APA Parent Group Interest Survey Respondent Information Question Title * 1. Respondent Contact Information Name: Cell/Phone: Email: Question Title * 2. What is the best way to contact you? Phone Text E-mail Question Title * 3. Are you a parent/family member/guardian, faculty/staff member, or both? Parent/Family Member/Guardian Faculty/Staff Member Both Question Title * 4. Student(s) and Grade Level(s) Student: Student: Student: Student: Student: Student: Student: Student: Student: Student: Question Title * 5. What building does your student (or students) attend? 22nd St. (K-4) 29th St. (5-12) Both Buildings (K-12) Question Title * 6. What is your relationship to your student or students? Parent Grandparent Other Family Member (Please specify) Foster Parent Other (please specify) Next