Community Learning Center for Children and Youth

Mailing Address
Cleveland State University
2121 Euclid Avenue, JH 130
Cleveland, OH 44115

Campus Location
2485 Euclid Avenue
Julka Hall, Room 130
Cleveland, OH 44115

Phone: 216.687.4768
communitylearningctr@csuohio.edu

Site Partners Intake Form

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District/Agency Information

5. District Demographic Data (select all that apply)

African American

White

Asian

Pacific Islanders

Latinx

Multiracial

Free/Reduced Lunch

Male

Female

Other

6. School Site Population Demographic Data

African American

White

Asian

Pacific Islanders

Latinx

Multiracial

Free/Reduced Lunch

Male

Female

Other

District Contact for Grants Coordination

10. Devices

11. Programs/applications used/approved for On Site Use

12. Programming Format

13. Choose the Day(s) of your Sessions

14. Preferred Time(s) of Sessions

Mailing Address
Cleveland State University
2121 Euclid Avenue, JH 130
Cleveland, OH 44115

Campus Location
2485 Euclid Avenue
Julka Hall, Room 130
Cleveland, OH 44115

Phone: 216.687.4768
communitylearningctr@csuohio.edu