Demographic Survey

Child's level in school(Required)

Age(Required)

Specify

Select all that apply AND enter additional details in the spaces below. Note, you may report more than one group.

Please specify other white

Enter, for example, Scottish, Norwegian, Dutch, etc.

Please specify other hispanic or latino

Enter, for example, Guatemalan, Spaniard, Ecudorian, etc.

Please specify other Black or African American

Enter, for example, Ghanaian, South African, Barbadian, etc.

Please specify other Asian

Enter, for example, Pakistani, Cambodian, Hmong, etc.

Please specify

Enter, for example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Tribal Government, Tlingit, etc.

Please specify other Middle Eastern or North African

Enter, for example, Algerian, Iraqi, Kurdish, etc.

Please specify other Native Hawaiian or Pacific Islander

Enter, for example, Palauan, Tahitian, Chuukese, etc.

Program

Title