2020 KCTC Student Survey Registration Form
Survey Administration: November 1, 2019 to January 31, 2020

Must have superintendent's approval. Superintendent will receive e-mail after submitting. If you have questions, please call Nancy White at 620-724-6281.

NEW - Reports will be available on the KCTC website using your district password.

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 2020 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.
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