Name:

Contact number:

What are the ages of the children in your household? (Check all that apply)

• 0-2 Years

• 3-5 Years

• 6-8 Years

• 9-11 Years

• 12-15 Years

• 16-18 Years

• No children in household

Can we send you information about educaiton workshops, seminars, and programs?

• Yes

• No

Are you interested in information about any of the following programs? (Check all that apply)

• Educational workshops for parents

• Education workshops for students

• Tutoring for students

• Discounted school supplies

• Discounted textbooks

• Discounted children's literature

• Financing college

• GED classes

• Computer classes

• Scholarships for college

• Educational articles for parents

The following is a list of topics for possible workshops and seminars. Please check the top 5 that you would be interested in if they were offered at Seabrook.

• Discipline Dilemmas'

• Tips for preparing for college

• Cooking projects that teach

• Building pre-literacy skills

• Easy and fun math activites to do with your kids at home

• Ways to develop your child's organizational skills

• Homework help for parents

• Reading aloud to your children - from babies to teens

• What should my child know and be able to do in the early years

• Reading roadblocks - learning disabilities

• Strategies to develop a love of reading in children

• Financing college

Thank you for taking the time complete this survey. We look forward to providing you with resources and services to meet some of your family's educational needs.