Request edit access
Parent / Guardian Survey 2020 - 2021 school Year
* Required
In schools to help kids stay in school
What school does your child attend?
*
Ann J Kellogg
B.C. STEM Innovation Center
Battle Creek Central
Dudley Elementary
Fremont International Academy
LaMora Park Elementary
Northwestern Middle
Post-Franklin Elementary
Springfield Middle
Valley View Elementary
Verona Elementary
W.K. Kellogg Preparatory High
What is the gender of your student(s)?
*
Male
Female
Both (more than one student)
In the past year, how often have you visited your child's school?
*
Almost never
Once or twice
Every few months
Monthly
Weekly or more
To what extent do you think that children enjoy going to your child's school?
*
Not at all
A little bit
Somewhat
Quite a bit
A tremendous amount
Check the area that the CIS Site Coordinator can help your student.
*
School work
Clothing
School supplies
Volunteering
Food
Teaching about careers
Teaching about college
Getting your student involved in after school programs
Helping with getting glasses
Helping with getting mentor
Required
Please list the three most pressing needs for your student(s).
Your answer
When would you be most available to attend school events for your student(s)?
*
At the beginning of school (7:30 am - 9:30 am)
During lunch times (10:30 am - 12:30 pm)
After school (2:30 pm - 4:30 pm)
In the evening (5:30 pm - 7:30 pm)
Please select the programs that your student(s) participated in last school year.
*
After School Programs
Tutoring
Conferences
Sports
Clubs
Others
Required
What events did you participate in this past year?
*
Parent Teacher Conferences
Open House
Volunteering
Chaperon for field trips/events
Literacy Night
Parent University
Required
What types of events would you like to see?
Your answer
Would you be willing to volunteer?
*
Yes
No
Maybe
Did your student(s) receive clothing or school supplies from Communities In Schools last year?
*
Yes
No
Not applicable
Are there any clothing or school supplies needs you had last year that were not met? Please describe.
Your answer
On a scale from 1 (very low) to 7 (very high), please rate how well the community, local organizations and volunteers support the needs of your student(s)?
*
1 Very low support
2
3
4
5
6
7 Very high support
Do you have any other comments, questions, or concerns?
Your answer
If you would like to be contacted please leave your name, phone number and email.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Communities In Schools of Michigan.
Report Abuse
Forms