Traditional School Interest Survey

1. If your child attends a J.O. Combs elementary school, please indicate the school and your child's grade level for NEXT school year, 2010-2011. (Multiple grade levels may be selected for siblings.)

	Kindergarten	1st Grade	2nd Grade	3rd Grade	4th Grade	5th Grade
Ellsworth	If your child attends a J.O. Combs elementary school, please indicate the school and your child's grade level for NEXT school year, 2010-2011. (Multiple grade levels may be selected for siblings.) Ellsworth Kindergarten	1st Grade	2nd Grade	3rd Grade	4th Grade	5th Grade
Harmon	Harmon Kindergarten	1st Grade	2nd Grade	3rd Grade	4th Grade	5th Grade
Ranch	Ranch Kindergarten	1st Grade	2nd Grade	3rd Grade	4th Grade	5th Grade
Simonton	Simonton Kindergarten	1st Grade	2nd Grade	3rd Grade	4th Grade	5th Grade

2. If your child currently attends a public school in another district, a charter school, a private school, or is homeschooled, please indicate the grade level for NEXT school year, 2010-2011. (Multiple grade levels may be selected for siblings.)

If your child currently attends a public school in another district, a charter school, a private school, or is homeschooled, please indicate the grade level for NEXT school year, 2010-2011. (Multiple grade levels may be selected for siblings.) Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

3. Please enter any comments in the box below.

Please enter any comments in the box below.

4. To be added to our interest list and receive notifications and updates about the proposed K-5 Traditional School Academy, please provide your name and e-mail address in the boxes below.

To be added to our interest list and receive notifications and updates about the proposed K-5 Traditional School Academy, please provide your name and e-mail address in the boxes below. Name:
E-mail address: