Please share your thoughts on the proposal from the volunteer community group.

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* 1. What is your name? (optional)

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* 2. What school district do you live in?

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* 3. Do you have any children under 18?

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* 4. Do you have any children enrolled in Mill A School?

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* 5. Have you read the key points or draft proposal at PacificCrestIA.com?

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* 6. Based on the proposal, I think adding an innovative, cooperative high school program to the Mill A School District is:

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* 7. My primary interest in Pacific Crest Innovation Academy is:

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* 8. If an innovation academy is added to the Mill A School District, I am:

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* 9. Do you have any other comments, questions, or concerns?

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* 10. Would you like us to contact you to discuss the proposal further?

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