Appendix E
INTERVIEW PROTOCOL: ACADEMIC SERVICES
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
|
Description (if offered)* |
|
GED prep and testing. |
|
Basic skills remediation. |
|
Classes towards achieving a high school diploma. |
|
SAT tutoring and prep. |
|
Independent study. |
|
Academic tutoring. |
|
Other, specify. |
*
In the description, be sure to include information about: description
of services, duration, frequency, service
delivery
arrangements, etc.
|
Description (if offered)* |
|
Workshops on filling out college applications and financial aid forms. |
|
College classes at local colleges/universities. |
|
Visits to local colleges/universities. |
|
College counseling. |
|
Direct financial support for college. |
|
College supplies/materials. |
|
Other, specify. |
*
In the description, be sure to include information about description
of services, duration, frequency, service
delivery
arrangements, etc.
|
Yes, describe. |
|
No. |
|
Yes, describe. |
|
No. |
|
Yes, describe. |
|
No. |
|
Yes, describe. |
|
No. |
|
Yes.
|
|
No |
|
Yes.
|
|
No |
English:
Math:
History:
Science:
Other:
|
Worksheets. |
|
Computer tutorials. |
|
Project-based learning. |
|
Role-play. |
|
Lectures. |
|
Large group discussions. |
|
Small group discussions. |
|
Independent work. |
|
Other. |
|
Yes, describe the role of peer leaders in supporting youth in the classroom. |
|
No. |
|
Academic tests. |
|
Portfolios. |
|
Observations. |
|
Other. |
|
Yes. Amount:
Specify if “other” frequency selected:
|
|
No. |
|
Yes.
|
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|
No. |
File Type | application/msword |
Author | Castle |
Last Modified By | Pederson, Eileen - ETA |
File Modified | 2012-07-03 |
File Created | 2012-07-03 |