Editing previous response:

Please fix the highlighted areas below before submitting.

Parent Education Survey

Student Name*

Answer Required

Date of Birth*

Answer Required

Please check the best description of the highest level of education for the parent/guardian with whom the student resides. *

Please mark only one.

Answer Required

Not a high school graduate

High school graduate

Some college (includes AA degree)

College graduate (4 Year College or University)

Graduate school/postgraduate

Decline to state

I authorize my printed name below to serve as my signature.*

Answer Required

Yes

Parent/Guardian Name*

Answer Required

Date*

Answer Required