Directions:  You may fill out this survey on line or contact the Community Education office at the Education Service Center 746-6534.

SURVEY:  We need your help in creating programs that meet the Communities need and wants.

1.  What kinds of learning activities would you like to participate in?

(Place an (x) in the boxes that best fits your interest.

2.  How can we better advertise our program?

     Your Idea's:
     

3.   Would you like to be involved in planning Community Education classes?
          Yes              No

4.    Would you be interested in being an Instructor in our program?

        If yes:
              Name

              Phone Number

              E-Mail Address