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.
USD Number *
Your answer
District Name *
Your answer
District Superintendent Name *
Your answer
District Superintendent E-mail *
(a confirmation message will be sent to the superintendent)
Your answer
Our district/school would like to participate in the 2019 survey.
Superintendent's Consent *
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.
Next
Never submit passwords through Google Forms.
This form was created inside of Southeast Kansas Education Service Center. Report Abuse - Terms of Service - Additional Terms