CTUIR Title VI Youth Services Program Needs Assessment Survey

The Youth Services Program is a unique opportunity to provide our students, community members, and school staff with specific resources and experiences that in-turn create a safe, culturally appropriate environment where identity and confidence can be fostered and embraced within our students. It is important to us that we provide our families a platform to voice their wants and needs for their students. We plan on using the information gathered in this needs assessment survey to help determine the future services, activities, and offerings from the CTUIR Title VI Youth Services Program for our students and community.

Please note: The raffle associated with this survey is now closed. However, please proceed to provide your feedback! 


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What is your role with the CTUIR Title VI Youth Services Program? *
What school site does your student attend? *
Required
Do you feel that your student's needs are currently being met by the Title VI Youth Services Program? *
If not, why do you feel their needs are not being met? *
What current/additional ways could our program support student & community needs? Check your top 5 needs.  Please feel free to add anything you do not see listed!
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Required
Do you think there are other ways students can be assisted & supported?
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What is the best way to communicate with you?
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Required
Do you have any special cultural talents or skills that can assist the program in helping to address the needs of our students & community?
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Are you interested in volunteering for Title VI? *
If yes, in what capacity? *
Do you live on or off of the reservation? *
Do you have internet access at home? *
What is the best phone number to contact you?
 *
What is your preferred email address
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What is the best way to contact you? *
Required
Do you follow social media?
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