Migrant Education Program

Please complete the Migrant Education Program survey

All your responses are confidential and will be used for educational and planning purposes only. Some of the services available to eligbile families include: preschool; literacy learning activities; free lunch program; high school credit recovery; swimming classes, camps and recreational opportunities; and direct social services and referral to community services.

Please take a moment to fill out the survey below; all fields are required. If you have any problems with this form, you may also print out this version (PDF) and submit to the Migrant Education Program at the address listed below:

Anchorage School District
Migrant Education Program
5530 E. Northern Lights Blvd.
Anchorage, Alaska 99504-3135

In the last three years has any member of your household been involved with any of the activities listed below?

Personal subsistence fishing (salt and freshwater), clamming, crabbing, shrimping, commercial fishing, fish processing: 
Yes     No

Logging or agriculture work  Yes     No

Student's legal name:

Student's birth date:

Current parent/guardian whom the Migrant Education Program will contact:

Current street address, city, state and zip:

Best contact phone:

Email address:

 (Please click button only once)

If you answer "Yes" to any of the questions, someone from the Migrant Education Program will contact you to determine if your child/children may be enrolled in the program.