YPQA Request Form
Thank you for your commitment to quality Afterschool programming! For a YPQA assessment and coaching session conducted by Quality Assessor Coaches, please complete the form below. The no-cost technical assistance is available to organizations who serve youth in grades 4th - 12th. Requests will be accepted through May 2018 and are fulfilled on a first-come, first-serve basis.
Name of Contact Person *
Your answer
Name of Organization *
Your answer
Address *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Which out-of-school time (OST) system is your organization a member of *
Briefly describe the nature of the afterschool services provided *
Your answer
Ages/Grades of Youth Served *
Your answer
Program Days/Times *
Your answer
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