INTERVIEW PROTOCOL: YOUTH LEADERSHIP AND COMMUNITY SERVICE
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:
Staff Background (gather from each staff member participating in session)
Describe your background and role in the organization:
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
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Yes.
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No.
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Yes.
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No.
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Yes.
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No.
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Yes.
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No. |
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Yes.
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No. |
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Yes.
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No. |
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Yes.
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No. |
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Yes.
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No. |
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Yes.
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No.
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Annually. |
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Monthly. |
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Weekly. |
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Ongoing. |
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Other, specify. |
Providing community service projects. |
Promoting youth leadership at this site. |
Providing community service projects. |
Promoting youth leadership at this site. |
Youth
Leadership and Community Service
VIII-
File Type | application/msword |
Author | Michael Fang |
Last Modified By | Pederson, Eileen - ETA |
File Modified | 2012-07-03 |
File Created | 2012-07-03 |