School-day teachers of regularly participating studentsĀ in the 21st CCLC afterschool program are being asked to provide information about students' school-related behaviors to help evaluate the impact of the program. Your responses should be based on observed student behavior/performance over the course of this school year. Please select the most appropriate response with a single answer for each item, indicating that the student either did not need to improve or indicating the student's level of demonstrated improvement (Improved, No Change, Declined) for each behavior/performance.

* 2. Student's Identification Code:

* 3. Student's 21st CCLC Attendance: