Outside Funding Sources Survey

Many centers are receiving outside funding for their students enrolled in LearningRx programs. We would like to gather information about your experience with potential funding sources, so that we can make that information available to all centers. Please complete the following survey. Based on your answers, we may schedule a call to follow up with you.

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Name *

Center Name

1. Do you receive outside funding for student programs (grant, waiver, scholarship, vocational rehab)?

• Yes
• No

(If no, please skip to # 7)

2. What kinds of funding do you receive?

• Grant
• Waiver
• Scholarship
• Vocational Rehab

Other forms of funding? Please list all.

3. What percentage of your revenue is comprised of outside funding?

4. How much of a student program is covered?

• Full payment
• Partial payment

If partial, amount?

5. Is every student in your center eligible to receive outside funding?

• Yes
• No

If no, what are the stipulations to be a recipient (certain diagnoses, etc)?

6. How did you discover what funding was available in your state?

• Client
• Internet

If internet, what key words did you search?

Other ways you discovered what funding was available.

7. What information would be useful to you concerning outside funding sources?

Submit