21st Century Parent Survey

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Jerome School District in partnership with Boys & Girls Clubs of Magic Valley are planning to apply for a 21st Century Community Learning Center grant to support an afterschool program for students. Your responses to this survey will help us better understand student and family needs as we plan the afterschool program.

Does your child need help completing homework after school?

Yes

Clear selection

If yes, who usually helps your child with his/her homework?

Myself/parent

Sibling

Teacher

No one

Other:

Would it be helpful to you to have more information about what your child is learning at school?

Yes

Clear selection

Does your child currently participate in any activities after school?

Yes

Clear selection

If yes, how often does he/she participate?

4-5 times/week

2-3 times/week

1 time/week

A few times/month

Clear selection

If your child does not participate in activities after school, please indicate the reason(s) why:

No activities available

Available activities don't interest him/her

Activities are too expensive

Lack of tranportation

He/She takes care of family member(s) after school

Other:

Please indicate the time(s) that your child/children would be likely to attend an afterschool program:

After school

On school holidays and breaks

During summer vacation

If your child/children attend an afterschool program, will they need transportation home?

No - I'd be able to pick up my child/children when the afterschool program is over.

Yes - I'd need the program to provide transportation home for my child/children.

Clear selection

Has your child ever witnessed, or been subject to, bullying at his/her school?

Yes

I don't know

Clear selection

How important are the following student services/activities for an afterschool program?

Very Important

Somewhat Important

Not Important

Homework help

Tutoring

Reading enrichment

Writing enrichment

Math & Science enrichment

Art & Music

Nutrition Education

Sports & Fitness Activities

Drug & Violence Prevention

Anger Management/Positive Thinking

Community Service Projects

College Readiness

Career & Workforce Readiness

OTHER:

Please indicate which parent activities/services you would be interested in and/or willing to attend.

Definitely Attend

Likely Attend

Not Likely to Attend

Family Activity Nights

Parenting Classes

College Applications/Financial Aid Info

Adult Ed - Technology

Adult Ed - Resumes

Adult Ed - Literacy

Adult Ed - English as a Second Language

OTHER:

Please check any barriers that would prevent you from participating in parent activities/services:

Lack of childcare

Lack of transportation

Activities not interesting or engaging

Other:

Please provide any recommendations you have for community partners or services that should be a part of the 21st Century Community Learning Center afterschool program:

Submit

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