Parental Needs Assessment
The purpose of the parenting workshops is to identify the needs of parents so we can effectively service you and your child's school career and needs. The topics of the workshops will be based off your responses. These answers are confidential, and will not be reported. This is solely for attending to you and your child's needs. You have the right to deny this assessment, however your input really matters. 
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Email *
Name? *
Phone Number? *
Address ? *
If not employed, are you looking for support to find employment?  *
What is your highest level of education?
If applicable do your kids need employment?
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Marital status?
Do you own or rent your current place of residence? Are you in need of financial assistance for mortgage/rent ?
If applicable Would you need assistance with applying for public benefits? *
How many kids do you have and what are their ages, school grade, and what school do he/she/they attend?
Are you interested in learning about food education
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What problems do you face with your child?  *
If applicable, What time is bedtime?
On a scale of 1-10 how involved are you in your kids academics? (1 = no involvement, 10 = highest involved)
Are you in need of help with student loan forgiveness?
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Does your child need assistance with college/trade/FAFSA applications?
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What is a good time to host parenting workshops for you
What topics would you like to see covered in these parent workshops? What would you want to benefit from these workshops?  *
Is there any questions we did not ask that you feel we should have asked? 
A copy of your responses will be emailed to the address you provided.
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