Fall ProStart Survey 2011

SCHOOL INFORMATION(Required.)

Teacher Name(s):

School Name:

School Address:

City:

State:

ZIP Code:

School District:

Email Address:

Phone Number:

STUDENT INFORMATION(Required.)

Number of Year One ProStart Students

Number of Year Two ProStart Students

Number of Students Working in the Industry

Number of Students Per Class

PROGRAM INFORMATION

Number of fund raising events each semester:

None

1-3

4-6

7+

Do you participate in FRLA Chapter events?

Yes

No

Other (please specify)

Do you receive FRLA Chapter notices by email or mail?

Yes

No

Would you be interested in submitting an article for NewsBites about your program?

I would love to tell you about

Yes

Other