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LES Technology Survey

Please complete the form below. Required fields marked with an asterisk *

Please enter the FIRST NAME of the Parent(s)/Guardian(s)*

Answer Required

Please enter the LAST NAME of the Parent(s)/Guardian(s)..*

Answer Required

Please enter the FIRST name, LAST name, and GRADE LEVEL of EACH Child that attend LaPlace Elementary School. *

Answer Required

Please enter your current home address. (Example:123 Tiger Pride Lane LaPlace, LA 70068)*

Answer Required

Please provide your current active email address. (Example: [email protected])*

Answer Required

Please provide a contact phone number. (Example: 985-652-5552)*

Number Required

What is the BEST time to call?

Answer Required

8:00 -11:00 am

11:00 am - 1:00 pm

1:00 - 4:00 pm

4:00 - 6:00 pm

Which electronic device(s) can you use to complete assignments?*

Answer Required

Computer

Laptop

Tablet

Smartphone

INTERNET ACCESS: Charter Communications is offering free Spectrum broadband and Wi-Fi access for 60 days to households with K-12 and/or college students who do not already have a subscription. Additionally, limited income households can apply for $5 to $10 per month Internet access through AT&T Access, Cox Connect2Compete, and CenturyLink Lifeline. See Photo below.