Because your input matters........

Thank you for taking time to fill out the Parent / Participant Evaluation for the Foundation's Scholarship Program.

The purpose of this evaluation is twofold. In order to provide our members with the best possible programs and experiences we need to know how they are working for you. In addition, we want to keep our donors and supporters updated as to how their contributions help support our mission of inclusion and increased opportunities in the community for individuals with Down syndrome.

The Foundation requires all scholarship recipients to complete an evaluation for each scholarship they receive so we can track our success as well as identify areas in which we can improve. We also like to keep a pulse on the community and organizations that support inclusion and provide meaningful opportunities for individuals with Down syndrome

We look forward to receiving your input!

In addition to your feedback, we would love for you to provide us with pictures (or video) of our scholarship recipients participating in their selected activity. You can submit the pictures and/or video to info@dsfflorida.org. Please include the name of the member, the scholarship program and the name of the provider when you send them. Thank you!

Scholarship Evaluation - Parent / Participant

Please fill out the evaluation for the program you / your child participated in with your Foundation Scholarship (Community, Educational, IEP, Swim or Talk Tools/Oral Motor) We request that you do a separate evaluation for each scholarship you have received. We also ask that you provide The Foundation with photos of the scholarship recipient in action! We would love to see them in inclusion settings interacting with their peers and instructors. You can mail photos to info@dsfflorida.org. These comments and photos will be used to share our success stories with our donors, supporters and in Foundation publications (newsletters, websites, brochures). Thank you for taking the time to complete this evaluation.

First Name (Participant): *
Last Name (Participant): *
Address Street 1: *
Address Street 2:
City: *
State: *
Zip Code: *
Parent's Name:
Daytime Phone: *
Evening Phone:
Email: *
What county do you live in?: *
Which Scholarship Program are you evaluating?	Community Scholarship Educational Scholarship IEP Scholarship Swim Scholarship Talk Tools / Oral Motor Scholarship
Name of the location / provider you used for the scholarship:
Dates of your program::
Please rate your overall satisfaction with the program you participated in using the scholarship (not the scholarship process, but the experience at the location listed above)	5 VERY SATISFIED 4 SATISFIED 3 JUST WHAT I EXPECTED 2 NOT SATISFIED 1 VERY UNSATISFIED
Please write a brief summary of what this experience means to you, your child and those who were involved in the program. This should be specific to the program you / your child participated in - not the scholarship process.
Would the organization you worked with have been better prepared with more training about DS and/or inclusion from The Foundation?	Yes, the organization would have benefited from training No, the organization was equipped to work with individuals with DS and inclusion efforts
Based on this experience,will you apply for another scholarship with The Foundation?	Yes, I will apply for another scholarship No, I will not apply for another scholarship (if no, please tell us why in the comments)
Based on your experience, will you share with organizations, friends and family about the benefits The Foundation provided your family?	Yes, I will recommend The Foundation in the community No, I do not feel comfortable talking about The Foundation in the community
Do you have photos / video to submit?	I have photos I will submit related to this scholarship experience I have video I will submit realted to this scholarship experience I do NOT have any photos or video to submit
Additional comments, questions, suggestions and feedback:	Enter questions / comments here!
Security Code: *

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Because your input matters........