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Idaho Migrant Education Program

Idaho State Department of Education Idaho Migrant Education Program

Parent Employment Survey

Versión en español en el otro lado de la hoja

The information provided below is used to identify students who may qualify to receive additional educational services. A program employee may contact you for further information if needed. All information is kept confidential.

Child's Name*

Answer required for "Child's Name"

District*

Answer required for "District"

Date*

Answer required for "Date"

Birth Date*

Answer required for "Birth Date"

School*

Answer required for "School"

Grade*

Answer required for "Grade"

1. In the past three years, has your family lived in another school district? This includes other school districts in Idaho, or another state or country.*

Answer required for "1. In the past three years, has your family lived in another school district? This includes other school districts in Idaho, or another state or country."

Yes (Continue to #2)

2. In the past three years, has anyone in your household had a job working with any of these products or activities (not including on your own property)?

Answer required for "2. In the past three years, has anyone in your household had a job working with any of these products or activities (not including on your own property)?"

Yes (Continue to #3)

Picture of Idaho potato field

☐ Any Crops

Examples: corn, potatoes, beans, wheat, sugar beets, fruits, hops, alfalfa, etc. or field preparations

Picture of dairy cow

☐ Any Livestock

Examples: cattle, pigs, sheep, chickens, dairy

Picture of people sorting potatoes

☐ Processing agricultural products

Examples: (Sorting, packing, cutting, etc.) onions, potatoes, meat, fruit, trees, etc.

Picture of plants in pots in a nursery

☐ Other agriculture

Examples: Forestry, nursery plant care, fishing

Using the images above, check all that apply

Answer required for "Using the images above, check all that apply"

Any Crops Examples: corn, potatoes, beans, wheat, sugar beets, fruits, hops, alfalfa, etc. or field preparations

Any Livestock Examples: cattle, pigs, sheep, chickens, dairy

Processing agricultural products: Examples: (Sorting, packing, cutting, etc.) onions, potatoes, meat, fruit, trees, etc.

Other agriculture Examples: Forestry, nursery plant care, fishing