2021 School Climate Survey Opt Out
North Hills School District will be participating in the Pennsylvania School Climate Survey. Surveys will be given to students in grades 5, 8 and 11 beginning Nov. 3, 2021. If you do not want your student to participate, you must submit the form below no later than Friday, Oct. 29, 2021.
Sign in to Google to save your progress. Learn more
Student First Name *
Student Last Name *
Student School *
Student Grade *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Phone Number *
Survey Participation *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of North Hills School District. Report Abuse