Intake form

Name *

Email address *

What is your primary concern regarding education in ward 4?

Please select at least one option.

Funding

Curriculum

Safety

Access to Resources

Teacher Support

What age group does your child belong to?

How did you hear about kathryn clancy's campaign?

Please select at least one option.

Social Media

Friend/Family

Community Event

Website

Are you interested in volunteering for the campaign?

What topics would you like to learn more about?

Please select at least one option.

School Policies

Community Engagement

Parent Involvement

Educational Resources

Events

Additional questions or comments