Alumni Parent Survey

Alumni Parent Update

First Name *

Last Name *

Address *

City * State * Zip Code *

Phone # E-mail address

Child's Name *

* Required information

Tell us about your child's years at LMA

How many years did he/she attend?

What dates? Entered Exited

What grades? Entered Exited

What did your child do after attending LMA? Check all that apply

College Tell us more!

Vocation Tell us more!

Marriage/Family Tell us more!

What are his/her current activities? (i.e. - school, family, career, accomplishments, etc.)

How did LMA impact your child's learning?

How did LMA impact your child's self-esteem?

Please share a memorable LMA experience or success story.

I give Lake Michigan Academy the absolute right and permission to use the above statement(s)
in its promotional materials and publicity efforts. I understand that the statements(s) may be
used in a publication, print ad, direct-mail piece, electronic media (e.g. video, CD-ROM, internet,
World Wide Web), or other form of promotion. Initials

Please check if you do not wish to have your name identified with any statements used.