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* 1. Do you own or rent?

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* 2. What zip code do you live in?

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* 3. Which of the following income ranges best represents your household's annual income?

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* 4. What are the ages of the children you have in your household that have not graduated from high school?

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* 5. Are you currently open to new schooling approaches for your child?

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* 6. Are you satisfied with the quality of education your child is receiving currently?

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* 7. What skills would you like your child to learn and develop to prepare for adulthood? (Check all that apply)

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* 8. A self-governing democratic community is a community where the individuals of a community take responsibility for their own actions and the actions of their community in the format of a democratic model. Students will practice listening to each other, valuing differences of each other and hold each other accountable to the rules they create through the democratic process where all voices have equal weight. Would you like your child to participate in a self-governing democratic community?

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* 9. Would a hybrid schooling option be useful to your family's lifestyle? Outside of school could consist of other learning such as travel, community involvement, internships, etc.

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* 10. If percentage was selected for your previous answer, how much?

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* 11. Are there particular areas you would like available for your child to participate in? (Check all that apply)

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* 12. Would a year-round program be useful to you?

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* 13. Would you be interested in your child attending a school instead of daycare to start their success early?

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* 14. What is the most important thing you'd like your child to gain from their educational environment?

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* 15. What style of schooling is your child active in now?

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* 16. Are you looking to make a change to the style of schooling your child is receiving?

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* 17. If you are interested in being contacted when enrollment starts, please list your name, contact number, email, number of children and ages. If you are not interested, please place N?A in the response box.

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