Clarke Family Survey

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Clarke Community Schools would like to reach out and assist the students, families, and staff it serves during this pandemic. We are trying to determine where the needs are so that we may direct our support in the most efficient manner. For that reason, this survey is not anonymous. However, the information you provide on the survey will only be shared with the team that includes administration, success coaches, counselors, and Spanish translators (where necessary). Because we are concerned about ALL of our families, a member of our team will reach out by phone to those who are not able to complete the survey digitally by June 24th. It is expected that the survey will take about 5 to 10 minutes of your time.

Steve Seid - Superintendent
Jody Kerchal - Elementary principal
Becca Kedley - Elementary assistant principal
Jeff Sogard - Middle School Principal
Shane Stephens - High School Principal
Shelly Morgan, NCSC - professional school counselor (K-5)
DeeAnn Clark - professional school counselor (6 - 8)
Annie Halsband - elementary success coach
Brittany Vidales - elementary success coach
Ruby Clyde - middle school and high school success coach
Thomas Kedley - middle school and high school success coach
Spanish translator

What is the name of the person filling out this survey? (Type your last name first, followed by your first name. Example: Smith, Pam)

School Aged Children

Please list the names of your children AND grade level in the areas below with one child per line.

Child 1 : Type your child's name (Last name followed by first name. Then indicate your child's grade level. Example: Smith, Pam first grade) *

Child 2 : Type your child's name (Last name followed by first name. Then indicate your child's grade level. Example: Smith, Pam first grade)

Child 3: Type your child's name (Last name followed by first name. Then indicate your child's grade level. Example: Smith, Pam first grade)

Child 4: Type your child's name (Last name followed by first name. Then indicate your child's grade level. Example: Smith, Pam first grade)

Child 5: Type your child's name (Last name followed by first name. Then indicate your child's grade level. Example: Smith, Pam first grade)

Meal Distribution Program

Do you utilize the meal distribution program? *

Yes

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