We know your child's education is very important to you and your feedback is important to us.

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* 1. Contact Information (this information will only be shared with people affiliated with Cristo Rey)

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* 2. How many adults (over 18) currently live in your household?

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* 3. How many children (18 and younger) currently live in your household?

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* 4. Where do your children currently go to school?  For each child, please list their first name, grade and school

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* 5. Do your children receive free or reduced lunch at school?

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* 6. What language do you mainly speak at home?

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* 7. What is your ethnicity? (Please select all that apply)

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* 8. Which of the following categories best describes YOUR employment status?

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* 9. If you are employed, how many jobs do YOU currently have?

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* 10. Which of the following categories best describes your spouse's or co-parent's employment status?

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* 11. If they are employed, how many jobs does your spouse or co-parent currently have?

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* 12. What is your annual household income?

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* 13. Which issues are affecting your family most right now? (Pick your top 2)

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* 14. What is the highest level of school that you have completed?

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* 15. How important is it for you for your child(ren) to attend school?

  Not important at all  Not very important  No opinion Very important Extremely important
High School
College

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* 16. Where will your child(ren) most likely attend high school?

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* 17. Why will they most likely attend that high school? (Please select all that apply.)

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* 18. How satisfied are you with your child's current choices for high school?

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* 19. How important do you consider the following when choosing a high school for your child(ren)?

  Not important at all Not very important No opinion Very important Extremely important
High academic performance or reputation
Availability of public transportation
Involvement of family/community
Science/technology focused
Strong sports program
Safety in and around school
High-quality teachers

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* 20. How interested would you be in a high school that provided the following benefits?

  Not interested at all Not very interested No opinion Very interested Extremely interested
Provides your child four years of work experience
College-preparatory education
Enrollment is limited to low-income youth
Affordable private education (less than $1,000/year)
Faith-based (Catholic)
Small school (approximately 500 students)

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* 21. We are currently looking at multiple school sites; how open are you to having your child attend school outside of your neighborhood?

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