Thank you for taking the time to complete this survey! Vallejo City Unified School District is in Phase II of implementing Full Service Community Schools throughout the district. Vallejo Full Service Community Schools will provide a wide range of services to students, families, and community members. We need your help to ensure that the program provides the services that are most important to you and your family. ALL OF YOUR ANSWERS WILL BE KEPT CONFIDENTIAL. Thank you for your support!
PART I: Topics of Community Concern
Please select the three (3) topics that are the most important to you and your family. Remember to only choose three (3), please.

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* 1. Please select the three (3) topics that are the most important to you and your family. Remember to only choose three (3), please.

PART II: Medical Needs
Please select the three (3) most important medical needs you or your family have from the list below.

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* 2. Please select the three (3) most important medical needs you or your family have from the list below.

PART III: Student Education Needs
Please select the three (3) most important educational needs you or your family has from the list below.

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* 3. Please select the three (3) most important educational needs you or your family has from the list below.

Please answer the following questions:
Academic grades should only reflect what standards students have mastered?

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* 4. Academic grades should only reflect what standards students have mastered?

Academic grades should always reflect student effort, behavior, and citizenship?

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* 5. Academic grades should always reflect student effort, behavior, and citizenship?

Do you have an interest in after school programming for your child?

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* 6. Do you have an interest in after school programming for your child?

What opportunities during after school programming are most important to you (check all that apply)

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* 7. What opportunities during after school programming are most important to you (check all that apply)

Do you have an interest in summer programming for your child?

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* 8. Do you have an interest in summer programming for your child?

What opportunities during summer programming are most important to you (check all that apply)

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* 9. What opportunities during summer programming are most important to you (check all that apply)

PART IV: Parent/Adult Education Needs
Please select the three (3) most important parent educational needs you or your family has from the list below.

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* 10. Please select the three (3) most important parent educational needs you or your family has from the list below.

PART V: Social Service Needs
Please select the three (3) most important social service needs you or your family have form the list below.

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* 11. Please select the three (3) most important social service needs you or your family have form the list below.

PART VI: Family Information
Please check all appropriate school site(s) that your child/children currently attend.

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* 12. Please check all appropriate school site(s) that your child/children currently attend.

What is your relationship to the student(s) enrolled at this school?

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* 13. What is your relationship to the student(s) enrolled at this school?

What is your primary language?

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* 14. What is your primary language?

What is your Race/or Ethnicity?

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* 15. What is your Race/or Ethnicity?

What is the highest grade you completed in school?

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* 16. What is the highest grade you completed in school?

Does the student(s) living in the household have a family member who has received counseling and/or psychological/psychiatric services?

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* 17. Does the student(s) living in the household have a family member who has received counseling and/or psychological/psychiatric services?

Does the student(s) living in the your household have a family member that has been a victim of a violent crime?

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* 18. Does the student(s) living in the your household have a family member that has been a victim of a violent crime?

What is your usual method of transportation?

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* 19. What is your usual method of transportation?

How long have you lived in your current home?

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* 20. How long have you lived in your current home?

Thank you for taking the time to support the Vallejo Full Service Community Schools! If you have any questions regarding this survey, please contact: Dr. Alana J. Shackelford, Director of Partnerships & Community Engagement, VCUSD, 655 Walnut Avenue, Vallejo, CA 94592, (707) 556-8921 extension #50057.

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