Scholarship Evaluation Form
Please fill out the evaluation for the program you / your child participated in with your Foundation
Scholarship. We request that you do a separate evaluation for each scholarship you have received.
We also ask that you provide The Foundation with photos of the scholarship recipient in action! We
would love to see them in inclusion settings interacting with their peers and instructors. You can
mail photos to info@dsfflorida.org. These comments and photos will be used to share our success
stories with our donors/supporters and in Foundation publications (newsletters, websites, brochures).
Thank you for taking the time to complete this evaluation.
Parent Information
First Name: *
Your answer
Last Name: *
Your answer
Address 1: *
Your answer
Address 2:
Your answer
City: *
Your answer
State: *
What county do you live in? *
Phone Number: *
Your answer
Email: *
Your answer
Applicant Information
Child's First Name: *
Your answer
Child's Last Name: *
Your answer
Age: *
Your answer
Program Information
Which scholarship program are you evaluating? *
Name of the location / provider you used for the scholarship: *
Your answer
Dates of your program: *
Your answer
Please rate your satisfaction with the program you participated in using the scholarship. *
(Not the scholarship process, but the experience at the location listed above)
Please write a brief summary of what this experience means to you, your child and those who were involved in the program. This should be specific to the program you / your child participated in, not the scholarship process. *
Your answer
Would the organization you worked with have been better prepared with more training about DS and/or inclusion from The Foundation? *
Based on this experience, will you apply for another scholarship with The Foundation? *
Based on your experience, will you share with organizations, friends and family about the benefits The Foundation provided your family? *
Do you have photos / video to submit? *
Additional comments, questions, suggestions and feedback:
Your answer
*
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This form was created inside of Down Syndrome Foundation Of Florida.