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Section 1 of 3
Skills Inventory for Parents
Please complete this form to assist Forest Ridge Elementary with our emergency plan.  This information will be used for emergency situations only.  In the case of an emergency we may contact parents for support based on the survey responses.  We appreciate your time and your willingness to assist us in any emergency need.  
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Parent Name (Last,First)
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Cell Phone Number
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Are you available to assist the school in the event of an emergency?
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Yes
No
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Section 2 of 3
Communication
Communication
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If you can translate in another language please check all that apply.
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I will help translate in Spanish.
I will help translate in Korean.
I will help translate in Chinese.
I will help translate in ASL.
Other…
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When are you available to support in the event of an emergency
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Before school
During School
After School
Available all hours
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add "Other"
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How many minutes will it take for you to respond to the school after a disaster by walking?  
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First Aid
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Please check all that apply.
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I am a doctor.
I am a nurse/ practitioner
I am certified in First Aid.
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Section 3 of 3
Questions/Comments
Please feel free to leave a question or comment about the Parent Skills Survey. We will contact you to respond to your inquires.
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Parent Name (Last,First)
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Cell Phone Number
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Are you available to assist the school in the event of an emergency?
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Communication
Communication
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When are you available to support in the event of an emergency
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How many minutes will it take for you to respond to the school after a disaster by walking?  
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First Aid
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Questions/Comments
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