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Indiana Afterschool Network

Indiana Out-of-School Time Pledge to Quality Interest Form

Thank you for your interest in the Indiana Out-of-School Time Pledge to Quality. By completing this form the Indiana Afterschool Network will have a better understanding of how to help you increase program impact in your community.
1.Your Name(Required.)
2.Your Organization Name(Required.)
3.How many program sites does your organization serve?
4.Your Program Site Name (Required.)
5.Are you a current 21st Century Community Learning Center Program?(Required.)
6.I am interested in signing up for the IN Afterschool e-news
7.I am interested in registering my program(s) in the Indiana Program Mapping Database
8.I am interested in aligning with the Indiana Afterschool Standards
9.I am interested in aligning with the Indiana Afterschool Specialty Standards (check all that apply):
10.I am interested in learning more about the Indiana Quality Program Self-Assessment (IN-QPSA)
11.Your Contact Information(Required.)
12.What is your preferred method of communication?(Required.)
The Indiana Afterschool Network is excited about your Pledge to Quality and will reach out to you soon.