Cheyenne and Arapaho Tribes
Johnson O'Malley Program - Needs Assessment (1 form per family)
Please pick the category that describes you:
*
Please Select
Parent/Guardian
Student
Teacher
School District
Please Select
Arapaho
Banner
Burnsflat
Calumet
Canute
Canton
Canton HDS
Cashion
Cheyenne
Clinton
Clinton HDS
Concho HDS
Cordell
Darlington
El Reno
Elk City
Enid
Epic
Erick
Fargo-Gage
Fairview
Ft Supply
Garber
Geary
Hennessey
Hinton
Hydro
Kingfisher
Leedey
Lomega
Maple
Merritt
Minco
Mustang
Okarche
Okeene
Other
Piedmont
Riverside PS
Sayre
Seiling
Sentinel
Sharon Mutual
Taloga
Thomas
Watonga
Weatherford
Woodward
Union City
Yukon
Educational Support Items:
Please select your top choice with #1 being the most important (Label each with 1-8) Ex: Basic School Supplies 1, Eyeglass Assistance 2, Graduation Gowns 3, etc.
Basic school supplies
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8
Best
Worst
1 is Best, 8 is Worst
Athletic Shoes
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Best
Worst
1 is Best, 8 is Worst
Eyeglass Assistance
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8
Best
Worst
1 is Best, 8 is Worst
Graduation Gowns
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8
Best
Worst
1 is Best, 8 is Worst
Extra Curricular (Instrumental rental, class fees, etc.)
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Best
Worst
1 is Best, 8 is Worst
Testing Fees (ACT, SAT, etc.)
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8
Best
Worst
1 is Best, 8 is Worst
Class Supplies (Home Ec, Shop, Tech, etc.)
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8
Best
Worst
1 is Best, 8 is Worst
Summer School (Academics, Drivers Education, etc.)
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8
Best
Worst
1 is Best , 8 is Worst
Select your top seven choices with #1 being the most important.
(Label each with 1-7) Ex: Tutoring 1, Cultural Edu 2, Parent/student activites 3, etc.
Tutoring
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1
2
3
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7
Best
Worst
1 is Best, 7 is Worst
Field Trips
*
1
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7
Best
Worst
1 is Best, 7 is Worst
Summer Enrichment Camps (Math, Science, Reading, Physical, Arts/Crafts)
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Best
Worst
1 is Best, 7 is Worst
Educational Presentations (Job/Resume Seminars, Preparing for college, etc.)
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Best
Worst
1 is Best, 7 is Worst
Cultural Education
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1
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Best
Worst
1 is Best, 7 is Worst
Award Banquet (May through July, 1 per committee)
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7
Best
Worst
1 is Best, 7 is Worst
Parent Student Activities
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1
2
3
4
5
6
7
Best
Worst
1 is Best, 7 is Worst
Submit
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