Salem-Keizer Youth Collaborative

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Salem-Keizer Youth Collaborative

Salem-Keizer Youth Collaborative

Thank you for your interest in helping meet the needs of our community's children and youth! Please fill out this survey to get a better idea of where you and your church / organization

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number
Area Code
Phone Number
4
Name of Church / Organization* This field is required.
5
Your Position or Role You Play in Your Church / Organization
6
Who is the Main Contact at Your Church / Organization?
7
Main Contact's Name
First Name
Last Name
8
Main Contact's Email
example@example.com
9
Main Contact's Phone Number
Area Code
Phone Number
10
Are You Interested in Partnering With the Salem/Keizer Youth Collaborative in Helping Meet the Needs of Our Children and Youth?
YESNO
11
Is your church / organization already proving or planning to provide a program or activity?
YESNO
12
Please describe your program (ages, activities, open to community or only church members, etc)
13
What Partnership Level(s) Are You Most Interested in Pursuing Right Now?
Opening up space to be used by a single provider/partner who will completely lead and run the program.
Opening up space to be used by a provider/partner while also assisting (providing volunteers, snacks and other resources) the provider in running the program.
Opening up space and completely supervising and running the program.
14
What Assets and Gifts Does Your Organization Bring to the Table? (i.e. classroom space, gymnasium, fields, volunteers, financial support, etc)
Huge
Large
Normal
Small
Ok
Ok
15
What School(s) Are You Near?
16
Are You Currently Partnering With Any Organizations That Work With Children or Youth?
YESNO
17
What is the Name(s) of the Organizations You Are Currently Partnering With?
18
Do You Already Provide Childcare or Youth Programming for Your Neighborhood and Community?
YESNO
19
Is Your Program Licensed or Recorded With the State?
YESNO
20
Who Would You Feel Most Excited to Partner With?Check All That Apply
Capital Futbol Club (CFC)
Boys & Girls Club
Salem Family YMCA
Salem Child Development Center
Mid-Valley Young Life
Lancaster Learning Center
Marion & Polk Counties
Champions
Satellite Gaming
Salem KROC Center
Valor Mentoring
21
What Age Group(s) Are You Most Interested in Working With?
0-3
Preschool
K-5
Middle & High School
22
What Type of Programming Are You Most Interested in Providing?
Child Care
Learning Cohorts During the Day
After-School Programing
Other
23
Please Describe the Programing You Are Interested In Providing
24
What Other Questions or Concerns Do You Have?
Huge
Large
Normal
Small
Ok
Ok
25
Would You Like to Have Someone From SLF Personally Follow Up With You?
YESNO
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