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SURVEY QUESTIONNAIRE
February ___, 2009Dear _____________________________,Community Extension (outreach) Programs in your school: does it really make adifference? With so many demands on resources and expertise, it is worthcontributing? Dothe various extension programs impact your school or students? Wewant to find answers to these and other questions in the research entitled, IMPACTEVALUATION OF THE UNIVERSITY OF PANGASINAN’S COMMUNITY EXTENSIONPROGRAMS.You are important to the success of this study! Please provide information andshare your experience and opinions with us. The information you provide will increaseour knowledge of effective community extension program. It will also help the Universityand its collaborative partners in conceptualizing future extension programs.Your participation in this study is voluntary and there is no loss of benefits if youdecline to respond. We will keep all responses strictly confidential and will not discloseyour name or personal answer to anyone.Thank you for your assistance.In Behalf of the University Extension Services,
 
EDWIN C. CANCINO,PhDDirector for Research and Extension Services
I.
Please provide the following information pertaining to the community extensionprogram implemented in your locality.What is the title of the extension project? _________________________  ________________________________________________________________  ________________________________________________________________  ________________________________________________________________ Give a detailed description of the project along:a.Funding/Investment mobilized ________________________________________________________  ________________________________________________________  ________________________________________________________  ________________________________________________________ 
 
 ________________________________________________________  ________________________________________________________  ________________________________________________________ b.Participation/Social mobilization ________________________________________________________  ________________________________________________________  ________________________________________________________  ________________________________________________________  ________________________________________________________  ________________________________________________________  ________________________________________________________ c.Number of beneficiaries reached ________________________________________________________  ________________________________________________________  ________________________________________________________  ________________________________________________________  ________________________________________________________  ________________________________________________________  ________________________________________________________ d.Duration ________________________________________________________  ________________________________________________________  ________________________________________________________ 
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kuragun092204

hi can i ask for a hard copy of this one.ty

reply06 / 30 / 2009
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