NJSACC Targeted Technical Assistance Initiative Application 2021-2022 Survey

Thank you for your interest in joining the
NJSACC Targeted Technical Assistance Class of '21-22!

Please Note: This program is FREE to selected NJ licensed programs accepting subsidies thanks to funding by the NJ Department of Human Services Division of Family Development as part of a Federal CCDF Block Grant Earmark.

For more information on this project or other school-age info, email Quality Team Director Dagmar Wojcik at dwojcik@njsacc.org.

Program selection is in accordance with eligibility, funding, and staff availability. Selected programs will be contacted ASAP.

1.Contact Information

Name

Agency/District

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

County

Email Address

Phone Number

2.How many sites do you serve?

3.Estimate of students served for the 2021/2022 school year?

4.Is the site licensed under OOL?

Yes

5.Does the site accept subsidies?

Yes

6.Please provide the following information for the nominated site.

Name of site (please select one)

Address

Address 2

City/Town

Grades Served

Number of students served at site (pre-pandemic)

Number of students served at site (pandemic)

Number of students to be served at site (2021-22)

7.Why do you want to participate in the NJSACC targeted technical assistance initiative?

8.How would targeted technical assistance help the site?

9.What would the staff gain from participating in this experience?

10.Are you familiar with the New Jersey Quality Standards for Afterschool?

Yes

11.Have you participated in an NJSACC technical assistant initiative in the past?

Yes

12.If yes, what site and year?