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Kennedy MS Needs Assessment 2021-2022
As you answer these questions, please think about your family’s situation right now. This survey will be used to expand and improve the services we are currently offering at Kennedy Middle School.
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Email
*
Your email
Parent/ Guardian Name:
*
Your answer
Telephone Number:
Your answer
Email:
Your answer
Age:
Your answer
Gender Identity:
Male
Female
Non-Binary
Prefer not to say
Clear selection
Race/Ethnicity:
Your answer
Number of people in the household:
*
1
2
3
4
5
6+
Number of students attending Kennedy MS:
*
Your answer
I could use help and/or want to learn about (Check all that apply):
*
Personal Care Support
Housing Assistance
Utilities Assistance
Food
Clothing/Shoes
Health Care Insurance
Vision Care
Before/After School Care
Family Counseling
Individual Counseling
Tutoring
Homework Help
Seeing a Doctor
Dental Care
Washer & Dryer Services
Required
I could use help and/or want to learn about (Check all that apply):
*
Community Support
Addiction Treatment Services
Legal Services
Immigration Services
Family law
Sports & Recreation
Mental/ Behavioral Health Services
Community Center Connection
Required
I could use help and/or want to learn about (Check all that apply):
*
Personal Capacity Support
GED Classes
Applying for College/ Paying for College
English Language Classes
Computer Classes
Parenting Skills
Resume Support/ Writing
Job Search
Job Skills Training
Financial Management Classes
Applying for Food Stamps
Applying for Medicaid/ Medicare
Required
Ways I can contribute at my student's school (Kennedy Volunteering):
*
Joining Kennedy Community School Council
Starting school after school club/ during school lunches
Starting after school sports club
Assisting with school garden
Assisting with school clothing bank
Assisting with food donations
Assisting with monthly great attendance incentives for students
Tutoring (reading, writing, math, science, fine arts)
Assisting with Kennedy MS Fundraising
Required
Ways I can contribute at my student's school (Community Volunteering):
*
Leading a parent/ support group
Leading adult education classes
Not Applicable
Required
Comments/ Questions:
Your answer
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