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This survey has been created to determine the interests in opening a charter school focused on global education, and specifically on instruction and immersion in dual or multi-languages. Your feedback is very much appreciated. Please note that the survey is anonymous unless you elect to provide contact information.

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* 1. Please select the county (school district) of your residence.

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* 2. How did you hear about the charter school initiative in this community? Please select all that apply.

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* 3. Please select the grade levels of EACH of your children for the 2011 school year, if applicable.

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* 4. What do you feel the primary reasons for opening a charter school in our community might be? Select all that apply.

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* 5. If a charter school opened in this community, what grade levels should it serve?

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* 6. If a charter school focused on a global curriculum and provided language instruction, please rank the languages in order of priority (type numbers 1-5 with 1 being the highest priority).

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* 7. If a global education charter school was created, a diverse student population would be highly valued. Please provide your family's ethnicity.

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* 8. What is the primary language spoken in your home?

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* 9. How much do you know about charter schools?

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* 10. Would you attend an informational community forum about a global education charter school?

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* 11. To what extent do you support the need for educational reform in Georgia?

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* 12. To what extent do you support public school choice for parents?

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* 13. Please select the choice that most closely aligns with your feelings:

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* 14. If a charter school option was available for your child(ren), how far are you willing to travel in order for your child(ren) to attend?

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* 15. If you are interested in being actively involved in a global education charter school and would like to share your contact information, you may do so below (OPTIONAL).

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* 16. If you are interested in getting involved with the planning of a charter school, please indicate your areas of expertise where you could provide the most support. Select all that apply. Please make sure that you provided your contact information in question #15.

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* 17. Please feel free to share any other concerns, questions, or comments you have. If you would like a personal response, please be sure to include your contact information in question #15.

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