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* 1. Please identify the number of children in your household that attend Independence Schools in each grade level.

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* 2. How would you classify where you currently live?

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* 3. Did you grow up on a farm?

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* 4. Did you attend a high school that offered agriculture classes?

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* 5. If yes to #4, did you enroll in agricultural classes?

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* 6. If yes to #4, were you a member of the FFA?

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* 7. How important is agriculture to your daily life?

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* 8. Do you believe there are career opportunities in the agricultural industry?

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* 9. Do you believe there are career opportunities in the agricultural industry in Montgomery County and Southeast Kansas?

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* 10. Do you believe that an agricultural education program is needed in your community?

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* 11. Would you encourage your child/children to enroll in an agricultural education program at the high school?

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* 12. Please indicate the areas of education you would encourage your student(s) to enroll in. (Check top 5 only.)

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* 13. I would be interested in supporting the agricultural education department and FFA as the following: (Check all that apply.)

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