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* 1. What is the name of your school?

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* 2. Did you have students in your class or school participating in 21st Century program activities this year and over the last four years?

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* 3. . If you had students participating in 21st Century programs, how often did they attend?

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* 4. Do you think 21st Century program activities over the last five years have helped to increase student achievement in mathematics and reading?

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* 5. List the ways 21st Century CLC program activities have benefited students and the school community in your zone.

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* 6. How important is homework help in 21st Century after-school programs?

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* 7. Were you able to collaborate with site coordinators to ensure that the 21st Century program addressed the academic needs of 21st Century students?

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* 8. Briefly describe what you would like to see in the design of future 21st Century programs in the Madison County School District.

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* 9. Was student transportation for 21st Century a problem for your school community over the last five years?

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* 10. Did your site receive adequate and timely healthy snacks for students during 21st Century program activities?

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* 11. When do you think 21st Century activities should take place?

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* 12. What was the most problematic issue for you in working with the 21st Century program over the last five years?

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