How would you like to submit your Parent Evaluation after you've completed it?*Upload to online account (no extra charge)Mail, fax, email, or hand deliver ($15 document handling fee)Family Name*The name under which your family is enrolled in the CHEC Independent School. Father's Full Name* First Last Mother's Full Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Main Phone*Email* Student InformationFor all students who will be evaluated using the CHEC Parent Evaluation.Student Name*Please add each student on a separate row by using the '+' button. Payment InformationParent Evaluation - # of Students* Price: $35.00 Quantity: Document Handling Fee* Price: $15.00 This fee is included if you select to submit your completed Parent Evaluation(s) through mail, email, fax, or hand delivery. (To select submission via upload for no extra cost, change your selection at the top of this page.)Would you like to add a donation to CHEC? Yes, please Donation Amount Enter the amount you'd like to donate to support CHEC.Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Captcha
