A Survey of the Retired and Senior Volunteer Program’s (RSVP) Activities and Accomplishments

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Your organization has been chosen to complete this survey. Reflecting a national random selection method, your organization represents similar programs we could not include in this year’s assessment. While participation in the survey is voluntary, your response is critical to providing a complete picture of our volunteer programs. The results of this survey will help convey to Congress the accomplishments of the RSVP program and will more clearly establish its value to organizations like your own.
Please know that your responses to this data collection will be used only for purposes of this research.  The reports prepared for this study will summarize findings across the sample and will not associate responses with a specific organization or individual.  We will not provide information that identifies individuals or their districts to anyone outside the study team, except as required by law.
COMPLETING THIS SURVEY:
    • This survey has been customized to address the types of activities carried out by RSVP volunteers for your organization.  This determination was based on communications with the Senior Corps Project Director who coordinates with your organization. If you have not received the appropriate survey sections, please contact: Kathy Morehead, survey coordinator at Westat: 1-888-446-1292, or by e-mail, [email protected].
    • Please respond to the sections regarding your volunteers, your organization, and volunteer management.
    • The survey asks about RSVP volunteer activities and accomplishments during the 12-month period from October 1, 2002 to September 30, 2003.  For school-based activities and accomplishments, the relevant period is the September 2002-June 2003 school year.
    • Please review the Background Section and make corrections to the identifier information as needed.
    • Please fill in the next section(s) with information about each of the activities that RSVP volunteers carry out for your organization, specifically the numbers of RSVP volunteers, RSVP volunteer hours, and the nature of the accomplishments for a particular activity.  Please avoid duplicating services—select the single best place, in your view, to describe an activity.  Please refer to the sample item on page 9 as an example of how to complete the section(s).  If numbers are hard to specify, please provide your best estimate.
    • Describe any RSVP volunteer activity for your organization that does not seem to fit any of the categories included here in the Other Services Section at the end of the survey form.
AFTER YOU HAVE COMPLETED THE SURVEY:
    • After completing all parts of the survey, please make a copy for your records.
    • Staple originals together and seal them in the envelope that is provided by Westat, the firm contracted to administer the survey.
    • Return all sections of the survey to Westat by Friday, May 14.  The full address is: Westat, Room RA 1225, 1650 Research Blvd., Rockville, MD 20850.  If you wish to fax it: 1-888-377-5716.
If you have any questions about the survey, please contact Westat at (1-888-446-1292, [email protected]).
Public reporting burden for this collection of information is estimated to average 45 minutes per submission, including reviewing instructions, gathering and maintaining the data needed, and completing the form.  Comments on the burden or content of this instrument may be sent to the Corporation for National and Community Service, Department of Research and Policy Development, 1201 New York Avenue, N.W., Washington DC 20525.
The Agency informs the potential person(s) who are to respond to this collection of information that such persons are not required to respond to the collection of information unless it displays a currently valid OMB control number, which is indicated on this form. (See 5 C.F.R. 1320.5(b)(2)(i))

Background

Your Organization:


Mailing Address:





City/State/ZIP


Person completing this form:


Your Name


Your Title


Your Telephone number:


Your Email:


Is your organization faith-based?


Yes

No




Your volunteerS 

RSVP Volunteers and Your Organization:
(all questions for the period October 1, 2002 through September 30, 2003 or for school year 2002-2003)




Your Organization

Please check all boxes that describe your organization:

HEALTH

	Hospital/Medical Center/Clinic
	Nursing Home/Convalescent Center/Hospice
	Home Health Care Agency
	Non-Residential Mental Health Agency 
	Non-Residential Developmental Disability/ Rehabilitation Center
	Residential Long-Term Care Agency (MH/MR/DD)
	Congregate Meal/Meals on Wheels Agency
	Food Bank
	Government Agency
	Other Health Care Organization or Health Department; please specify
		

HUMAN NEEDS

	Adult Day Care Center
	Transitional Shelter/Center (Homeless, Battered, etc.) 
	Multi-Purpose Center (including senior centers)  
	Public Housing Agency
	Day Care (Pre-Elementary) Center
	Government Agency
	Other Social Service/Human Needs Agency, please specify
		

EDUCATION

	Head Start Center
	Non-Head Start Educational Pre-School 
	Public/Private School (K-6/Elementary)
	Public/Private School (Middle School/Junior High School)
	Public/Private School (Senior High School)
	Native American School
	Post Secondary Institution
	Library
	Museum
	Adult Education Organization
	Government Agency
	Other Educational Organization, please specify
		
COMMUNITY AND ECONOMIC DEVELOPMENT

	Community Development Program or Non-Profit Agency
	Thrift Shop/Coop/Craft Shop
	Chamber of Commerce
	Government Agency
	Other Community and Economic Development Organization or Agency; please specify
		

PUBLIC SAFETY

	Court
	Juvenile Correctional Agency
	Adult Correctional Agency
	Police/Law Enforcement Agency
	Other Public Safety Organization, please specify
		


DISASTER

	Red Cross
	Government Agency
	Other Disaster Organization, please specify
		


HOMELAND SECURITY

	Red Cross
	Other Community-based Organization/Agency
	Government Agency
	Other Homeland Security Agency, please specify
		

ENVIRONMENT

	Parks/Recreation Agency
	Animal Care Organization
	Community Based Environmental Organization
	Government Agency
	Other Environmental Organization, please specify
		



HOUSING

	Homeless Center
	Housing Referrals/Relocation Agency
	Housing Rehabilitation/Construction Organization
	Transitional Housing Center/Organization
	Community-based Housing Organization
	Government Agency
	Other Housing Organization, please specify
		


OTHER
	
	Other Organization or Agency, please specify
		

	

VOLUNTEER MANAGEMENT

(For the period October 1, 2002 through September 30, 2003)

1.	Please describe the extent to which RSVP volunteers provide the following benefits to your organization. (Check one choice for each statement)


True to 
a great extent
True to a moderate extent
Not 
true
Not applic-able
Don’t Know
a.	RSVP volunteers help expand the types of service to clients.
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b.	RSVP volunteers help increase the number of clients served.
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c.	RSVP volunteers help improve the quality of services provided.
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d.	RSVP volunteers help free up paid staff time.
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e.	RSVP volunteers bring specialized skills, such as legal, financial management, or computer expertise.
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f.	RSVP volunteers help increase public support for our organization and/or improve community relations.
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g.	RSVP volunteers help recruit other volunteers (non-RSVP).
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h.	RSVP volunteers help manage other volunteers (non-RSVP).
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i.	The RSVP project reduces the time and effort needed to recruit volunteers who can help meet our agency’s needs.
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j.	Other reason (Specify):	
		
		
		
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2.	Please describe the extent to which your organization uses tools to manage RSVP volunteers. (Check one choice for each statement)

Management of RSVP volunteers
Used to a great extent
Used to a moderate extent
Not 
used
Not applic-able
Don’t Know
a.	Written policies and volunteer assignment descriptions for RSVP volunteers.
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b.	Additional liability coverage or insurance protection for RSVP volunteers beyond what Senior Corps already offers.
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c.	Recognition activities, such as award ceremonies, for RSVP volunteers.
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d.	Regular collection of information on numbers and hours of RSVP volunteers.
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e.	Annual measurement of the impacts of RSVP volunteers.
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f.	Training and professional development activities for volunteers.
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g.	Screening procedures to identify suitable RSVP volunteers, and to match them with appropriate tasks or jobs.
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h.	Regular supervision of and communication with RSVP volunteers.
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3.	We are interested in knowing if anyone in your organization is primarily responsible for volunteer management. (Please check “yes” or “no”)

Staff responsibility for volunteer management
Yes
No
Don’t know
a.	Does your organization have a paid staff person whose responsibilities include management of volunteers?
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(Go to Item 4)
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b.	Does your organization have a volunteer who is responsible for the management of other volunteers?
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4.	Some organizations encounter challenges with RSVP or the RSVP project. Please note the degree to which each of the following issues has been a challenge for your organization.  (Please check one choice for each statement below)

Challenges in the development of RSVP volunteer assignments
A major challenge
A minor challenge
Not a challenge at all
Not applic-able
Don’t Know
a.	Responsiveness of the RSVP project when:





    • More RSVP volunteers are requested.
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    • RSVP volunteers with the right skills or expertise are needed.
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    • RSVP volunteers are needed for specific schedules.
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b.	Lack of paid staff time to properly train and supervise RSVP volunteers.
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c.	Lack of adequate funds for supporting RSVP volunteer involvement.
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d.	Regulatory, legal, or liability constraints on RSVP volunteer involvement.*
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e.	Absenteeism, unreliability, or low quality service provided by RSVP volunteers.
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f.	Other challenge (Specify):	
		
		
		
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*	constraints might include reporting, background checks, or liability insurance

5.	To what extent would each of the following factors increase your capacity to involve volunteers in service (both RSVP and non-RSVP)?

Would increase to a great extent
Would increase to 
a moderate extent
Would not increase at all
Don’t Know
a.	More training or professional development in how to work more effectively with volunteers.
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b.	Greater availability of potential volunteers with specialized skills, such as legal, financial management, or computer expertise.
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c.	A one-year, full-time volunteer with a living stipend, and with responsibility for volunteer recruitment and management.
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d.	Fewer regulatory, legal, or liability constraints on volunteer involvement.
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e.	More information about people in the community who want to volunteer.
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f.	Other factor (Specify):	
		
		
		
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6.	We’d like to know about the methods your organization uses to locate and recruit RSVP volunteers. Does your organization…

Yes
No
Not applic-able
Don’t Know

a.	Do public speaking before groups?
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b.	Use radio?
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c.	Use the Senior Corps JASON web-based recruitment system?
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d.	Use other (non-JASON) Internet recruiting system(s)?
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e.	Use television?
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f.	Use newspapers, trade papers, billboards, or fliers?
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g.	Register with other organizations to receive referrals?
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h.	Use special events, such as volunteer fairs or organizational open houses?
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i.	Use word of mouth?
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j.	Other method (Specify):	
	
	
	


Sample RSVP Volunteer Activity


Below is an example of how to complete the items regarding accomplishments.

Sample.	Delivery of Health Services

Number of RSVP Volunteers who provided these services:	
30
Total number of RSVP Volunteer hours:	
3,000

Type of Service
Number




Provided escort and support services in community clinics, home health agencies, and other health settings to	
150
people.



Provided health services at a clinic, hospital, mobile-unit, skilled nursing facility, or adult day care center to	
500
people.


HUMAN NEEDS:  HEALTH/NUTRITION (HN)

HN-a.	Total estimated number of people who benefited:	
Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.

HN-1.	Delivery of Health Services

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Provided escort and support services in community clinics, home health agencies, and other health settings to	
	
people.



Provided health services at a clinic, hospital, mobile-unit, skilled nursing facility, or adult day care center to	
	
people.



Provided information, class enrollment, or referrals on the delivery of health services to	
	
people.



Helped people to prepare for/recover from hospital stays and operations; helped	
	
people.

HN-2.	Health Education

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Taught health practices, including first aid or CPR, to	
	
people.



Provided information, class enrollment or referrals for health services, including first aid or CPR, to	
	
people.

HN-3.	Maternal/Child Health Services

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Provided support/services for post-natal care and well-child clinics for	
	
children.



Provided pre-natal care and family planning services and support for	
	
women.



Provided information, referrals, and class enrollment on pre-and post-natal care, and child health for	
	
women.

HN-4.	Mental Health

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Helped deliver services to mental health patients in residential and non-residential settings; helped	
	
mental health patients.



Disseminated information, or provided out-patient planning or reality orientation for	
	
mental health patients.



Provided information, program enrollment, or referrals on mental health to	
	
people.

HN-5.	Congregate Meals

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Prepared and/or served food, cleaned up, planned menus or assisted with recordkeeping for	
	
meals.



Prepared and/or served food, cleaned up, planned menus or assisted with recordkeeping for	
	
people.

HN-6.	Developmental Disabilities

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Assisted in programs or advocacy for	
	
individuals with developmental disabilities.



Provided information, program enrollment or referrals on programs serving individuals with developmental disabilities	
	
people.



Provided services in residential or non-residential settings for	

	

individuals with developmental disabilities.

HN-7.	Substance Abuse

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Provided rehabilitation services to	
	
people with substance addictions and their families.



Disseminated informational fliers on the abuse of alcohol, drugs, and over the counter medications, to	
	
people.



Provided services for	
	
drug or alcohol addicted infants.



Provided services for	
	
drug or alcohol addicted adults.



Provided services for	
	
drug or alcohol addicted 
children or teens.

HN-8.	Physical Disabilities Programs

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Assisted during Special Olympics with	
	
participants.



Provided information, program enrollment, or referrals on physical disabilities to	
	
people.



Provided rehabilitation and exercise assistance to	
	
people with physical disabilities.

HN-9.	In-Home Care

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Provided supportive health and social services for	
	
individuals who needed long term care in their homes.



Provided information, program enrollment or referrals on in-home care to	
	
people.



Provided services such as light housekeeping, meal preparation, referral and service coordination to	

	

individuals who needed long term care in their homes.
HN-10.	Hospice/Terminally Ill

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Provided information, program enrollment, or referrals on terminal illness and hospice to	
	
people.



Provided nurturing and support to	
	
terminally ill patients (except for those with HIV/AIDS) and their families.

HN-11.	Food Distribution/Collection

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Delivered meals to	
	
individuals in their homes.



Delivered	
	
meals.



Distributed informational fliers on food distribution and collection to	
	
people.



Gleaned, organized, packed, or distributed	
	
pounds of food for a food bank.



Gleaned, organized, packed, or distributed food for	
	
people.



Participated in nutrition education services attended by	
	
people.

HN-12.	Boarder Babies

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Cared for	
	
infants or young children who were hospitalized because of lack of placement alternatives (except for children with HIV/AIDS).

HN-13.	HIV/AIDS

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Cared for	
	
boarder babies with HIV/AIDS.



Provided information, program enrollment or referrals on HIV/AIDS programs to	
	
people.



Provided services and support for	
	
HIV/AIDS patients in institutions and hospices, and their families.



Provided services and support for	
	
HIV/AIDS patients in their own or their families’ homes.

HN-14.	Immunization

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Assisted in providing immunizations in clinics, hospitals, and other community-based settings to	
	
people of all ages.



Assisted in providing school immunizations to	
	
children.



Urged parents to obtain follow-up immunizations for	
	
infants.



Provided information, clinic enrollment or referrals on immunizations to	
	
people.

HN-15.	Other Health/Nutrition Services

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Provided information program/class enrollment or referrals on other health and nutrition services to	
	
people.



Please specify these other health/nutrition services:





Type of Service
Number

(1)	, to…
	
people.
(2)	, to…
	
people.
(3)	, to…
	
people.


OTHER HUMAN NEEDS (O)

O-a.	Total estimated number of people who benefited:	
Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.

O-1.	Adult Day Care

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Coordinated and/or provided services at adult day care centers for	
	
older individuals.

O-2.	Companionship/Outreach

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Provided support, wrote letters, listened, read or spoke to	
	
people to ease their feelings of isolation and loneliness.



Visited, called or provided bereavement support to	
	
people.



Visited with	
	
hospitalized patients.

O-3.	Crisis Intervention

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Participated in crisis intervention programs serving	
	
people of all ages.



Provided information or referrals on crisis intervention services to	
	
people.



Provided telephone/hotline crisis counseling to	
	
people.

O-4.	Family Violence

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Helped	
	
victims of family violence.



Provided information, program enrollment, or referrals on family violence to	
	
people.



Provided training in prevention awareness and self defense to	
	
people.

O-5.	Child Abuse/Neglect

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Provided aid, assistance, and guidance to	
	
child victims of abuse or neglect, and their families.



Provided information, program enrollment, or referrals on child abuse to	
	
people.



Served as guardians ad litem (legally-appointed) to	
	
abused/neglected children.

O-6.	Mentoring

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Provided mentoring by developing relationships, reinforcing prosocial behaviors and providing constructive guidance and feedback to	
	
children.



Provided mentoring by developing relationships, reinforcing prosocial behaviors and providing constructive guidance and feedback to	
	
children in foster care.

Mentored	
	
children of prisoners.



Coordinated group activities for	
	
children of prisoners.



Distributed holiday gifts to	
	
children of prisoners.



Provided advocacy for	
	
children of prisoners.


O-7.	Respite

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Provided information, program enrollment, or referrals on respite programs to	
	
people.



Provided respite for	
	
caregivers.

O-8.	Teen Pregnancy/Parenting Support and Education

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Conducted parenting classes for	
	
teen parents.



Provided informational materials to	
	
teen parents.



Provided one-on-one services on parenting skills, child health and safety and similar topics for	
	
teen parents.



Provided teen pregnancy information, program enrollment, or referrals to	
	
people.



Helped recruit and train	
	
volunteers for teenage pregnancy prevention programs.

O-9.	Senior Center Programs

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Coordinated and/or delivered supportive services or social activities for	
	
people at senior centers.

O-10.	Elder Abuse/Neglect

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Assisted	
	
abused elders and their families.



Conducted	
	
elder abuse prevention programs.



Conducted elder abuse prevention programs attended by	
	
people.

O-11.	CHIPS/SCHIPS

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Enrolled	
	
people in these programs.



Provided information or referrals about CHIPS/SCHIPS to	
	
people.

O-12.	Other Human Needs Services

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Please specify these other human needs services:





Type of Service
Number

(1)	, to…
	
people.
(2)	, to…
	
people.
(3)	, to…
	
people.


EDUCATION (ED)

ED-a.	Total estimated number of people who benefited:	
Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.

ED-1.	Pre-Elementary Day Care

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Assisted at	
	
pre-elementary learning and day care programs (not including Head Start).



Assisted in pre-elementary and day care programs (not including Head Start) serving	
	
children.

ED-2.	Head Start/School Preparedness

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Providing mentoring in Head Start Programs by developing relationships with children, reinforcing prosocial behaviors, and providing constructive guidance and feedback to	


	


children in Head Start classes.



Provided meals and nutritional information and monitored the health status of	

	

children in Head Start classes.



Provided child development or school readiness skills activities for	

	

children in Head Start classes.



Provided nurturing for	
	
children in Head Start classes.

ED-3.	Elementary Education

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Served as classroom aides, playground aides, one-on-one student assistants, or computer aides in	

	

elementary school classrooms.



Served as classroom aides, playground aides, one-on-one student assistants, or computer aides for	

	

elementary school students.



Assisted with extracurricular activities, clubs, physical education classes, physical fitness or sports programs involving	


	


elementary school students.



Participated in character education programs, including anti-bullying programs for	

	

elementary school students in schools.



Participated in character education programs, including anti-bullying programs for	

	

elementary school students in community settings.

ED-4.	Secondary Education

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Served as field trip aides, teacher’s aides, one-on-one classroom assistants, or career counselors in	

	

7th through 12th grade classrooms.



Served as field trip aides, teacher’s aides, one-on-one classroom assistants, or career counselors for	

	

students in 7th through 12th grade.



Assisted with extracurricular activities, clubs, physical education classes, physical fitness or sports programs involving	


	


students in 7th through 12th grade.



Participated in character education programs, including anti-bullying programs for	

	

secondary school students in schools.



Participated in character education programs, including anti-bullying programs for	

	

secondary school students in community settings.

ED-5.	Special Education

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Assisted in special education programs involving	
	
students in kindergarten through 6h grade.



Assisted in special education programs involving	
	
students in 7th through 12h grade.

ED-6.	Tutoring and Child Literacy

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Used evidence-based reading readiness programs with	
	
students in pre-K.



Used evidence-based reading and tutoring programs with	
	
students in kindergarten through 6th grade.



Used evidence-based reading and tutoring programs with	
	
students in 7th through 12th grade.



Provided tutoring and support in math, science, social science, and other subjects to	
	
students.

ED-7.	Job Preparedness/Vocational Education

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Assisted in job skills training in	
	
education programs.



Assisted in job skills training for	
	
people.



Provided information, program enrollment, or referrals on job preparedness programs to	
	
people.
ED-8.	Library Services

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Helped at	
	
libraries.



Started or operated	 
	
bookmobiles.



Started or operated bookmobiles serving	
	
people.

ED-9.	Cultural Heritage

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Developed and/or presented	
	
programs about cultural preservation and enrichment (e.g., historic preservation, oral history, museums, drama, the arts).



Developed and/or presented programs about cultural preservation and enrichment to	
	
people.

ED-10.	ESL

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Provided information, program enrollment, or referrals on ESL programs to	
	
people.



Helped	
	
ESL students (from kindergarten through high school) to learn English.



Helped	
	
adult ESL students to learn English.

ED-11.	GED/Dropouts

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Provided information, program enrollment, or referrals on GED programs to	
	
people.



Tutored	
	
students for their GED.

ED-12.	Service Learning

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Reflected on their volunteer experiences and described their insights concerning service, client advocacy, social issues and their own lives by	
	
volunteers.



Coordinated or expanded service-learning opportunities for elementary school students in	
	
schools.



Coordinated or expanded services-learning opportunities for	
	
elementary school students.



Coordinated or expanded service-learning opportunities for middle school students in	
	
schools.



Coordinated or expanded services-learning opportunities for	
	
middle school students.



Coordinated or expanded service-learning opportunities for high school students in	
	
schools.



Coordinated or expanded services-learning opportunities for	
	
high school students.

ED-13.	Adult Education and Literacy

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Provided literacy assistance to	
	
adults.



Recruited and trained	
	
volunteers for literacy programs.

ED-14.	Other Education Services

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Please specify these other education services:


(1)	, to…
	
people.
(2)	, to…
	
people.
(3)	, to…
	
people.

ENVIRONMENT (ENV)

ENV-a.	Total estimated number of people who benefited:	
Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.

ENV-1.	Waste Reduction/Management/Recycling

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Conserved, stored, treated, or disposed of	
	
pounds of waste.



Created or staffed	
	
recycling centers or neighborhood pick-up programs.



Recycled	
	
pounds of materials.

ENV-2.	Environmental Awareness

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Developed a directory of	
	
environmental groups.



Distributed directories of environmental groups to	
	
people.



Developed or participated in 	
	
environmental education, information programs or presentations (e.g., awareness campaigns, environmental fairs, nature walks).



Developed or participated in environmental education,  information programs or presentations attended by	
	
people.



Distributed environmental awareness materials to	
	
people.



Disseminated information or fact sheets or made presentations about environmental hazards and health to	
	

people.

ENV-3.	Clean Air

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Tested and monitored air quality in	
	
locations.

ENV-4.	Clean and Safe Waters

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Adopted and cleaned	
	
beaches and streams.



Monitored	
	
taps for water quality.



Set up	
	
ground water and surface protection programs.



Tested	
	
wells, streams, and water tanks.

ENV-5.	Energy Conservation

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Conducted information campaigns on energy saving devices reaching	
	
people.



Winterized and weatherized	
	
homes or community buildings.

ENV-6.	Indoor Environment

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Cleaned up (excluding making repairs and providing housing services) for	
	
contaminated housing units.



Cleaned up contaminated housing units for	
	
people.



Tested	
	
buildings and homes for pollutants such as lead, radon, smoke and asbestos.
ENV-7.	Wildlife, Land, and Vegetation Protection and Restoration

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Developed and/or participated in	
	
activities aimed at reducing wildlife mortality due to pesticides.



Participated in activities to reduce wildlife mortality affecting	
	
acres of wildlife habitat.



Restored or protected	
	
acres of degraded land.



Restored or protected	
	
miles of degraded land.

ENV-8.	Other Environmental Services

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Please specify these other environmental services:


(1)	, to…
	
people.
(2)	, to…
	
people.
(3)	, to…
	
people.

COMMUNITY AND ECONOMIC DEVELOPMENT (C)

C-a.	Total estimated number of people who benefited:	
Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.

C-1.	Consumer Education

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Developed and/or participated in information campaigns on consumer issues (e.g., health and life insurance, estate counseling, and consumer protection) reaching	
	
people.

C-2.	Transportation Services

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Developed and/or operated	
	
transportation systems.



Developed and/or operated transportation systems used 
by	
	
people.



Helped drive	
	
people on errands, doctor visits, or between facilities.



Helped drive people on errands, doctor visits, or between facilities for	
	
miles.

C-3.	Community Improvement

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Constructed/renovated	
	
playgrounds.



Constructed/renovated playgrounds used by	
	
children and families.



Removed trash or abandoned cars, cleaned, removed graffiti, repaired fences, and provided landscaping at	
	
community areas.

C-4.	Community-based Volunteer Programs

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Recruited and coordinated	
	
RSVP volunteers.



Recruited	
	
non-RSVP volunteers.



Trained and coordinated	
	
RSVP volunteers.



Trained and coordinated	
	
non-RSVP volunteers.



Led team building activities for	
	
volunteers.

C-5.	Food Production/Community Gardens/Farming

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Established, expanded, or revitalized	
	
acres of community gardens.



Established, expanded, or revitalized community gardens used by	
	
people.



Participated in	
	
community gardening programs, alternative crop programs, or improved food growing programs.



Participated in community gardening programs, alternative crop programs, or improved food growing programs serving	
	
people.



Grew	
	
pounds of food.



Grew food used by	
	
people.

C-6.	Management Consulting

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Volunteer executives provided assistance to expand or improve the operation of	

	

private, non-profit or public agencies.



Volunteer executives provided assistance to expand or  improve the operation of private, non-profit, or public agencies serving	
	
people.
C-7.	Small and Minority Business Development

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Assisted	
	
small or minority businesses.



Assisted small or minority businesses operated by	
	
people.

C-8.	Tax Consulting/Counseling

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Assisted or trained	
	
people to do their taxes.



Trained	
	
people to be tax counselors/preparers.



Prepared tax returns for	
	
people.

C-9.	Thrift Store

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Organized or started	
	
thrift stores.



Organized or started thrift stores providing affordable goods bought by	
	
people.

C-10.	Other Community and Economic Development Services

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Please specify these other community and economic development services:


(1)	, to…
	
people.
(2)	, to…
	
people.
(3)	, to…
	
people.

PUBLIC SAFETY (pS)

PS-a.	Total estimated number of people who benefited:	
Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.

PS-1.	Safety/Fire Prevention/Accident Prevention

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Coordinated or participated in	
	
safety programs (such as fire prevention, auto safety, traffic/pedestrian control programs).



Coordinated or participated in safety programs attended 
by	
	
people.

PS-2.	Adult Offender/Ex-Offender Services

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Coordinated or participated in rehabilitation services for	
	
adult offenders/ex-offenders.



Provided information, program enrollment or referrals on offender/ex-offender services to	
	
people.

PS-3.	Juvenile Justice, Delinquency, Gangs

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Coordinated or participated in rehabilitation services for	
	
youth offenders/ex-offenders.



Provided one-on-one support and nurturing to	
	
youth offenders/ex-offenders.



Served as mentors to	
	
youth offenders/ex-offenders.

PS-4.	Crime Awareness/Crime Avoidance

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Identified	
	
unsafe areas.



Provided fingerprinting services to	
	
people.



Provided safety escort services to	
	
people.



Providing training in ways to avoid victimization (e.g., direct deposit, scam alerts, tourist safety) to	
	
people.

PS-5.	Victim/Witness Assistance

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Assisted	
	
crime victims.

PS-6.	Community Policing/Community Patrol

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Developed or participated in	
	
police district patrols or citizen patrols.



Worked with	
	
local police and community organizations to insure safer neighborhoods.



Helped direct traffic at	
	
events.



Helped to trace abandoned cars, followed up with victims, or did other administrative work on behalf of	
	
people.



Conducted	
	
foot patrols.



Conducted foot patrols freeing up 	
	
hours of police officer time.


PS-7.	Conflict Resolution/Mediation

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Educated	
	
people about gang activity.



Mentored	
	
gang members.



Started or participated in	
	
peer mediation programs and youth courts.



Started or participated in peer mediation programs or youth courts serving	
	
juveniles.



Provided training in conflict resolution/conflict mediation techniques and violence prevention to	
	

people.



Provided conflict resolution assistance to	
	
people.

PS-8	Improvement of Household Security

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Conducted	
	
workshops on household safety.



Conducted workshops on household safety attended by	
	
people.



Conducted	
	
security audits and surveys.



Conducted security audits and surveys for	
	
households.



Installed	
	
new windows, door locks, or window bars.



Installed new windows, door locks, or window bars for	
	
households.

PS-9.	Neighborhood Watch/Block Watch

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Developed or participated in	
	
neighborhood watch programs.



Developed or participated in neighborhood watch programs serving	
	
people.

PS-10.	Sexual Abuse/Rape

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Provided support to	
	
sexual assault/harassment victims.



Started/expanded	
	
shelters for sexual assault/harassment victims.



Started/expanded shelters benefiting	
	
sexual assault/harassment victims.



Provided sexual abuse, awareness, and self-defense training to	
	
people.

PS-11.	Other Public Safety

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Please specify these other public safety services:


(1)	, to…
	
people.
(2)	, to…
	
people.
(3)	, to…
	
people.

HOUSING (h)

H-a.	Total estimated number of people who benefited:	
Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.

H-1.	Homeless

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Participated in programs to help the homeless (except for housing referrals) attended by	
	
people.

H-2.	Home Management

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Provided training on application processing, mortgages, taxes, upkeep and home maintenance for	
	
people.



Distributed information on home ownership to	
	
people.



Helped	
	
people with budgeting, financial planning, and filling out forms and bills.

H-3.	Housing Referrals/Relocation/Other

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Obtained household furnishings for	
	
households.



Made housing referrals for	
	
people.

H-4.	Housing Rehabilitation/Construction

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Helped build, repair, inspect, or rehabilitate	
	
homes.



Helped build, repair, inspect, or rehabilitate homes for	
	
people.



Recruited and supported	
	
volunteers for housing rehabilitation and construction.

H-5.	Other Housing Services

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Please specify these other housing services:


(1)	, to…
	
people.
(2)	, to…
	
people.
(3)	, to…
	
people.

DISASTER (D)

D-a.	Total estimated number of people who benefited:	
Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.

D-1.	Disaster Preparedness

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Participated in response, relief, recovery and mitigation during	

	

emergencies/fires/natural disasters.



Participated in response, relief, recovery and mitigation during emergencies/fires/natural disasters affecting	
	
people.



Provided natural disaster preparedness training (such as Red Cross training) to	
	
people.



Provided natural disaster preparedness training to	
	
people.



Provided information, class enrollment, or referrals on natural disaster preparedness to	
	
people.



Were on “on-call” lists for	
	
emergencies or needs.



Prepared disaster plans for	
	
agencies.



Gave presentations to	
	
groups of people attending.

D-2.	Other Disaster Services

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Please specify these other disaster services:


(1)	, to…
	
people.
(2)	, to…
	
people.
(3)	, to…
	
people.

HOMELAND SECURITY (HS)
The Homeland Security area includes programs that prepare to minimize the damage and recover from any future terrorist attacks that may occur despite our best efforts at prevention. This includes programs that help to plan, equip, train, and practice the response capabilities [of] many different response units (including first responders, such as police officers, firefighters, emergency medical providers, public works personnel, and emergency management officials) ready to mobilize without warning for any emergency. This area also includes programs that will consolidate federal response plans and build a national system for incident management in cooperation with state and local government including emergency preparedness and response efforts to engage the private sector and the American people.

HS-a.	Total estimated number of people who benefited:	
Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.

HS-1.	Disaster Preparedness

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Participated in response, relief, recovery and mitigation during	
	
emergencies.



Participated in response, relief, recovery and mitigation during emergencies affecting	
	
people.



Provided homeland security training (such as Red Cross and CERTS training) to	
	
people.



Provided homeland security preparedness training to 	
	
people.



Provided information, class enrollment, or referrals on homeland security disaster preparedness to	
	
people.

HS-2.	Public Safety

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Mobilized	
	
volunteers to assist first responders (e.g., police, fire fighters) during disasters.



Performed administrative duties so that 	
	
fire departments, police departments, and other public service agencies were able to prepare and respond to emergencies.

HS-3.	Public Health

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Provided assistance to	
	
medical and emergency medical personnel



Coordinated emergency supplies and established coordination links during	
	
emergencies.

HS-4.	Homeland Security Services

Number of RSVP Volunteers who provided these services:	

Total number of RSVP Volunteer hours:	


Type of Service
Number




Made educational presentations on homeland security (e.g., Bioterrorism, terrorist attacks) to	
	
community groups.



Assisted individuals and families during	
	
disasters.



Provided support services (e.g., fundraising, answering questions, distributing food) for	
	
organizations involved in emergency and disaster relief.



Taught classes in safety, fire prevention, basic first aid, and/or CPR to	
	
adults and/or children.



Provided information and referral services during disasters and emergencies to	
	
people.

Type of Service
Number




Please specify these other Homeland Security services:


(1)	, to…
	
people.
(2)	, to…
	
people.
(3)	, to…
	
people.
OTHER SERVICES (OS)


Activity not
 included in survey
Specific activity performed by RSVP Volunteers
Number of Volunteers Performing Activity
Total Number of Hours Spent on Activity
Number of People Served by the Activity
Language Assistance
Language interpretation
8
200
16































Please add any additional information on the reverse side of this page.