Designing programming to best fit your needs!

The City of El Cerrito Recreation Department has been asked to conduct a needs assessment to determine if the families of Korematsu Middle School would benefit from the addition of more program options after school.  Please fill out this survey to help us ascertain the level of need for more programs and the types of programs that would be most utilized.  

As the parent of a Korematsu student, are you in need of activities for your child after school?

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* 1. As the parent of a Korematsu student, are you in need of activities for your child after school?

What type of activities would be of interest to your family?

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* 2. What type of activities would be of interest to your family?

  We would definitely participate in this option We might participate in this option We are unsure if we would use this option We would not use this option
Clubs that meet 1-3 times per week around a shared interest.  
Enrichment or Specialty Classes 
Homework assistance
Afterschool Child Care
Sports
If you are interested in Afterschool Child Care, what hours would you require? 

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* 3. If you are interested in Afterschool Child Care, what hours would you require? 

If you are interested in Enrichment Activities, please tell us about those that best fit the interests of your family:

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* 4. If you are interested in Enrichment Activities, please tell us about those that best fit the interests of your family:

  We would definitely participate in this option We might participate in this option We are unsure if we would use this option We would not use this option
Computers & Technology
Cooking
Arts
Lifeskills
Sports
If you are interested in Homework Assistance, please check the box that best fits your interest:

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* 5. If you are interested in Homework Assistance, please check the box that best fits your interest:

Would cost be a determining factor in your student's participation?

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* 6. Would cost be a determining factor in your student's participation?

How many children do you have in the Middle School Age Group

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* 7. How many children do you have in the Middle School Age Group

Please check the days that you would want programs. Check all that apply

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* 8. Please check the days that you would want programs. Check all that apply

Do you have additional thoughts or comments to share at this time? 

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* 9. Do you have additional thoughts or comments to share at this time? 

If you would like to be placed on an interest list, please provide:
Your name
Your child's name and grade
Your email address 
Your telephone number

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* 10. If you would like to be placed on an interest list, please provide:
Your name
Your child's name and grade
Your email address 
Your telephone number

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