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CCI Parent At Home Access Survey
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* Indicates required question
Email
*
Your email
Your First and Last Name
*
Your answer
Your child or children's name:
*
Your answer
Grade Level and Homeroom Teacher of your child or children
*
Your answer
Do you have access to the Internet at home?
*
Yes
No
If you do not have access to the internet, do you have any alternative way in order to get internet access? Please explain
*
Your answer
Best email address we could use, if needed
*
Your answer
If needed, would you be able to pick up educational packets from school?
*
Yes
No
Best time frame for when you or another family member could pick up educational material, if needed:
*
9:00-12:00
1:00-4:00
3:00-6:00
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