Welcome Back to CISDR!

The best way to measure the lives we touch is through the words of the actual students we worked with, especially those who have graduated from needing CISDR services, or perhaps have moved away, unable to continue that relationship with their case manager.

We are looking for our CISDR students. We want “former students” because to us, they remain an important part of the CISDR fabric. They may have moved on or moved up – but we want to hear their story. What better way to help the students of today, then listening to those of yesterday!

If you received CISDR services at any time during your school years (from grades K–12), we would love to hear from you. By completing this survey you give us insight into how CISDR may have helped you — whether it be tutoring that got you through that math class, or having someone to talk to when you were having trouble at home — what was it about this organization that you most remember?

Who are you?
Title: *
First Name: *
Middle Name:
Last Name: *
Street Address: *
City: *
State/Province:
ZIP/Postal Code:
Country: *
Phone:
Email:

What are you doing now?
Are you currently taking classes?
*

What is the highest level of education you have attained?
*








What year did you graduate high school?
*

What colleges, if any, did you attend?

Are you currently employed?
*

If you have a job or jobs, where do you work?

Have you served, or do you serve, in the military?
*


How was your experience with CISDR?
When did CISDR help you?
Elementary School
Help
Preschool through 5th grade
Middle School
Help
6th through 8th grade
High School
Help
9th grade or above

At what school(s) did you receive our services?

What services did you receive?
Tutoring
Job placement
Health/human services
Extracurricular activities
Summer program
Counseling
Family assistance
Peer mediation
Academic support
Other (please specify)

Overall, how would you rate your experience with CISDR?
*




How was CISDR there for you?
*

Do you have any additional questions or comments?

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