Resources Survey
Please share your resource information:
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Organization Name:
Program Name:
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Contact Name:
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Address:
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City:
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Zip:
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Phone:
Fax:
*
Email:
Website:
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Program Description:
Which keyword(s) best describe your program?
Technology
Child Care
Community Health Education
Education
Juvenile Offenders
Mental Health
Public/Private School
Workforce Development
Child Care
Community Health Education
Education
Juvenile Offenders
Mental Health
Public/Private School
Workforce Development
What is the schedule of services?
Drop in Hours
Scheduled Courses
Rolling Enrollment Courses/Training
What is your program capacity?
1 - 5
5 - 10
10 - 15
15 - 20
20+
How many staff does your organization employ?
1 - 5
5 - 10
10 - 15
15 - 20
20+
For whom do you primarily offer your services?
Youth
Adults
Seniors
What program resources do you offer?
GED
ABE
ESL
Basic Literacy
WorkForce Development
Technology Skills
What specific skills and/or software does your program offer?
Word Processing
Spreadsheet
Powerpoint/Presentations
Image/Video Editing
Webpage Design
GIS
Email Proficiency
Internet Basics
Does your organization offer summer programming?
No
Yes
Does your program offer college credit opportunities?
No
Yes
Does your program offer internship/work placement opportunities?
Onsite Opportunities:
Yes
No
Offsite Opportuniites:
Yes
No
How many of computer access/learning stations does your program have?
1 - 5
5 - 10
10 - 15
15 - 20
20+
Does your organization primarily use Macs or PC's?
MACs
PCs
What operating system does your organization primarily use?
Windows 98
Windows 2000
Windows ME
Windows XP
MAC OS9
MAC OS10
What kind of Internet access do you have?
Dialup
DSL
Cable
How many computers have Internet access?
1 - 5
5 - 10
10 - 15
15 - 20
20+
What other ther equipment is available for use in classes:
Fax
Copier
Printer
Digital Camera
Video Camera
Instant Messenging Capability
PDA Handhelds
Laptops
Do you have in-house tech support?
Yes
No
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Hopeworks 'N Camden 543 State St. Camden, NJ 08102 Phone: 856-365-HOPE Fax: 856-365-8734
email:
info@hopeworks.org