Technology Funding Survey (Encuesta de financiación de tecnología)

Dear Parents,

The American Recovery Act of 2021 provides funding for schools to cover expenditures for internet services and connected devices for students lacking such off-campus access. To help Hunting Park Christian Academy determine our needs for the coming school year, please complete and return the following survey.

Home address*

Street, City, State and Zip

Telephone*

1) Number of students residing in your household who will attend Hunting Park Christian Academy in the upcoming school year*

2) If we do not provide internet access, do you have sufficient internet access in your home to allow each school-age child to complete internet-based homework assignments and/or to participate in online video classes simultancously?*

YesNo

3) If we do not provide your child/children a connected device e.g. laptop or tablet, does every school-age child in your home have access to their own connected device to sufficiently participate in remote learning and/or complete homework all at the same time?*

YesNo

If no, please list the students who still need access to their own devices below:

(1) Name

(1) Grade

(2) Name

(2) Grade

(3) Name

(3) Grade

By answering "No" to any questions above, you certify that the student(s) residing in your household would be unable to sufficiently participate in remote learning or complete internet-based homework assignments if connected devices and/or Internet access were not provided by Hunting Park Christian Academy.

Printed Name of Parent/Guardian*

Signature*

Clear

Date*

Date

Email*

example@example.com