Form 1 SC COVID-19 Questions

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Senior Corps Grantee COVID-19 Impact Survey

Program:  SCP/FGP/RSVP

Grant Number: Fill in the blank

State of Service: (Drop down of states and territories)

1. Is your staff working at this time? Y/N

2. If no, when does your organization anticipate returning to work?

   1. Date (month/year drop down)

   2. Too uncertain to anticipate a date

   3. We do not anticipate returning to service in the upcoming fiscal year

3. What percentage of your volunteers are currently serving?  (Drop down: 0%, less than 25%, 25%, 50%, 75%, 100%)

4. If you do not have volunteers serving, when does your program anticipate returned to service? 

   1. Date (month/year drop down)

   2. Too uncertain to anticipate a date

   3. We do not anticipate returning to service in the upcoming fiscal year

5. What percentage of your volunteers do you anticipate will return to service?  (Drop down: less than 25%, 25%, 50%, 75%, 100%)

6. What percentage of your anticipated clients will be able to be served? (Drop down: 0%. less than 25%, 25%, 50%, 75%, 100%)

7. What percentage of your volunteers have smart technology (i.e. smart phone, tablets, etc)? (Drop down: 0%, less than 25%, 25%, 50%, 75%, 100%)

8. What percentage of your volunteers need basic level of training to utilize new technology (i.e. do not have a smart phone or only use their phones for calling others)? (Drop down: 0%, less than 25%, 25%, 50%, 75%, 100%)

9. What percentage of volunteers have a basic comprehension of smart technology but need additional training on higher level technologies such as Google Classroom, Zoom, etc.? (Drop down: 0%, less than 25%, 25%, 50%, 75%, 100%)

10. Has your organization implemented and/or any policies related to staffing/volunteers/service population due to COVID-19? (Y/N)

11. How helpful has the COVID-19 Senior Corps FAQ been to you? (Scale 1-5; 1=not seen it, 5=very helpful)

12. Does your organization anticipate additional costs this fiscal year? Y/N

13. If yes, what additional costs does your program anticipate needed to adjust to new ways of volunteers?

    1. Select all that apply: Personnel Expenses, Postage, PPE, Volunteer Support Costs, Insurance, Recognition, Technology, Training

    2. Other [Comment box]

14. Do you have other CNCS grants?

    1. If Yes, which (Other Senior Corps grant, VISTA, ASN, NCCC, Days of Service)