After School Program

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We have an opportunity through CARES Act funds to open an After School Program. Our goal is to have the program open for use at the beginning of the 2021-2022 school year in August. Our vision is that the program is open for students in grades K-12, separated into appropriate age groups. We would provide programming which includes homework assistance, physical and arts activity, snack and dinner meal when needed, and social interaction until 6:00pm each evening. In addition, we will be applying for substantial funds through the 21st Century Community Learning Grant to enhance and sustain the program. This grant requires a Needs Assessment including data from parents. We appreciate you completing this survey in order to convey the needs of our community to the grant committee. This survey does not collect names or email addresses so your response is anonymous. Thank you for taking a few minutes to help Linton-Stockton School continue to improve the services we can provide our families.

I have children in the following grades. Please mark all that apply. *

Preschool

Kindergarten

1st Grade

2nd Grade

3rdGrade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

Required

I will use the program if... *

it is free.

if there is a graduated fee scale.

if I have to pay a fee.

Please answer this question if you marked graduated fee scale or pay a fee above. I am willing to pay up to...

$1 per hour

$2 per hour

$3 per hour

Clear selection

In order to use the program I will need transportation home for my child(ren). *

Yes

Would use transportation if available but not necessary

I would most likely use the program for... *

1 day a week.

2 days a week.

3 days a week.

4 days a week.

5 days a week.

I would most likely use the program for... *

1 hour per day.

2 hours per day.

3 hours per day.

Because of my work schedule I would need the program to be open until... *

5:00pm

5:30pm

6:00pm

Other:

Please mark all that apply. I would also use the program if it were open during... *

Summer

School Breaks

Before School

Required

Please check all that apply. What opportunities would you like to see the program offer for your child(ren)... *

Homework Assistance

Art Activities

Music Activities

STEM Activities

Outdoor sportsman activities

Intramural athletics

Tutoring

Mentoring

Career and technical programs

Character building activities

Team building activities

Cooking experiences

Required

Please list any other activities you would like to see provided for your child(ren)

THANK YOU!

Thank you for sharing this valuable information. Our planning team looks forward to brining this vision to fruition.

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This form was created inside of Linton-Stockton School Corporation.

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