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NJ 21st CCLC Evaluation Reporting System
NJ CCLC logo

Youth Survey for Middle and High School (4th-12th Grades)
New Jersey 21st Century Community Learning Centers

Instructions: The purpose of this survey is to find out more about 21st CCLC out-of-school programs in New Jersey. Our goal is to help make out-of-school time programs better for you and other young people. This survey should take about 15 minutes. Below are questions that ask about you and some of the things you think and feel about yourself and your out-of-school-time program. This is not a test. There are no “wrong” answers. Please choose the answer that is most true or most like you.

This survey is completely voluntary. You do not have to answer any of the questions if you don’t want to, and you can stop taking this survey at any time. This survey is confidential to the extent permitted by law, which means that no one (not your parents, teachers, school staff or other students) will be allowed to know how you answer these questions.

I have read and understood the above.