2016-17 Parent Survey Question Title * 1. Do you (check which one is most accurate) live in the School District of Beloit? open enroll into the School District of Beloit? Question Title * 2. If you live in the School District of Beloit, how long have you lived here? Less than one year 1-5 years 6-10 years Does not apply Other (please specify) Question Title * 3. I am responding as a: Grandparent Parent Step-parent Family Member Foster Caregiver Other Question Title * 4. Grade level of your child(ren) (Check all that apply): Early Childhood 4K Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12 Question Title * 5. Which school(s) does your child(ren) attend? Converse Elementary Gaston Elementary Hackett Elementary Merrill Elementary Robinson Elementary Todd Elementary Even Start/Early Learning School Aldrich Intermediate Cunningham Intermediate Fruzen Intermediate McNeel Intermediate Beloit Learning Academy Roy Chapman Andrews Academy Beloit Virtual School Beloit Memorial High School Other Question Title * 6. Is your student: American Indian or Alaska Native Black or African American Asian Hispanic/Latino Native Hawaiian or Other Pacific Islander White More than one race Other Question Title * 7. One or more of my children are identifies as: (Check all that apply) Gifted and Talented English Language Learner (ELL) Student receiving special education services Question Title * 8. Have you or another adult in your household volunteered in our school(s) within the last year? Yes No Next
