School Program Interest Survey Form
Share your interests and needs in the School Program Interest Survey Form so we can better understand program demand and follow up appropriately.
Your Name
*
First Name
Last Name
Email Address
*
example@example.com
What is your relationship to the prospective student?
*
I am the prospective student
Parent or guardian
Other family member
Other
Which program areas are you interested in? Select all that apply.
*
Arts and creative programs
Science, technology, engineering, and mathematics
Languages and humanities
Sports and physical education
Academic enrichment
Other
What grade range is the prospective student interested in?
*
Please Select
Early childhood
Elementary school
Middle school
High school
Not sure yet
How interested are you in learning more about the programs?
*
1
2
3
4
5
How important are these program features to you?
*
Rows
Not important
A little important
Moderately important
Very important
Extremely important
Flexible scheduling
1
2
3
4
5
Hands-on learning
6
7
8
9
10
Small group instruction
11
12
13
14
15
Opportunities to explore student interests
16
17
18
19
20
Which days or times would generally work best? Select all that apply.
Weekday mornings
Weekday afternoons
Weekday evenings
Weekends
Flexible
Are there any learning interests or support needs you would like us to know about?
When would you prefer the school to follow up?
*
Please Select
As soon as possible
Within the next week
Later this month
I am just exploring for now
Submit Survey
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