The Salvation Army Boys & Girls Club of Charleston is planning to apply for a 21st Century Community Learning Center grant. Your responses to this survey will help us understand student and family needs and how an afterschool program can help address those needs.

What do you do afterschool?

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* 1. What do you do afterschool?

Do you need help completing homework assignments afterschool?

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* 2. Do you need help completing homework assignments afterschool?

If you attend an afterschool program, how often do you participate during the week?

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* 3. If you attend an afterschool program, how often do you participate during the week?

If you do not attend an afterschool program, please select the reasons why.

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* 4. If you do not attend an afterschool program, please select the reasons why.

How often do you participate in sports or physical activities (for more than 30 minutes)?

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* 5. How often do you participate in sports or physical activities (for more than 30 minutes)?

Have you ever witnessed, or have been subject to, bullying at your school?

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* 6. Have you ever witnessed, or have been subject to, bullying at your school?

Select the activities/services for an afterschool program that you feel are important.

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* 7. Select the activities/services for an afterschool program that you feel are important.

Select the family activities/services you think members of your family would be interested in and/or willing to attend.

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* 8. Select the family activities/services you think members of your family would be interested in and/or willing to attend.

What would prevent your family from attending family engagement events?

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* 9. What would prevent your family from attending family engagement events?

Please provide three recommendations for services, partners, or activities that should be part of the afterschool program:

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* 10. Please provide three recommendations for services, partners, or activities that should be part of the afterschool program:

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