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NCCPC Member Enrollment Form 2022-23

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.

To view the full list of questions in this form:

  1. Click here for a sample submission as a PDF file
  2. Click here for a sample submission as an Excel file


Have questions about this form? Contact Mer at mer@norcalpromisecoalition.org.


Form Link: https://bit.ly/nccpcmemberfy23 

This survey make take 30-60 minutes to complete.
Please save to resume later if needed.

Member








Website update

JPG or PNG files

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 2021-22 academic year (July 2021 through June 2022).
  • 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.

DEMOGRAPHICS: Of the total # students served at the end of the 2021-2022 Academic Year (June 30), what share of students were (%):






For questions below regarding demographics, see the following for more information about the groups that are represented by the values.
  • African, African-American, or Black (e.g., African American, Ethiopian, Haitian, Jamaican, Nigerian, Somali, etc.)
  • Asian or Asian-American (e.g., Chinese, Korean, Indian, Indonesian, Japanese, Malaysian, Pakistani, Sri Lankan Indonesian, Japanese, Malaysian, Pakistani, Sri Lankan, Tajik, Uzbek, Vietnamese, etc.)
  • Caucasian (e.g., English, French, German, Irish, Italian, Polish, etc.)
  • Hispanic or Latina/o/x (e.g., Colombian, Cuban, Dominican, Mexican, Mexican-American, Puerto Rican, Salvadorian, Spanish, etc.)
  • Middle Eastern or North African (e.g., Egyptian, Iraqi, Jordanian, Syrian, etc.)
  • Native Hawaiian or Pacific Islander (e.g. Fijian, Marshallese, Native Hawaiian, Samoan, Tongan, etc.)
  • Indigenous Person from a population category not provided
  • Other identity from a population category not provided
NOTE: For the following questions, enter N/A if you do not have this information.

DEMOGRAPHICS: Of the total # students served at the end of the 2021-2022 Academic Year (June 30), what share of students were (%):








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

POSTSECONDARY PATHWAYS: Of the total # students served at the end of the 2021-2022 Academic Year (June 30), what share of students were (%):






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

FINANCIAL AID: Of the total # students served at the end of the 2021-2022 Academic Year (June 30), what share of students (%):








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 2021-22 academic year (July 2021 through June 2022).
  • 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.


For the questions below, respond with the number of students (e.g. 10).












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




The following question references The Postsecondary Value Framework provided by the Postsecondary Value Commission.

Read the May 2021 Framework report here.

Select all that apply
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)



Page 3

Members Feedback
Please use this section to share information about the value of NCCPC to you and your organization.








Thank you for taking the time to fill this out! 

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