Investment Schools Community Member Survey

Please complete by Friday, June 7, 2013

Question Title

* 1. What is the name of your organization and contact information (address, phone number and e-mail)?

Question Title

* 2. What school(s) is your agency/organization afflitiated with or located near?

Anton Grdina

Carl & Louis Stokes

Case

Collinwood

Franklin D. Roosevelt

John Adams

Kenneth Clement

Lincoln West

Luis Munoz Marin

Mound

Robinson G. Jones

Robert Jamison

Walton

Question Title

* 3. Has your organization provided services/activities at a CMSD school in the past (or do so currently)?

Yes

No

Question Title

* 4. If your organization has provided services/activities at a CMSD school in the past (or does so currently), please select the relevant category of the service/activity below. If your organization has not worked in a CMSD school, please select the relevant category below for how you believe your organization could offer support to students/families.

After-school and summer enrichment

Parent involvement

Adult education

Medical, dental, mental health and social services

Early childhood

Community and economic development

Question Title

* 5. What do you believe are effective ways to communicate with school leadership and other educators about your organization’s work? What do you believe gets in the way of effective communication?

Thank you for sharing your feedback with us.