Request edit access
FAMILY SURVEY (South District)
Dear Parents,

In order to better serve your children, Harmony Science Academy District would like to identify families and out-of-school youth who are agricultural or fishing workers and who may qualify to receive additional educational services. The
information provided will be kept confidential. Please answer the following survey questions for your child's school. If you have more than one child attending Harmony, a survey will need to be submitted for each child.
Email address *
Which school does your child attend? *
1. Have you done seasonal or temporary agricultural or fishing-related work (e.g., field work, canneries,lumbering, dairy work, or meat processing) during the last 3 years? *
2. Have you moved between school districts and/or states during the last 3 years due to economic necessity? *
3. Do you have a child under the age of 22 who lacks a U.S. - issued high school diploma or Certificate of High School Equivalency (HSE/GED) and is currently not enrolled in school? *
Next
Never submit passwords through Google Forms.
This form was created inside of Harmony Public Schools. Report Abuse - Terms of Service