Oklahoma Migrant Education Program Identification & Recruitment Family Survey This parent survey form in an English and Spanish version will be sent to your school site for use during enrollment and check-in. OSDE only requires one survey per family enrolled in LPS.
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Please ensure families of each student enrolled at your school site receives this form.
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Assist parents with completing this form. 1) If the first question is marked No, then Stop here. The survey is complete. If first question is marked Yes, then the second question must be answered. 2) If the second question is marked No, then Stop here. The survey is complete. If the second question is marked Yes, then the final question must be answered. 3) If the final question is marked No, then Stop here. The survey is complete. If the final question is marked Yes, then instruct parents to complete the remainder of the survey.
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Place all COMPLETED YES forms in distribution to the LPS Federal Programs office o Ensure your school name is on the envelope in order to document your site’s completed participation in this process.
Oklahoma Migrant Education Program Identification & Recruitment Family Survey
Versión en español en el otro lado de esta hoja.
Dear Parents,
Lawton Public Schools (LPS) In order to better serve your children, the school district would like to identify students who may qualify to receive additional educational services. The information provided below will be kept confidential. Please answer the following questions and return this survey form to your child’s school. If you prefer more information, call: Teresa Donahue, Director of LPS Federal Programs, 357-6900 ext. 2054 Has your family moved in the last 3 years?
Yes
No
Was your move due to economic necessity?
Yes
No
If No, then Stop here. If Yes, please proceed to next question. If No, then Stop here. If Yes, please proceed to next question.
Has anyone in your family worked in anything related to the jobs listed below?
Yes
No
If No, then Stop here. If Yes, please complete remainder of survey.
Livestock: Cattle, pigs, sheep, dairy, etc.
Eggs
Chickens
Crops: Wheat, corn, soybeans, etc.
Vegetables
Processing: Meat, fruit, vegetables, trees, etc.
Harvest: Fruit, vegetables, etc.
Cotton
Hay
Nursery: Sod, greenhouse, etc.
Trees: Timber, plants, flowers, etc.
Soil Preparation
Parents’ Names: Address: City:
State:
Zip Code:
Phone:
Best time to call?
Please list all children (including yourself if under 22) in the household less than 22 years old who did not graduate from High School or have not obtained a GED or equivalent: Name
Date of Birth
Grade
School
SDE Use Only County Name
County Number
District Name
District Number
LPS: Please submit the Completed Yes forms to the LPS Federal Programs Office.
Programa de Educación del Migrante de Oklahoma Identificación y Reclutamiento Encuesta Familiar
English version on reverse side.
Estimados padres, Lawton Public Schools (LPS) Con el fin de servir mejor a sus hijos, el distrito escolar de
quisiera identificar
estudiantes que pueden calificar para recibir servicios educativos adicionales. La información proporcionada abajo se mantendrá confidencial. Por Favor, responda las siguientes preguntas y dvuelva esta encuesta a la escuela de su hijo. Si prefiere más información, llame al:
Teresa Donahue, Directora de Programas Federales de LPS, 357-6900 ext. 2054
¿Su familia se mudó en los últimos 3 años?
Si
No
¿Su mudanza fué por necesidad económica?
Si
No
¿Alguien en su familia ha trabajado en algo relacionado con los trabajos listados abajo?
Si
No
Ganaderia: Ovejas, cerdos, lecheria, etc.
Huevos
Pollos
Cultivos: Trigo, maíz, frijoles, etc.
Vegetales
Procesando: Carne, frutas, arboles, verduras, etc.
Cosechando: Frutas, vegetales, etc.
Algodón
Pasto Seco
Semillero: Césped, invernadero, etc.
Árboles: Madera, plantas, flores, etc.
Preparación del Suelo
Nombre de los padres: Dirección: Ciudad:
Estado:
Teléfono:
Código postal:
¿Mejor hora para llamarle?
Por favor anote todos los niños menores de 22 años que viven en la casa (incluyéndose usted si es menor de 22) que no se graduaron de la Escuela Secundaria o que no obtvieron GED o equivalente: Nombre
Fecha de nacimiento
Grado
Escuela
Solamente para el uso del SDE Nombre del Condado
Número del Condado
Nombre del Distrito
Número de Distrito
