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Planning Survey Form

So that we can access the needs of different sized schools and different regions of the state,
please provide the following information.

OMLA Planning Survey

Your school resides in which region?*
 Region 1 CENTRAL: Crook, Deschutes, Gilliam, Harney, Hood River, Jefferson, Sherman, Wasco and Wheeler counties. 
 Region 2 EASTERN: Baker, Grant, Malheur, Morrow, Umatilla, Union and Wallowa counties. 
 Region 3 NORTHWEST: Clackamas, Clatsop,Columbia, Tillamook, Washington and Yamhill counties. 
 Region 4 SOUTHERN: Jackson, Josephine, Klamath and Lake counties. 
 Region 5 SOUTHWEST: Coos, Curry, Douglas and Lane counties.  
 Region 6 WESTERN: Benton, Lincoln, Linn, Marion and Polk counties. 
 Region 7 METRO: Multnomah county. 
District Size*
 Less than 1,000 students 
 Between 1,001 and 3,000 students 
 Between 3,001 and 5,000 students 
 Between 5,001 and 7,000 students 
 Between 7,001 and 9,000 students 
 Over 9,001 students 
School Size*
 Less than 100 students 
 Between 101 and 400 students 
 Between 401 and 700 students 
 Between 701 and 1,000 students 
 Between 1,001 and 1,300 students 
 Between 1,301 and 1,500 Students 
 More than 1,500 students 
What is your role at your school? You may check
more than one.*
 Classified Staff 
 Teacher 
 Support Staff such as Counselor, Dean or TOSA 
 Assistant Principal 
 Principal 
 District Administration 
As the Oregon Middle Level Association goes
through a strategic planning process over the next
year or two (this data will constitute the initial
step of that process), would you be interested in
helping us define how we can best help you?*
 Yes 
 No 

We'd like some information about you as you've
indicated an interest in helping the OMLA better
define it's role.

Please provide the following.
Name
School
School Mailing Address
E-Mail Address
Phone

Thank you so much for your answers. The OMLA will
be spending time this year restructuring our
support for Oregon's middle schools. Your answers
will be used in that effort.

Even without our annual professional development
institute which has been our main revenue stream
(canceled due to financial realities of staff
development budgets), the OMLA will continue to
support your efforts educating the early
adolescents of Oregon.

.
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