CAPE Youth Survey

Department of Labor Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

CAPE-Y Youth Survey

OMB: 1225-0088

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OMB Control Number: 1225-0088


OMB Expiration Date: 1/31/24


Public reporting burden for this survey is estimated to average 45 minutes per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting the survey. This collection of information is voluntary. You are not required to respond to this collection of information unless it displays a valid OMB control number. Please send comments regarding the burden estimate or any other aspect of this collection of information to the Office of Disability Employment Policy, Department of Labor, 200 Constitution Ave., NW, S-1313, Washington, DC 20210 or [email protected] and reference OMB control number [1225-0088]. NOTE: Please do not send your completed survey to this address.




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The Council of State Governments has contracted the American Institutes for Research (AIR), an independent, nonprofit research organization, to independently evaluate the Center for Advancing Policy on Employment for Youth (CAPE-Youth).


Purpose. This survey aims to collect feedback about the experiences of youth members in the Working Group. The survey should take about 10-15 minutes to complete.


Risks and Benefits. There are no anticipated risks to completing this survey. The benefits are that youth Working Group members can help CAPE-Youth improve its youth engagement and leadership opportunities.


Voluntary Participation. Your participation in this survey is voluntary. There are no consequences if you decide not to complete the survey. Even after you consent to participate, you can skip questions or stop the survey anytime.


Confidentiality. AIR will keep the information you share in this survey confidential. We will store survey data in a secure location to which only AIR staff will have access. In addition, survey data will be reported in the aggregate, meaning we will not report findings at the individual level. We will also keep your identity unknown in our reporting of findings. Although chances are minimal because of the procedures AIR uses to protect confidentiality, there is slight possibility that individuals could be identified due to the small sample size and unique characteristics of the data collected.


Contact information. If you have any questions about the study or this survey, please contact Julia Marchand at [email protected]. If you have questions about your rights as a survey participant, you may contact AIR’s Institutional Review Board by

e-mail at [email protected] or call toll-free at 1-800-634-0797.


  1. Please select one.

I have read and understand the above information, and I agree to participate in this survey.

I do not agree to participate in this survey.



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  1. How often have you been involved in the following activities as a CAPE-Youth working group member?

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Never Rarely Sometimes Often

Providing your perspectives during Working Group discussions

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Speaking about your transition experience from high school to college/training or employment

Reviewing and sharing documents

and resources

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developed by CAPE- Youth

  1. What types of training and/or support have you received from CAPE-Youth to help prepare you for participating in the Working Group? (Select all that apply)

Shape13 Pre-meeting online sessions or trainings


Shape14 Shape15 Shape16 One-on-one coaching or guidance from CAPE-Youth staff Peer support

Other (please specify)

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Shape18 None



  1. How could CAPE-Youth better support youth members of the Working Group?

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  1. Are you a CAPE-Youth fellow?

Yes No



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  1. Please identify the CAPE-Youth fellowship opportunities in which you participated. (Select all that apply)

Shape26 Mentorship from state leaders


Shape27 Shape28 Communication training (e.g., presentation and facilitation skills, writing and editing, online presence) Policymaker engagement


  1. Please indicate your level of agreement or disagreement with the following statements about CAPE-Youth fellowship opportunities

Strongly

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Disagree Disagree Agree Strongly Agree Not Sure

CAPE-Youth provided fellows with opportunities to develop their communications skills (such as public speaking and writing).

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CAPE-Youth prepared fellows to professionally engage with state

leaders and

policymakers (such as through presentations and panel discussions).

  1. How could CAPE-Youth better support CAPE-Youth fellows?

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  1. Please indicate your level of agreement or disagreement with the following statements about CAPE-Youth

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Strongly Disagree Disagree Agree Strongly Agree

CAPE-Youth recognizes the importance of youth leadership to

improve the

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transition experience for youth and young adults with disabilities.

My experience with CAPE-Youth allowed me to learn from state leaders and policymakers working to improve the transition experience of youth and young adults with disabilities.

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  1. Shape40
    Please share a positive experience that you had as a CAPE-Youth Working Group member or fellow.


  1. Shape43
    Please identify some of the challenges you experienced as a CAPE-Youth Working Group member or fellow.


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    Please share any additional comments that you have about your experiences as a CAPE- Youth Working Group member or fellow.

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