Form 1 NCCC Member Experience Survey

NCCC Member Experience Survey

Member Experience Survey - For OMB Approval_08-08-2016

NCCC Member Experience Survey

OMB: 3045-0181

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AmeriCorps NCCC Member Experience Survey
Introductory Page
Thank you for your service with AmeriCorps National Civilian Community Corps (NCCC). Below are a
series of questions regarding your interactions and experiences while serving in the program. It should
take between 20 and 25 minutes to complete.
OMB Control Number: TBD
Expiration Date: TBD
Privacy Notice: Respondents are informed that their responses to this survey will be used and may be
disclosed by CNCS in accordance with federal law

* 1. Prior to your arrival to Campus, to what extent did AmeriCorps NCCC accurately portray the program?
Completely
To a large extent
To a moderate extent
To a small extent
Not at all

* 2. To what extent did AmeriCorps NCCC help you to set reasonable expectations for your service
experiences?
Completely
To a large extent
To a moderate extent
To a small extent
Not at all

AmeriCorps NCCC Member Experience Survey
Community Impact

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* 3. To what extent do you believe your service on the project(s) you served on empowered citizens in local
communities to be able to meet their own needs?
Completely
To a large extent
To a moderate extent
To a small extent
Not at all
Not applicable

* 4. To what extent did the efforts of the AmeriCorps NCCC team(s) you served on strengthen the
communities in which the team(s) served?
To a large extent
To a moderate extent
To a small extent
Not at all
Not applicable

AmeriCorps NCCC Member Experience Survey
Lodging Accommodations, Tools, and Safety

* 5. Overall, how would you describe the lodging accommodations that were provided to your team?
The accommodations were both safe and adequate
The accommodations were safe, but were inadequate for my team
The accommodations were adequate for my team, but they were not safe
The accommodations were neither safe nor adequate
Not applicable

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* 6. To what degree do you agree or disagree with the following statement: "I felt safe and secure while
serving on projects."
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Not applicable, I left service before completing any projects

* 7. If you operated motor vehicles while serving with AmeriCorps NCCC, did you find those vehicles to be
safe and did you receive proper training on their use?
The vehicle(s) were safe, and I received proper training
The vehicle(s) were safe, but I did not receive proper training
The vehicle(s) were unsafe, but I did receive proper training
The vehicle(s) were unsafe, and I did not receive proper training
I did not opperate any motor vehicles during my service term

AmeriCorps NCCC Member Experience Survey
Member Training

* 8. Please specify the level of quality and how useful you found the CTI and transition week training you
received from NCCC before deploying to your service projects.
High

Medium-High

Medium

Medium-Low

Low

N/A

Level of Quality
Level of Usefulness

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* 9. To what extent did the training you received from AmeriCorps NCCC help you to develop your teambuilding skills?
Significantly improved my team-building skills
Slightly improved my team-building skills
Neither improved nor hindered my team-building skills
Slightly hindered my team-building skills
Significantly hindered my team-building skills

* 10. To what extent do you believe that your skill sets in the following areas were strengthened by the
trainings you participated in throughout the course of your service with AmeriCorps NCCC?
To a large extent

To a moderate
extent

To a small extent

Not at all

N/A

Problem-solving
Effective communication
Forming cooperative
relationships
Conflict resolution
Setting of goals

* 11. To what extent did the training you received from your AmeriCorps NCCC Campus contribute to your
safety on project sites?
Completely
To a large extent
To a moderate extent
To a small extent
Not at all
Not applicable

AmeriCorps NCCC Member Experience Survey
Team Member Skills and Abilities

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* 12. To what extent do you believe you were challenged to improve each of the following skill-sets by the
project(s) in which you participated?
To a large extent

To a moderate
extent

To a small extent

Not at all

N/A

Decision-making
Team-building
Cross-cultural
communication
Conflict management
Career planning

* 13. How would you rate your change in the following skills sets during your AmeriCorps NCCC service?
Large positive
change

Moderate positive
change

Small positive
change

No notable change

Negative change

Building trust
Enlisting others in a
common vision
Aligning actions with
shared values
Facilitating relationships
Identifying innovative ways
to improve
Fostering collaboration
Creating a spirit of
community
Demonstrating compassion
Showing appreciation

* 14. To what extent did you develop a clear understanding of the roles and responsibilities of all the
organizations you were serving alongside?
To a large extent
To a moderate extent
To a small extent
Not at all
Not applicable

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* 15. What independent living skills gained in your service with AmeriCorps NCCC do you believe you will
carry over into your life after your AmeriCorps NCCC service? Please select all that apply.
Fiscal Management

Stress Management

Health and Wellness Practices

Sharing a Common Living Space

Fitness Practices

Nutrition Practices

Safety Practices

None

Other (please specify)

AmeriCorps NCCC Member Experience Survey
Project Quality and Engagement

* 16. While serving with AmeriCorps NCCC, to what extent were you engaged by the projects you
participated in?
Engagement is being provided with enough task throughout the day to be committed to an organization’s
goals and values and motivated to contribute to organizational success.
Completely
To a large extent
To a moderate extent
To a small extent
Not at all
N/A

* 17. Please note the extent to which there was an open and inclusive culture within:
To a large
extent

To a moderate
extent

To a small
extent

Not at all

Not applicable

The local communities in which you served
The sponsoring organization(s) for which you
served
The team(s) you served on
The AmeriCorps NCCC Campus

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* 18. How frequently in your service with AmeriCorps NCCC did you have the opportunity to:
Very frequently
(multiple daily
opportunities)

Fairly frequently
(daily opportunities)

Occasionally
(multiple times per
week)

Rarely (once per
week or less)

Never (not once)

Be a role model for
others
Step up as a leader
Demonstrate a
commitment to
community service
Hold yourself and others
accountable for rules
and responsibilities

* 19. Describe the most rewarding service project during your term of service?

AmeriCorps NCCC Member Experience Survey
Benefits to Members

* 20. To what extent did your AmeriCorps NCCC service help you to develop as a leader?
To a large extent
To a moderate extent
To a minimal extent
Not at all

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* 21. What element of your AmeriCorps NCCC service did you find to be the most influential in your personal
growth?

[Response Options Include:]
Opportunity to teach others
Diversity of service experiences
Working in teams
Interactions with the community
Interactions with the project sponsors
Challenges with the community
Challenges with the project sponsors
Training and education received from NCCC
Training and education received from project sponsors
Other:

* 22. As a result of the support and encouragement you received from AmeriCorps NCCC, during my NCCC
service I earned:
(Please select all that apply)
Certificate of High School Equivalency

Credit towards a College or University Degree

Certificate in a specific skillset

A Completed Position Task Book (FEMA)

CPR, First Aid, AED Certification

Earned a Certificate or Degree outside of the support and
encouragement of NCCC

U.S. Congressional Award
None of the above
President's Volunteer Service Award
Other (please specify)

* 23. What did you accomplish from your Individual Learning Plan over the course of your service with
AmeriCorps NCCC?

* 24. Did you or are you about to depart service from AmeriCorps NCCC early?
No
Yes

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AmeriCorps NCCC Member Experience Survey
Early Departure

* 25. Please provide the reason you departed or are about to depart AmeriCorps NCCC early. Individual
responses will remain confidential from AmeriCorps NCCC Campus staff.

[Respose Options Include:]
Academic Opportunity (Resigned)
Career Opportunity (Resigned)
Financial Hardship (Resigned)
In Lieu of Dismissal (Resigned)
Medical Issue – Member (Resigned)
Medical – Family Member (Resigned)
Family or Personal Issues (Resigned)
Program Not for Me / Dissatisfied - Team / TL Issues (Resigned)
Program Not for Me / Dissatisfied - Program too Structured/Strict (Resigned)
Program Not for Me / Dissatisfied - Not Enough Work / Poor Quality of Work
(Resigned)
Program Not for Me / Dissatisfied - Dislike Type of Work (Resigned)
Program Not for Me / Dissatisfied - Program Lodging / Dietary Structure (Resigned)
Disciplinary – Serious Misconduct (Dismissed)
Disciplinary – Pattern of Misconduct (Dismissed)
AWOL (Dismissed)
Positive Drug Screen (Dismissed)
Medical (Dismissed)
Unsuitable Employment Placement - FEMA background check (Dismissed)
Not Eligible to Serve (Dismissed)
Other:

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AmeriCorps NCCC Member Experience Survey
Final Page

* 26. Based on your latest experience with AmeriCorps NCCC, what would you consider to be the greatest...
Responses:
Strength of the
program?
Area for improvement of
the program?
Other (please specify)

[Response Options Include:]
Diversity of Experiences
Member Training
Staff Support
Team Leader Support
Interactions with the Communities
Opportunities to Strengthen Communities
Travel
Project Supervision
Team Building or Dynamics
Leadership Opportunities
Opportunities for Personal Growth
Independent Skills Development
Opportunities to Rise to Challenges or Greater Responsibilities
Level of Project Engagement
Adaptability or Flexibility

* 27. If given the opportunity, would you participate in another AmeriCorps NCCC term in the future? Please
explain why or why not?
Yes, because...
No, because...

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* 28. How satisfied were you with the level of communication with AmeriCorps NCCC staff throughout the
program?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied

29. What other comments about your experience with AmeriCorps NCCC would you like to share?

* 30. Overall, how satisfied were you with your AmeriCorps NCCC experience?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied


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