Media Center Survey Form

Media Center Survey Form

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2017-2018 Media Center Survey
  • 1
    (Example: 0123)
    Press
    Enter
  • 2
    Please type your school name (Example: Clifford Elementary, Hogwarts Middle, and Patterson Senior High)
    Press
    Enter
  • 3
    Press
    Enter
  • 4
    Press
    Enter
  • 5
    Please select the number of hours the Media Center is open from the drop down menu.
    • 1 hour
    • 2 hours
    • 3 hours
    • 4 hours
    • 5 hours
    • 6 hours
    • 7 hours
    • 8 hours
    • 9 hours
    • 10 hours+
    Press
    Enter
  • 6
    (Example: Media Specialist, Media Clerk, Full-Time Teacher, Hourly Teacher, Part-Time Clerk and/or Volunteers)
    Press
    Enter
  • 7
    Press
    Enter
  • 8
    Last Name, First Name & Employee Number
    Title (Media Specialist, Full-Time Teacher, Hourly Teacher, Part-Time Clerk)
    Press
    Enter
  • 9
    Last Name, First Name & Employee Number
    Title (Media Specialist, Full-Time Teacher, Hourly Teacher, Part-Time Clerk)
    Press
    Enter
  • Should be Empty:
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