2019 Kansas Communities That Care Student Survey Registration Form
New for 2019 - Survey Administration will begin earlier: November 5, 2018 to January 31, 2019
Must have superintendent's approval. Superintendent will receive e-mail after submitting. If you have questions, please call Nancy White at 620-724-6281.
District Superintendent Name
District Superintendent E-mail
(a confirmation message will be sent to the superintendent)
Our district/school would like to participate in the 2019 survey.
I hereby give consent for the information gathered from the Kansas Communities That Care Student Survey in my district to be used in aggregate form only for state and/or national reporting or as requested by credible researchers and approved by Kansas Leadership. I understand that data pertaining to individual districts or schools will NOT be identified or reported in isolation in any resulting report or project. I understand that a parent signature is required for students to take the survey. I understand that the district contact named above is responsible for ensuring that survey administration instructions are distributed as needed to schools in the district and that administration protocols are followed.
Yes, our district would like to participate in the 2019 survey.
No, our district does not wish to participate in the 2019 survey.
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