STEM in Summer Learning Survey

Question Title

* 1. What is your primary role with 21st CCLC?

State Coordinator

Project Director

Site Coordinator/Center Director

Program Staff

Other (please specify)

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* 2. What grade levels does your program serve? Select all that apply.

Pre-K

Elementary

Middle

High

Families

Other (please specify)

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* 3. Which of the following best describes the area you program serves?

Urban

Suburban

Rural

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* 4. How familiar are you with You for Youth (Y4Y)?

Extremely Familiar

Moderately Familiar

Somewhat Familiar

Slightly Familiar

Not at all Familiar

Extremely Familiar

Moderately Familiar

Somewhat Familiar

Slightly Familiar

Not at all Familiar

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* 5. Please rate your confidence to transfer the knowledge and/or skills you learned in today’s session:

Very Confident

Moderately Confident

Somewhat Confident

Slightly Confident

Not Confident

Very Confident

Moderately Confident

Somewhat Confident

Slightly Confident

Not Confident

Question Title

* 6. To what extent were the following objectives achieved?

	Completely	Considerably	Moderately	Slightly	Not At All
Engage in the steps for planning, designing, implementing and assessing a summer learning program.	Engage in the steps for planning, designing, implementing and assessing a summer learning program. Completely	Engage in the steps for planning, designing, implementing and assessing a summer learning program. Considerably	Engage in the steps for planning, designing, implementing and assessing a summer learning program. Moderately	Engage in the steps for planning, designing, implementing and assessing a summer learning program. Slightly	Engage in the steps for planning, designing, implementing and assessing a summer learning program. Not At All
Develop strategies to implement components of a successful STEM program.	Develop strategies to implement components of a successful STEM program. Completely	Develop strategies to implement components of a successful STEM program. Considerably	Develop strategies to implement components of a successful STEM program. Moderately	Develop strategies to implement components of a successful STEM program. Slightly	Develop strategies to implement components of a successful STEM program. Not At All
Identify Y4Y resources that assist with science, technology, engineering, and math (STEM) in Summer Learning.	Identify Y4Y resources that assist with science, technology, engineering, and math (STEM) in Summer Learning. Completely	Identify Y4Y resources that assist with science, technology, engineering, and math (STEM) in Summer Learning. Considerably	Identify Y4Y resources that assist with science, technology, engineering, and math (STEM) in Summer Learning. Moderately	Identify Y4Y resources that assist with science, technology, engineering, and math (STEM) in Summer Learning. Slightly	Identify Y4Y resources that assist with science, technology, engineering, and math (STEM) in Summer Learning. Not At All

Question Title

* 7. Please rate today's session on the following criteria:

	Excellent	Good	Average	Limited	Poor
Activities designed to practice new knowledge and/or skills	Activities designed to practice new knowledge and/or skills Excellent	Activities designed to practice new knowledge and/or skills Good	Activities designed to practice new knowledge and/or skills Average	Activities designed to practice new knowledge and/or skills Limited	Activities designed to practice new knowledge and/or skills Poor
Relevance of the information to my work	Relevance of the information to my work Excellent	Relevance of the information to my work Good	Relevance of the information to my work Average	Relevance of the information to my work Limited	Relevance of the information to my work Poor
Questions were answered	Questions were answered Excellent	Questions were answered Good	Questions were answered Average	Questions were answered Limited	Questions were answered Poor
Helpfulness of the information to improve my job performance	Helpfulness of the information to improve my job performance Excellent	Helpfulness of the information to improve my job performance Good	Helpfulness of the information to improve my job performance Average	Helpfulness of the information to improve my job performance Limited	Helpfulness of the information to improve my job performance Poor
Usefulness of tools and resources	Usefulness of tools and resources Excellent	Usefulness of tools and resources Good	Usefulness of tools and resources Average	Usefulness of tools and resources Limited	Usefulness of tools and resources Poor
Time allotted for the presentation	Time allotted for the presentation Excellent	Time allotted for the presentation Good	Time allotted for the presentation Average	Time allotted for the presentation Limited	Time allotted for the presentation Poor

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* 8. If you rated any of the above as "not at all" or "poor," please explain:

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* 9. List any concepts or strategies you learned today that you are excited to share with a colleague or will use in your program:

Question Title

* 10. We are always seeking ways to improve our technical assistance and training. Please feel free to provide our Y4Y team with constructive feedback.

STEM in Summer Learning

Question Title

* 1. What is your primary role with 21st CCLC?

Question Title

* 2. What grade levels does your program serve? Select all that apply.

Question Title

* 3. Which of the following best describes the area you program serves?

Question Title

* 4. How familiar are you with You for Youth (Y4Y)?

Question Title

* 5. Please rate your confidence to transfer the knowledge and/or skills you learned in today’s session:

Question Title

* 6. To what extent were the following objectives achieved?

Question Title

* 7. Please rate today's session on the following criteria:

Question Title

* 8. If you rated any of the above as "not at all" or "poor," please explain:

Question Title

* 9. List any concepts or strategies you learned today that you are excited to share with a colleague or will use in your program:

Question Title

* 10. We are always seeking ways to improve our technical assistance and training. Please feel free to provide our Y4Y team with constructive feedback.

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* 11. Is there any topic within today’s presentation on which you would like additional training?

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* 12. Please share any additional thoughts, ideas or questions: