Ebenezer SDA Education Department Student Survey

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Please complete this form to provide us with information on your child. All responses will be kept confidential.

Parent Name: *

Child's Name: *

Name of your child's school: *

Child's Grade *

Is your child graduating or moving up? *

Yes

Required

If so, what grade is your child graduating/moving up from? *

Child's future plans and aspirations: *

Child's favorite subject/class: *

Telephone Number: *

Email Address: *

What would you like to learn more about in terms of education? (Church services, SDA Academies, etc.) *

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