Public School Questionnaire

*Legal name of school

*Name of school district

*Street address

*City

*State

*ZIP code

*Tax ID number

*Contact person

*Phone

*Website

*Email

Basis for governmental status

Please check the box next to each of the following statements that accurately describes your school district or school, as applicable. If a statement does not accurately describe your school, please leave the box next to it unchecked.

*School

The school in not a charter school

Does not have its own board (other than a school district board)

Has its own board and a majority of the board's members are appointed by the school district or another government unit

The school's primary purpose is to carry on formal instruction (this may include lab work, field work, or other out-of-classroom experiences that are part of a defined educational curriculum

The school has a student body regularly in attendance at its physical campus('s)

The school has regular faculty

The school has a regular curriculum of study

The school will use all funds from Thrivent Charitable exclusively to further its educational purposes

*School district

More than half of the school district's board members are elected by he public or the school district has the authority to levy taxes (or both)

The school district controls the school's budget

The school district appoints and can remove the school's principal

*Acknowledgement

I declare that I am duly authorized to act on behalf of this entity and that to the best of my knowledge, the information provided is true and complete.

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Public School Questionnaire