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PARENT QUESTIONNAIRE ONLINE ORDER FORM
Office of Special Education
The State Education Department/The University of the State of New York/Albany,
NY 12234
Instructions:
1. Please answer all questions. Do not leave any blank fields.
2. Do not over-order surveys. If you are unsure how many surveys you
need to order for.your district, click on the
Survey Calculator.
If you experience technical difficulties with this web site or with
any of the online surveys, please contact the Potsdam Institute for
Applied Research (PIAR) at SUNY Potsdam at 315-267-3466 or 888-419-2698
(toll free) or send an e-mail to
parentsurvey@potsdam.edu.
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| REQUISITION FORMS & REPORTS |
Part I: Contact Information
Please provide the following Information regarding the person filling in
this form so that we may contact you if any clarification of this information
is required.
Surveys ordered by:
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Part II: Stakeholder Review (Distribution & Demographics)
Please provide the following Information regarding the
school district participating in this survey and the name of the individual to whom
the surveys will be shipped.
Surveys ordered for:
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District |
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| Send the surveys I am ordering to the attention of: |
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Part III: Ordering Parent Surveys
This survey is available in multiple languages. The default/standard version
is in English. Please order the other language options only
when necessary.
Important! Do not over-order surveys. If you are unsure how many surveys
you need to order for your district, click on the Survey Calculator.
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