OMB Control Number: XXX (Expires XX/XX/XX)
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For each reason listed could you indicate how relevant this reason was in your decision to serve with AmeriCorps NCCC/FEMA Corps? |
Do you feel NCCC helped you achieve this? |
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Quite Relevant* |
Very Relevant* |
Somewhat Relevant* |
Not Relevant* |
Yes* |
No* |
Not Sure* |
a. I wanted to try something new to find what direction I wanted to take in my career. |
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b. I wanted to gain leadership skills. |
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c. I wanted to gain professional skills / build my résumé. |
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d. I wanted to meet new people. |
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e. I wanted to have stable housing and other benefits. |
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f. I wanted to travel the country / I wanted to leave the town that I was living in at the time. |
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g. There were not enough jobs where I live |
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h. I wanted to earn money for future college tuition. |
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i. I wanted to earn money to pay off student loans. |
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j. I wanted to take a break before college. |
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k. I wanted to take a break while enrolled in college. |
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l. I wanted to take a break between college/grad school. |
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m. I wanted the opportunity to network with professionals in my field of interest. |
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n. I wanted to gain experience to serve in other AmeriCorps programs (eg., ASN, VISTA) |
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o. I wanted to gain experience to join the military |
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p. I wanted to gain experience to join the Peace Corps |
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q. I wanted to make a difference / serve my country. |
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r. I wanted to reduce social or economic inequality. |
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s. NCCC could give me a sense of purpose |
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t. I had a friend or family member who was applying or participating. |
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u. An AmeriCorps organization or one like it helped you (or a loved one) in the past. |
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v. I wanted to earn money / I needed to get a job. |
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w. My parents/guardians wanted me to join NCCC. |
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x. There was another reason I wanted to join NCCC |
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____________________________________________
____________________________________________
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Strongly disagree |
Disagree |
Agree |
Neither agree or disagree |
Strongly agree |
a. My service in NCCC helped me to further my educational goals. |
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b. My service in NCCC helped me to further my career/professional goals. |
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c. My service in NCCC helped to further my personal goals. |
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Yes |
No |
a. To attend college |
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b. To repay student loans |
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c. To attend graduate school |
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d. To attend a technical or vocational training program |
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e. Transfer education award to a family member |
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f. I did not qualify to receive an education award |
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g. I did not use my education award |
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h. I have not yet used my education award, but I plan to use it |
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( ) Yes
( ) No
( ) Advise against it
( ) Have second thoughts about recommending it
( ) Recommend it
( ) Strongly recommend it
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Yes |
No |
a. Working in the non-profit sector |
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b. Working in the private sector |
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c. Working in government or in the public sector |
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d. Serving in the military |
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e. Self-employed |
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f. Looking for work |
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g. Staying at home to take care of a family or household member or for other reasons |
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h. Working as a supervisor or in a management capacity |
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i. Serving in another national service program (another AmeriCorps program, Senior Corps, NCCC, or VISTA project) |
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j. Serving with the Peace Corps |
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k. Engaging in other volunteer service |
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l. Making plans to attend school |
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m. Attending college or graduate school |
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n. Enrolled in a certificate, technical, or vocational program |
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o. I am doing something else that is not listed: |
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Yes |
No |
a. AmeriCorps State and National (ASN) |
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b. NCCC/FEMA Corps |
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c. VISTA |
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( ) Yes
( ) No
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No confidence at all |
Very little confidence |
Moderate confidence |
Much confidence |
Complete confidence |
a. Plan, coordinate and manage meetings or events |
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b. Deliver presentations |
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c. Work with the media and public relations |
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d. Manage a project |
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e. Community outreach |
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f. Recruit, manage or train volunteers |
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No confidence at all |
Very little confidence |
Moderate confidence |
Much confidence |
Complete confidence |
a. Set priorities for multiple tasks |
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b. Adapt to new situations |
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c. Seek new information to learn new or better ways of doing things |
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d. Follow through to complete assigned tasks |
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Strongly disagree |
Disagree |
Neither agree or disagree |
Agree |
Strongly agree |
a. I am confident that I could deal efficiently with unexpected events. |
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b. Thanks to my resourcefulness, I know how to handle unforeseen situations. |
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c. I can solve most problems if I invest the necessary effort. |
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d. I can remain calm when facing difficulties because I can rely on my coping abilities. |
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e. When I am confronted with a problem, I can usually find several solutions. |
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f. If I am in trouble, I can usually think of a solution. |
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g. I can usually handle whatever comes my way. |
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Strongly disagree |
Disagree |
Neither agree or disagree |
Agree |
Strongly agree |
a. I can verbally communicate my ideas to other people |
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b. I listen to other people’s opinions or position on an issue |
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c. I collaborate on projects as a team member to achieve a shared goal |
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d. I get along with other people in my work environment |
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e. I resolve conflicts through discussion and dialog |
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f. I treat other people with courtesy and respect |
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Never |
Rarely |
Sometimes |
Often |
Very Often |
a. I try to understand other people’s ideas and opinions before arguing or stating my own. |
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b. I try to present my ideas without criticizing the ideas of others. |
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c. I encourage different points of view without worrying about agreement. |
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d. I try to consider all points of view or possible options before forming an opinion or making a decision. |
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e. I encourage the participation of other people and support their right to be heard. |
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f. I help find solutions when unexpected problems arise. |
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Strongly disagree |
Disagree |
Neither agree or disagree |
Agree |
Strongly agree |
a. If people from different backgrounds took the time to understand each other, there wouldn’t be so many social problems. |
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b. I feel comfortable belonging to groups where people are different from me. |
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c. Diverse viewpoints bring creativity and energy to a work group. |
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d. Multicultural teams can be stimulating and fun. |
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e. People are more motivated and productive when they feel they are accepted for who they are here. |
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f. Diversity brings many perspectives to problem-solving. |
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g. I feel comfortable in forming friendships with people who are different from me. |
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Strongly disagree |
Disagree |
Neither agree or disagree |
Agree |
Strongly agree |
a. I feel a personal obligation to contribute in some way to my community. |
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b. I am actively involved in issues that positively affect my community. |
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c. I can make a difference in my community or neighborhood. |
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d. I feel I have the ability to make a difference in my community. |
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e. I try to find the time or a way to make a positive difference in my community. |
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I definitely could NOT do this |
I probably could NOT do this |
I'm not sure if I could do this |
I probably could do this |
I definitely could do this |
a. Create a plan to address the problem |
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b. Get other people to care about the problem |
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c. Organize and run a meeting |
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d. Express your views in front of a group of people |
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e. Identify individuals or groups who could help you with the problem |
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f. Express your views on the Internet or through social media |
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g. Call someone on the phone you had never met before to get their help with the problem |
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h. Contact an elected official about the problem |
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( ) Yes GO TO Q17
( ) No, not eligible to vote GO TO Q18
( ) Don’t know GO TO Q18
( ) I do not vote in local elections
( ) Sometimes/occasionally
( ) When I can
( ) Every election
( ) Definitely will vote
( ) Probably will vote
( ) Probably will not vote
( ) Definitely will not vote
( ) a. Middle school GO TO Q20
( ) b. Some high school, I do not have a diploma or certificate GO TO Q20
( ) c. High school diploma or GED
( ) d. Technical school / Apprenticeship certificate or degree
( ) e. Some college
END
( ) g. Bachelor’s degree
( ) h. Graduate degree
( ) i. Other, please specify:
_________________________________________________
( ) Yes
( ) No
( ) Not sure
Thank you again for taking the time to participate in this study.
Just to make sure that you receive the $20, could you provide your contact information?
First Name: _________________________________________________
Last Name: _________________________________________________
Street Address: ___________________________________________________
__________________________________________________________
City: ____________________ State: ___________ Zip: ____________
Phone: _______________________________________________________
E-mail: _______________________________________________________
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Gouge, Melissa |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |