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NCCPC Member Year-End Update Form 2021-22

Please use this form to provide updated information for your member organization. We are interested in learning about the 1) Districts, 2) Schools, and 3) Students that you serve as a Coalition member. We are also interested in your commitment to supporting the Coalition's work regarding Public Policy, Workforce, Campus Partnerships, and Communities of Practice. Visit the Coalition website for more information about Membership.

This survey make take up to 30 minutes to complete.
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Member







Website update


Contact Details
Who has been authorized to complete this survey?






Coalition Work

Regions Served
Please indicate the county(ies) that you serve in California.
NOTE: For this question, the "9 Bay Area Counties" are: Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara, Solano, and Sonoma. 

Please provide a list of cities that you serve in California, by county.
NOTE: For this question, you have two options to provide city data:
  1. You can use the Upload City Partners option.
  2. You can use the text field option.

Excel preferred over Word or PDF. Suggest file preparation: column A is City, column B is County, and column C is your organization site (or if not broken up in sites, simply list the organization)


What data are you able to provide NCCPC?
NOTE: Your answers to the following questions will dictate what questions you are asked in the next page.




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Populations Served
Please provide as much aggregate data about your students and other stakeholders as you are able to.

  • You are welcome to provide approximate numbers versus actual numbers as available. 
  • All data should be as of the end of the 2020-21 academic year (July 2020 through June 2021).
  • You may stop, save, and resume this form to get the information you need.
  • For required fields that you cannot complete, you can enter N/A or 0 as instructed.


Enter 0 if this does not apply to you

Enter 0 if this does not apply to you






NOTE: For the following questions, enter N/A if you do not have this information.






Students Attending College
Please provide as much aggregate data about your students and other stakeholders as you are able to.

  • You are welcome to provide approximate numbers versus actual numbers as available. 
  • All data should be as of the end of the 2020-21 academic year (July 2020 through June 2021).
  • You may stop, save, and resume this form to get the information you need.
  • For required fields that you cannot complete, you can enter N/A or 0 as instructed.








Attending a 2-year CA community college (CCC)

Attending a 4-year CA State University (CSU)

Attending a 4-year University of California (UC)

Attending a 4-year independent/private or out-of-state private or public college
NOTE: The NCCPC Student Survey Questions Toolkit was created by the Campus Partnerships Team to ask the following questions:
  1. What college do you attend?
  2. What is one resource on your campus you would recommend to a younger student or incoming freshman?
  3. What is one really important resource you currently do not have access to that you think would make you more successful in college?
  4. What, if anything, has been a significant barrier to your success on your campus?
  5. Have you experienced scholarship displacement?

To collect aggregate information to share with NCCPC regarding issues like scholarship displacement
Services Provided



Partnerships
Provide any insights that can support NCCPC in facilitating campus, workforce, and other partnerships here.





Please provide a list of the school districts that you serve in California, by county.
NOTE: For this question, you have two options to provide school district data:
  1. You can use the Upload District Partners option.
  2. You can use the text field option.

Excel preferred over Word or PDF. Suggest file preparation: column A is School District, column B is County, and column C is your organization site (or if not broken up in sites, simply list the organization)



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Steering Committee Members ONLY
For Steering Committee members only, please confirm if a plan is in place to achieve your organization's $10,000 Give or Get for the 2021-22 fiscal year.





Thank you for taking the time to fill this out! 

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