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* 1. Name

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* 2. Address

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* 3. What is your preferred email address?

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* 4. Home phone number:

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* 5. Cell phone number:

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* 6. What is your gender?

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* 7. When is your Birthday? (month, day, year)

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* 8. What is your marital status?

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* 9. Spouse/ partner's name:

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* 10. When is your spouse's Birthday? (month, day, year)

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* 11. Your McKendree student's name and and anticipated graduation date:

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* 12. Which of the following categories best describes your employment status?

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* 13. Where are you employed?

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* 14. What is your job title?

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* 15. What is your business address? (street, city, state, zip)

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* 16. How would you most like to be contacted by McKendree?

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* 17. How likely are you as a parent to do the following?

  Likely Unlikely Somewhat likely Neutral
Volunteer at events on campus
Help identify internship and employment opportunities for students
Represent McKendree at college fairs in your community
Serve on the Parents Advisory Board
Support McKendree's fundraising efforts
Participate in mission trips
Offer professional expertise as a guest speaker in a class

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* 18. Did you volunteer at your child's school during their middle and high school years?

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* 19. In your relationship with McKendree, please describe how often you do or have done each of the following.

  Regularly Occasionally Never
Visit McKendree website
Visit Campus
Interact with McKendree via social media
Attend Hett performances

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* 20. What types of events hosted by the Parent Association would you be most likely to attend? (please check all that apply)

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* 21. What is your mean household income? (optional)

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