Merrick Academy Family Survey - Return to In-Person School

Merrick parents and guardians,
We are well into our school year and preparing for Phase 2, Hybrid Learning. We will continue to monitor our citywide and surrounding community’s COVID rates as increases may delay our transition into hybrid learning.

It has been a few months since our last survey was sent out regarding school reopening. We understand that some of our families' needs and thoughts concerning in-person learning may have changed since September. We are asking parents and guardians to complete this survey to reflect your current needs. This survey will take about 10 minutes to complete. While lengthy, the information is very important. We want to make sure we plan with our family's needs in mind.

As we begin scheduling student cohorts, we will keep siblings and the same household students in mind. We will need a completed survey for EACH student enrolled in Merrick Academy.

We will be scheduling a community meeting in the next few weeks to share information about schedules, daily school operations, and health and safety measurements.

Thank you for your continued partnership!

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* 1. Email address

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* 2. Student's First Name (only one child's name per survey)

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* 3. Student's Last Name

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* 4. What class is your child in?

E1, Ms. Mollica

E2, Ms.LaRocca

E3, Ms.Derrick-Budansingh

E5, Ms.Wilson

K1, Ms.Brancato

K2, Ms.Olibrice

K3, Ms.Mercury/ Ms.Stapleton

K4, Ms. Linton

1-1, Ms.Largie

1-2, Ms.O'Connell

1-3, Ms.Curley

1-4, Ms.Sammut/Ms. Ronga

2-1, Ms.Costa

2-2, Ms.Black

2-3, Ms.Brown

2-4, Ms.Casasanta/Ms.Amarantinis

3-1, Ms.Johnson

3-2, Ms.Devito

3-3, Ms.Zamidar/ Ms.Prisco

4-1, Ms.Abrams

4-2, Ms.Lewis-Miller

4-3, Mr.Small/Ms.Vulin

5-1, Ms.Krutzler

5-2, Ms.Robinson

5-3, Ms.Charder/Mr.McCaskell

5-4, Ms.Khan

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* 5. Do you have any additional children enrolled at Merrick or children that share a household with your child? (Please fill out a survey form for each student)

Yes

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* 6. If yes, please list their first and last name(s) and current grade(s)—separate names with a comma.

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* 7. Please state your full name (first and last).

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* 8. What is your relationship with the student?

Mother

Father

Aunt

Uncle

Grandmother

Grandfather

Sibling

Other

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* 9. Your information

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 10. When providing updates, in the interest of getting to everyone quickly, we will send robocalls and put information on our website. What is your best form of communication?

Phone

Text

Other

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* 11. My Learning Model preference for my child is...

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* 12. Has your child been issued a MACS device? (This does NOT include the Department of Education IPad)

Yes

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* 13. If Yes, Is your device in good condition?

Yes

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* 14. Do you have adequate internet services for Online Learning?

Yes, I have internet services.

I have internet services but it is unstable and has effected my child's learning

No, I do not have internet services and my child cannot participate in online learning.

If you have selected 100% Remote Learning, please skip all the following questions and submit this form.
If you have selected Hybrid, You must complete the following question. Any skipped questions may determine if your child can participate in hybrid learning.

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* 15. Are you an essential worker?

Yes

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* 16. If you are an essential worker, please indicate your position.

General Safety at Merrick
Your child's health and safety is our top priority. As we plan for Phase 2: Hybrid Learning, we will follow all health and safety precautions available to make sure students and staff are in a safe environment. If COVID rates increase in our city or surrounding communities prior to re-opening, we will re-assess plans and may delay any in-person learning or suspend any in-person learning if COVID rates begin to increase during Phase 2.

Students and staff participating in Hybrid Learning will be required to wear a face mask when in the school building. Social distancing and Hygenic procedures will be followed and closely monitored. A full-time school nurse and health monitor will be onsite each day.

All Department of Health and CDC guidelines will be followed including daily health screening and contact tracing procedures.

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* 17. Are you (or a caregiver) able to support your child with remote learning if school closure extends past November 30th?

Yes

I am unsure

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* 18. Are there any concerns you would like to share?

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* 19. Will you allow your child to wear masks throughout the day if requested by the school ?

Yes

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* 20. If no, please explain

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* 21. Would you be comfortable with your child's temperature being taken at the beginning of every school day?

Yes

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* 22. If no, please explain

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* 23. If mandated by NYC, are you comfortable with random student COVID testing?

Yes

I am unsure and need more information.

Personal Protective Equipment and Building Screenings

MACS will provide PPE stations in each classroom. Stations contain additional masks, gloves, and sanitizer for students as needed. Students will be required to wear a mask prior to entering the school building and throughout the day. Social distanced mask breaks will be given throughout the day.

Daily health screening surveys must be completed by parents/guardians prior to entering the building. This will be available online and through a phone app.

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* 24. Do you have the resources to send your child to school with the following supplies? (Check all that apply). Note: the school will provide PPE for students as needed.

Face Masks

Hand sanitizers

cleaning wipes

Anti-bacterial hand soap

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* 25. Do you prefer to provide your child with Personalized Protective Equipment (PPE) or for the school to provide PPE?

I prefer to provide my child with PPE.

I prefer the school to provide PPE.

I will provide my child with PPE and I would like the school to provide additional PPE as well.

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* 26. Do you have a phone or access to the internet to complete the daily health screening form?

Yes

Maybe

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* 27. Yellow school buses will not be available for students in Hybrid Model Learning. Do you have alternative transportation for your child to use to get to and from school?

Yes

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* 28. Please select your preferences regarding your child's participation in lunch at school. Note: All students will be eligible for free breakfast and lunch provided by the school.

I intend to send my child with lunch from home.

I intend to allow my child eat lunch from school.

I intend to pick up breakfast and lunch from a "grab and go" location

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* 29. Does your child have an IEP or receive any support services from Merrick Academy?

Yes

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* 30. If your child receives related services, How comfortable are you with your child sharing equipment?

I am comfortable if equipment is sanitized between student use.

I am comfortable if equipment is sanitized daily

I am NOT comfortable with my child using shared therapy equipment

My child does not receive this service

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* 31. If your child receives related services, how comfortable are you with your child receiving services at the same time as other children?

Yes, I am comfortable with this.

No, I am NOT comfortable with this

My child does not receive this service.

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* 32. If your child receives any type of therapy, OT, PT, or Speech. How comfortable are you with your child's teletherapy sessions (online therapy sessions)?

Yes, I am comfortable

No, I am not comfortable

I am unsure

I have opted NOT to participate in tele therapy.

My child's teletherapy has not started.

My child does not receive this service.

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* 33. If your child receives SETSS, How comfortable are you with your child receiving virtual sessions?

Yes, I am comfortable

No, I am not comfortable

I am unsure

I have opted NOT to participate in tele therapy.

My child's teletherapy has not started.

My child's teletherapy has not started..

My child does not receive this service.

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* 34. Do you have any additional concerns or comments concerning Related Services for your child?

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* 35. If we are not able to provide in-person After School for the 2020-21 school year, Are you interested in your child participating in virtual afterschool or Saturday school?

Yes

I am unsure

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* 36. If we are not able to provide onsite after school to all students due to state guidelines, how will this affect your family if your child is not selected?

It will greatly affect my family.

It will have some impact on my family.

It will not affect my family.

Thank you for sharing your thoughts with us.