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Community School Family Needs Survey

Halk TalkThe Community School Initiative links students and families with educational, enrichment, health, and social services provided by the school and community partners; it facilitates community engagement and planning for school improvement. By completing this form you are registering you and your family as long as your children are enrolled at Mahatma Gandhi PS # 23.

Contact Information
How long at this address?*
Answer Required
Relationship to Student*
Answer Required
Ethnicity *
Answer Required
Home Language*
Answer Required

By completing and returning this survey, I am granting permission for this information to be used by school staff and agents of the PS 23 Community School Initiative  to contact me about services that may be available to my family. Information will also be used for planning services and classes.

Family Member Information

Please list every child in your household, even if they do not attend PS 23

Do you have a computer at home?*
Answer Required
Do you have access to the internet?*
Answer Required
Do you use Facebook?*
Answer Required
Is this your first year as part of the PS 23 family?*
Answer Required
What kind of Medical Insurance do the children in your household have?*
Answer Required
Would you like information about any of the following (Check all that apply):*
Answer Required
Would you like information about any of these adult education classes? (Please check all that apply)*
Answer Required