School Enrolment Scheme Consultation - Page 1 of 3 - Example Site

[School Name] enrolment scheme survey

Please make sure you have reviewed the proposed map and boundary description before starting this survey.

What is your name?

Name

What is your email address?

Please indicate which school(s) (if any) or community group you are affiliated with, or indicate if you are affiliated with an early learning service.

Organisation

Please indicate your connection to education at [School Name]. Select all that apply to you.

(Required) Parent/primary caregiver of a current student Parent/primary caregiver of a future student Other family member Staff member Current student Current or former Board member Interested community member Other

If other, describe.

Do you wish to make any comment about the boundaries or areas included in the proposed enrolment scheme for [School Name]?

Please add comments here.