Our records show that HPS may have provided your child(ren) with a chromebook or laptop in the spring to support distance learning at home.

Question Title

* 1. Student FIRST Name

Question Title

* 2. Student LAST Name

Question Title

* 3. Student Birthdate (MM/DD/YYYY)

Date

Question Title

* 4. Student ID Number (Lunch ID)

Question Title

* 7. Did HPS provide this device for only the student listed above or was it shared with other HPS children who live in the household?

Question Title

* 8. Do you have a personal device that can be used for virtual instruction?

Question Title

* 9. What type of device did your child receive?

Question Title

* 10. What is the condition of the device? Select all that apply.

Question Title

* 11. Does your child have access to a consistent, stable internet connection that could stream/show video on their device for distance learning?

Question Title

* 12. Will your student need support in using their device for distance learning? Select all that apply.

Question Title

* 13. Please provide your contact information so we can help.

Question Title

* 14. Do you have any other comments or concerns about your child’s device?

Please contact the Welcome Center at (860) 695-8400 with any questions or concerns about this survey.

T