Survey for Tribal After School Programs in Your Community

We need your help!  We want to create an after-school program that is helpful to your child and convenient for you. Please tell us what activities you think we should offer and when, and let us know what role, if any, you would like to play in the after-school program.  This survey will take only a few minutes to fill out.  All survey participants will be entered to win a raffle prize for your community. Thank you for your time!

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* 1. Does your child/ren participate in your tribal community after-school program?

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* 2. Please check the sentence that best describes your feelings about your child(ren) attending the after-school program in your tribal community.

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* 3. If you would be interested in your child(ren) attending if there were changes, or attending on certain days, or not interested at all, please explain.

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* 4. Does the current after-school program hours benefit your family?

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* 5. If no, what hours would work best for your family?

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* 6. If your child(ren) are not attending the after-school program, please check all that apply:

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* 7. If any of the issues listed above, were resolved, would you be interested in having your child(ren) attend?

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* 8. If your child(ren) are attending an alternate after-school program, what does that program offer, that is not currently offered at the tribal program?

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* 9. If your child(ren) currently attends an after-school program, how does your child(ren) get to and from the program each day?

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* 10. While homework help is given at the after-school program, tribal after-school programs also provide other enrichment programs to the students.  What kind of activities would your child be interested in?  Please check all that apply.  Feel free to add your own ideas.

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* 11. Would you be interested in volunteering your time to help with the after-school program?

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* 12. If yes, in what ways would you be interested in volunteering?  Check all that apply.

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* 13. Do you have any hobbies, creative activities, and/or professional experience you would enjoy sharing with students in the after-school program?

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* 14. If you answered yes, please explain:

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* 15. Please offer any solutions, ideas, activities, or issues that you feel would greatly benefit the tribal after-school program.

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* 16. Please select your tribal community.

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* 17. For any other questions, comments or concerns, please type here:

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* 18. Thank you for your participation, please fill out the information below to be entered into the raffle drawing.

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