PreK & Kindergarten Interest Survey (4 minutes) Question Title * 1. This survey is for residents living in or near Jefferson County, Oregon. Do you live here and have pre-school / school aged children? Yes No OK Question Title * 2. How do we contact you? Name Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number OK Question Title * 3. If Madras Christian School offers PreK & Kindergarten next year, how interested are you in having your child(ren) enroll? 1 (uninterested) 2 3 4 5 6 7 8 9 10 (committed) 1 (uninterested) 2 3 4 5 6 7 8 9 10 (committed) OK Question Title * 4. What reasons are you interested in private Christian education? (Check all that apply.) Quality academics & small class sizes Rich extra-curricular programs including art, music, nature study & enrichment activities Positive Christian environment Bible, faith and character-building instruction Prefer parental discernment over Oregon's mandatory public school "Comprehensive Sexuality Education" Child is struggling in public school Other (please specify) OK Question Title * 5. Are you looking for preschool ("Pre-Kindergarten") or Kindergarten next year? Pre-Kindergarten Kindergarten Both OK Question Title * 6. How old will your child be on September 1, 2020? Name of Child 1 Age as of September 1, 2020 Date of Birth School currently attending OK Question Title * 7. Other siblings who may be interested in our PreK - 8th grade programs? Child 2's Name Child 2's Age as of September 1, 2020 School currently attending Child 3's Name Child 3's Age as of September 1, 2020 School currently attending Child 4's Name Child 4's Age as of September 1, 2020 School currently attending Further information OK Question Title * 8. Would you like to learn more about our scholarship programs & family discounts? OK Question Title * 9. Would you like someone from our school to contact you to share more about our programs and spring visitation days? OK Question Title * 10. I understand that this is not an application and does not hold my spot, however if PreK &/or Kindergarten are offered during the 2020-2021 school year, we are definitely interested in having our student(s) enrolled at Madras Christian School. Yes No Other (please specify) OK THANK YOU! COMPLETE.