To’Hajiilee Programs Data Entry

Referral URL
    Website location is automatically generated.

    Part One: About Me:

    1. Association with the local school / district:
      (Place a checkmark in ALL relevant boxes.)
    • Student
    • Parent / Guardian
    • Educational Assistant
    • Program Staff
    • Administrator
    • Board Member
    • Teacher
    • Other Stakeholder
    This is a required question
    2. Years associated with the local school / district:
      Pick one.
    • 0-3
    • 4-9
    • 10-15
    • 16-25
    • 25+
    This is a required question
    3. Years living in the area:
      Pick one.
    • 0-3
    • 4-9
    • 10-20
    • 21-40
    • 41-60
    • 60+
    This is a required question
    4. Age:
      Pick one.
    • 0-5
    • 6-11
    • 12-15
    • 16-19
    • 21-40
    • 41-60
    This is a required question
    5. Grade(s):
      (K-12 students: answer your grade. Parents: Check all grades of all your children.)
    • Pre-K
    • K
    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10
    • 11
    • 12
    This is a required question
    6. My native language proficiency (speaking/listening ability) may best be described as:
      • Beginning
      • Limited
      • Casual in Conversation
      • Native Speaker
      This is a required question
      7. Adults: Education Level:
        • Pre-High School
        • High School
        • 2-Year College
        • 4-Year College
        • Graduate or Professional School
        This is a required question
        8. Ethnicity Option:
          (Check ALL boxes that you feel define your race/ethnicity, subgroup or culture.)
        • Native American
        • Asian
        • African-American
        • Hispanic / Latino
        • Mixed / Other
        • White non-Hispanic
        This is a required question
        9. Ethnography Option:
          (If you wish, you may add a very brief description about any of the following: your tribal, community, geographical, or cultural affiliations.)

        This is a required question
        10. * Your local school or district:
          (Please enter below the full name of your associated school/district.)

        This is a required question

        PART 2: PROGRAM QUALITY FEEDBACK FORM

        This feedback form is designed to learn from you and the school community how you feel about the quality of various programs within a given school or district. Quality is a big concept, so in this case we want to think of quality in these terms:a. The program's goal, purposes, and/or objectives are clear to the people it serves,b. The program personnel are friendly, respectful, and service oriented.

        This is a *quality* program…
          Instructions. Please tell us how much you agree or disagree with each statement. Place a mark in the box to the right of the option that best matches your response. If you are undecided or not familiar enough with the program, select neutral or leave the item blank.
        Strongly Agree Disagree Neutral Agree Strongly Agree
        1. Academics: Grades 6-12
        2. Academics: Grades K-5
        3. Athletics / Sports
        4. Business /Financial
        5. Extra-Curricular (after school or summer)
        6. Facilities (buildings, rooms, utilities, etc)
        7. Family Involvement Program
        8. Food Service
        9. Language and Culture
        10. Special Education
        11. Transportation
        12. School / Campus Safety
        13. 21st Century Grant
        14. Child Hunger Initiative
        15. Kindergarten Language Immersion Class
        17. blank
        18. blank
        19. blank
        20. blank
        Please enter one response per row

        Part 3: Program Effectiveness Evaluation Form

        Program effectiveness is a big concept, so it is defined here as:a. The program is able to accomplish it's purposes, goals, or objectives.b. The program is efficient (does what it intends to do), is sensible and not wasteful, and provides a positive service to the system and the people it serves.

        This is an effective program…
          INSTRUCTIONS. Below are several questions designed to help you express your perspectives on the effectiveness of several programs. Each question is based on a scale of zero to 10, with 0 being Not at All and 10 being Totally. Please circle or select the number for each item that makes the most sense to you, or leave an item blank if you are undecided, neutral, or unfamiliar with the program.
        0 1 2 3 4 5 6 7 8 9 10
        1. Academics: Grades 6-12
        2. Academics: Grades K-5
        3. Athletics / Sports
        4. Business /Financial
        5. Extra-Curricular (after school or summer)
        6. Facilities (buildings, rooms, utilities, etc)
        7. Family Involvement Program
        8. Food Service
        9. Language and Culture
        10. Special Education
        11. Transportation
        12. School / Campus Safety
        13. 21st Century Grant
        14. Child Hunger Initiative
        15. Kindergarten Immersion Class
        16. Blank
        17. Blank
        18. Blank
        19. Blank
        20. Blank
        Please enter one response per row

        PART 5: Final thoughts

        Comments
          Please feel free to offer any comments or suggestions you may have on the quality or effectiveness of the school/district programs.

        This is a required question
        Suggestions:
          Please feel free to offer any suggestions you may have on the quality or effectiveness of the school/district programs.

        This is a required question
        5. Humans versus Robots
          Most fast-food joints sell a round sandwich called a… (hint: not a hotdog)

        Must contain 'burger'
        This is a required question

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