ATTACHMENT F
OMB No. __0920-XXX__
Exp. Date _xx/xx/20xx_
COALITION LEADER INTERVIEW
Public
Reporting burden of this collection
of information is estimated at 30 minutes per response, including
the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information. An agency many not
conduct or sponsor, and a person is not required to respond to a
collection of information unless it displays a currently valid OMB
control number. Send comments regarding this burden estimate or any
other aspect of this collection of information, including
suggestions for reducing this burden to CDC/ATSDR Reports Clearance
Officer, 1600 Clifton Road NE, MS D-74, Atlanta, GA 30333; Attn:
PRA (0920-XXXX).
COALITION LEADER INTERVIEW
About the coalition:
The questions in this first section will help us learn a little more about your coalition.
What is the mission of your coalition? Has it changed over the past 6-months? If so, how?
Approximately how many people currently make up your coalition?
Approximately how many organizations, agencies, or community groups are currently represented at the coalition?
What partners are involved in the coalition? (See table below to record responses)
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Not a member |
Member, but not active |
Active member |
Mayor |
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County/City Commissioner or Executive |
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Law enforcement/police |
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Faith communities |
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Media |
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Educations/schools |
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Housing services |
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Business community |
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Youth serving organizations |
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Victim services agencies |
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Culturally specific organizations |
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Neighborhood service organizations |
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Health Department |
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Health care providers |
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Funders |
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Other _________ |
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How do coalition members communicate (Note to interviewer: Check all that apply)
In person (one-on-one)
In person (coalition meetings)
Telephone
Listservs
Online Workspace @ Safeyouth.org
Other ____________________________
How often do meetings occur for the full membership? (Note to interviewer: Check only one response)
more than monthly
monthly
every other month
quarterly
semi-annually
annually
other
Do you have a dedicated budget for conducting coalition activities? If so, what?
Do you have dedicated staff assigned to support coalition activities? If so, how many? At what level of effort?
How would you complete the following sentence? The majority of active agencies and organizations in the coalition (Note to interviewer: Check all that apply):
Are committed to and supportive of the coalition’s activities
Commit personnel to the coalition
Commit financial resources to the coalition
Are knowledgeable about the coalition
Are experienced in collaboration related to youth violence prevention
Clearly understand their roles and responsibilities
Share the workload
Regularly participate in meetings
Coalition activities
Tell us a little about the activities your coalition has engaged in over the past 6 months.
Probes: Organizing the process?
Identifying partners?
Training members?
Identifying funding/ resources?
Conducting assessments?
Determining mission and vision?
Developing a strategic plan?
Implementing a strategic plan (if applicable)?
What activities do you have planned for the next 6 months?
Probes: Organizing the process?
Identifying partners?
Training members?
Identifying funding/ resources?
Conducting assessments?
Determining mission and vision?
Developing a strategic plan?
Implementing a strategic plan (if applicable)?
SafeYouth.org
(If needed, the interviewer will ask participants to access the website for reference)
Have you been to the safeyouth.org website? If so, what is your overall opinion of the website?
What information have you searched for on the website? Were you able to find the resources you needed? What information/resources could be added to the website to help you prevent youth violence in your community?
Did you take any of the trainings available on the website? What did you like about the trainings? What didn’t you like about the trainings? Any recommendations you would make for the trainings?
Has your coalition created a space on the safeyouth.org website?
Probes: To what extent are you utilizing the website to create your coalition? Organize your coalition? Develop your strategic plan? Support and document other activities?
If not using the website, why? How can we make the website a better tool for your coalition?
Did you find the online workspace useful for sharing information with members of your coalition? Why or why not?
Did you find the find the online workspace useful for sharing information with members of other coalitions? Why or why not?
Finally, how has this project impacted your community’s ability to address on youth violence?
Thank you for your time. We appreciate your input!
File Type | application/msword |
File Title | In which of the following ways do prevention subcommittee members share and distribute information with one another about planni |
Author | Cynthia Klein |
Last Modified By | fmc7 |
File Modified | 2009-02-23 |
File Created | 2009-02-19 |