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Heritage District Public School Outreach Survey (b)
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* Indicates required question
Your Church Name
*
Please do not abbreviate)
Your answer
Church Location
*
either city or whole address
Your answer
What is the name of the closest public school to your church?
*
(if multi point charge, please complete a survey for each church on charge)
Your answer
Approximately how many miles is the school from your church?
*
Your answer
What grade level is the school?
*
Elementary
Middle
High School
Other:
If your church is currently supporting this school as part of its missions activities, please describe how
*
(Type in "NA" if not applicable)
Your answer
If this school is not currently a part of your local mission activities, how might your church begin to include it?
*
(Type in "NA" if not applicable)
Your answer
Do you have church members (or friends or family of church members) who work at the school?
*
Yes
No
Not Sure
If Yes above.... Please describer
Your answer
If there is another school besides the one you listed above that your church is ministering to, please describe:
*
Your answer
Please share any other comments here:
Your answer
Please type your name below.
*
Your answer
Please share your email here
*
Your answer
Please share a phone contact here
*
Your answer
Are you
*
Clergy
Staff
Laity
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