Claiborne Parish Public School Survey

This survey is being used to determine the internet needs of each household.  We will not ask you to use your cell phone data for school use.  We do, however, need to know if your home can access cell service and how many students within your home will need internet access.

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* 1. Parent/Guardian Name

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* 2. Parent/Guardian Phone Number

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* 3. Parent/Guardian Address (Street Address, City, State, Zip)

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* 4. Student 1: What is the name of your child?

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* 5. Student 2: What is the name of your child?

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* 6. Student 3: What is the name of your child?

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* 7. For additional students:  Please put their names, grade this fall and schools in the text box below.

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* 8. Do you have internet access at home such as AT&T Uverse or Newwave or through cellular data (hotspot)

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* 9. Who is your internet or cellular data provider (We are not asking you to use your personal cellular data to access school work.  We are only trying to determine if you get good cell service at your home.)

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