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* 1. Please list your school assignment:

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* 2. What is your position at this school?

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* 3. What is your subject area teaching assignment?

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* 4. Please rank order what you see as the most prominent student risk behaviors associated with academic failure at your school site?

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* 5. Please rank order supports required for student success and on-time graduation:

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* 6. Please rank supports required for parents to participate in child's academic progression:

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* 7. Do you currently have students in your classes that you think may have risk behaviors associated with alcohol, tobacco, or other drug usage?

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* 8. Would you be available to extend your working hours (during the regular school year) to tutor in your subject area of expertise in the 21st Century Community Learning Center after school program?

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* 9. Would you be available to extend your work year into summer months to teach/tutor in your subject area of expertise?

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* 10. How confident are you that additional academic and social supports (as represented by the 21st Century Community Learning Center) will increase graduation rates?

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* 11. Will you support the 21st CCLC program initiative through cooperation and cooperative planning with the after school program staff?

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* 12. Please rank order the need for professional development at your schools iste:

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