CCI 21st CCLC Youth Interest Survey

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Please share your suggestions and ideas for our afterschool clubs and program. Your responses will help us to create the best possible program for you!!!

Name *

School *

Email *

If you could create your own afterschool program, what would it look like? *

Name three clubs you would want to join in an afterschool program? *

Name three clubs you think your friends would want to join in an afterschool program? *

Please let us know anything else you'd like to learn about. *

Which days are best for you to attend the program? *

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Are you interested in virtual activities, in-person activities or both? *

I prefer in-person activities.

I prefer virtual activities.

I am open to both in-person and virtual activities.

Please share any other suggestions or ideas for an afterschool program and/or club. *

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