Newport School District Census Survey
Please provide the information for EVERY person living in the home.
House Number *
Your answer
Street Name *
Your answer
Apartment (if applicable)
Your answer
City/Town *
Your answer
Township *
Head of Household - First Name *
Your answer
Head of Household - Last Name *
Your answer
Head of Household - Date of Birth *
MM
/
DD
/
YYYY
Head of Household - Occupation *
Your answer
Head of Household - Employer Name *
Your answer
Contact Phone number(s) for household *
Your answer
Email address(s) for household
Your answer
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