South Fork Valley Youth Outreach: Provider Survey

The South Fork Valley Community Association (SFVCA) would like to bring more activities and opportunities to local youth and families. We would like to work collaboratively with the local individuals and organizations who are willing to share their knowledge, skills, and time. Please complete the following survey to let us know how you would like to get involved and how we can reach you.

Please be aware that the SFVCA has a safety policy in place and all adults who work directly with children are required to meet all necessary safety requirements.

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* 1. How would you like to get involved? (Check all that apply)

Teach classes

Tutor

Mentor

Lead a club

Lead outdoor activities

Make it possible for kids to come to your place of business as a field trip

Offer an internship

Plan and facilitate classes

Plan and facilitate a special event

Chaperone an event

Sponsor (i.e., help fund) local youth programming in general

Sponsor (i.e., help fund) a specific event

Help fund hall rental fees

Help fund scholarships

Serve on a volunteer planning committee

Volunteer in some capacity (please specify below)

Other (please specify)

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* 2. Is there anything specific you would like to share with us as it relates to your answers to Question 1? For instance, can you provide details about specific ways you would like to get involved?

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* 3. Do you or your organization already have an established program that you could bring to the local community? For example, you have a program that would be new to the local community or is already here but could expand if you had somewhere to meet? Please describe.

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* 4. Do you or your organization have any special licenses or qualifications to work with youth or families?

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* 5. What is your contact information?

Name

Organization (if applicable)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 6. Are there any other organizations or individuals who you suggest we talk to? What is their expertise? How do we reach them? (Please get permission from individuals before you give us a name or share their contact information.)