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DPAC Scholar Resource Survey
Please complete this form for EACH scholar you have at DPAC
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* Indicates required question
Scholar First Name
*
Your answer
Scholar Last Name
*
Your answer
If food service is available, will you need food services from Democracy Prep between March 17 - April 3? Check all that apply:
*
Breakfast Only
Lunch Only
Breakfast & Lunch
No Food Needed
Required
Scholar Grade
*
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Are you able to use the internet at home easily?
*
Yes
No
If you are able to use the internet at home easily, what do you use to get on the internet? You can pick more than one choice.
*
Phone that belongs to only you.
Phone that you share with others.
Tablet that belongs to only you.
Tablet that you share with others.
Computer that belongs to only you.
Computer that you share with others.
Other:
Required
Do you have a device that you would be able to use to complete schoolwork on at home?
*
Yes
No
Do you have a device that can take and send digital pictures at home?
*
Yes
No
Do you have a printer at home?
*
Yes
No
Is there anything else your teachers should know about how you use the internet at home?
Your answer
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