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The U.S. Geological Survey-managed ShakeAlert® earthquake early warning system is the first public alerting system in the United States to provide rapid mass notification when an earthquake is detected. Although public alert delivery via mobile phones began in California in 2019 followed by Oregon and Washington in 2021, little is known about what might drive widespread implementation in at-risk institutional settings such as schools. For example, there has been limited research on how to best integrate earthquake early warning into existing emergency plans, alert systems, and drills to keep school children and personnel safe in an earthquake. To address this gap, in the spring of 2022, every school district superintendent in Alaska, California, Oregon, and Washington was sent a 15-min online survey. The survey assessed superintendent knowledge of ShakeAlert, preferences for alert messaging, and perceived opportunities and barriers to incorporating the system in schools. The results showed that superintendents had low awareness of ShakeAlert but held positive perceptions of the system's potential to enable life-saving protective actions. A major barrier to adoption included the perceived financial cost of implementing and maintaining the system. There were some statistically significant differences in state responses, and future research could investigate the specific needs of each state based on school district size and composition, hazard exposure, and earthquake experience. Together these findings can help inform targeted strategies to increase ShakeAlert adoption in schools and ultimately improve the safety of school children and staff during earthquakes.