Colorado Campus Compact - UCAN Serve Evaluation

(TopQuote)

Colorado Campus Compact UCAN Serve AmeriCorps Program

Education Survey ~ School Questionnaire

Demographics

About your organization

1.	Date: (mm/dd/yy)
2.	Please identify your State: Arizona Colorado Utah New Mexico
3.	Please identify your University/College Site:
		Arizona State University Brigham Young University College of Eastern Utah Colorado Christian University Colorado College Colorado Mountain College Colorado State University Colorado State University at Pueblo Dixie State College Fort Lewis College Front Range Community College Johnson & Wales University Lamar Community College LDS Business College Mesa Community College Morgan Community College Naropa University Red Rocks Community College Regis University	Salt Lake Community College San Juan College Snow College Southern Utah University Trinidad State Junior College University of Colorado at Boulder University of Colorado at Colorado Springs University of Colorado at Denver & Health Sciences Center University of Denver University of New Mexico-Gallup University of Northern Colorado Utah College of Applied Technology University of Utah Utah State University Utah Valley State College Weber State University Western State College Westminster College Other
4.	Your Agency's Name:
5.	Please describe your agency’s location: Urban Rural
6.	Please indicate the categories which your agency serves (check all that apply)
		Early Childhood K-3rd grade 4-6th grade 7-8th grade 9-12th grade Special Education Migrant Families	Math/Science Instruction Adult Education GED Instruction Mental Health ESL Other (List)

1.	How many teachers worked at your school full time in the current academic year? (Please DO NOT count part time teachers)
2.	How many hours do full time teachers work per week?
3.	How many teachers worked at your school part time in the current academic year? (Please DO NOT count full time teachers)
4.	How many hours do part time teachers work per week? hours
5.	How many UCAN Serve AmeriCorps members participated at your school in the current academic year? (Please count ALL PARTICIPANTS) Members participated
6.	How many hours did the UCAN AmeriCorps members serve? (Please count the total number of hours for all participants)
7.	Please list at least three specific examples of direct services provided to your school by the UCAN Serve AmeriCorps member(s) during their service:

8.	Please list the various training sessions and orientation sessions your school has provided to the UCAN AmeriCorps member(s).

Intermediate Outcomes

Please answer all of the following questions rating each of the following statements based on your personal experiences/observations at your SCHOOL during the current academic year:

1 = Strongly Disagree,

2 = Disagree,

3 = Neutral,

4 = Agree,

5 = Strongly Agree,

n/a= Not Applicable

School's Satisfaction Rating
1.	The UCAN Serve AmeriCorps member(s) were available when support was needed.	1 2 3 4 5 n/a
2.	The UCAN Serve AmeriCorps member(s) were quick to respond when the agency needed help.	1 2 3 4 5 n/a
3.	The UCAN Serve AmeriCorps member(s) completed tasks on time.	1 2 3 4 5 n/a
4.	The UCAN Serve AmeriCorps member(s) completed everything they said they would do.	1 2 3 4 5 n/a
5.	The UCAN Serve AmeriCorps member(s) were courteous.	1 2 3 4 5 n/a
6.	The support provided by the UCAN Serve AmeriCorps member(s) met my expectations.	1 2 3 4 5 n/a
7.	The UCAN Serve AmeriCorps member(s) helped foster positive partnerships between our school and the community.	1 2 3 4 5 n/a
8.	Overall, I am satisfied with the UCAN Serve AmeriCorps member(s) at my school.	1 2 3 4 5 n/a
9.	This agency is interested in working with UCAN Serve AmeriCorps member(s) in the future.	1 2 3 4 5 n/a

	Please include any additional comments or clarifications (below):
	Please describe any challenges you encountered with the UCAN Serve AmeriCorps member(s) or with their affiliated group(s) (e.g. College/University Site Coordinator, CCC, CNCS, etc.)?

Intermediate Outcomes

1.	How many NEW teachers were hired in your school in the current academic year? (Please DO NOT count new teachers recruited from the UCAN AmeriCorps program)
2.	How many teachers resigned or left your school in the current academic year? Please DO NOT count UCAN AmeriCorps program participants)

JOIN | SUPPORT | CONTACT US | SITE MAP