Appendix c
INTERVIEW PROTOCOL: MENTAL TOUGHNESS ORIENTATION (MTO)
Public reporting burden for this collection of information is estimated to average 60 minutes per respondent, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information to Eileen Pederson, U.S. Department of Labor, Employment and Training Administration, Office of Policy Development and Evaluation, Room N-5641, 200 Constitution Avenue, NW, Washington, DC 20210. According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The OMB control number for this information collection is xxxx-xxxx. Expiration Date xx/xx/20xx. |
Name of site:
Site code:
Name
of site visitor:
Date of site visit:
Name of
respondent(s) and titles:
Title
# of years at YouthBuild
Experience working with at-risk youth
Similarity between own background and youths’
Degree/credentials/certifications
Role/s in the organization
How do you balance responsibilities between these roles?
Other
|
Yes. |
|
No. |
Number of times per year: Describe:
Total length (in days):
Number of hours per day:
|
Team building exercises. |
|
Leadership development/community service. |
|
Academic work (e.g. practice tests for GED, basic skills, etc.). |
|
Writing skills. |
|
Cultural events. |
|
Job readiness training. |
|
Occupational safety. |
|
Training on using tools. |
|
Anger management. |
|
Life skills. |
|
Other, specify. |
|
Yes.
|
||||||
|
No. |
|
Yes.
|
|
No. |
|
Yes.
|
|
No. |
|
Arrive on time. |
|
Follow directions. |
|
Work in teams. |
|
Zero tolerance for violence. |
|
Minimum # of days that youth are required to attend MTO: |
|
Other, specify. |
|
Yes, describe.
|
||||||||
|
No |
|
Before MTO. |
|
During MTO. |
|
After MTO. |
MTO
III-
File Type | application/msword |
Author | sukey |
Last Modified By | Pederson, Eileen - ETA |
File Modified | 2012-07-03 |
File Created | 2012-07-03 |