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* 1. Contact Information

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* 2. Which state legislators do you or your organization have a relationship with? 

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* 3. Total number of afterschool staff: (All following answers should be based on the total number of staff listed here)

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* 4. Number of staff that are full-time:

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* 5. Number of staff that are part-time:

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* 6. Number of staff with a high school degree as the highest education:

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* 7. Number of staff with some college as the highest education:

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* 8. Number of staff with a 2-year college degree as the highest education:

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* 9. Number of staff with a 4-year college degree as the highest education:

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* 10. Number of staff with a Master's degree or higher:

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* 11. Number of staff with a NYS School-Age Care Credential:

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* 12. Number of staff that identify as male:

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* 13. Number of staff that identify as female:

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* 14. Average Hourly Wage for Full-time Staff (include lowest and highest hourly wages):

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* 15. Average Hourly Wage for Part-time Staff (include lowest and highest hourly wages):

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* 16. Turnover Rate of Afterschool Staff (in a year):

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* 17. Approximately what percentage of your program budget goes towards salaries and fringe?

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* 18. How is your program funded? (Please select all that apply)

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* 19. If the per student rate is increased to $2,320 (from $1,375 or $1,600) and you are awarded a new grant at that level, how will you use the additional funds?

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