2020-2021 Eligibility Survey 合资格调查问卷
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Email address
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Your email
Student Name 学生姓名
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Your answer
2020-2021 Grade 年级
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6
7
8
9
10
11
12
2020-2021 School 学校
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Your answer
Is your student a new or returning student? Please note, returning students are those who have completed the school year and have attended after school tutoring with Project: VISION. 请问您的小孩上学年有在PV接受课后补习服务吗？
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Returning
New
Does your student participate in other academic after school programs? 你的学生有参加其他的课后学术性活动吗?
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Yes 有
No 否
If yes, please list the provider: 若有, 请列出活动中心的名字:
Your answer
How many people are in your household? 你们家里有多少人?
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Your answer
Who in your family has attended college in the United States? (Check all that apply.) 在家里，有谁上过美国的大学? （可多选)
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Mother 母亲
Father 父亲
Sibling 兄弟姐妹
None 没有
Required
Who in the family was born outside of the United States? (Check all that apply.) 在家里, 谁在美国境外出生的? (可多选)
Mother 母亲
Father 父亲
Sibling 兄弟姐妹
Self/Student 自己/学生
None 没有
Please enter your 2019 Income for both parents (if applicable). Note: This number can generally be found on 'Line 1' of your 1040 Individual Income Tax Return. 请问您2019年的总收入是什么？（在您的1040税表上与第一页“Line 1”对应的数字）
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Your answer
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