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Strategic Partnerships Day 1: Needs Based Community Mapping
Feedback Form
You for Youth (Y4Y)
August 3, 2020
1.
What is your primary role with 21st CCLC?
State Coordinator
Project Director
Site Coordinator/Center Director
Program Staff
Other (please specify)
2.
What grade levels does your program serve? Select all that apply.
Pre-K
Elementary
Middle
High
Families
Other (please specify)
3.
Which of the following best describes the area you program serves?
Urban
Suburban
Rural
4.
How familiar are you with You for Youth (Y4Y)?
Extremely Familiar
Moderately Familiar
Somewhat Familiar
Slightly Familiar
Not at all Familiar
Extremely Familiar
Moderately Familiar
Somewhat Familiar
Slightly Familiar
Not at all Familiar
5.
Please rate your confidence to transfer the knowledge and/or skills you learned in today’s session:
Very Confident
Moderately Confident
Somewhat Confident
Slightly Confident
Not Confident
Very Confident
Moderately Confident
Somewhat Confident
Slightly Confident
Not Confident
6.
To what extent were the following objectives achieved?
Completely
Considerably
Moderately
Slightly
Not At All
Identify needs in your program.
Completely
Considerably
Moderately
Slightly
Not At All
Create a community asset map that matches needs to potential partners.
Completely
Considerably
Moderately
Slightly
Not At All
Identify Y4Y resources and tools to support community asset mapping.
Completely
Considerably
Moderately
Slightly
Not At All
7.
Please rate today's session on the following criteria:
Excellent
Good
Average
Limited
Poor
Activities designed to practice new knowledge and/or skills
Excellent
Good
Average
Limited
Poor
Relevance of the information to my work
Excellent
Good
Average
Limited
Poor
Questions were answered
Excellent
Good
Average
Limited
Poor
Helpfulness of the information to improve my job
performance
Excellent
Good
Average
Limited
Poor
Usefulness of tools and resources
Excellent
Good
Average
Limited
Poor
Time allotted for the presentation
Excellent
Good
Average
Limited
Poor
8.
If you rated any of the above as "not at all" or "poor," please explain:
9.
List any concepts or strategies you learned today that you are excited to share with a colleague or will use in your program:
1
2
3
10.
We are always seeking ways to improve our technical assistance and training. Please feel free to provide our Y4Y team with constructive feedback.
11.
Is there any topic within today’s presentation on which you would like additional training?
12.
Please share any additional thoughts, ideas or questions: