Form 8 CCI Local Partner Survey Revised
Community Catalyst (CCI) Program Evaluation: The Roles of Libraries and Museums as Enablers of Community Vitality and Co-Creators of Positive Community Change
CCI Eval Survey for Local Partner Orgs (C1 C2FU)_proposed NS changes
Community Catalyst (CCI) Program Evaluation
OMB: 3137-0113
CCI Evaluation Survey for Local Partner Organizations (C1 and C2 Follow-up) |
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[Note to reviewers of survey: All text within square brackets refers to information that will be pre-populated with project- specific information prior to survey administration.]
This survey is part of a cross-grantee evaluation of the Community Catalyst Initiative (CCI), funded by the Institute for Museum and Library Services (IMLS). The evaluation is being led by ORS Impact, an independent consulting firm. You received this survey because you know the [project name] well.. Some of the questions ask for responses that represent all staff in your organization who are involved in the project. We encourage you to complete the survey along with them and/or to gather ideas from them.
In all results summaries based on this survey, responses will not be linked with any identifying information, such as names of organizations. Only summaries of combined results will be shared outside of ORS Impact, including with IMLS, ABCD Institute, the ABCD site consultants who are providing support and coaching to grantees as part of this initiative, and other audiences who may be interested in the results. Identified information will be shared beyond ORS Impact only if it is required by law, based on a specific request.
At the end of the survey, there is a place where you can enter comments about your experience of the project, explain any of your responses, or provide feedback on the survey. |
CCI Evaluation Survey for Local Partner Organizations (C1 and C2 Follow-up) |
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1. Please indicate what your organization contributes to this project (choose as many as apply).
Funding
In-Kind Resources (e.g., meeting space) Paid Staff Volunteers and Volunteer staff
Data Resources including data sets, collection and analysis Info/ Feedback Expertise in a Specific Area/Topic Community Connections Fiscal Management (e.g. acting as fiscal agent) Facilitation/Leadership Advocacy
IT/web resources (e.g. server space, web site development, social media) Other (please specify) |
CCI Evaluation Survey for Local Partner Organizations (C1 and C2 Follow-up) |
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In this survey, this is what we mean when we refer to... Community members: residents, citizens, actors, members of resident or citizen associations within the community that are involved in [project name] planning or activities--does not include staff members of community organizations Community-driven: based on what community members care about
The following questions ask you to describe your organization's relationship with the other organizations collaborating on this project, as identified by the CCI project team. Please provide a response for each organization except your own.
Never, we have not worked with this About once a About every week organization Once a year or less quarter About once a month or more often [Name
of
Org1]
[Name
of
Org2]
Together with this We provide or receive organization we co- We advise and/or receive resources that contribute design efforts and/or We do not currently work advice from this to efforts of this implement co-designed
with
this
organization organization organization efforts
[Name
of
Org1] [Name
of
Org2] [Name
of
OrgN]
We have not worked with this
organization Not
at
all A
small
amount A
fair
amount A great
deal [Name
of
Org1] [Name
of
Org2] [Name
of
OrgN] |
[Name
How
reliable* is the
organization?
*Reliable: This organization is reliable in terms of following through on commitments.
We have not worked with this
organization Not at all A small amount A fair amount A great deal
[Name of Org1] [Name of Org2] [Name of OrgN]
How open to discussion* is the organization?
*Open to Discussion: This organization is willing to engage in frank, open and civil discussion (especially when disagreement exists) and consider a variety of viewpoints and talk together (rather than at each other). You are able to communicate with this organization in an open, trusting manner.
We have not worked with this
organization Not at all A small amount A fair amount A great deal
[Name of Org1] [Name of Org2] [Name of OrgN]
CCI Evaluation Survey for Local Partner Organizations (C1 and C2 Follow-up) |
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In this survey, this is what we mean when we refer to... Community members: residents, citizens, actors, members of resident or citizen associations within the community that are involved in [project name] planning or activities--does not include staff members of community organizations Community-driven: based on what community members care about
Please indicate how much you agree with each statement in relation to each museums or libraries collaborating on this project, as identified by the CCI project team.
Neither Agree
Strongly
Disagree Disagree or
Disagree Agree Strongly
Agree [Name
of
M/L1] [Name
of
M/L2] [Name
of
M/Ln]
Neither Agree
Strongly
Disagree Disagree or
Disagree Agree Strongly
Agree [Name
of
M/L1] [Name
of
M/L2] [Name
of
M/Ln]
Neither Agree
Strongly
Disagree Disagree or
Disagree Agree Strongly
Agree [Name
of
M/L1] [Name
of
M/L2] [Name
of
M/Ln]
Neither Agree
Strongly
Disagree Disagree or
Disagree Agree Strongly
Agree [Name
of
M/L1] [Name of M/L2]
[Name of M/Ln] |
11. This museum/library helps community members gather together and build relationships.
Neither Agree
[Name of M/L1] [Name of M/L2] [Name of M/Ln]
Strongly Disagree Disagree
or Disagree Agree Strongly Agree
CCI Evaluation Survey for Local Partner Organizations (C1 and C2 Follow-up) |
|
In this survey, this is what we mean when we refer to... Community members: residents, citizens, actors, members of resident or citizen associations within the community that are involved in [project name] planning or activities--does not include staff members of community organizations Community-driven: based on what community members care about
Interact directly with community members, as part of this project?
Make asset-focused, community-driven collaboration a part of other community change efforts?
Neither Agree or
Strongly
Disagree Disagree Disagree Agree Strongly
Agree Funding
(money) Other resources (in-kind contributions)
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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