School Facilities Evaluation - Patron

COFFEYVILLE UNIFIED SCHOOL DISTRICT #445
Hanney & Associates Architects is preparing a comprehensive survey of the District Facilities. We are trying to determine what aspects of the building envionment assists the educational processes. The purpose of this form is to provide a vehicle for parent's and patron's input and suggestions. We would appreciate your impressions of the facilities, along with your comments and suggestions on needs and improvements.

This is not an evaluation of the curriculum or staff.

Please complete survey by April 17, 2014

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* 1. School your child/children currently attend:

ELC - Dr. Hamm Early Learning Center

CES - Community Elementary School

RMS- Roosevelt Middle School

FKHS- Field Kindley High School

BOE- District Office

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* 2. Your name:

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School Facilities Evaluation - Patron

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* 1. School your child/children currently attend:

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* 2. Your name:

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* 3. Date:

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* 4. District Affiliation: (I.e., parent, guardian, etc.)

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* 5. Your child/children's current grade level :

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* 6. Existing Conditions: (Equipment, facilities, likes and dislikes)

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* 7. Special Needs: (Equipment or facilities)

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* 8. Comments: (Impression of facilities, etc.)