GENERAL INFORMATION

This survey will take approximately 15-20 minutes to complete. We appreciate your time and honest, thoughtful responses. The information will help the Region 4 Expanded Learning Programs Office to develop a plan for providing technical assistance to expanded learning programs for the 2018-19 year and beyond. Let's begin with some GENERAL INFORMATION about your program(s). 

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* 1. What role do you play in the expanded learning program(s)?

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* 2. What grade levels do you serve? Check all that apply:

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* 3. Do you currently have these funding sources? Check all that apply:

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* 4. Do/es your program(s) charge fees or donations if possible?

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* 5. If you are a community-based organization (CBO) or a private service provider, please indicate which school districts you serve next to the correct county below:

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