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CYS Registration

1. What is your name?

2. What is your email address? This question requires a valid email address.

3. What is your daytime phone number?

4. What is your title or position at your school or district? *This question is required.

Please enter an 'other' value for this selection.

5. In what state is your school or district located? *This question is required.

6. Please enter your school or district ZIP code.

7. Please select your school. *This question is required.

7. To which grades do you plan to administer the Community Youth Survey (CYS)? Please check all that apply. *This question is required.

6th Grade
7th Grade
8th Grade

7. To which grades do you plan to administer the Community Youth Survey (CYS)? Please check all that apply. *This question is required.

9th Grade
10th Grade
11th Grade
12th Grade

7. What is your current student enrollment for the 2021-2022 school year? *This question is required. This question requires a valid number format.

7. In what languages will you need to administer the survey? *This question is required.

7. On which date do you plan to start survey administration at your school or district? *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

7. On which date do you plan to end survey administration at your school or district? *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

7. Aside from you, the primary registrant, is there anybody else on your team whom we should send CYS final reports to? *This question is required.

7. Who on your team should we direct final reporting dashboards to? Please click Add Another Contact to provide information for additional report recipients.

Name

Title

Email Address This question requires a valid email address.

Name

Title

Email Address This question requires a valid email address.

Remove Contact