Pandemic EBT Learning Mode Survey

The Mississippi Department of Human Services (MDHS), in coordination with the Mississippi Department of Education (MDE) are distributing this survey to determine if students in your schools are eligible for Pandemic EBT. You must provide a response for each school within the district.

School Information

In order to ensure your students are included, if eligible, please submit responses no later than June 18, 2021. A response is required per school.

School Name*

School Number*

School District*

Select

District Number*

District Contact Person*

District Contact Phone Number*

District Contact Email*

Was the school closed (including delayed opening) or attendance/hours reduced for at least 5 days this year?

The school is closed or has been operating with reduced attendance or hours for at least 5 consecutive days in the 2020-21 school year.

In what month did the closure or reduction in attendance or hours occur?*

Select

Predominant Learning Mode

Please select a learning mode used by at least 51% of students. Please remember: H - Hybrid - A school is predominantly hybrid for the month if a majority of students had a hybrid schedule (a mix of in-person and virtual days) for the entire month. V - Virtual - A school is considered predominantly virtual for a month if a majority of students were 100% virtual (never attended in-person) for the entire month. I - In-Person - A school is predominantly in-person if a majority of students attended in-person (no virtual days) for the entire month. If a school switches from one of the previous three models to a different model during the month, then whichever model was used for a majority of the month should be considered the predominant model. For example, if a school started the month with every student on a hybrid schedule (#2) but the school switched to a fully virtual model (#1) for all students for the last 3 weeks of the month due to an increase in COVID cases, then the school would be considered predominantly virtual for the month.

Predominant Schedule August 2020*

Predominant Schedule September 2020*

Predominant Schedule October 2020*

Predominant Schedule November 2020*

Predominant Schedule December 2020*

Predominant Schedule January 2021*

Predominant Schedule February 2021*

Predominant Schedule March 2021*

Predominant Schedule April 2021*

Predominant Schedule May 2021*

Send me a copy of my responses

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