Ashland/Maxwell FRC Parent Survey
Dear Ashland/Maxwell Families,
Not many families are aware that Ashland and Maxwell Elementary have a joint Family Resource Center (FRC). Events hosted by the FRC will be available to the families of both schools. The FRC serves children and their families by offering a unique blend of programs and services to meet the needs of our population. We are collecting important information so that we can better identify the services that will benefit our school community as a whole. To help us plan for the upcoming year, please fill out this survey and return to school.
**Please complete only one per family**
Which school does your child attend?
Maxwell Spanish Immersion
Number of adults in household:
Number of children in household under 18 years of age:
Child(ren) live with: (check all that apply)
Does your child(ren) have: (check all that apply)
eye exam insurance
Do you have a child entering kindergarten next year (2020-2021)?
If yes, would you be interested in kindergarten transition program prior to the beginning of school?
Do you have a child ages 0-3 years of age?
If yes, do you need assistance locating quality preschool programs?
Are you expecting a child within the next nine months?
If yes, would you be interested in attending trainings for new and expectant parents?
I am interested in the following childcare services: (check all that apply)
full-time childcare for children 0-12 years
After school childcare for children ages 4-12 years
Summer childcare for children ages 4 to 12 years
Referral to child care assitance program (to help pay for child care expenses)
Information on becoming a certified in-home child care provider
I am interested in the following workshops for parents and families: (check all that apply)
Mental health topics sush as ADS, anxiety, depression
Discipline techniques/behavior modification/Co-Parenting
Helping your child with homework
Internet/social media/cell phone safety
Preparing your child for middle school
Avoiding Foreclosure Information/Home ownership
Information on prenatal/newborn care
Budgeting skills/money management/couponing
Nutrition education/fitness information
Adult computer literacy
Grandparents/relatives as parents support group
College Careeer Readiness/financing college for students
Obtaining your GED
English as a Second langauge
Adult Spanish language education
I am interested in the following activities for my child(ren): (Check all that apply)
Summer Camp information
What type of evening or family activities would you like to see offered? (Check all that apply)
Educational Activities (Math Night, Science Night, etc.)
Family Reading Night
What time of day would you like the family events/ adult workshops to be offered?
During the school day
During the last year, has your household experienced any of the following: (Check all that apply)
Lack of housing
shortage of food
other financial hardships
child returning from out of home placement
involvement with child protective services
death of an immediate family member
Please indicate any areas of concerns or problems facing your family at this time: (check all that apply)
Access to medical care or medication
Access to dental care
Assistance with vision care or eye glasses
Referral for mental health services for adult
referral for mental health service for child
Eviction/lack of housing
Shortage of Food
Clothing for chidren
Would you be interested in an on-site FREE food pantry for the FRC?
Do you need assistance with basic needs? (Check all that apply)
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