CRSS interest survey

Thank you for your interest in the Cannon River STEM School, a proposed K through 8 charter school with special emphasis on Science, Technology, Engineering and Math. The school will be located on the Cannon River in Northfield, MN. To help us with planning, please answer the following questions.

1. What is your level of interest in the school at this time?

	Love it, sign me up to volunteer immediately
	Very Interested, I am likely to enroll my child
	Interested, but need more information
	Somewhat interested, keep me on the mailing list
	No Thanks

2. The Cannon River STEM School is planning to open with grades K-6 in the Fall of 2009 (adding grade 7 in 2010 and grade 8 in 2011). What grade level will your child(ren) be entering in the Fall of 2009?

3. What type of school do your children currently attend?

	Traditional Public
	Other Charter
	Private
	Pre-K

4. Which school district do you currently reside in?

5. What school calendar do you prefer?

	Same as local school district
	Year-round school
	Longer break in December and finishing a few weeks later in June
	Start earlier in August with longer breaks
	No Spring Break and finishing the school year in May
	Other

6. Would you be interested in before/after school programs for your child?

	Before school
	After school
	Neither

7. One of the founding principles of the Cannon River STEM School will be an active, community-based support system. As a parent and/or community member, how many hours per month would you be willing to volunteer for the school?

8. The Cannon River STEM School is proposed to be located on the banks of the Cannon River in Northfield. if it is not possible for the school to provide transportation, would you be willing to provide transportation for your child to the STEM school? Would you be willing to be part of a car pool and/or provide transportation for children whose parents are unable to drive?

	yes
	no

9. Would you be interested in summer day camps?

	yes
	no

10. What sparked your interest in our proposed school?

11. Please list your concern(s), if any, with the education your children are currently receiving.

12. What subjects are your child(ren) interested in exploring and learning more about?

13. We would welcome any additional comments.

14. Please provide us with your contact information.

Name
Address
Phone
Email

	K		1st
	2nd		3rd
	4th		5th
	6th		7th
	8th		Pre

	Northfield
	Randolph
	Cannon Falls
	Nerstrand
	Red Wing
	Hastings

	none
	1-3
	3-5
	5-10
	10+