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Netter Center wants to know how we can help!
Please complete the survey below & let us know if and how we can support you.
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* Indicates required question
Adult Family Member Name:
*
Your answer
Please list your current phone number and/or email address below:
*
Your answer
What is your preferred method(s) of communication? (please select all that apply)
*
Text message
Email
Phone Call
Class Dojo
Google Classroom
Facebook
Twitter
Instagram
Other:
Required
Please list all students in your household who are enrolled in UACS programs and note which grade each student is currently in: (Ex: Jayden Smith, Grade 5)
*
Your answer
What UACS School does your student(s) attend?
*
Comegys Elementary
Lea Elementary
Mitchell Elementary
Hamilton Elementary
Sayre High School
West Philadelphia High School
Other:
Do you have a wifi and/or data plan that would allow you/your student to download educational videos or chats?
*
Yes
No
What technology do you currently have access to? (Please select all that apply)
*
Desktop computer
Laptop computer
Tablet/iPad
Smart Phone
N/A
Required
What remote virtual programming would you participate in? (Please select all that apply)
Instructional video to complete UACS K8 Summer Camp Enrollment Application
Instructional video to complete PYN Summer High School Youth Employment Application
Adult Education Webinars
Physical activity video for families
Student academic enrichment resources
Instructional video to use Khan Academy resources
Zoom (remote meeting platform) Check-in with Netter staff
Self-care, Mindfulness or Mental Health Resource Support
Connections to other organizations that provide resources (ServiceLink)
Virtual Penn Student Mentoring
Do you have suggestions for other remote virtual programs that are needed?
Your answer
What has been the most important part of our programs you relied upon, and why?
Your answer
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