School District: _______________________       School Board Ph.# _______-______-_________ _ _
Organizer: __________________________ 

Org. Addr: __________________________ 
City/St/Zip: __________________________
Org. Ph # :  _______-______ -_____________ _ _
Org. Fax # : _______-______ -____________ _ _
Org. Email : ________________________ _ _
Instructions:  Please check the Yes or No blocks to indicate your interests.   At the bottom, fill in your contact information (with Comments) and return the survey to the Organizer listed above.    | Organizers: Survey Guidelines |
'[] new window Refs []' = For National /USA/ references or For additional resources & /HowTo/ Start information.
Check all that apply: . Registered Voter check box.Registered Voter; . Pay school taxes check box.Pay School Taxes. Parent or Grandparent of public school kids check box.Parent (or Grand) of PS kids;
Y   N
  1. Do you know that the murderous tragedies in schools in Jonesboro, AK; Paducah, KY & Columbine HS in Littelton, CO could happen here because of judicial activism, federal funding & Federal DOE? []/About/[]
  2. Do you know that public school parents are angry & alarmed about some or all of the following being taught contrary to their desires? evolution theory, witchcraft (Harry Potter), prostitution (in condom based sex ed. classes), sodomy & pedophilia (condoned under sexual orientation policies)?
  3. Do you agree with  "The national leadership of the Parent Teacher Assoc. (PTA) [who showed] unqualified support of the homosexual agenda in the public schools.  ...[when they]  attended a White House viewing of a pro-homosexual video called ' That's a Family,' that is being promoted by GLSEN (Gay, Lesbian, & Straight Education Network) in our nation's public schools?"[] Press [] , [] 3 Mem []
  4. Do you approve of the NEA / AFT [] teachers unions [] who wrote and distributed to all school boards a document promoting sodomy & pedophilia called 'Sexual Orientation and Youth'?  [] 2 [] ,
  5. Since it can be shown that moving from abstinence into sodomy is suicidal .[] 2. AIDS [], is it in your neighbor's child's best interest to require that only abstinence and sexual purity be taught in sex education classes?   [] usa 8 [] , [] How To start Abstinence in PS [] .
  6. Would you approve of your locally elected school board voting for & passing a prostitution based sex education curricula using condoms like Pinellas County, FL did in 1996?
  7. Would you sign a petition to remove the prostitution based sex education curricula and/or the locally elected school board officials that voted for it?
  8. Would you approve of your locally elected school board voting for & passing a sodomy & pedophilia based Sexual Orientation Policy like Pinellas County, FL did in 1999?
  9. Would you sign a petition to remove the Sexual Orientation Policy and/or the locally elected school board officials that voted for it?
  10. Would you like to know what the School Board policies are, and what information and materials are being presented in other classes?
  11. Do you know that the sodomy & pedophilia based Sexual Orientation Policy was copied from the FL Dept. of Education Policy approved by the previous Governor and Cabinet?
  12. Do you approve of this type of indoctrination of your neighbors minor school children?
  13. Do you approve of this use of your property tax dollars in public schools?
Y   N     ON CAMPUS  BIBLE  CLUBS  AND  CLASSES   . . . [] usa Class 3 [] [] usa Clubs 2 [] , [] usa Prayer 1 []
  14. Would you approve of elective On Campus classes in History or Literature where the text is the Bible?
  15. Would you sign a petition to allow elective On Campus Bible classes where the text is the Bible?
  16. Would you be interested in knowing how to start a student [] prayer group [] or [] Bible Club [] ?
Y   N   OFF CAMPUS  RELIGIOUS  BIBLE  CLASSES   . .    usa 4   |  [] usa 4 [] , [] How To start an RT class [] .
  17. Would you approve of elective OFF campus religious Bible Classes and other extracurricular programs of this nature?
  18. Would you sign a petition to require credit for elective OFF Campus religious Bible classes?
  19. Do you know that Christianity is the default religion of the US?

Y   N   OTHER  INFORMATION & INTERESTS  . . . [] usa 5 [][] HowTo start Teacher Reacher Cards [],
  20. Would you like more information about sending our public school teachers and administrators Special Holiday Cards for their encouragement and support?
  21. Do you approve of our public school library's policies on non censored: books, magazines, internet pornography, and unrestricted access to inappropriate items for minor children?  Ref 6   |  [] Ref 6 [] ,
  22. Is it in the communities best interest to require our public school libraries to acquire and enforce a censored materials list and policy?
  23. Would you sign a petition or vote to remove the library's liberal "nothing censored"  policy?
  24. Would you like to know the results of this survey? By NewsletterBy Email?  (If Yes, Circle one.)

Y   N  TIME  AND  TALENTS      (Organizers:   For your local Help Inform: or [] national []  )
  25. Would you be willing to give of your time and talents to promote these activities?  Please place a number next to the heading, in order of preference, where you would like to serve.
 ______ PETITIONS ;  ______ PRAYERS ; _______ ON CAMPUS  BIBLE  CLUBS  AND  CLASSES ;
 ______ OFF CAMPUS  RELIGIOUS  BIBLE  CLASSES ;  _______ OTHER  INFORMATION & INTERESTS ;
 ______  I will HOST or ATTEND (Circle one.) a follow up meeting or discussion group ;
.
Y   N DONATE
  26. Would you be willing to donate to Hisways® USA, Inc. []  501(c) 3  [] to sustain these activities?

All contact information and any comments (write them in the space below) will be kept confidential.
Name: _____________________________ 
Addr: ______________________________ 
:___________________________________ 
City/ St / Zip: ___________________________
Ph #    ______ -_______ -____________ 
Fax #   ______ -_______ -__________ _ 
Email: __________________________ _ 
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