Information Request Form

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Curtis High School Title 1 Parent Advisory Council (PAC) Survey

Dear Parent/Guardian, Curtis High School is a Title I school, and as the parent/guardian of a student attending a Title I school you are an important part of the Title I Parent Advisory Council (PAC). Your input is vital in the planning and implementation of the parent and family engagement programs and activities in our school. The focus of all Title I programs are to help students meet the same high academic achievement standards expected of all children, regardless of their socioeconomic status and background. The following survey is confidential and will be used to assist us with future planning for parent and family engagement activities and events at Curtis High School. We appreciate your feedback and thank you for taking the time to complete this survey.
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Name
First Name
Last Name
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Mailing Address
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E-mail
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Mobile Phone Number
Area Code
Phone Number
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Home Phone Number
Area Code
Phone Number
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What is the best way to reach you and keep you informed?Check all that apply
email
phone
text
mail
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What is your relationship to the student(s) attending Curtis HS?:Please choose one
Mother
Father
Legal Guardian
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If you chose Legal Guardian, please specify below.ex. grandparent, foster parent, sibling, etc...
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How many children do you have attending Curtis High School?Please Specify how many Sons and how many Daughters
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Please specify what class your daughter(s) is in?Freshman, Sophomore, Junior, Senior
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Please specify the class your son(s) is in?Freshman, Sophomore, Junior, Senior
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What program(s) is your child/children enrolled in?Check all that apply
IB
Journalism
Nursing
SIS
NJROTC
Performing/Visual Arts
Computer Business
Law
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What time of day is best for you to participate in CHS Title 1 PAC activities?Check all that apply
Morning
Afternoon
Evening
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Which language would you prefer communication?
English
Spanish
French
Arabic
Sign Language
Other
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If other, what language would you prefer to communicate in?
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Would you be interested in informational conference calls for parents?
YESNO
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What kinds of activities would you like for the CHS Title 1 PAC to host for parents?Check all that apply
College Financial Aid Workshop
College Sports Information
Computer Training
ELA/Math Requirements Workshop
Family/Nutrition Health
College and Career Readiness
Parent Advocacy/Engagement/Empowerment
Careers in Photography Workshop
ESL (English as a Second Language)
Graduation and Regents Requirements
Special Education/IEP Workshop
Social-Emotional Development Workshop
Anxiety Management and Resources
Resume Building/Job Training Workshop
PSAT and SAT Preparation
Other
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If other, what kinds of activities would you like for the CHS Title 1 PAC to host?
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What is the most convenient day(s) for you to participate in CHS Title 1 PAC events and/or workshops.Check all that apply
Mon
Friday
Tuesday
Saturday
Wednesday
Sunday
Thursday
All of the above
None of the above
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If you chose "None of the above," can you briefly tell us why it would be an inconvenience to attend the CHS Title 1 PAC activities?
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What does Parent Empowerment and Engagement mean to you?
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In what ways would you like to contribute, participate, or volunteer to the CHS Title 1 PAC?
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Do you have any additional comments?
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The Title I Parent Advisory Council meetings for all Curtis High School parents will be held on the 3rd Tuesday of each month.
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Curtis High School Title 1 Parent Advisory Council Officers

chstitle1pac@gmail.com

Selina R. Atteberry - Chairperson

Nohelani McCoy - Alternate Chairperson

Marianne Rosson - Recording Secretary

Nataki Hewling - Corresponding Secretary
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Thank you for completing the Curtis High School Title 1 Parent Advisory Council Survey. We hope it helps us to better serve our Curtis HS families.
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