Are you a parent, community partner, school staff, young person, or someone else? *
Required
Have you been involved with SCATV youth programs in the past? *
What kind of youth media programming would you be interested in? *
Required
What types of topics would you like our programs to cover? *
Required
How likely would you be to sign yourself/your child up or partner with us for one or more of our youth programs? *
Unlikely
Very likely
If interested in working with us or signing up for programming, please leave your contact info here.
Your answer
Do you have any feedback that would be useful as we develop our school year program?
Your answer
Would you be able to assist with helping us develop our program? (e.g. help us connect with the school, teach a class, assist with translation, volunteer, support recruitment and outreach efforts, etc?)
Clear selection
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
This form was created inside of Somerville Media Center. Report Abuse