JOM Needs Assessment Survey 2021-22

Thank you for taking your time to fill out the survey. Your input is important to us.

Question Title

* 1. Please check any needs that should be provided through the JOM program to Native American students.

Tutoring

Indian Cultural Programs

Math/Science improvement

Reading/Language improvement

School Supplies

Career Counseling or Higher Education Orientation

Educational supports or other suggestions:

Question Title

* 2. My child/children are in the following grade(s): (check all that apply)

PK3

PK4

Kindergarten

1

2

3

4

5

6

7

8

9

10

11

12

Question Title

* 3. Please rank these needs from most important to least important. 1 is the most important; 6 is the least important.

Tutoring
Indian Cultural Programs
Math/Science Improvement
Reading/Language Improvement
School Supplies
Career Counseling or Higher Education Orientation

Question Title

* 4. How do you think your JOM funds could be used to enable Indian Education students to equally participate in any school activities?

Question Title

* 5. Please check the category that best describes you:

Parent

In loco parentis

Question Title

* 6. Tribal Affiliation