The State of Minnesota provides funding through the 21st Century Community Learning Center (21CCLC) grant program to organizations that administer out-of-school time programs for young people. 21CCLC organizations record personal information about the individuals who attend their programs and activities in order to (1) track demographics and participation, and (2) conduct research and evaluation on the quality and effectiveness of activities, including their impacts on participants’ social and academic skills. Collecting this information is part of a larger effort to improve the quality and availability of programs that support youth and their families in Minnesota.

What personal information will be collected?

● Students’ demographic information, which will be used by the Minnesota Department of Education to link with student outcome data.

● Students’ out-of-school time program participation data, including number of days of attendance.

● Responses to the Survey of Academic and Youth Outcomes (SAYO), which includes questions related to your child’s experience in the after-school or summer program.

Who can see the personal information that is collected for research? Access to private information about your child will be strictly limited and safeguards are in place to prevent any unauthorized disclosure of private information. Some of the people who may have access include:

● Staff in the organization that provides activities for your child so they can provide better programs.

● Healthy Community Initiative staff who help with data tracking and grant reporting.

● Auditors or those who have a legal right to review the work of this organization.

By checking this box and typing my name below, I am electronically signing that I understand the Data Privacy Notice.

For more information, click here to read the Data Privacy Notice. If you do not want your child’s information to be collected and/or used in research and evaluation related to out-of-school- time programs, please contact the Community School Coordinator Megan Zwolenski at mzwolenski@gmail.com