SSNC Alumni Survey

Please fill in your name, home mailing address, and phone number:

Name (Maiden)
Address
City, State, Zip ,
Phone:
Email:

Indicate the program area and the year you attended:

Program Area: Select one Early Childhood Education Center (childcare) Community Learning Centers (after-school program) Teen Programming Spartans Sports Leagues Adult Education Programming Transitional Jobs Programming Family Programming UWM Silver Spring Community Nursing Center Emergency Services Community Connection
Years attended:

Program Area: Select one Early Childhood Education Center (childcare) Community Learning Centers (after-school program) Teen Programming Spartans Sports Leagues Adult Education Programming Transitional Jobs Programming Family Programming UWM Silver Spring Community Nursing Center Emergency Services Community Connection
Years attended:

Program Area: Select one Early Childhood Education Center (childcare) Community Learning Centers (after-school program) Teen Programming Spartans Sports Leagues Adult Education Programming Transitional Jobs Programming Family Programming UWM Silver Spring Community Nursing Center Emergency Services Community Connection
Years attended:

Program Area: Select one Early Childhood Education Center (childcare) Community Learning Centers (after-school program) Teen Programming Spartans Sports Leagues Adult Education Programming Transitional Jobs Programming Family Programming UWM Silver Spring Community Nursing Center Emergency Services Community Connection
Years attended:

Program Area: Select one Early Childhood Education Center (childcare) Community Learning Centers (after-school program) Teen Programming Spartans Sports Leagues Adult Education Programming Transitional Jobs Programming Family Programming UWM Silver Spring Community Nursing Center Emergency Services Community Connection
Years attended:

Program Area: Select one Early Childhood Education Center (childcare) Community Learning Centers (after-school program) Teen Programming Spartans Sports Leagues Adult Education Programming Transitional Jobs Programming Family Programming UWM Silver Spring Community Nursing Center Emergency Services Community Connection
Years attended:

Place of employment:
Job title:

Which of the following would you like to receive information about? Check all that apply:

	Attending the 1st annual Alumni Recognition Breakfast on June 8 (This event is free for anyone interested in attending)
	Attending an alumni picnic
	Serving on an alumni committee
	Volunteering at SSNC
	Volunteering at special events
	Mentoring a youth
	Making a gift to support SSNC programs
	SSNC Newsletter
	Other:

Do you have any other family members or friends who have attended Silver Spring Neighborhood Center?
Yes
No

If yes, who are they?

Name:
Relationship:
Email:

Name:
Relationship:
Email:

Name:
Relationship:
Email:

Name:
Relationship:
Email:

What is your favorite memory or experience at Silver Spring Neighborhood Center?


Tell us about your career and journey after Silver Spring Neighborhood Center.


Who was your favorite staff member(s) and how did he/she inspire you?


How has Silver Spring Neighborhood Center changed your life?


What programs, activities, or events could SSNC offer that you would like to attend?

Would you like to inspire others and share your story with others?
Yes
No

May we include your career information and or comments in our printed materials?
Yes
No

For questions or more information, call Mimi Laflin at 414-463-7950 x 53