1 Demographinc/ Registration Information

REGISTRATION -CONFERENCE

Please check the appropriate response(s) for each section.

Points of Light & Hands on Network Members

-Business

-Corporate Council

-Government

-Nonprofit

-Connect America National Partner

-Points of Light & Hands on Network Affiliates (Volunteer Centers and Hands on Action Centers -Staff and Board)

Non-Members

-Business

-Government

-International

-Nonprofit

-Students

-Guests/Spouse/Children (18 and over)

National and Community Service Programs

AmeriCorps State Program

State Commission Executive Director

State Commission Staff (other than ED)

State Commissioner

AmeriCorps Direct and Professional Corps

AmeriCorps National: Education Award

AmeriCorps National: National Planning Grant

AmeriCorps National: Tribal Grantee

AmeriCorps VISTA Sponsoring Organization Staff

AmeriCorps Alums

National Service Participant: AmeriCorps and VISTA Member, Senior Corps Volunteer, Learn & Serve Student (with/ID)

CNCS Special Initiatives: Challenge Grant, Next Generation Grant, Disability/Outreach Grant, MLK Day Grant

Learn & Serve Community Based Programs

Learn & Serve Higher Ed Program

Learn & Serve K-12 (school-based) Program

Foster Grandparent (FGP)

Senior Companion

RSVP

CNCS Staff

CNCS Field Staff

CNCS Training /Technical Assistance Providers

ATTENDEE QUESTIONS

Please answer each question below.

-How long have you been attending the National Conference on Volunteering and Service? (Check one)

First year

2-4 years

5-10 years

11+ years

-How far will you travel to attend the National Conference? (Check one)

0-50 miles

51-100 miles

101-200 miles

201+ miles

-Did YOU participate in the Days of Service listed below: (Check all that apply)

Community Build Day

Corporate Month of Service

Earth Day

Family Volunteer Day

Join Hands Day

Kids Care Week

Make a Difference Day

Martin Luther King Day of Service

My Good Deed Day (One’ Days Pay)

National Volunteer Week

National Youth Service Day

None of the above

Other: ___________________________

- Did YOUR ORGANIZATION participate in the Days of Service listed below: (Check all that apply)

Community Build Day

Corporate Month of Service

Earth Day

Family Volunteer Day

Join Hands Day

Kids Care Week

Make a Difference Day

Martin Luther King Day of Service

My Good Deed Day (One’ Days Pay)

National Volunteer Week

National Youth Service Day

None of the above

Other: ___________________________

- Are you involved in the purchasing of products and services for your organization? If yes, indicate what types below. (Check all that apply)

Computer software and systems

Recognition gifts

Evaluation/performance measurement services

Consulting/training

I am not involved with purchasing products or services

Other _________________

-What types of activities does your organization participate in to support the ‘Green movement’? (Check all that apply)

Recycle printed materials

Recycle food and beverage products (eg soda cans, bottled water)

Participate in service projects to improve the environment

Other__________________

-Please indicate how you will support our ‘Green movement’ at the National Conference in Atlanta. (Check all that apply)

I am willing to….

use public buses (MARTA- Metropolitan Atlanta Rapid Transit Authority)

use public trains (MARTA- Metropolitan Atlanta Rapid Transit Authority)

use carpools

walk to events and activities that are nearby

download speaker presentations and other materials from a website (instead of receiving printed materials)

receive a copy of a CD that contains a compilation of speakers presentations (instead of receiving printed materials)

purchase, for a small fee, a CD that contains a compilation of speakers presentations (instead of receiving printed materials)

Other___________________________

-How many years have you been involved in volunteering and service?

Less than 1 year

1-2 years

3-5 years

6-10 years

More than 10 years

I am not involved in volunteering and service

-How would you rate your level of knowledge about current trends in volunteering and service?

Introductory

Intermediate

Advanced

-Are you an AmeriCorps Alum? If yes, select which program(s)

AmeriCorps*State

AmeriCorps*National

AmeriCorps*VISTA

AmeriCorps*NCCC

I am not an AmeriCorps Alum

-What is your gender?

Female

Male

-What is your ethnicity?

Caucasian

African American

Hispanic or Latino

Asian

American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander

Two races

Other

-What is your Age?

Under 18

18-24

25-34

35-44

45-54

55-64

65 and over

Please enter your email address (Mandatory)

____________________________________

Will you be willing to participate in a follow up survey in 3-6 months? (This survey will help us understand how you have applied your Conference experience after returning to your job.)

-Yes

-No