Oakland-Craig Elementary Needs Assessment for After School Program
Oakland-Craig Elementary is seeking grant funding to begin an after school program. Your answers to these questions will help us create a program that meets the needs of parents and children. Please answer these questions as honestly as possible as our need could determine grant funding.
Would you use after school program services to care for your children following the regular school day? *
Are you currently using child care services for your children following the regular school day? *
Required
If so, at what time do you pick your children up from after school child care?
Time
:
Ideally, what time would you prefer to pick your children up from after school child care?
Time
:
Who currently cares for your children after school? *
Required
If you do not utilize after school care, what prevents you from using services?
To help assess funding needs, please indicate your household gross salary range. *
Would you be willing to pay a quarterly fee for your child's participation in the after school program? (If you receive free/reduced meals there would not be a quarterly fee) *
Is your household headed by a two-parent or a single parent household?
How many people live in your home?
Your answer
How many children do you have aging from 0-4 years old?
Your answer
How many children do you have aging from 5-8 years old?
Your answer
How many children do you have aging from 9-12 years old?
Your answer
How many children would you enroll in an after school program if it was available? Please include their ages as well. *
Your answer
Please check the days you need after school care. Check all that apply.
What program components/courses would you want for your child? Please mark all that would interest you and your child.
Please rate the importance of each of the after school program elements listed below. In other words, what is most important to you
Social Skills Development (i.e. Team-Building, Communication)
Least Important
Most Important
Academic Enrichment (i.e. reading, math, science)
Least Important
Most Important
Physical Exercise (i.e. sports, outdoor activities)
Least Important
Most Important
Extracurricular Skill Building (i.e. music, art, dance, cooking)
Least Important
Most Important
Would the after school program allow you and/or your spouse to work more hours?
If you would be interested in assisting with the initial planning/idea phase for this grant, please include your name and phone number below. Thank you!
Your answer
Please share any other comments below.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Oakland-Craig Public Schools. Report Abuse - Terms of Service