2016-17 Academic Center Parent/Guardian Survey Child Information Question Title 1. Select your child's district and school name: Bayshore Elementary - Robertson Intermediate Belmont-Redwood Shores Elementary - Nesbit Brisbane Elementary - Brisbane Elementary Burlingame Elementary - McKinley Elementary Burlingame Elementary - Roosevelt Elementary Burlingame Elementary - Washington Elementary Cabrillo Unified - Farallone View Elementary Jefferson Elementary - Fernando Rivera Intermediate Jefferson Elementary - John F. Kennedy Elementary Jefferson Elementary - Marjorie H. Tobias La Honda-Pescadero Unified - La Honda Elementary Menlo Park City Elementary - Encinal Elementary Menlo Park City Elementary - Hillview Middle Millbrae Elementary - Taylor Middle Pacifica - Cabrillo Elementary Pacifica - Ingrid B. Lacy Middle Pacifica - Ocean Shore Elementary Pacifica - Ortega Elementary Pacifica - Sunset Ridge Elementary Pacifica - Vallemar Elementary Ravenswood City Elementary - Cesar Chavez Academy Ravenswood City Elementary - Los Robles Magnet Academy Ravenswood City Elementary - Willow Oaks Elementary Redwood City Elementary - John F. Kennedy Middle Redwood City Elementary - Roosevelt Elementary Redwood City Elementary - Taft Elementary San Bruno Park Elementary - Parkside Middle San Mateo-Foster City Elementary - LEAD San Mateo-Foster City Elementary - North Shoreview Montessori San Mateo-Foster City Elementary - The Bayside STEM Academy South San Francisco Unified - Alta Loma Middle South San Francisco Unified - Los Cerritos Elementary South San Francisco Unified - Martin Elementary South San Francisco Unified - Parkway Heights Middle South San Francisco Unified - Spruce Elementary South San Francisco Unified - Sunshine Gardens Elementary South San Francisco Unified - Westborough Middle Question Title 2. Please select the number of children you have that attend the Academic Center program: 1 Child 2 Children 3 Children More than 3 children Question Title 3. Please select the grade-level of each child that attends the Academic Center program (select all that apply): Pre-K TK Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade High School (Grades 9-12) Other (please specify) Question Title 4. On average, how many days a week does your child attend the Academic Center? 1 day a week 2 days a week 3 days a week 4 days a week 5 days a week Other/ multiple children with varied attendance (please specify) Next