* 1. What grade(s) are your child(ren) are this school year: (Mark all that applies)

* 2. I prefer to be contacted by:

* 3. I would like to receive occasional text messages on updates and reminders.

* 4. When attending meetings at school, I prefer to attend them:

* 5. The best time to hold evening meetings is:

* 6. I am interested in

* 7. I am comfortable helping with a class activity during

* 8. I have an area of expertise, talent, or knowledge that I would like to share with the class.

* 9. What kinds of challenges do children who you know (in this community) face that make success in school difficult?

* 10. What kinds of programs and services do you think would help your children have greater success in school? (Check all that apply)

* 11. Mark the areas which you would be interested in discussing or having presented at future parent meetings.

* 12. Would you be willing to talk in a discussion group about student needs?

* 13. Would you be willing to work with us to develop programs & services to ensure student success?

* 14. Would you be willing to talk in a discussion group about student needs?

* 15. Would you be willing to work with us to develop programs & services to ensure student success?

* 16. If you would like for us to contact you regarding any of the information above, please include the following:

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