Jefferson Elementary Adult Interest Survey
Each month, Jefferson Elementary offers an engaging and informative program called Coffee House. During Coffee House, Jefferson staff and community members present information regarding topics parents have expressed interest in learning more about. This year, we hope to have more families present during Coffee House.

Please complete the survey below regarding topics you are interested in learning more about and times and days you are available. We look forward to hearing from our parents on how we can provide you the best resources.

Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Student(s) Name(s) *
Your answer
Please check the activities you or adults in your household would like to learn more about. *
Required
What time is most convenient for you to attend Coffee House? *
Required
What day is most convenient for you? *
Required
What is your preferred method of contact? *
Required
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