1 Operating Site Survey

AmeriCorps Community Engagement Survey

Community Engagement Survey_OperatingSites With PRA_10 7 14

AmeriCorps Community Engagement Survey Instruments

OMB: 3045-0161

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Shape1 AmeriCorpsCommunityEngagementSurvey


Instructions



The Corporation for National and Community Service( CNCS) is a federal agency thatprovidesfundingfornationalserviceprogramsincludingAmeriCorps.


TobetterunderstandhowAmeriCorpsmembersandtheirhostorganizationsworkintheircommunities,CNCS is conducting a Community Engagement researchstudy.AsanAmeriCorpsmemberhost,yourresponsesarecrucialtounderstandingtheengagementprocessandthedevelopmentofcommunity partnerships.Forthepurposesofthissurvey,communityisdefinedasthelocalgeographicareatargetedbyyourAmeriCorpsprogramsand activities.


YourresponseswillbeusedexclusivelybyCNCSOfficeofResearch&EvaluationandAFYA,Inc.(ourconsultantforthisproject).Yourindividualresponseswill notbesharedwiththeAmeriCorpsprogramofficeormanagement.TheywillalsonotbesharedwiththeorganizationthatdirectlyreceivesAmeriCorpsfundsand providesyouwithyourAmeriCorpsmembers,ifyouarenotthatorganization.


Results from this studywillbereportedonlyintheaggregatesuchthatyouoryourorganizationwillnotbeidentifiable, and your responses will have no impact on your future receipt of AmeriCorps members or funding from CNCS*.


At the end of this survey, you will beaskedtoprovidethecontactinformationofupto5partnerorganizations.Theseshouldbeorganizationsthatyou have maintained a partnership with for one year or longer, related to your AmeriCorpsprogrambutarenottheactualservicelocationofthemember.Thesemay includeorganizationswheremembershaveprovidedserviceororganizationsthathavecontributedtotheAmeriCorpsprograminsomemanner.Partner organizationscouldbenon­profit,religious,public,oraprivatebusiness.


Upon receipt of the contact information, we will send the identified partner organizations a brief survey, asking them about their relationship to your

AmeriCorps program and the benefits they may see in it.


Use theNEXTbuttonattheendofeachpagetoadvancetothenextpageofthesurvey. Use PREV to go back to the previous page of questions.



*PRIVACY ACT NOTICE: The Privacy Act of 1974 (5 U.S.C § 552a) requires that the following notice be provided to you: The information requested in the AmeriCorps Community Engagement Survey Form is collected pursuant to 42 U.S.C 12592 and 12615 of the National and Community Service Act of 1990 as amended, and 42 U.S.C. 4953 of the Domestic Volunteer Service Act of 1973 as amended, and 42 U.S.C. 12639. Purposes and Uses - The information requested is collected for the purposes of assessing the degree to which grantees engage the communities they serve, as part of a longer term research agenda to evaluate AmeriCorps’ impact on the communities it serves. CNCS also will collect information from grantee partners, which are integral in engaging and serving client communities. Routine Uses - Routine uses may include disclosure of the information to federal, state, or local agencies pursuant to lawfully authorized requests. The information may also be provided to appropriate federal agencies and Department contractors that have a need to know the information for the purpose of assisting the Department’s efforts to respond to a suspected or confirmed breach of the security or confidentiality or information maintained in this system of records, and the information disclosed is relevant and unnecessary for the assistance. The information will not otherwise be disclosed to entities outside of the Corporation for National and Community Service without prior written permission. Effects of Nondisclosure - The information requested is not mandatory.

AmeriCorpsCommunityEngagementSurvey


PartI.AmeriCorpsMembers



1.ApproximatelywhatportionofyourAmeriCorpsmembersarefrom:


Don’tknow

None

About1/4

About1/2

About3/4

Allofthem

The community whereyouprovidedirectservices

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Communitiesoutsideofwhereyouprovidedirect services

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2.DoesyourprogramactivelyrecruitAmeriCorpsmembersfromthecommunitywhereyouprovidedirectservices?


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Yes

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mljNo

Shape3 AmeriCorpsCommunityEngagementSurvey


PartI.AmeriCorpsMembers



3.WhenyoufirstbeganyourAmeriCorpsprogram,howimportantwereeachofthefollowinggoals?


Notatallimportant

Somewhatimportant

Important

Very Important

Extremelyimportant

Increaseorganizationalcapacityofyourorganization (planning,research, fundraising)

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Providemoredirectservices

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Increaseinvolvementofcommunity residentsinyourprogram

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Enhancevolunteerrecruitment,management andtraining

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Developorstrengthen partnershipswith other organizationsinthecommunity

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Identifyandraiseawarenessofcommunityissuesorconcerns

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4.Onaveragewhatportion ofyourAmeriCorpsmembers’timedirectlyinvolves:


None

Lessthan half

About half

Morethan half

Almostallorall

Direct serviceprovision

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Planning,assessingneeds,andfundraising

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Increaseinvolvement ofcommunitymembersinyourprogram

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Volunteerrecruitment,management andtraining

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Developingorstrengtheningpartnershipswith other organizationsinthe community

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Identifyingandraisingawarenessofcommunityissuesorconcerns

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Organizingcommunity­wideactivitiesorevents(e.g. healthorculturalfairs, community forums)

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AmeriCorpsCommunityEngagementSurvey


PartI.AmeriCorpsMembers



5.WhichofthefollowingtypesofskillsdoesyourprogramdevelopinAmeriCorpsmembers,throughtrainingordirect

experience?(Selectallthatapply)


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Technicaland/orcareerskillsinspecificfield


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Communicationanddisseminationofinformationtocommunitymembersandstakeholders


fec

Conductingcommunityneedsassessment


fec

Networkingandpartnershipbuilding


fec

Resourcedevelopment(e.g.fundraising, in-kinddonations)


fec

Volunteerrecruitment,management, andtraining


fec

Programdevelopment andmanagement



6.FollowingparticipationasAmeriCorpsmembers,approximatelywhatpercentageofyourformermembershave

continuedtobeengagedinyourcommunity?



Someexamplesofengagementincludevolunteering,providingfinancialsupport(e.g.donations)tocommunityorganizations,orworkingwith non­profitsorpublicagenciesinthecommunity.


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Myprogramisnewandwehavenoformermembers


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Don’tknow


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None


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Lessthan half


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About half


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Morethan half


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Almostallorall

AmeriCorpsCommunityEngagementSurvey


AmeriCorpsProgramPlanning



7.InplanningforyourAmeriCorpsprogram,wereanyofthefollowingdone?(Selectallthatapply)

Yes No


Identifiedcommunity membersmost affectedbytheissuesyoutarget nmlkj nmlkj


Identifiedpotentialpartnerorganizations inthecommunity mlj mlj


Identifiedotherstakeholdersandinterestgroups,apartfromthetarget populationandpotential partners


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Identifiedthecommunity’sstrengths mljmljIdentifiedbarrierstocommunityengagement nmlkjnmlkjIdentifiedthecommunity’sneedsandchallenges mljmlj


8.Consideringyouranswertothepreviousquestion,whichofthefollowingapproachesdidyouuse?(Selectallthat

apply)


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Revieweddocumentssuchasresearchreports


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Haddiscussionswith communitymembersorleaders


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Surveyedcommunity leadersormembers


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Reliedonpersonalexperienceofprogramleadersandstaff


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Reliedoncommunity observationorlocalnewsreports


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Analyzedpubliclyavailable data (suchasCensusdata orschooltestscores)

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Other (pleasedescribe)


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AmeriCorpsCommunityEngagementSurvey


9.Whenhaveyouassessedtheneedsofthecommunity,inordertodesignandprovideservices?(Selectallthatapply)


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Weassessedcommunityneedbeforestartingtheprogram


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Weassesscommunityneedyearly


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Wecontinuouslyassesscommunityneed

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Other (pleasedescribe)


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10.WhendesigningyourAmeriCorpsprogram,howmuchinputwasreceivedfromthefollowinggroups?


Noinput

Alittleinput

Moderateinput

Agreat dealofinput

Organizationstaffandleadership

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Boardofdirectors oradvisorycouncil

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Community members

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Localgovernment leaders/officials

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Localbusinesses

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Localnon­profitsorreligiousorganizations

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Currentcommunitypartners

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Partnerorganizations

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Beneficiariesofyourservices

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PotentialAmeriCorpsmembers

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AmeriCorpsCommunityEngagementSurvey


PartII.Volunteers



Inthissection,wewillaskabouthowyourAmeriCorpsfundedprogrammayutilizevolunteers.


11.InadditiontopaidstaffandAmeriCorpsmembers,doyourelyonvolunteerstoprovideservicesforanycomponentof yourAmeriCorpsprogram’sservicesoractivities?


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Yes

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mljNo

AmeriCorpsCommunityEngagementSurvey


PartII.Volunteers



12.Overthepast12months,approximatelyhowmanyindividualshavevolunteeredforactivitiesrelatedtoyourprogram?


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1­25


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26­50


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51­75


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76­100


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100­499


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500+

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13.ApproximatelywhatportionofyourvolunteersrelatedtoyourAmeriCorpsprogramarefrom:


Don’tknow

None

Lessthan half

About half

Morethan half

Almostallorall

Thecommunitywhereyouprovide direct services

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Communitiesoutsideofwhereyou providedirect services

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14.Volunteerstypicallyvaryinthetimetheyhaveavailableforservice.Approximatelywhatportionofyourvolunteers relatedtoyourAmeriCorpsprogramvolunteeratthefollowingintervals?


Don’tknow

None

Lessthan half

About half

Morethan half

Almostallorall

Daily

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Weekly

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Severaltimespermonth

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Oncepermonth

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Lessthanoncepermonth

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Onlyonceforaspecialevent

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AmeriCorpsCommunityEngagementSurvey


PartII.Volunteers



15.ThinkingabouthowvolunteerscontributetoyourAmeriCorpsprogram,approximatelywhatportionofyourvolunteer

positionsrequirethefollowingtypesofskills?


Don’tknow None Lessthan half About half Morethan halfAlmostallorall


Non­technicalandnon­specializedskills(neighborhoodclean­up, food service/distribution)

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Specialized,non­technicalskills(mentoring,tutoring,intake, screening)

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Technical skills(IT,graphicdesign,spreadsheets)

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Managerialskills(supervision,projectmanagement)

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Administrativesupport(office management)

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Strategicplanningorfiscal(Boardofdirectors/CommitteeChair/FundDevelopment)

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16.Onaverage,howfrequentlydoyouprovideformaltrainingtovolunteersforactivitiesrelatedtoyourAmeriCorps

program(inaddition to on­the­jobtraining)?


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Noformal training


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Once


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Twiceperyear


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Quarterly


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Monthly

AmeriCorpsCommunityEngagementSurvey


PartII.Volunteers



17.Ofthefollowing,inwhichareasdoyouprovideformaltrainingtoyourvolunteersforactivitiesrelatedtoyour

AmeriCorpsprogram?(Selectallthatapply)


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Programorientation,includingdescriptionofmission,activities,policiesandregulations


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Engagingothercommunitymembersonaspecifictopicorissue


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Communicationandmessaging


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Fundraising


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Managementandcoordination ofprograms,activities,orothervolunteers


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Direct serviceprovision

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Other(pleasespecify)


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AmeriCorpsCommunityEngagementSurvey


PartII.Volunteers



18.ThinkingaboutyourAmeriCorpsprogramoperationsandservices,howimportantarevolunteerstoyoursuccess?


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Notimportant


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Somewhatimportant


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Important


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Veryimportant


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Extremelyimportant

Shape12 AmeriCorpsCommunityEngagementSurvey


PartII.Volunteers



19.PleasegiveanexampleofhowvolunteersareimportanttoyourAmeriCorpsprogram’ssuccess.


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AmeriCorpsCommunityEngagementSurvey


PartII.Volunteers



20.TowhatdegreedoyourvolunteersconnectyourAmeriCorpsprogramtothecommunity?


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Don’tknow


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Notatall


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Alittle


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Toamoderatedegree


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Toalargedegree

Shape14 AmeriCorpsCommunityEngagementSurvey


PartIII.Partnerships



Incarryingouttheirtasks,AmeriCorpsmembersmaycollaboratewithotherorganizationsinthecommunitywheretheyserve. Thissectionasksyouquestionsabouthowyourmembersmaycollaboratewiththeseorganizations.

Partnershipisdefinedinthissurveyas:


AformalorinformalcollaborativerelationshipbetweenyourAmeriCorpsprogramandanotherorganizationinthecommunity.Thisrelationshipenhancesyour abilitytoidentifyaneedinthecommunity,oryourabilitytorespondtoneeds.Thisdoesnotincludeorganizationsthatyouonlyhaveafiscalorfunding relationshipwith.“Organizationcouldbenon­profit,religious,public,orprivate.

AmeriCorpsCommunityEngagementSurvey


PartIII.Partnerships



21.WhattypesoforganizationsdoesyourAmeriCorpsprogramcurrentlycollaboratewithinthecommunityyouserve?

(Selectallthatapply)


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Governmentofficesorelectedofficials


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Non­profits


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Faithbasedorganizations


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Schoolsorschooldistrict


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Collegesoruniversities


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Privatebusinesses


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None

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Other(pleasespecify)

AmeriCorpsCommunityEngagementSurvey


PartIII.Partnerships



22.WhichofthefollowingtypesoflocalgovernmentorganizationsorelectedofficialsdoesyourAmeriCorpsprogram

havepartnershipswithorsupportfrom?(Selectallthatapply)


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Stategovernor’soffice


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Statedepartment(suchasEducation, Health,orEnvironment)


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Localelectedofficials(suchasmayor,citycouncilmember,town board)


fec

Localdepartment(suchasBoardofEducation orDepartmentofHealth)


fec

Localschooldistrict orschools

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Other(pleasespecify)


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AmeriCorpsCommunityEngagementSurvey


PartIII.Partnerships



Partnershipisdefinedas:


AformalorinformalcollaborativerelationshipbetweenyourAmeriCorpsprogramandanotherorganizationinthecommunity.Thisrelationshipenhancesyour abilitytoidentifyaneedinthecommunity,oryourabilitytorespondtoneeds.Thisdoesnotincludeorganizationsthatyouonlyhaveafiscalorfunding relationshipwith.“Organizationcouldbenon­profit,religious,public,orprivate.


23.ApproximatelyhowmanypartnerorganizationsdoyoucollaboratewithinyourAmeriCorpsprogram?


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1­3


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4­6


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7­10


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11­20


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20+



24.Asaresultofthesepartnershipsandcollaborations,hasyourorganizationexperiencedagrowthin:

Yes No Don't know


Numberofclients? nmlkj nmlkj nmlkj


Types oramountofservicesitoffers? mlj mlj mlj


Financialorin-kindresourcesit receives?


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25.HowimportantareyourcommunitypartnersinimplementingyourAmeriCorpsprogram?


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Notatallimportant


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Somewhatimportant


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Moderatelyimportant


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Very Important


Shape17 mlj

CriticallyImportant

AmeriCorpsCommunityEngagementSurvey


PartIII.Partnerships



26.Thinkingaboutyourpartnersandthe typesofrelationshipsyourAmeriCorpsprogramhaswiththem,with

approximately howmanypartnerorganizationsdoyou…(Selectallthatapply)


fec

Regularlyexchangeinformationaboutprogramsandactivities


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Regularly have informal communication amongstaff ofboth organizationsaboutprogramsandactivities


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Occasionally share resources,includingpersonnel,funding,in­kind, orfacilities,toreachcommonorcomplementarygoals


fec

Regularly and deliberately coordinate resources and activities toreachcommonorcomplementarygoals


fec

Worktogetherinstrategicplanningorjointly applyforfundingopportunities,withdesignatedrolesforeachparty.


fec

Share commonvision and identity,andsharerisks,failuresandsuccesses.


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Haveformalagreements,suchasamemorandaofunderstandingorsharefundingsources


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Considerthepartnersgoalsandmissionwhenmakingstrategicorprogrammaticdecisions

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27.ThinkingaboutyourpartnersandwhattypesofrelationshipsyourAmeriCorpsprogramhaswiththem,withhow

manypartnerorganizationsdoyoucoordinateorsharethefollowingresponsibilities:


0

1­3

4­6

7­10

11­20

20+

Fiscal or in-kind resourceadministrationfunctions:Forexample,fundingprojectsorservices,financialmanagement, sharingfacilityspaceorother in-kindresources.

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Managementfunctions:Forexample, sharedrecord­keeping,managinginformationsystems,performance management systems.

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Organizationalfunctions:Forexample, developingprogramsorservices, evaluatingorassessingprograms,trainingstaff, promotion,conductingneedsassessment.

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Servicefunctions:Forexample,implementingprogramsandactivitiesorprovidingsharedservices.

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AmeriCorpsCommunityEngagementSurvey


PartIII.Partnerships



28.DoyourAmeriCorpsmemberscollaboratewithanyofyourpartnerorganizationsinthecommunityyouserve?


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Yes

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AmeriCorpsCommunityEngagementSurvey


PartIII.Partnerships



29.HowdoyourAmeriCorpsmemberscollaboratewithotherorganizations?(Selectallthatapply)


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Collaboratetoassesscommunityneeds


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Participateinourshortandlongrangeplanning


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Coordinate ourprogramsservices


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Provideexistingservicestogether


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Helpusdevelopandimplementnewservices


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Servetogether inprofessionalassociations,adhoccommitteesorworkgroups


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Worktogetherinfundraising,programpromotion, orpublicrelationscampaigns


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Sharetechnicalskillsorresourcesandadministrativetasks


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Organizecommunity projects(e.g.community gardens,blockwatchesetc.)


Othercollaborativeactivity(pleasedescribe):


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30.AsaresultofyourAmeriCorpsmembers,towhatdegreehasyourorganizationexperiencedanincreasein

partnershipswithorganizationsinyourcommunity?


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Noincrease


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Smallincrease


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Moderateincrease


Shape20 mlj

Largeincrease

AmeriCorpsCommunityEngagementSurvey


31.HowimportantareyourAmeriCorpsmembersinfosteringcommunitypartnerships?


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Notatallimportant


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Somewhatimportant


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Moderatelyimportant


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Very Important


Shape21 mlj

CriticallyImportant

Shape22 AmeriCorpsCommunityEngagementSurvey


PartnerContacts



Aspartofthissurvey,wewillbecontactingpartnerorganizationsofAmeriCorpsgrantees.Wewillsendthemabriefsurvey,askingthemabouttheirrelationship toyourAmeriCorpsprogramandthebenefitstheymayseeinit.


Pleaselistuptofive organizationsthatyouhavemaintainedapartnershipswithforoneyearorlongerrelatedtoyourAmeriCorpsprogram.


Chooseorganizationsthatyouhaveastrongpartnershipwith.Theorganizationcouldbenon­profit,religious,public,oraprivatebusiness.Examplesofapartner organizationcouldbealocalchurchthatprovidesvolunteers,alocalbusinessthatdonatessignificantresources,anon­profitthatprovidesservicestogetherwith you,oralocalmayorsofficethatmaycoordinateaspecialeventwithyou.


32.Organization1:


Organization:


NameofContact:


Title:


Email Address:


33.Organization2:


Organization:


NameofContact:


Title:


Email Address:


34.Organization3:


Organization:


NameofContact:


Title:


Email Address:

Shape23 AmeriCorpsCommunityEngagementSurvey


35.Organization4:


Organization:


NameofContact:


Title


Email Address:


36.Organization5:


Organization:


NameofContact:


Title:


Email Address:

AmeriCorpsCommunityEngagementSurvey


PartIV.OrganizationalBackground



37.Whatisyourroleinyourorganization’sAmeriCorpsprogram?(Selectallthatapply)


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IamthedirectoroftheAmeriCorpsprogram


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IamasupervisorofAmeriCorpsmembers


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IworkalongsideAmeriCorpsmembers


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Ihandleadministrativetasks relatedtotheAmeriCorpsgrantormembers


Otherrole(pleasedescribe)




38.Howlonghaveyoubeenatyourorganization?


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Lessthan1year


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1­2years


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3­5years


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Morethan5years



39.Howmanyyearshasyourorganizationbeeninoperationinthiscommunity?


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Lessthan1year


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1year


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2years


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3years


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4years


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5years


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6to10years


Shape24 mlj

Over 10years

AmeriCorpsCommunityEngagementSurvey


40.Approximatelyhowmanypaidfull­timeequivalentstaffmembersareinyourorganization?


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Lessthan5


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6­10


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11­20


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Over 20



41.Approximatelyhowmanypaidfull­timeequivalentstaffmembersareinvolvedintheregularoperationsofAmeriCorps

program’sactivities?


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Lessthan5


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6­10


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11­20


Shape25 mlj

Over 20

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