THS Internet Access Survey
Please answer this short survey. This information is required for all PCS students. If the survey is not completed, the office will begin calling you to collect this information.
Sign in to Google to save your progress. Learn more
Student Last Name *
Student First Name: *
Middle Name: *
Grade Level (for 2020-2021 School Year) *
Required
Do you have any type of internet access at your house? *
What type of internet access do you have?
Does your child have a device to use or share to access the internet?
What type of device does your child use or share to access the internet?
Comments or Questions:  (If so, please leave a phone number to reach you)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pittsylvania County Schools. Report Abuse