Exit this survey Clearing House for Full Service Community Schools 1. 100% of survey complete. Question Title * 1. Briefly describe your organization type Question Title * 2. How can your organization support the mission of a Full Service Community School? Question Title * 3. Identify the types of services you wish to implement Question Title * 4. What types of services can you provide for parents? Question Title * 5. How does the services of your organization relate to the needs assessment? Question Title * 6. What is the timeline for the services you wish to provide? Example: before school, extended day, summer program. Question Title * 7. Please provide us with your contact information. Thank you for your participation. Name: Company: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Country: Email Address: Phone Number: Done