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2016
September
B
Bethel Midtown Village Parent Survey
Bethel Midtown Village Parent Survey
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Contact Information
First Name
:
Last Name
:
Phone
:
Email Address
:
Highest Level of Education
High School Diploma
GED
Some College
College Degree
Did not complete High School
Name/Age/ Grade of Child 1
Name/Age/ Grade of Child 2
Name/Age/ Grade of Child 3
Name/Age/ Grade of Child 4
Name/Age/ Grade of Child 5
Does any of the children above require IEP or any learning disabilities at school? If so, who?
In what areas of learning would you like for your children to receive help with?
Reading
Math
Writing
Numbers/Letters/Shapes/Colors
Sight Words
Are their any areas that you would like to receive assistance with?
Obtaining GED
Resume/Job Search
Life Skills
Financial Literacy
Furthering Education
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