* 1. Are you a resident of Richmond County?

* 2. Are you a resident of Hephzibah?

* 3. Are you employed or participate in education and/or training in Hephzibah?

* 4. How many children age 18 or younger are in your household?

* 5. Is your child (or children) currently enrolled in a Richmond County school?

* 6. What is your child's/children's current education situation?

* 7. Please select the grade levels of EACH of your children, if applicable. Check all that apply

* 8. What do you you feel the main reasons for exploring innovative options such as a charter school in your community might be?

* 9. What should be offered in a charter school that is not currently offered in surrounding schools?

* 10. If there were a charter school option in your community, in your opinion what grade levels should be served?

* 11. What do you believe the main goals of the school should be (academic, program, organization, and other)?

* 12. What particular ACADEMIC programs, approaches, or activities would you like to see the school offer?

* 13. What EXTRACURRICULAR programs and/or activities are important to students and their families?

* 14. If they were available to students, what Collaborative Programs and/or Internships would you like to see from the list below? Check all that apply. If other ideas, please share.

* 15. What organizations, businesses, colleges/universities, and/or other community resources would be natural partners for the school?

* 16. Would you personally support strong parental involvement in the charter school?

* 17. How can the school ensure that the students represent the community?

* 18. Do you support the idea of a school-based governing council/board for decision making at the school-level?

* 19. Who should serve on s school-based board/council and what do you see as responsibilities for this board?

* 20. What do you think are the strongest skills/backgrounds necessary for school-based governing board(s) or council(s). Select all that apply.

21. Please feel free to share any other concerns, questions, or comments you have

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