OMB No. __________
Expiration date: ____________
Hope II Grant Program Evaluation
10-month Follow-up Survey
The U.S. Department of Justice, National Institute of Justice, with its contractor, Abt Associates, is conducting an evaluation of the HOPE II program. Specifically, it is a study of the financial and technical assistance (TA) provided by intermediary organizations and the effects of those services in improving the organizational capacity of the faith- and community-based organizations (FBCOs) they assist. The study is an important component in assessing whether the HOPE II program is meeting its objective of improving the organizational capacity of FBCOs to serve victims of crime.
As you may recall, your organization became a part of this study approximately 14 months ago when you or someone representing your organization applied for a grant and technical assistance from the Maryland Crime Victims Resource Center (MCVRC) in January 2006 and completed an organizational profile. We are seeking your continued cooperation and support and ask that you complete this additional questionnaire to provide us with current, up-to-date information about your organization.
All information obtained about your organization will be kept strictly confidential. Information provided in this survey will only be accessed by Abt Associates project staff. Results will be reported in the aggregate. While completing this survey is voluntary, we strongly encourage your participation so that the study findings reflect the unique experience of your organization over time and so that we are confident that the findings represent organizations such as yours.
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB Control Number. We try to create forms and instructions that are accurate, easily understood, and impose the least possible burden on you to provide us information. The estimated average time to complete the form is 25 minutes. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the National Institute of Justice, Office of Research and Evaluation, OMB Number XXXX-XXXX, 810 7th Street, N.W., Washington, D.C. 20531. |
Please answer the following questions about the organization that was the primary applicant for the MCVRC subgrant. Throughout this questionnaire, the unit that was the primary applicant will be referred to as “your organization.”
Organizational Background
Name of organization:
Name of person completing this form:
Name of contact person, if different from above:
Title of contact person:
Mailing address of contact person:
Phone number of contact person: ______ - ______ - ____________
Email address of contact person:
Check this box if the original organization that applied for this grant no longer exists. Please explain why this organization is no longer in existence. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
IF YOU CHECKED THIS BOX, YOU HAVE COMPLETED THE SURVEY. THANK YOU FOR YOUR PARTICIPATION.
Organizational Profile
Does your organization have a written strategic plan?
Yes
No
How often do you consult or revise your strategic plan?
Monthly
Quarterly
Annually
Less frequent than annually
Since May 2006, has your organization conducted or participated in an assessment of organizational strengths/needs?
Yes
No
10a. If yes, was the assessment conducted/guided by an external individual/entity?
Yes
No
Does your organization currently provide services to victims of crime?
Yes
No (SKIP TO 19)
Which description best characterizes your organization? (Please check only one)
Our organization’s focus is primarily on providing services to crime victims.
Our organization provides a variety of services to different types of clients/service recipients, including crime victims.
How long has your organization been providing services to victims of crime in your community?
_____ months _____ years
Which services does your organization currently provide to victims of crime in your community? (Please check all that apply)
Information/referral services (i.e., suggesting other organizations or resources to clients)
Crisis hotline
Case management services
Criminal Justice support/advocacy (e.g., accompaniment at court appearances, assistance with victim impact statements)
Legal assistance (e.g., filing protective orders, obtaining custody/visitation rights)
Psychological assessments
Forensic examinations
Crisis counseling
Ongoing counseling (i.e., pastoral or mental health)
Personal advocacy (i.e., assistance applying for public assistance, pursuing civil legal options, etc.)
Advise or help filing compensation claims
Shelter/safehouse
Group support/treatment
Emergency legal advocacy
Emergency financial assistance
Transportation services
Alcohol and other substances treatment
Restorative justice opportunities
Advise crime victims regarding their rights
Advise crime victims regarding restitution
Provide web-based information for crime victims
Parish Nursing (a registered professional nurse who serves the congregants of a faith community)
Other services (Specify:)
What victim populations are currently being targeted for services by your organization? (Please check all that apply)
Domestic violence
Child sexual abuse
Assault
Adult sexual assault
Child physical abuse
Survivors of homicide victims
Robbery
Adults molested as children
DUI/DWI crashes
Elder Abuse
Our organization serves all victim populations
Other services (Specify:)
Does your organization currently target its services to any special populations?
Yes
No (SKIP TO 17)
16a. If yes, which ones? (Please check all that apply)
Non-English speaking populations
Lesbian women
Homosexual men
Bisexual populations
Transgender populations
Immigrant and refugee populations
American Indian and Alaskan Native populations
Elderly populations
Disabled populations
Rural or remote populations
Populations living on a military base
Other services (Specify:)
Please give your best estimate of the number of clients/service recipients that received your services in your last month of full operation.
_____ clients/service recipients
Has your organization added/expanded or reduced programmatic areas since May 2006?
Yes
No (SKIP TO 19)
18a. If yes, please describe.
________________________________________
________________________________________
Organizational Priorities
Below is a table listing possible priority areas for your organization. Please check one box for each priority area. See the key below.
A = Haven’t considered this a priority because we have not focused on this area yet
B = Concerned we should work on this but we lack the time or resources
C = Have developed plans or ideas to work on this, but haven’t had time or resources to implement them
D = Have implemented steps to address this priority
E = Not a priority because we are satisfied with our achievement in this area
Priority Area |
A |
B |
C |
D |
E |
Identifying and pursuing new sources of government funding |
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Identifying and pursuing new sources of non-government funding |
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Identifying and pursuing new sources of in-kind donations |
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Ensuring the sustainability of current funding sources |
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Developing a fund-development plan (including setting fundraising goals) |
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Increasing the number of clients/service recipients served by the organization. |
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Increasing the number or scope of services offered to clients/service recipients |
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Incorporating a new approach to services to improve quality/ effectiveness |
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Expanding services to include new group of clients/service recipients or geographic area |
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Developing systems that will help manage the organization’s finances more effectively |
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Putting in place a budgeting process that ensures effective allocation of resources |
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Creating a plan or locating resources to help our executive director and other staff improve their leadership abilities |
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Recruiting, developing, and managing volunteers more effectively |
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Providing staff with professional development and training to enhance skills in service delivery or skills in administration and management |
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Providing volunteers with professional development and training to enhance skills in service delivery or skills in administration and management |
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Developing and implementing a communication or marketing strategy |
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Increasing or strengthening collaborations with other organizations |
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Assessing computers and software needs |
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Capacity Building Services Received by the Organization
Since May 2006, did your organization receive services/assistance from the Maryland Crime Victims Resource Center (MCVRC)?
Yes
No (SKIP TO 21)
20a. If yes, please indicate the type of assistance/service provided (Check all that apply)
Training through workshops or conferences
Other (Specify:)
Since May 2006, what types of assistance has your organization received from sources other than MCVRC?
(If no assistance was received, SKIP TO 22)
***Note: Do not count assistance lasting less than 1 hour over the course of the 10 months.
Type of Assistance (Check all that apply) |
If applicable, how was the assistance received? (Check all that apply) |
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Group Training or Workshop |
Consulting Services |
Other |
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Resource Development, Fundraising (includes grants/proposals) |
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Strategic Planning |
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Human Resources and Volunteer Management |
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Networking, Collaboration, Partnerships |
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Financial Management (Bookkeeping/Accounting) |
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Program Design, Including Implementing Best Practices |
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Evaluation/Outcome Measurement |
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Working with victims of crime (i.e., victim services) |
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Other: Specify |
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21a. Whom among your staff received this assistance? (Check all that apply)
Executive Director
Other paid staff
Volunteers
Organization Staff and Board
Please tell us about the staff at your organization. “Staff” are the people who work for the organization on a regular basis, at least 2 hours per week, either as paid staff or as unpaid staff/volunteers. Please count each person as either an administrative staff person (column b) or a direct service staff person (column c). Column (a) should be equal to (b) + (c).
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a) What is the number of staff currently working at your organization both in administration and programs? |
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b) Of these staff, how many primarily working in an administrative capacity? |
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c) How many staff primarily providing direct services? |
Paid Staff |
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Full-time (30+ hrs/wk) |
__________ |
= |
__________ |
+ |
__________ |
Part-time (>2 hrs/wk; <30hrs/wk) |
__________ |
= |
__________ |
+ |
__________ |
Unpaid Staff/Volunteers |
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Full-time (30+hrs/wk) |
__________ |
= |
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+ |
__________ |
Part-time (>2 hrs/wk; <30hrs/wk) |
__________ |
= |
__________ |
+ |
__________ |
Have you used volunteers since May 2006?
Yes, to fill a short-term need
Yes, to fill a longer-term position or need
No (SKIP TO 24)
23a. Do you have a volunteer coordinator?
Yes, paid full-time salary
Yes, paid part-time salary
Yes, not a paid position
No
Is the head of your organization (e.g., the executive director) a paid position?
Yes, paid full-time salary
Yes, paid part-time salary
No, not a paid position
Since May 2006, has there been a change in the head of your organization?
Yes
No
Is there a Board of Directors focused solely on your organization? (Recall that “your organization” refers to the organization that was the primary applicant for the MCVRC subgrant.)
Yes
No (SKIP TO 27)
26a. What are the primary activities of the Board? (Check all that apply)
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Community Engagement
Which of the following has your organization done since May 2006 to explain or promote your organization? (Please check all that apply)
Created or updated a website
Developed or distributed written materials (such as a brochure or newsletter)
Made presentations to faith-based and/or community groups
Utilized free public service announcements
Utilized paid advertising (Specify TV, radio or newspaper)
Other (Specify:)
None of the above
Has your organization engaged in any of the following activities since May 2006? (Please check all that apply)
Conducted a meeting with clients/service recipients or the organization’s constituents to learn about their needs
Reviewed research/data/reports from other institutions such as the government or a university
Administered a survey or questionnaire of community members/constituents
Participated in an official coalition of organizations serving crime victims
Attended community meetings
Carried out a community mapping projects
Participated in meeting with other organizations providing similar services (i.e., competitors, collaborators, etc.)
Conducted training(s) of stakeholder organizations in the community
Provided education programs about victimization
Worked together with other faith-based and/or community organizations or agencies to improve service delivery to crime victims
Thinking about collaborations that your organization has had with other faith-based and/or community groups, do you think collaborations in general are: (Please check only one)
Generally net benefits to the organization,
Generally net drains on the organization
An equal mix of costs and benefits to the organization
How many collaborations with organizations are you currently engaged in?
________ collaborations (If zero, SKIP TO 31)
30a. How many national, state, and local organizations are involved in these collaborations?
________ local organizations
________ state organizations
________ national organizations
Technology
How many functioning computers does your organization have?
________
What kind of access does your organization have to the Internet?
High-speed access
Dial-up access
No Internet access
Does your organization have its own website?
Yes
No
Some organizations keep records about program participants and services. Please indicate the relevance to your organization of keeping records about the following items, by marking one of the following choices:
A = For the type of service we provide, keeping records about this is not necessary
B = We believe it could be useful to keep these records, but currently lack the resources to do it
C = We keep records on paper
D = We keep records electronically
E = We keep records both on paper and electronically
Types of Records |
A |
B |
C |
D |
E |
Number of clients/service recipients |
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Referral sources of clients/service recipients (how did they come to your program) |
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Needs of clients/service recipients upon first contact with program (including information and referrals) |
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Services provided to clients/service recipients |
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Individual clients/service recipients’ outcomes |
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Financial records |
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Client satisfaction |
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Other (Specify:) |
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Funding Sources
The following questions pertain to funding sources and activities other than the Hope II grant funding program. Please do not include the Hope II grant funding in your responses.
How many federal grants, contracts, or sub-awards has your organization applied for since May 2006?
_________________
How many federal grants, contracts, or sub-awards has your organization received since May 2006?
_________________
Has your organization applied for a VOCA grant since May 2006?
Yes
No
Has your organization been awarded a VOCA grant since May 2006?
Yes
No
In your last completed fiscal year, what was your organization’s total operating budget?
$____________________________
Since May 2006, has your organization’s operating budget:
Increased
Decreased
Stayed the same
Please answer the following questions as they apply to fundraising activities since May 2006.
Funding Source/Activity |
Percentage of funds received from this source since May 2006 |
Grants/contracts from federal government agencies |
% |
Grants/contracts from state/local government agencies |
% |
Grants/contracts from Foundations |
% |
Other (Specify:)
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% |
TOTAL |
100% |
Has your organization hired a grant/contract writer to research applications for funding since May 2006?
Yes
No
Has your organization hired a grant/contract writer to prepare applications for funding since May 2006?
Yes
No
Has your organization hired a grant/contract writer to train staff to prepare applications for funding since May 2006?
Yes
No
Does your organization have a written fund raising/fund-development plan?
Yes
No
Please list the total amount and sources for all cash grants or sub-awards that your organization received since May 2006. Then check a box(es) that describes the goal(s) for which the grants or sub-awards were received.
Total Amount of Grants, Contracts, or Sub-Awards received since May 2006 |
Sources of Grants, Contracts, or Sub-Awards received since May 2006 (Check all that apply) |
Goals of Grants, Contracts, or Sub-Awards (Check all that apply) |
$____________________ |
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THANK YOU FOR YOUR PARTICIPATION!
Abt
Associates Inc. HOPE II Grant Program Evaluation 10-month Follow-up
Survey
File Type | application/msword |
File Title | Abt Single-Sided Body Template |
Author | Administrator |
Last Modified By | Abt Associates |
File Modified | 2006-08-28 |
File Created | 2006-08-28 |