First & Last Name::
Phone::
Email:
Family Status:
Other Single, no children Married, no children Married, no children at home Single Parent Widow Widower Married with children
Oldest child at home: Age / Grade Level / Present School:
Next oldest child at home: Age / Grade Level / Present School:
Next oldest child at home: Age / Grade Level / Present School:
Next oldest child at home: Age / Grade Level / Present School:
Next oldest child at home: Age / Grade Level / Present School:
Next oldest child at home: Age / Grade Level / Present School:
How many years have you lived on the North Side of Houston?
Parish:
How many years in this parish?
If you have children in high school, where do they attend? Or, if you have children younger than 9th grade, where do you anticipate sending them to high school?
Other Duchesne Academy Incarnate Word Pope John XXIII St. Agnes St. Pius X Strake Jesuit St. Thomas Concordia Lutheran Cooper School Public School
What organizations are you involved in? Both in and outside the Parish.
How do you feel about building the proposed North Houston Catholic High School?
Unsure Positive Negative
Would you consider sending your children to the proposed Catholic HS?
Unsure Yes No
Would you be willing to pay tuition of $8,000 to $10,000 annually per child?
Unsure Yes No
Would you be willing to serve on a committee to help plan the high school?
Unsure Yes No
Where do you think your talents could best be used?
Other Building / Facilities Educational programs Finance Personnel Fund raising Grant Writing
Would you consider a pledge of financial support to make a North Houston Catholic High School a reality?
Unsure Yes No
Estimate your financial pledge over a period of 3-5 years?
The major gift phase of a capital campaign is critical to its success and would seek pledges of $100,000 to $1,000,000 and more over a 3 - 5 year period from laity, foundations and possibly corporations. In your opinion, are there individuals / organizations in the area capable of giving at these extraordinary levels?
Yes No Unsure
Who from the business / corporate community needs to be involved?
I'm Interested in a Support Group