Congregational Leader
Survey Form

Name:

Position:

Childcare Center Name:

Address:

City, State, Zip:

Phone: Fax:

Email:

1. There is a discussion in California about whether the state should fund voluntary preschool programs for all state residents.

1A. Have you heard about this discussion or is this new information?
Have heard about it
Have not previously heard about it (Skip to Question #2)

1B. Do you think the idea of California funding voluntary preschool programs is a...
Very good idea
Somewhat good idea
Not too good idea
Not at all good idea

2. Should this discussion result in successful legislation, there are a number of ways that congregations such as yours could participate in such programs. Which, if any, would be of interest to you? Check all that apply
Leasing space to programs
Partnering with a nonprofit service provider
Providing a source of referrals to the program
Providing volunteers to help with the program
Other ways???
No interest in participation

3A. Do you currently partner with any nonprofit or publicly run program to provide preschool programs?
Yes
No (skip to Question #4)

3B. What is involved in your partnership? Check all that apply
Share space with Head Start
Share space with a state preschool
Accept federally funded vouchers
Share space with a nonprofit childcare provider

3C. If you had to characterize your partnership, would you call it:
Very successful
Somewhat successful
Not too successful
Not at all successful

3D. What concerns, if any, do you have about the partnership(s) you have?

4. If there were to be universal, voluntary, publicly funded pre-school in California, how much interest would you have in nesting a public program within your larger pre-school program?
A great deal of interest
Some interest
Not too much interest
No interest at all
Would need more information before I could decide

What information would you need?

5. Should the state fund universal, voluntary, publicly fundedd preschool, how much interest would you have in partnering with a publicly funded program?
A great deal of interest
Some interest
Not too much interest
No interest
Need more information to decide

What information would you need?

6. Separate from your own interest, how do you feel about the religious community as a whole partnering with publicly funded programs to provide voluntary, universal preschool education?
A very good idea
A somewhat good idea
Not too good an idea
Not at all a good idea
Would need more information to decide

What information would you need?

7. What are the reasons why your congregation provides childcare services? Check all that apply
To provide needed services for the parents in this congregation
To provide needed services for the larger community
Because a childcare provider came to us
Because we had unused space and saw the need
To provide training opportunities for welfare to work clients
Other:

What other reasons?