Pre-K Counts Governor Mifflin Community Needs Survey

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* 1. In which area of the community do you live?

Brecknock

Cumru Township

Kenhorst

Mohnton

Shillington Borough

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* 2. How many people are in your family household?

9 or more

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* 3. What language does your family speak the most at home?

English

Spanish

French Creole

French

Other Language

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* 4. In order for us to best determine how many free Pre-Kindergarten programs are needed in our district, please indicate your household income below:

$40,770 or less

Between $40,771 and $54,930

Between $54,931 and $69,090

Between $69,091 and $83,250

Between $83,251 and $97,410

Between $97,411 and $111,570

Between $111,571 and $125,730

Between $125,731 and $139,890

$139,890 or above

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* 5. What are the ages of the children in your household who are under 6 years old? Please check all that apply.

5 years old

4 years old

3 years old

2 years old

1 year old

0 -11 months

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* 6. Are any of your children in the 0-5 year range in daycare?

Yes

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* 7. Are any of your children in a Pre-Kindergarten program?

Yes

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* 8. Are any of your children currently in the Pre-K program at Cumru Elementary School?

Yes

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* 9. Would you be interested in sending your children to a Pre-Kindergarten program located in the Governor Mifflin School District?

Yes

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* 10. If your family was not eligible for a FREE Pre-Kindergarten program, would you be interested in paying for Pre-K program for your children in the Governor Mifflin School District?

Yes

Maybe

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* 11. If you would send your child(ren) to a Pre-Kindergarten program in the district, what hours of operation would work best for your family? Please check all that apply.

9:00 a.m. - 2:30 p.m.

8:00 a.m. - 1:30 p.m.

11:00 a.m. -4:30 p.m.

12:00 p.m. - 5:30 p.m

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* 12. Would you prefer the district Pre-Kindergarten program follow the district calendar in terms of start date and end date or would you prefer Pre-K only calendar that had different start and end dates for the program?

I would prefer the program follows the district calendar in terms of start and end dates

I would prefer the program follows its own Pre-K Calendar in terms of start and end dates

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* 13. If you sent your child(ren) to a Pre-Kindergarten program in the district, would you have transportation to drop off and pick up your child on a daily basis?

Yes

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* 14. If you were to attend a family engagement night, what topics would you be interested in learning about?

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* 15. If the district had an evening library time for children ages 0-5, which may include activities such as story time or book exchanges, would you utilize this service? If so, how frequently?

Yes - I would utilize this service every time it was offered

Yes - I would attend evening library at least once a month

Yes - I would attend, but not on a regular basis

No - I would not attend at all

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* 16. What type of resources would you like to have available to you to help support you as a parent of a child in the 0-5 age range?

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* 17. If you would like the Governor Mifflin School District to contact you with information about our Pre-Kindergarten program, please put your contact information below:

Name

Email Address

Phone Number