Ohio Out-of-School-Time Programs Data Map
This form will be used to create a list and map of out-of-school time programs operating in Ohio for kids K-12. Out-of-school time programs offer supervised care for children/youth at designated days/times outside of school hours. This map can be used by parents and caregivers to find programs; help OAN and other advocates determine gaps in service areas or populations, and connect educators and providers with other providers in their area. PLEASE FILL OUT ONE FORM PER SITE IF YOUR PROGRAM OPERATES MULTIPLE SITES!
Organization name: *
Program/Site Name: *
Program Street Address (number and street name only): *
Program City: *
Program Zip Code: *
Program County: *
Required
Does your program operate in an urban, suburban, or rural area?
Clear selection
Program Contact Phone Number: *
Program Contact Email Address: *
Program Website:
Program type:
Licensure: *
Funding sources (check all that apply):
Program fees (check all that apply): *
Required
School district(s) served:
Grades served (check all that apply): *
Required
Number of students served (approximate daily attendance):
When does the program operate (check all that apply): *
Required
What days of the week is the program open (check all that apply):
Meals served (check all that apply):
Activities offered (check all that apply):
Other services offered (check all that apply):
Program description (1 paragraph or less):
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