Student Needs Survey – Yavapai Accommodation School District

Please answer this brief survey to let us know if your student needs additional equipment or accommodation in order to move forward successfully with our COVID 19 opening plan.

Please enter your name and the name of your student
- Parent Name (full) * Required
- Student Name (full) * Required
- Phone * Required
- Email * Required
Please check all technology services which you will need * Required
- Computer
- Hotspot for Internet
- Internet Connection at Home
- Other (please indicate below)
If you need anything that is not inlcuded in our technology services list, please describe it here.
Are there any sessions that your student CANNOT attend?
- CANNOT attend: Session 1: Mondays and Wednesdays only 7:30 AM – 11:30 AM
- CANNOT attend: Session 2: Mondays and Wednesdays only 12:30 PM – 4:30 PM
- CANNOT attend: Session 3: Tuesdays and Thursdays only 7:30 AM – 11:30 AM
- CANNOT attend: Session 4: Tuesdays and Thursdays only 12:30 PM – 4:30 PM