Quality Committee CQI Guidebook Work Group Question Title * 1. Name OK Question Title * 2. Title OK Question Title * 3. Organization OK Question Title * 4. Address OK Question Title * 5. Email OK Question Title * 6. Phone number (including area code) OK Question Title * 7. Briefly describe your experience in the expanded learning field. Specifically, how many years have you been in the field and in what capacities? OK Question Title * 8. Describe your experience engaging in CQI or supporting others as they engage in the CQI process. Specifically what systems, processes, and tools have you developed or used to improve quality? OK Question Title * 9. Why are you interested in participating in the CQI Guidebook Work Group? OK Question Title * 10. What do you think you can contribute to the CQI Guidebook Work Group? OK Question Title * 11. I have the support of my supervisor to participate in this work group Yes No OK Question Title * 12. I could attend a half-day virtual session during the following times (please check all that apply) September 15, 2017 from 1pm - 4pm September 19, 2017 from 9am - 12pm September 19, 2017 from 1pm - 4pm OK Question Title * 13. I understand the responsibilities of this advisory group (outlined on this web page) and commit to these responsibilities. If invited to participate, I also commit to represent the interests of California’s expanded learning system, not just my personal or organizational interests. Yes No OK Question Title * 14. Additional comments? OK DONE