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* 1. Communities In Schools (CIS) has provided me with an orientation or written information regarding the CIS program.

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* 2. I am familiar with the CIS Campus Service Delivery Plan.

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* 3. CIS staff provides me with updates regarding progress towards implementing the Campus Service Delivery Plan.

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* 4. CIS is assisting students in overcoming barriers to their success.

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* 5. CIS has improved access to resources for students and teachers

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* 6. CIS follows up regarding referrals made and needs of students on my campus.

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* 7. CIS has made a positive impact on my campus.

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* 8. CIS is assisting students in the following areas on my campus:

  Strongly Agree Agree Undecided Disagree Strongly Disagree
Academics
Attendance
Behavior
Parental Involvement
Social Services

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* 9. What other services or improvements to the CIS program would you like to see on your campus?

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* 10. What are the greatest strengths of the CIS program on your campus?

T