Community Education Availability Survey
Help us design community education programs that fit your interests and schedule. Please share your preferences and availability below.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What is your age group?
*
Under 18
18-24
25-39
40-59
60+
Prefer not to say
What is your highest completed level of education?
*
Please Select
No formal education
Primary/Elementary School
High School or Equivalent
Some College/Associate Degree
Bachelor’s Degree
Graduate Degree
Other
Which topics are you interested in learning about? (Select all that apply)
*
Computer & Digital Skills
Financial Literacy
Health & Wellness
Languages
Arts & Crafts
Job Readiness/Resume Writing
Other
Please indicate your availability for community education sessions.
*
Rows
Morning (8am-12pm)
Afternoon (12pm-5pm)
Evening (5pm-9pm)
Monday
1
2
3
Tuesday
4
5
6
Wednesday
7
8
9
Thursday
10
11
12
Friday
13
14
15
Saturday
16
17
18
Sunday
19
20
21
How interested are you in the following topics?
*
Rows
Not Interested
Somewhat Interested
Very Interested
Computer & Digital Skills
22
23
24
Financial Literacy
25
26
27
Health & Wellness
28
29
30
Languages
31
32
33
Arts & Crafts
34
35
36
Job Readiness/Resume Writing
37
38
39
What is your preferred learning format?
*
In-person
Online
Hybrid (Both In-person & Online)
What barriers might prevent you from attending community education programs? (Select all that apply)
Schedule conflicts
Transportation
Childcare
Cost
Lack of interest in topics
Other
Are you interested in volunteering or helping with community education programs?
Yes
No
Maybe
Please share any additional comments or suggestions.
Submit Survey
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