30 - Lebanon School District

11Lebanon School DistrictParent Involvement SurveyIn reference to next school year, this information will help usbe prepared for your child.11Parent / Guardian _________________________________________Student Name ____________________________________________School __________________________________________________Parent SatisfactionPlease check the appropriate box. This is in reference to the 2010-2011 year.Our School Has...Yes, I amsatisfiedI amsomewhatsatisfiedProvided a positivelearning environmentfor my child(ren)Demonstrated apersonal interest in mychild(ren)Encouraged me to bea partner in my child’seducation1Done a good jobcommunicating tome about my child’sprogressIf you could recommend a change for improvement what would it be?No, I amdissatisfied1Would you like to be a mentor for a student? ❏ Yes ❏ NoWould you like your child to have a mentor? ❏ Yes ❏ NoLebanon School DistrictParent Involvement Survey and ChecklistThis year, we will ask parents/guardians to complete our survey twice: at parent teacher conferencesand at the end of the year. The surveys are used to help our schools continuously improve. We need tohear from you.Also, please use this Parent Involvement Checklist to help highlight areas where parents can make abig differenceParentInvolvementChecklist1Please make acommitment to beinvolved in yourchild’s education.If you want supportfrom us withattendance, schoolwork, discipline,and ways you canparticipate, 1 pleasenotify your child’steacher, counselor orprincipal.Attendance1School WorkDiscipline1Participation• I am committed to mychild’s education and willencourage perfect attendance,and no lateness.1• I will pick up my elementarychild on time. ✔• I am interested in whatmy child is learning inschool.• I will check onhomework and tests, andencourage extra reading athome.✔• I will review the homeschoolcompact with mychild.• I will sign the homeschoolcompact indicatingI discussed the rules withmy child.• I will support the schoolrules and expect my childto demonstrate respectfulbehavior, self-control, andresponsibility. ✔1• I will review my child’sreport card and attend allconferences.• I will be involved inschool activities whenpossible.• I will encourage involvementin extracurricular activitiesat school and/or inthe community. ✔• Although I want mychild to succeed in school,attendance is a challengefor our family1• I would welcome suggestionsin this area. ✔• I want my child to dowell in school, but Istruggle with making surehe/she does his work.• I would welcome suggestionsin this area.✔• I am concerned aboutmy child’s discipline athome and at school.• I would welcome suggestionsin this area.✔1• I might have a difficulttime attending conferences.• I am interested, but thereare circumstances thatprevent attending.• I would welcome suggestionsof the school.✔(All mentors go through orientation with the School District and with Big Brother, Big Sister. By checking yes, you are giving permission for your child to be assigned a Mentorthrough both the School District and Big Brother, Big Sister.)