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* 1. Please tell us the name of your family so we can follow up with you.

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* 2. How are your children attending school this year, so far?

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* 3. Please choose all that apply. The children in my home are at the following school levels:

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* 4. My children would benefit from support in the following areas:

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* 5. I am currently able to pay my rent or housing expenses including utilities.

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* 6. I currently have enough food in my home to feed my entire family.

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* 7. I have stable internet in my home for homeschooling

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* 8. Our family will need gift support for the holidays this December.

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* 9. I currently have the time and resources I need to support my child through homeschooling. Please check all that apply.

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* 10. Please identify your employment status (the person filling out the survey).

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