Linn Early Childhood Questionnaire

Each questionnaire is confidential. Names or specifics will not be shared.

How old was your child on September 1, 2020 *

0 points

4 years old

3 years old

2 years old

1 year old

Required

Do you live 2.5 miles or further from Linn Schools?

0 points

Yes

Which format would you prefer?

0 points

3-yr old half-day

3-yr old full day

4-yr old half-day

4-yr old full day

Clear selection

Do you feel your child might qualify for any of the following:

0 points

Free and Reduced meals

Special Education (IEP)

At-Risk (1. Qualifies for free meals 2. Single parent household 3. Teen parent 4. Either parent lacking a high school diploma or GED 5. Limited English Proficiency 6. Lower than expected developmental progress 7. Child qualifying for migrant status 8. Child experiencing homelessness

Unsure

If the district is unable to provide transportation, would you be able to transport your child?

0 points

Yes

Clear selection

Contact information (optional)

Additional comments or questions

Submit

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This form was created inside of USD 223 Barnes-Hanover-Linn. Report Abuse

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