Democracy Green Intake Form
Intake form on teen community center engagement. 1000 N. Main St. #102 Fuquay-Varina, NC 27526
What is the age range of the teens that currently attend this community center?
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12-14
15-18
What programs are currently offered to teens at your community center?
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Educational
Arts
Sports
Other
Have teens requested specific interest areas be offered at this community center? If yes, what are they?
Would later closing hours prove successful at this community center? Why or why not?
What would make this community center an ideal hub and model for teen inclusivity and accountability?
How many teens currently participate in your programs (approx.)?
What are the top barriers teens face in accessing your programs?
Transportation
Schedule conflicts
Cost
Lack of awareness
Transportation to the center
Family responsibilities
Limited program availability
Eligibility requirements
Other
If other, please specify:
What partnerships or resources could strengthen teen engagement (e.g., schools, nonprofits, local businesses)?
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