy help you with ensuring your child is successful with online schooling?

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