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Please only complete this survey if your child has a IEP or 504 plan. Thank you!

There are many reasons to provide opportunities for students with disabilities to learn and interact with their peers without disabilities. Integrating students can be beneficial for both groups of students, as well as for their parents, teachers, and program administrators.

I'm conducting this survey to collect data on the need for integrated after-school programs in the Western New York area. Your responses are extremely valuable and important during this process. Completing this survey is completely voluntary.

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* 1. Does your child have a intellectual, physical, neurological, or developmental disability?

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* 2. What disability does your child have?

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* 3. How many children do you have that receive services through their school district or through early interventions and what are their ages? Please format your response like this: "I have 2 children ages 6 and 7 "or "I have twins they are 8 years old."

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* 4. Do you need childcare for after school ?

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* 5. Have you had a difficult time finding an after-school program that will enroll your child who has a disability diagnosis ?

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* 6. Is your child currently enrolled in an integrated after-school program (A setting for children with disabilities and without disabilities)?

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* 7. If your child does not participate in a integrated after-school program, what is the reason that they don't?

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* 8. How would your child benefit from being in a integrated afterschool program (i.e. opportunities to improve their social skills, improved diversity and inclusivity, increased empathy, increased self-esteem, etc.) ?

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* 9. What school district does your child receive educational services in?

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* 10. To help assess funding needs, please indicate your household income range.

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