Dear Weston Resident:
As part of the process for planning for the future needs of the community, we must identify the ages of our residents. Each age group identifies a different need for our community. Without understanding the demographics of our town, we cannot properly plan for tomorrow and the future. The Board of Selectmen strongly requests your participation in this local census program by answering the following questions. All specific information will be kept confidential. Thank you in advance for your prompt participation and response.
1. Please fill in your address________________________________________.
2. How many years
has your household (or family) lived in Weston? (circle one)
Less than two years
Two to five years Five to ten years
More than ten years
3. Please enter
the number of persons living at your address in each of the following age
categories:
Under 19_______ 19 to 25_______
26-44__________ 45 to 55_________ 65+_______
4. My family
plans to stay in Weston for the next (circle one) years:
Less than two years.
Two to five years. Five to ten years.
More than ten years.
5. If you have
children living in your household 19 years of age or under, please supply
the following information. (If not, Skip to question 6)
| Date
of Birth mo/yr |
Grade
in School, Fall 2000 |
Attends
Weston Schools y/n |
Attends
Private School y/n |
Would you use before
school childcare at Hurlbutt?
y/n |
...After school childcare at Hurlbutt? y/n | |
|---|---|---|---|---|---|---|
| Child
#1 |
____ | ____ | ____ | _____ | _____ | _____ |
| Child
#2 |
____ | ____ | ____ | _____ | _____ | _____ |
| Child
#3 |
____ | ____ | ____ | ____ | ____ | ____ |
| Child #4 | ____ | ____ | ____ | ____ | ____ | ____ |
| Child
#5 |
____ | ____ | ____ | ____ | ____ | _____ |
6. Enter the
month and year of birth for all members of your household over the age
of 19.
| Those over 19 yrs of age | Birthday (mo/yr) |
| Member #1 | ________ |
| Member #2 | ________ |
| Member #3 | ________ |
| Member #4 | ________ |
| Member #5 | ________ |
| Member #6 | ________ |