Family Fund: How Can We Help?

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Thank you for taking the time to complete this questionnaire. By sharing your answers to the following questions, you help us improve our delivery of the services that are most important to you and your family. This questionnaire can be anonymous, or you can provide your name if you wish to receive a call or email from us. If you have questions, please write to ljordan@ojaiusd.org.

Name *

Email Address *

Student(s) Name(s) *

School(s) student(s) attend(s) *

Nordhoff High School

Chaparral High School

Matilija Middle School

Meiners Oaks Elementary School

Mira Monte Elementary School

San Antonio Elementary School

Topa Topa Elementary School

Summit School

Does your student need access to a bike?

Yes

And helmet?

Clear selection

If your student previously received a bike from Family Fund they've outgrown and is still rideable/safe, please consider "recycling" it back to us and we will make sure another student receives.

Yes, I can donate a bike back to Family Fund

Clear selection

Would you like to visit our next Clothing Closet event for warm jackets, hoodies, coats, shoes, etc?

Yes

Clear selection

Would you like support with after-school care at your student's school site?

Yes

Clear selection

Would you like support for your student field trip funds?

Yes

Clear selection

Would you like support for your student's athletic team uniform?

Yes

Clear selection

Would you like support for student test fees?

PSAT

SAT

Clear selection

Any other services you are interested in?

Clear form

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