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* 1. The Annual Evaluation Survey is used to evaluate the effectiveness of the Parental Involvement in your child’s Title I School. This information will be used to plan appropriately for the upcoming school year. If you have more than one child in this school, you will only need to complete one survey for the household.

Please choose your school from the following list:

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* 2. Please check any of the ways you were involved in your child’s school during the 2012-13 school term:

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* 3. Please check any of the following topics for workshops that would be of interest to you:

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* 4. If you attended any of the following workshops/activities please rate them to let us know how helpful and informative they were: 

  Not very Somewhat Very
1. CRCT/Test Prep Night
2. Family Reading/Math/Science Nights
3. Annual Title I Meeting
4. Open House/Grade Level Curriculum

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* 5. If you were unable to attend any school events, what kept you from attending

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* 6. Please tell us how frequently you have participated in the following parental involvement activities at your child’s school:

  Never Sometimes Often
*Communication (examples might be phone, newsletter, marquee, letter, email, agenda/websites/parent portal)
*Volunteering (examples might be book fairs, career days, committees/field day/field trips, school/PTO events, mentoring/tutoring)
*Decision –making (examples might be School Council, Parent advisory boards, Planning Committees, textbook review)
*Collaborating with Community (example of school event might be inviting community members to programs or plays, backpack program, Can-a-thon, Coins for Cupcakes, Relay for Life/American Cancer Society, Angel Run, Ferst Foundation, Jump Rope for Heart, March of Dimes, Change For Champions)

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* 7. 5. Do you have internet service available in your home?

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* 8. What time of day is best for you to attend meetings or conferences?

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* 9. Please use this space for additional comments/concerns.

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