Questionnaire for Alumni Volunteer Involvement
VISTA is now accepting applications from VISTA alumni who are interested in recruiting new members and providing leadership to current members.
Please provide a current email address:
Please provide a current mailing address:
Enter the best phone number by which to reach you (include area code):
What years did you serve as a VISTA (e.g. 2004-2005)?
In what state did you serve as a VISTA?
What is the name of the project or sponsor with whom you served as a VISTA?
Briefly describe your VISTA service assignment:
Why did you choose to serve as a VISTA?
For the next questions, briefly explain how your assignment/project contributed to the following core principles of VISTA:
Anti-poverty
Capacity building
Sustainability
Briefly explain why you want to get involved with VISTA alumni outreach efforts:
Please check which activities are of interest to you?
Serve on panel of alumni at PSO (Pre-Service Orientation)
Staff booth at college career fairs
Speak to student and community organizations
Post online answers to the “Ask an Alum” feature on the VISTA Campus
How far are you willing to travel? (mileage reimbursement available within XXX miles)?
What was your most memorable moment?
How did VISTA affect your life and/or career?
How did you impact the program/community you served in?
What advice would you offer current VISTA members?
IMPORTANT NOTICE
Burden Statement
Public Burden Statement: The Paperwork Reduction Act of 1995 requires the Corporation to inform all potential persons who are to respond to this collection of information that such persons are not required to respond unless it displays a currently valid OMB control number. (See 5 CFR §1320.5(b)(2)(i)).
Time Burden: The time required to complete this collection of information is estimated to average 60 minutes per applicant.
Privacy Act Statement
Authority: 42 U.S.C. §4953 of the Domestic Volunteer Service Act of 1973, as amended, authorizes the collection of the requested information.
Principle Purpose: The information collected constitutes a questionnaire for VISTA alumni designed to create connections among alumni and engage them in recruiting new volunteers.
Routine Use: Information provided for this collection may be shared with federal, state, and local agencies for law enforcement purposes.
Mandatory or Voluntary: Participation in this information collection is voluntary.
| File Type | application/msword |
| File Title | Question # |
| Author | OIT |
| Last Modified By | Amy B. |
| File Modified | 2010-04-14 |
| File Created | 2010-04-13 |