1.

This information is needed for state reporting. This is not a test. Do not spend too much time on each question. Thank you in advance for your help with this survey.
Name

Question Title

* 1. Name

Student ID Number

Question Title

* 2. Student ID Number

Are you a child with a disability?

Question Title

* 3. Are you a child with a disability?

Are you ELL?

Question Title

* 4. Are you ELL?

Gender

Question Title

* 6. Gender

Grade

Question Title

* 7. Grade

Do you have a work permit?

Question Title

* 9. Do you have a work permit?

Have you participated in any of the following SCHOOL-SPONSORED VOLUNTARY COMMUNITY ACTIVITIES during this school year?
(Mark all that apply. If you have not participated in any of these activities, please leave this question blank and do not mark anything.)

Question Title

* 10. Have you participated in any of the following SCHOOL-SPONSORED VOLUNTARY COMMUNITY ACTIVITIES during this school year?
(Mark all that apply. If you have not participated in any of these activities, please leave this question blank and do not mark anything.)

Have you participated in any of the following SCHOOL-SPONSORED REQUIRED COMMUNITY ACTIVITIES during this school year?
(Mark all that apply. If you have not participated in any of these activities, please leave this question blank and do not mark anything.)

Question Title

* 11. Have you participated in any of the following SCHOOL-SPONSORED REQUIRED COMMUNITY ACTIVITIES during this school year?
(Mark all that apply. If you have not participated in any of these activities, please leave this question blank and do not mark anything.)

Have you participated in any of the following WIAA ATHLETIC SCHOOL ACTIVITIES during this school year?
(Mark all that apply. If you have not participated in any of these activities, please leave this question blank and do not mark anything.)

Question Title

* 12. Have you participated in any of the following WIAA ATHLETIC SCHOOL ACTIVITIES during this school year?
(Mark all that apply. If you have not participated in any of these activities, please leave this question blank and do not mark anything.)

Have you participated in any of the following ACADEMIC ACTIVITIES during this school year?
(Mark all that apply. If you have not participated in any of these activities, please leave this question blank and do not mark anything.)

Question Title

* 13. Have you participated in any of the following ACADEMIC ACTIVITIES during this school year?
(Mark all that apply. If you have not participated in any of these activities, please leave this question blank and do not mark anything.)

Have you participated in any of the following MUSICAL SCHOOL ACTIVITIES during this school year?
(Mark all that apply. If you have not participated in any of these activities, please leave this question blank and do not mark anything.)

Question Title

* 14. Have you participated in any of the following MUSICAL SCHOOL ACTIVITIES during this school year?
(Mark all that apply. If you have not participated in any of these activities, please leave this question blank and do not mark anything.)

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