Question 22 – 23: First Name, Last Name

Report the complete legal first name of the recipient’s parent / legal guardian in question 22 and complete legal last name in question 23.

Question 24: Indicate language preference

Select the parent / legal guardian’s primary language. If the parent / legal guardian’s language is not listed as an option value select ‘other’ and proceed to question 25.

Question 25: Specify language preference

Indicate the parent / legal guardian’s language preference in the open text field provided.

Question 26: Does the parent / legal guardian have the same contact information as the recipient? (completed above)

If the parent / legal guardian resides at the same street address as the recipient then select ‘yes’ to question 26.

Question 27: Does the contact have a U.S. mailing address?

Indicate if the parent / legal guardian has a street address located in the U.S. (only inclusive of the 50 states and Washington D.C.). If the parent / legal guardian resides in a U.S. territory including: Puerto Rico, Northern Mariana Island, United States Virgin Islands, American Samoa, or the United States minor outlying islands, then answer ‘no’ and complete the form using the international address question format in question 29.

Question 28: Street, City, State, Zip code

Indicate the parent / legal guardian’s current U.S. home address.

Question 29: Country, International address

Indicate the parent / legal guardian’s current international home address.

Question 30: Specify time zone (of mailing address)

Indicate the time zone of the parent / legal guardian’s mailing address as based off of Universal Coordinated Time (UTC). If the parent / legal guardian has a U.S. mailing address within the Samoa or Chamorro time zone or has an international mailing address, then select ‘other’ and report time zone in question 31.

Question 31: Specify other time zone:

Only answer this question if the time zone for the parent / legal guardian’s mailing address was not listed above. Indicate time zone in the open text field.

Question 32 – 35: Phone number(s) – Home / Work / Cell / Other:

For questions 32 – 35, provide phone numbers at which the parent / legal guardian can be contacted for each type of phone number available. A phone number does not need to be provided for each phone number type however; at least one phone number is required.

Indicate area code when reporting U.S. phone numbers. Indicate country code for all international phone numbers.

Question 36: Specify other phone number type:

If the parent / legal guardian’s preferred phone number type is not a home / work / or cell phone number, indicate the other phone number type here.

Questions 37 – 38: E-mail address(es) – primary / secondary

Indicate the parent / legal guardian’s primary and secondary e-mail address (if applicable When using the open text field be sure to provide a complete e-mail address including: user e-mail prefix, “@” symbol, and e-mail domain (ex: JohnDoe@comcast.net, JaneDoe@gmail.com)

Section Updates:

Question Number Date of Change Add/Remove/Modify Description Reasoning (If applicable)
. . . . .
Last modified: Dec 22, 2020

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