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Communities In Schools Charlotte-Mecklenburg
Community Learning Center- Parent Survey
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What School does your child attend
Martin Luther King Middle
Hidden Valley Elementary
Clear selection
What is the primary language spoken at home?
English
Spanish
Burmese
Napali
French
Other:
Clear selection
How many members are in your household?
Your answer
What is your race or ethnicity?
Asian
Black or African American
Hispanic or Latino
Middle Eastern or North African
Multiracial or Multiethnic
Native American or Alaska Native
Native Hawaiian or other Pacific Islander
White
Other:
Clear selection
Are you of Hispanic or Latin American Descent?
I am not Spanish, Hispanic, or Latino
Multi Generational (Cuban American, Mexican American, Chicano, Nuyorican,..etc)
First Generation (First in your family to be born and raised in the US)
Caribbean (Cuban, Dominican Republic, Haiti)
Central American (Guatemala, El Salvador, Honduras, Nicaragua, Costa Rica, Panama)
South American (Venezuela, Colombia, Ecuador, Peru, Bolivia, Chile, Argentina, Uruguay, Paraguay)
Brazil
Mexican
Puerto Rican
Other:
Clear selection
What is the highest level of school you have completed or the highest degree you have received?
Less than high school degree
High school diploma or equivalent (e.g., GED)
Some College but no degree
Associate Degree
Bachelor Degree
Graduate degree
Clear selection
Which of the following categories best describes your employment status?
Employed Working 1-39 Hours per week
Employed Working 40 or more hours
Not employed, looking for work
Not employed, NOT looking for work
Retired
Disabled, not able to work
Clear selection
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