Heritage District Public School Outreach Survey (b)
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Your Church Name *
Please do not abbreviate)
Church Location *
either city or whole address
What is the name of the closest public school to your church? *
(if multi point charge, please complete a survey for each church on charge)
Approximately how many miles is the school from your church? *
What grade level is the school? *
If your church is currently supporting this school as part of its missions activities, please describe how *
(Type in "NA" if not applicable)
If this school is not currently a part of your local mission activities, how might your church begin to include it? *
(Type in "NA" if not applicable)
Do you have church members (or friends or family of church members) who work at the school? *
If Yes above.... Please describer
If there is another school besides the one you listed above that your church is ministering to, please describe: *
Please share any other comments here:
Please type your name below. *
Please share your email here *
Please share a phone contact here *
Are you *
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