Civics First Coach Survey
Thank you once again for particpating in this year's Program. In order for us to recieve the grants needed to continue this and other programs, Civics First needs to submit information about the demographics that we reach. We would appreciate it if you would just take a few moments to fill out the following form based on the participants of your teams so that we can evaluate this information. Thank you once again and we hope to see you next year!
Name of Activity Involved In *
School *
Your answer
Number of youths who participated on your teams *
Please enter the total number of students across all of your teams
Your answer
Total number of youth served by each race/ethnicity:
Please enter the number of students of each race/ ethicity on your team. If there are none of that ethnicity please enter 0
White (not Latino) *
Your answer
Black (not Latino) *
Your answer
Latino *
Your answer
American Indian/ Alaskan Native *
Your answer
Asian *
Your answer
Native Hawaiian/ Pacific Islander *
Your answer
Other *
Your answer
Total Number of youth served by gender
If there are none please enter 0
Male *
Your answer
Female *
Your answer
Total number of youth served by age
If there are none please enter 0
Under 11 *
Your answer
12 to 13 *
Your answer
14 to 15 *
Your answer
16 to 17 *
Your answer
18 and older *
Your answer
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