*
Required
Student Device Need Assessment
JCS will be striving to accommodate as many students as possible in event of a transition to a distance-learning environment.
This form was created to assess the student's need for devices at home to use to complete online schoolwork.
Parent First Name
*
required
Parent Last Name
*
required
Number of children attending JCS
1
2
3
4
5
6
7
8
9
10 or more
Do you currently have a device at home for your student(s) to be able to use to complete online schoolwork assignments?*
Yes
No