OMB No. __________
Expiration date: ____________
Hope II Grant Program Evaluation
20-month Follow-up Interview
The U.S. Department of Justice, National Institute of Justice, with its contractor, Abt Associates, is conducting an evaluation of the HOPE II program. Specifically, it is a study of the financial and technical assistance (TA) provided by intermediary organizations and the effects of those services in improving the organizational capacity of the faith- and community-based organizations (FBCOs) they assist. The study is an important component in assessing whether the HOPE II program is meeting its objective of improving the organizational capacity of FBCOs to serve victims of crime.
As you may recall, your organization became a part of this study approximately 2 years ago when you or someone representing your organization applied for a grant and technical assistance from the Maryland Crime Victims Resource Center (MCVRC) in January 2006 and completed an organizational profile. We are seeking your continued cooperation and support and ask that you complete this interview to provide us with current, up-to-date information about your organization.
All information obtained about your organization will be kept strictly confidential. Information provided in this survey will only be accessed by Abt Associates project staff. Results will be reported in the aggregate. While completing this survey is voluntary, we strongly encourage your participation so that the study findings reflect the unique experience of your organization over time and so that we are confident that the findings represent organizations such as yours.
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB Control Number. We try to create forms and instructions that are accurate, easily understood, and impose the least possible burden on you to provide us information. The estimated average time to complete the form is 25 minutes. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the National Institute of Justice, Office of Research and Evaluation, OMB Number XXXX-XXXX, 810 7th Street, N.W., Washington, D.C. 20531. |
Please answer the following questions about the organization that was the primary applicant for the MCVRC subgrant. Throughout this questionnaire, the unit that was the primary applicant will be referred to as “your organization.”
Organizational Background
Please confirm the following information on your organization:
Name of organization:
Name of person completing this form:
Name of contact person, if different from above:
Title of contact person:
Mailing address of contact person:
Phone number of contact person: ______ - ______ - ____________
Email address of contact person:
Does the original organization that applied for this grant still exist?
Yes (GO TO 9) No (ANSWER 8a AND END SURVEY)
If not, please explain why this organization is no longer in existence. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
IF YOU ANSWERED ‘NO” TO 8 AND COMPLETED 8a, YOU HAVE COMPLETED THE SURVEY. THANK YOU FOR YOUR PARTICIPATION.
Organizational Profile
Does your organization currently provide services to victims of crime?
Yes
No (SKIP TO 17)
Which description best characterizes your organization?
Our organization’s focus is primarily on providing services to crime victims.
Our organization provides a variety of services to different types of clients/service recipients, including crime victims.
How long has your organization been providing services to victims of crime in your community?
_____ months _____ years
Does your organization currently provide the following services to victims of crime in your community?
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Yes |
No |
Information/referral services (i.e., suggesting other organizations or resources to clients) |
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Crisis hotline |
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Case management services? |
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Criminal Justice support/advocacy (e.g., accompaniment at court appearances, assistance with victim impact statements) |
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Legal assistance (e.g., filing protective orders, obtaining custody/visitation rights) |
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Psychological assessments |
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Forensic examinations |
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Crisis counseling |
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Ongoing counseling (i.e., pastoral or mental health) |
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Personal advocacy (i.e., assistance applying for public assistance, pursuing civil legal options, etc.) |
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Advise or help filing compensation claims |
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Shelter/safehouse |
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Group support/treatment |
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Emergency legal advocacy |
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Emergency financial assistance |
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Transportation services |
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Alcohol and other substances treatment |
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Restorative justice opportunities |
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Advise crime victims regarding their rights |
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Advise crime victims regarding restitution |
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Provide web-based information for crime victims |
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Parish Nursing (a registered professional nurse who serves the congregants of a faith community) |
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Other services (Specify:)
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What victim populations are currently being targeted for services by your organization?
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Yes |
No |
Domestic violence |
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Child sexual abuse |
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Assault |
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Adult sexual assault |
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Child physical abuse |
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Survivors of homicide victims |
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Robbery |
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Adults molested as children |
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DUI/DWI crashes |
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Elder Abuse |
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Our organization serves all victim populations |
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Other services (Specify:)
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Does your organization currently target its services to any special populations?
Yes
No (SKIP TO 15)
14a. If yes, what special populations does your organization currently target?
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Yes |
No |
Non-English speaking populations |
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Lesbian women |
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Homosexual men |
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Bisexual populations |
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Transgender populations |
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Immigrant and refugee populations |
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American Indian and Alaskan Native populations |
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Elderly populations |
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Disabled populations |
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Rural or remote populations |
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Populations living on a military base |
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Other services (Specify:)
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Please give your best estimate of the number of clients/service recipients that received your services in your last month of full operation.
_____ clients/service recipients
Has your organization added/expanded or reduced programmatic areas since March 2007?
Yes
No (SKIP TO 17)
16a. If yes, please describe.
Organizational Priorities
Next we’d like to discuss priority areas for your organization. For each priority area, please indicate how much of a priority these are to your organization by selecting one of the following choices:
A = Haven’t considered this a priority because we have not focused on this area yet
B = Concerned we should work on this but we lack the time or resources
C = Have developed plans or ideas to work on this, but haven’t had time or resources to implement them
D = Have implemented steps to address this priority
E = Not a priority because we are satisfied with our achievement in this area
Priority Area |
A |
B |
C |
D |
E |
Identifying and pursuing new sources of government funding |
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Identifying and pursuing new sources of non-government funding |
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Identifying and pursuing new sources of in-kind donations |
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Ensuring sustainability of current funding sources |
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Developing a fund-development plan (including setting fundraising goals) |
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Increasing the number of clients/service recipients served by the organization |
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Increasing the number or scope of services offered to clients/service recipients |
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Incorporating a new approach to services to improve quality/ effectiveness |
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Expanding services to include new group of clients/service recipients or geographic area |
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Developing systems that will help manage the organization’s finances more effectively |
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Putting in place a budgeting process that ensures effective allocation of resource |
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Creating a plan or locating resources to help our executive director and other staff improve their leadership abilities |
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Recruiting, developing, and managing volunteers more effectively |
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Providing staff with professional development and training to enhance skills in service delivery or skills in administration and management |
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Providing volunteers with professional development and training to enhance skills in service delivery or skills in administration and management |
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Developing and implementing a communication or marketing strategy |
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Increasing or strengthening collaborations with other organizations |
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Assessing computers and software needs |
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Capacity Building Services Received by the Organization
Since March 2007, what types of technical assistance has your organization received? Do not count assistance lasting less than 1 hour over the course of the 10-months. (IF NO ASSISTANCE WAS RECEIVED, SKIP TO 19)
Type of Assistance
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If applicable, how was the assistance received? (CHECK ALL THAT APPLY) |
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Group Training or Workshop? |
Consulting Services? |
Other? |
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Resource Development, Fundraising (includes grants/proposals) |
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Strategic Planning |
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Human Resources and Volunteer Management |
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Networking, Collaboration, Partnerships |
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Financial Management (Bookkeeping/Accounting) |
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Program Design, Including Implementing Best Practices |
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Evaluation/Outcome Measurement |
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Working with victims of crime (i.e., victim services) |
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Did your organization receive any other assistance? Please specify:_______________________________________ |
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18a. Whom among your staff received this assistance? (CHECK ALL THAT APPLY)
Executive Director
Other paid staff
Volunteers
Organization Staff and Board
Please tell us about the staff at your organization. “Staff” are the people who work for the organization on a regular basis, at least 2 hours per week, either as paid staff or as unpaid staff/volunteers. Please count each person as either an administrative staff person or a direct service staff person. (COLUMN (A) SHOULD BE EQUAL TO (B) + (C))
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a) What is the number of staff currently working at your organization both in administration and programs? |
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b) Of these staff, how many primarily working in an administrative capacity? |
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c) How many staff primarily providing direct services? |
Paid Staff |
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Full-time (30+ hrs/wk) |
__________ |
= |
__________ |
+ |
__________ |
Part-time (>2 hrs/wk; <30hrs/wk) |
__________ |
= |
__________ |
+ |
__________ |
Unpaid Staff/Volunteers |
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Full-time (30+hrs/wk) |
__________ |
= |
__________ |
+ |
__________ |
Part-time (>2 hrs/wk; <30hrs/wk) |
__________ |
= |
__________ |
+ |
__________ |
Since March 2007, has there been a change in the head of your organization?
Yes
No
Community Engagement
Thinking about collaborations that your organization has had with other faith-based and/or community groups, do you think collaborations in general are:
Generally net benefits to the organization,
Generally net drains on the organization
An equal mix of costs and benefits to the organization
How many collaborations with organizations are you currently engaged in?
________ collaborations (If zero, SKIP TO 23)
22a. How many national, state, and local organizations are involved in these collaborations?
________ local organizations
________ state organizations
________ national organizations
Does your organization have its own website?
Yes
No
Some organizations keep records about program participants and services. Please indicate the relevance to your organization of keeping records about the following items, by selecting one of the following choices:
A = For the type of service we provide, keeping records about this is not necessary
B = We believe it could be useful to keep these records, but currently lack the resources to do it
C = We keep records on paper
D = We keep records electronically
E = We keep records both on paper and electronically
Types of Records |
A |
B |
C |
D |
E |
Number of clients/service recipients |
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Referral sources of clients/service recipients (how did they come to your program) |
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Needs of clients/service recipients upon first contact with program (including information and referrals) |
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Services provided to clients/service recipients |
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Individual clients/service recipients’ outcomes |
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Financial records |
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Client satisfaction |
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Other (Specify:) |
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Funding Sources
The following questions pertain to funding sources and activities since March 2007.
How many federal grants, contracts, or sub-awards has your organization applied for since March 2007?
_________________
How many federal grants, contracts, or sub-awards has your organization received since March 2007?
_________________
Has your organization applied for a VOCA grant since March 2007?
Yes
No
Has your organization been awarded a VOCA grant since March 2007?
Yes
No
In your last completed fiscal year, what was your organization’s total operating budget?
$____________________________
Since March 2007, has your organization’s operating budget:
Increased
Decreased
Stayed the same
Please answer the following questions as they apply to fundraising activities since March 2007.
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What percentage of funds did your organization receive from the following sources since March 2007? |
Grants/contracts from federal government agencies |
% |
Grants/contracts from state/local government agencies |
% |
Grants/contracts from Foundations |
% |
Other (SPECIFY:)
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% |
TOTAL |
100% |
Has your organization hired a grant/contract writer to research applications for funding since March 2007?
Yes
No
Has your organization hired a grant/contract writer to prepare applications for funding since March 2007?
Yes
No
Has your organization hired a grant/contract writer to train staff to prepare applications for funding since March 2007?
Yes
No
Does your organization have a current written fund raising/fund-development plan?
Yes
No
Next, we’d like to know the total amount and sources for all cash grants or sub-awards that your organization received since March 2007 and the goal(s) for which the grants or sub-awards were received.
What was the total Amount of Grants, Contracts, or Sub-Awards received since March 2007?
$________________________
What were the sources of grants, contracts, or sub-awards received since March 2007?
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Yes |
No |
Federal government agencies |
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State/local government agencies |
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State/local government agencies |
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Other (Specify:)
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What were the goals of grants, contracts, or sub-awards?
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Yes |
No |
To start up new program |
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To implement programmatic Best Practices |
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To expand type of services |
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To increase number of clients/service recipients |
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To develop Board of Directors |
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To train administrative staff (SPECIFY AREA OF TRAINING:)
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To train program staff (SPECIFY:)
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To increase/diversify income and resources |
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To improve communications and marketing |
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To improve general management, financial management or administrative systems |
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To develop system for tracking outcomes |
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To fund ongoing programs as is |
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Were there any other goals? (SPECIFY:)
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THANK YOU FOR YOUR PARTICIPATION!
Abt
Associates Inc. HOPE II Grant Program Evaluation 20-month Follow-up
Survey
File Type | application/msword |
File Title | Abt Single-Sided Body Template |
Author | Administrator |
Last Modified By | Administrator |
File Modified | 2006-08-28 |
File Created | 2006-08-28 |