MVOL Parent Engagement Survey

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* 1. What is your name?

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* 2. Which best describes your race or ethnicity

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Another race

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* 3. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 4. Are you currently employed?

Yes

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* 5. What is the highest level of school you have completed or the highest degree you have received?

Less than high school degree

High school degree or equivalent (e.g., GED)

Some college but no degree

Associate degree

Bachelor degree

Graduate degree

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* 6. What school does your child currently attend? Grade Level?

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* 7. Is this your first MVOL event? How did you hear about the MVOL Parent Engagement Night (i.e. family, friends, website, school, etc.)?

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* 8. How often does your child read at home?

Everyday

Weekly

Rarely

Not At All

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* 9. How often do you read to your child?

Everyday

Weekly

Rarely

Not At All

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* 10. Would you like to join our mailing list, for updates and info

Name *

Company

Address

Address 2

City/Town

State/Province *

ZIP/Postal Code

Email Address *

Phone Number