Making connections: family involvement survey

Dear Families, 

I am excited about the different interests and talents the families of Room 204 have! You are a valuable resource for our classroom and school. Please take a few moments to fill out this survey. The results of the survey will help me learn more about you and organize opportunities for family involvement.

Sincerely,
[your name]

Working with students in the classroom

Please check all the activities that you would be willing to do:

__help with classroom celebrations

__ read books

__ make books

__help with projects

__tutor or help with make-up work

__ assist with writing

__ share information about my background

__ share information about my work: which is ________________

Other possibilities: __________________________________

Assisting teachers in my child’s classroom or grade level

__ find library books or other resource materials

__ provide materials for class projects

__ provide food for class events

__ make materials at home or school

__ make books on tape

__ help supervise lunch or recess

__ assist with field trips

Other possibilities:: __________________________________

Getting together with other parents

__ discussion group

__ support group for parents

__ social events

__ other: ___________

Topics that interest me:

__ [subject matter] in [grade level]

__ parenting

__ student development in [grade level]

__ community resources

Your name: _____________________ 

Student’s name: _____________________

Best day/time to contact me: ___________________________________________

Phones: ________            E-mail: _________