Needs Assessment Survey


Please Check the areas in which your school currently has an existing program. Indicate whether or not it is working well and if you desire new resources.
Area of Need
Existing Program
Working
Effectively
Desire
Resources
Academic Performance
Yes
No
College Scholarships
Yes
No
Community Service
Yes
No
Diversity Awareness
Yes
No
Faculty/Staff Motivation & Recognition
Yes
No
Leadership Development
Yes
No
Student Motivation & Recognition
Yes
No
Student Orientation
Yes
No



Top Three Areas of Interest
1.
2.
3.



Contact Information
 

Your Name:       
School Name:     
School Address:  
City/State/Zip:    
School Phone:    
E-Mail Address:


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