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* 1. What is your name?

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* 2. Tell us about your family.

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* 4. If yes, to question 3, what other language is spoken at home?

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* 5. Where do you live in DC?

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* 6. What are your goals for your student? Please check all the apply.

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* 7. Tell us what high school options you would like to see in a new school. Please check all that apply.

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* 8. From your perspective, rank the career pathways that would be most interesting for your student?

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* 9. We are hoping to become part of the Big Picture Learning Network and would love your feedback about what aspects you find most important.  Please check your top three most important aspects.

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* 10. Tell us how you would like our school to interact with the larger community.

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