Parental Feedback & Testimonial Form
After-School STEM Nonprofit Program
Parent/Guardian Information
Full Name
Email
Student Information
Student Name
Program Attended
Your Feedback
How would you rate your child's experience?
Excellent
Good
Neutral
Needs Improvement
What suggestions do you have for improvement?
What benefits did your child gain from the program?
Testimonial
Would you like to share your testimonial? (This may be featured on our website or materials.)
I give permission to use my testimonial.