IKIC Parent Survey

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* 1. Parent First & Last Name

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* 2. Student First & Last Name

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* 3. School

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* 4. Preferred Phone Number (to contact if you win):

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* 5. Preferred Email (to contact if you win):

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* 6. Street Address/PO Box:

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* 7. City:

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* 8. Zip Code:

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* 9. I read and discussed the I Know I Can book with my child.

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* 10. I asked my child about his/her dream career.

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* 11. I discussed with my child what education the career may require.

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* 12. I helped my child with the activities at the end of the book.

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* 13. Please tell us what you think of this program:

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* 14. I wish to receive additional information on college planning.

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