ELMORE CITY-PERNELL JOM PROGRAM
NEEDS ASSESSMENT SURVEY
What do you feel are the most important needs of the Native American students in the Elmore City-Pernell public school system? (Please indicate by placing a check mark to the left of the number.)
Native American Studies Program in the School (History/Language)
Native American Cultural Programs/Activities
Native American Cultural Literacy Club
After School Native American Language Class
More Parental Particpation
Native American Cultural Evenings/Family Events
Rank the three most important needs in order of priority:
How do you think JOM funds could be used to meet the needs listed above?
Please check the category/categories that describe you:
JOM Legal Guardian
Do you have any further suggestions for the planning of your JOM Program?
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This form was created inside of Elmore City-Pernell Schools.