Blytheville School District Parent Survey

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TO BE COMPLETED BY PARENTS or GUARDIANS ONLY.

Please take a few minutes to complete this survey so BSD can make preparations to serve your children during the 2020-2021 school year. Please complete the survey by Thursday, June 18.

Please type the name of the person completing this form. *

Street Address

Example Format: 123 Apple Street

City State Zip

Example Format: Blytheville AR 72315

Select the grade your child(ren) will enter for the 2020-21 school year within the Blytheville School District. (Mark all that apply) *

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Sixth Grade

Seventh Grade

Eighth Grade

Ninth Grade

Tenth Grade

Eleventh Grade

Twelfth Grade

Required

How does your child(ren) get to school? *

Car Rider

Bus Rider

Walk

Do you have Internet service at your home? *

Yes

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