Partner Survey - P3 Instrument 6

Instrument 6

partner network survey

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OMB No. XXXX-XXX

Expiration Date XX/XX/20XX

National Evaluation of the Performance Partnership Pilots for Disconnected Youth (P3)

Partner Network Survey

Public burden statement. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid Office of Management and Budget (OMB) control number. The OMB control number for this project is xxxx-xxxx. Public reporting burden for this collection of information is estimated to average 10 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, including suggestions for reducing this burden, to Office of the Assistant Secretary for Administration and Management, U.S. Department of Labor, 200 Constitution Avenue, N.W., Suite S-2203, Washington, DC 20210.

Job Title:

Agency:

Responsibility:

State:

DIRECTIONS: For each row, please select one box that best answers the question.

Since the beginning of P3, about how frequently have YOU had direct contact (meetings, telephone calls, or emails) with staff of each of the following organizations in carrying out your work in serving disconnected youth?

How has your communication with each agency changed since before you were involved with P3?

To what extent has each of the following organizations helped YOU carry out your work in serving disconnected youth?

Never

A few times a year

Every month or two

Every week or two

Once a week or more

Increased

No change

Decreased

Not at all

To some extent

To a considerable extent

[Lead agency name]

[Education agency name]

[Social service agency name]

[Community college name]

[Local workforce agency name]

[Library name]

[Other partner name]

[Other partner name]

Other [please specify]: ________________________

Other [please specify]: ________________________

Other [please specify]: ________________________

QUESTION 1 QUESTION 2 QUESTION 3

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