1 RSVP Survey

Senior Corps Accomplishment Surveys

RSVP Survey - 2007[1]

Senior Corps Accomplishment Surveys

OMB: 3045-0049

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OMB No.

3045-0049


Expiration Date:

April 16, 2007


Note: Dates to be updated based on date of OMB clearance for the information collection.


Your organization has been chosen to complete this survey. Reflecting a national random selection method, your organization represents similar programs we could not include in this year’s assessment. While participation in the survey is voluntary, your response is critical to providing a complete picture of our volunteer programs. The results of this survey will help convey to Congress the accomplishments of the RSVP program and will more clearly establish its value to organizations like your own.

Please know that your responses to this data collection will be used only for purposes of this research.  The reports prepared for this study will summarize findings across the sample and will not associate responses with a specific organization or individual.  We will not provide information that identifies individuals or their districts to anyone outside the study team, except as required by law.

COMPLETING THIS SURVEY:

  • This survey has been customized to address the types of activities carried out by RSVP volunteers for your organization. This determination was based on communications with the Senior Corps Project Director who coordinates with your organization. If you have not received the appropriate survey sections, please contact: Kathy Morehead, survey coordinator at Westat: 1-888-446-1292, or by e-mail, Kathymorehead@Westat.com.

  • Please respond to the sections regarding your volunteers, your organization, and volunteer management.

  • The survey asks about RSVP volunteer activities and accomplishments during the 12-month period from October 1, 2002 to September 30, 2003. For school-based activities and accomplishments, the relevant period is the September 2002-June 2003 school year.

  • Please review the Background Section and make corrections to the identifier information as needed.

  • Please fill in the next section(s) with information about each of the activities that RSVP volunteers carry out for your organization, specifically the numbers of RSVP volunteers, RSVP volunteer hours, and the nature of the accomplishments for a particular activity. Please avoid duplicating services—select the single best place, in your view, to describe an activity. Please refer to the sample item on page 9 as an example of how to complete the section(s). If numbers are hard to specify, please provide your best estimate.

  • Describe any RSVP volunteer activity for your organization that does not seem to fit any of the categories included here in the Other Services Section at the end of the survey form.

AFTER YOU HAVE COMPLETED THE SURVEY:

  • After completing all parts of the survey, please make a copy for your records.

  • Staple originals together and seal them in the envelope that is provided by Westat, the firm contracted to administer the survey.

  • Return all sections of the survey to Westat by Friday, May 14. The full address is: Westat, Room RA 1225, 1650 Research Blvd., Rockville, MD 20850. If you wish to fax it: 1-888-377-5716.

If you have any questions about the survey, please contact Westat at (1-888-446-1292, Kathymorehead@Westat.com).

Public reporting burden for this collection of information is estimated to average 45 minutes per submission, including reviewing instructions, gathering and maintaining the data needed, and completing the form. Comments on the burden or content of this instrument may be sent to the Corporation for National and Community Service, Department of Research and Policy Development, 1201 New York Avenue, N.W., Washington DC 20525.

The Agency informs the potential person(s) who are to respond to this collection of information that such persons are not required to respond to the collection of information unless it displays a currently valid OMB control number, which is indicated on this form. (See 5 C.F.R. 1320.5(b)(2)(i))


Background


Your Organization:



Mailing Address:






City/State/ZIP



Person completing this form:



Your Name



Your Title



Your Telephone number:



Your Email:



Is your organization faith-based?


Yes

No





Your volunteerS


RSVP Volunteers and Your Organization:

(all questions for the period October 1, 2002 through September 30, 2003 or for school year 2002-2003)



Volunteer Information






a. Number of RSVP Volunteers during the above period (headcount)


RSVP volunteers




b. Total Number of RSVP Volunteer hours during the above period


hours




c. Number of non-RSVP Volunteers serving with your organization during the above period (headcount)


non-RSVP volunteers

d. Approximately how many of these non-RSVP volunteers were recruited, trained, managed, or coordinated by RSVP volunteers?




non-RSVP volunteers

e. Of the RSVP Volunteers serving with your organization on October 1, 2002, approximately what percentage were still volunteering at the end of the relevant period?




%

f. How long has the RSVP program served with your organization?
(Please select from the following responses):


Under 1 year 1-5 years 6-10 years 11 years or more






Your Organization


Please check all boxes that describe your organization:


HEALTH



Hospital/Medical Center/Clinic

Nursing Home/Convalescent Center/Hospice

Home Health Care Agency

Non-Residential Mental Health Agency

Non-Residential Developmental Disability/ Rehabilitation Center

Residential Long-Term Care Agency (MH/MR/DD)

Congregate Meal/Meals on Wheels Agency

Food Bank

Government Agency

Other Health Care Organization or Health Department; please specify



HUMAN NEEDS



Adult Day Care Center

Transitional Shelter/Center (Homeless, Battered, etc.)

Multi-Purpose Center (including senior centers)

Public Housing Agency

Day Care (Pre-Elementary) Center

Government Agency

Other Social Service/Human Needs Agency, please specify



EDUCATION



Head Start Center

Non-Head Start Educational Pre-School

Public/Private School (K-6/Elementary)

Public/Private School (Middle School/Junior High School)

Public/Private School (Senior High School)

Native American School

Post Secondary Institution

Library

Museum

Adult Education Organization

Government Agency

Other Educational Organization, please specify

COMMUNITY AND ECONOMIC DEVELOPMENT


Community Development Program or Non-Profit Agency

Thrift Shop/Coop/Craft Shop

Chamber of Commerce

Government Agency

Other Community and Economic Development Organization or Agency; please specify


PUBLIC SAFETY


Court

Juvenile Correctional Agency

Adult Correctional Agency

Police/Law Enforcement Agency

Other Public Safety Organization, please specify


DISASTER



Red Cross

Government Agency

Other Disaster Organization, please specify


HOMELAND SECURITY



Red Cross

Other Community-based Organization/Agency

Government Agency

Other Homeland Security Agency, please specify



ENVIRONMENT



Parks/Recreation Agency

Animal Care Organization

Community Based Environmental Organization

Government Agency

Other Environmental Organization, please specify






HOUSING



Homeless Center

Housing Referrals/Relocation Agency

Housing Rehabilitation/Construction Organization

Transitional Housing Center/Organization

Community-based Housing Organization

Government Agency

Other Housing Organization, please specify




OTHER

Other Organization or Agency, please specify



VOLUNTEER MANAGEMENT


(For the period October 1, 2002 through September 30, 2003)


1. Please describe the extent to which RSVP volunteers provide the following benefits to your organization. (Check one choice for each statement)



True to
a great extent

True to a moderate extent

Not
true

Not applic-able

Don’t Know

a. RSVP volunteers help expand the types of service to clients.

b. RSVP volunteers help increase the number of clients served.

c. RSVP volunteers help improve the quality of services provided.

d. RSVP volunteers help free up paid staff time.

e. RSVP volunteers bring specialized skills, such as legal, financial management, or computer expertise.

f. RSVP volunteers help increase public support for our organization and/or improve community relations.

g. RSVP volunteers help recruit other volunteers (non-RSVP).

h. RSVP volunteers help manage other volunteers (non-RSVP).

i. The RSVP project reduces the time and effort needed to recruit volunteers who can help meet our agency’s needs.

j. Other reason (Specify):


2. Please describe the extent to which your organization uses tools to manage RSVP volunteers. (Check one choice for each statement)


Management of RSVP volunteers

Used to a great extent

Used to a moderate extent

Not

used

Not applic-able

Don’t Know

a. Written policies and volunteer assignment descriptions for RSVP volunteers.

b. Additional liability coverage or insurance protection for RSVP volunteers beyond what Senior Corps already offers.

c. Recognition activities, such as award ceremonies, for RSVP volunteers.

d. Regular collection of information on numbers and hours of RSVP volunteers.

e. Annual measurement of the impacts of RSVP volunteers.

f. Training and professional development activities for volunteers.

g. Screening procedures to identify suitable RSVP volunteers, and to match them with appropriate tasks or jobs.

h. Regular supervision of and communication with RSVP volunteers.



3. We are interested in knowing if anyone in your organization is primarily responsible for volunteer management. (Please check “yes” or “no”)


Staff responsibility for volunteer management

Yes

No

Don’t know

a. Does your organization have a paid staff person whose responsibilities include management of volunteers?


(Go to Item 4)

b. Does your organization have a volunteer who is responsible for the management of other volunteers?



4. Some organizations encounter challenges with RSVP or the RSVP project. Please note the degree to which each of the following issues has been a challenge for your organization. (Please check one choice for each statement below)


Challenges in the development of RSVP volunteer assignments

A major challenge

A minor challenge

Not a challenge at all

Not applic-able

Don’t Know

a. Responsiveness of the RSVP project when:






  • More RSVP volunteers are requested.

  • RSVP volunteers with the right skills or expertise are needed.

  • RSVP volunteers are needed for specific schedules.

b. Lack of paid staff time to properly train and supervise RSVP volunteers.

c. Lack of adequate funds for supporting RSVP volunteer involvement.

d. Regulatory, legal, or liability constraints on RSVP volunteer involvement.*

e. Absenteeism, unreliability, or low quality service provided by RSVP volunteers.

f. Other challenge (Specify):

* constraints might include reporting, background checks, or liability insurance


5. To what extent would each of the following factors increase your capacity to involve volunteers in service (both RSVP and non-RSVP)?


Would increase to a great extent

Would increase to
a moderate extent

Would not increase at all

Don’t Know

a. More training or professional development in how to work more effectively with volunteers.

b. Greater availability of potential volunteers with specialized skills, such as legal, financial management, or computer expertise.

c. A one-year, full-time volunteer with a living stipend, and with responsibility for volunteer recruitment and management.

d. Fewer regulatory, legal, or liability constraints on volunteer involvement.

e. More information about people in the community who want to volunteer.

f. Other factor (Specify):


6. We’d like to know about the methods your organization uses to locate and recruit RSVP volunteers. Does your organization…


Yes

No

Not applic-able

Don’t Know


a. Do public speaking before groups?


b. Use radio?


c. Use the Senior Corps JASON web-based recruitment system?


d. Use other (non-JASON) Internet recruiting system(s)?


e. Use television?


f. Use newspapers, trade papers, billboards, or fliers?


g. Register with other organizations to receive referrals?


h. Use special events, such as volunteer fairs or organizational open houses?


i. Use word of mouth?


j. Other method (Specify):



Sample RSVP Volunteer Activity



Below is an example of how to complete the items regarding accomplishments.


Sample. Delivery of Health Services


N umber of RSVP Volunteers who provided these services:

30

Total number of RSVP Volunteer hours:

3,000


Type of Service

Number





Provided escort and support services in community clinics, home health agencies, and other health settings to

150

people.




Provided health services at a clinic, hospital, mobile-unit, skilled nursing facility, or adult day care center to

500

people.



HUMAN NEEDS: HEALTH/NUTRITION (HN)


HN-a. Total estimated number of people who benefited:

Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.


HN-1. Delivery of Health Services


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Provided escort and support services in community clinics, home health agencies, and other health settings to

people.




Provided health services at a clinic, hospital, mobile-unit, skilled nursing facility, or adult day care center to

people.




Provided information, class enrollment, or referrals on the delivery of health services to

people.




Helped people to prepare for/recover from hospital stays and operations; helped

people.


HN-2. Health Education


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Taught health practices, including first aid or CPR, to

people.




Provided information, class enrollment or referrals for health services, including first aid or CPR, to

people.


HN-3. Maternal/Child Health Services


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Provided support/services for post-natal care and well-child clinics for

children.




Provided pre-natal care and family planning services and support for

women.




Provided information, referrals, and class enrollment on pre-and post-natal care, and child health for

women.


HN-4. Mental Health


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Helped deliver services to mental health patients in residential and non-residential settings; helped

mental health patients.




Disseminated information, or provided out-patient planning or reality orientation for

mental health patients.




Provided information, program enrollment, or referrals on mental health to

people.


HN-5. Congregate Meals


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Prepared and/or served food, cleaned up, planned menus or assisted with recordkeeping for

meals.




Prepared and/or served food, cleaned up, planned menus or assisted with recordkeeping for

people.


HN-6. Developmental Disabilities


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Assisted in programs or advocacy for

individuals with developmental disabilities.




Provided information, program enrollment or referrals on programs serving individuals with developmental disabilities

people.




Provided services in residential or non-residential settings for



individuals with developmental disabilities.


HN-7. Substance Abuse


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Provided rehabilitation services to

people with substance addictions and their families.




Disseminated informational fliers on the abuse of alcohol, drugs, and over the counter medications, to

people.




Provided services for

drug or alcohol addicted infants.




Provided services for

drug or alcohol addicted adults.




Provided services for

drug or alcohol addicted
children or teens.


HN-8. Physical Disabilities Programs


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Assisted during Special Olympics with

participants.




Provided information, program enrollment, or referrals on physical disabilities to

people.




Provided rehabilitation and exercise assistance to

people with physical disabilities.


HN-9. In-Home Care


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Provided supportive health and social services for

individuals who needed long term care in their homes.




Provided information, program enrollment or referrals on in-home care to

people.




Provided services such as light housekeeping, meal preparation, referral and service coordination to



individuals who needed long term care in their homes.

HN-10. Hospice/Terminally Ill


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Provided information, program enrollment, or referrals on terminal illness and hospice to

people.




Provided nurturing and support to

terminally ill patients (except for those with HIV/AIDS) and their families.


HN-11. Food Distribution/Collection


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Delivered meals to

individuals in their homes.




Delivered

meals.




Distributed informational fliers on food distribution and collection to

people.




Gleaned, organized, packed, or distributed

pounds of food for a food bank.




Gleaned, organized, packed, or distributed food for

people.




Participated in nutrition education services attended by

people.


HN-12. Boarder Babies


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Cared for

infants or young children who were hospitalized because of lack of placement alternatives (except for children with HIV/AIDS).


HN-13. HIV/AIDS


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Cared for

boarder babies with HIV/AIDS.




Provided information, program enrollment or referrals on HIV/AIDS programs to

people.




Provided services and support for

HIV/AIDS patients in institutions and hospices, and their families.




Provided services and support for

HIV/AIDS patients in their own or their families’ homes.


HN-14. Immunization


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Assisted in providing immunizations in clinics, hospitals, and other community-based settings to

people of all ages.




Assisted in providing school immunizations to

children.




Urged parents to obtain follow-up immunizations for

infants.




Provided information, clinic enrollment or referrals on immunizations to

people.


HN-15. Other Health/Nutrition Services


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Provided information program/class enrollment or referrals on other health and nutrition services to

people.




Please specify these other health/nutrition services:






Type of Service

Number


(1) , to…

people.

(2) , to…

people.

(3) , to…

people.



OTHER HUMAN NEEDS (O)


O-a. Total estimated number of people who benefited:

Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.


O-1. Adult Day Care


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Coordinated and/or provided services at adult day care centers for

older individuals.


O-2. Companionship/Outreach


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Provided support, wrote letters, listened, read or spoke to

people to ease their feelings of isolation and loneliness.




Visited, called or provided bereavement support to

people.




Visited with

hospitalized patients.


O-3. Crisis Intervention


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Participated in crisis intervention programs serving

people of all ages.




Provided information or referrals on crisis intervention services to

people.




Provided telephone/hotline crisis counseling to

people.


O-4. Family Violence


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Helped

victims of family violence.




Provided information, program enrollment, or referrals on family violence to

people.




Provided training in prevention awareness and self defense to

people.


O-5. Child Abuse/Neglect


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Provided aid, assistance, and guidance to

child victims of abuse or neglect, and their families.




Provided information, program enrollment, or referrals on child abuse to

people.




Served as guardians ad litem (legally-appointed) to

abused/neglected children.


O-6. Mentoring


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Provided mentoring by developing relationships, reinforcing prosocial behaviors and providing constructive guidance and feedback to

children.




Provided mentoring by developing relationships, reinforcing prosocial behaviors and providing constructive guidance and feedback to

children in foster care.


Mentored

children of prisoners.




Coordinated group activities for

children of prisoners.




Distributed holiday gifts to

children of prisoners.




Provided advocacy for

children of prisoners.



O-7. Respite


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Provided information, program enrollment, or referrals on respite programs to

people.




Provided respite for

caregivers.


O-8. Teen Pregnancy/Parenting Support and Education


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Conducted parenting classes for

teen parents.




Provided informational materials to

teen parents.




Provided one-on-one services on parenting skills, child health and safety and similar topics for

teen parents.




Provided teen pregnancy information, program enrollment, or referrals to

people.




Helped recruit and train

volunteers for teenage pregnancy prevention programs.


O-9. Senior Center Programs


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Coordinated and/or delivered supportive services or social activities for

people at senior centers.


O-10. Elder Abuse/Neglect


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Assisted

abused elders and their families.




Conducted

elder abuse prevention programs.




Conducted elder abuse prevention programs attended by

people.


O-11. CHIPS/SCHIPS


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Enrolled

people in these programs.




Provided information or referrals about CHIPS/SCHIPS to

people.


O-12. Other Human Needs Services


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Please specify these other human needs services:






Type of Service

Number


(1) , to…

people.

(2) , to…

people.

(3) , to…

people.



EDUCATION (ED)


ED-a. Total estimated number of people who benefited:

Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.


ED-1. Pre-Elementary Day Care


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Assisted at

pre-elementary learning and day care programs (not including Head Start).




Assisted in pre-elementary and day care programs (not including Head Start) serving

children.


ED-2. Head Start/School Preparedness


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Providing mentoring in Head Start Programs by developing relationships with children, reinforcing prosocial behaviors, and providing constructive guidance and feedback to





children in Head Start classes.




Provided meals and nutritional information and monitored the health status of



children in Head Start classes.




Provided child development or school readiness skills activities for



children in Head Start classes.




Provided nurturing for

children in Head Start classes.


ED-3. Elementary Education


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Served as classroom aides, playground aides, one-on-one student assistants, or computer aides in



elementary school classrooms.




Served as classroom aides, playground aides, one-on-one student assistants, or computer aides for



elementary school students.




Assisted with extracurricular activities, clubs, physical education classes, physical fitness or sports programs involving





elementary school students.




Participated in character education programs, including anti-bullying programs for



elementary school students in schools.




Participated in character education programs, including anti-bullying programs for



elementary school students in community settings.


ED-4. Secondary Education


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Served as field trip aides, teacher’s aides, one-on-one classroom assistants, or career counselors in



7th through 12th grade classrooms.




Served as field trip aides, teacher’s aides, one-on-one classroom assistants, or career counselors for



students in 7th through 12th grade.




Assisted with extracurricular activities, clubs, physical education classes, physical fitness or sports programs involving





students in 7th through 12th grade.




Participated in character education programs, including anti-bullying programs for



secondary school students in schools.




Participated in character education programs, including anti-bullying programs for



secondary school students in community settings.


ED-5. Special Education


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Assisted in special education programs involving

students in kindergarten through 6h grade.




Assisted in special education programs involving

students in 7th through 12h grade.


ED-6. Tutoring and Child Literacy


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Used evidence-based reading readiness programs with

students in pre-K.




Used evidence-based reading and tutoring programs with

students in kindergarten through 6th grade.




Used evidence-based reading and tutoring programs with

students in 7th through 12th grade.




Provided tutoring and support in math, science, social science, and other subjects to

students.


ED-7. Job Preparedness/Vocational Education


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Assisted in job skills training in

education programs.




Assisted in job skills training for

people.




Provided information, program enrollment, or referrals on job preparedness programs to

people.

ED-8. Library Services


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Helped at

libraries.




Started or operated

bookmobiles.




Started or operated bookmobiles serving

people.


ED-9. Cultural Heritage


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Developed and/or presented

programs about cultural preservation and enrichment (e.g., historic preservation, oral history, museums, drama, the arts).




Developed and/or presented programs about cultural preservation and enrichment to

people.


ED-10. ESL


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Provided information, program enrollment, or referrals on ESL programs to

people.




Helped

ESL students (from kindergarten through high school) to learn English.




Helped

adult ESL students to learn English.


ED-11. GED/Dropouts


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Provided information, program enrollment, or referrals on GED programs to

people.




Tutored

students for their GED.


ED-12. Service Learning


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Reflected on their volunteer experiences and described their insights concerning service, client advocacy, social issues and their own lives by

volunteers.




Coordinated or expanded service-learning opportunities for elementary school students in

schools.




Coordinated or expanded services-learning opportunities for

elementary school students.




Coordinated or expanded service-learning opportunities for middle school students in

schools.




Coordinated or expanded services-learning opportunities for

middle school students.




Coordinated or expanded service-learning opportunities for high school students in

schools.




Coordinated or expanded services-learning opportunities for

high school students.


ED-13. Adult Education and Literacy


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Provided literacy assistance to

adults.




Recruited and trained

volunteers for literacy programs.


ED-14. Other Education Services


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Please specify these other education services:



(1) , to…

people.

(2) , to…

people.

(3) , to…

people.


ENVIRONMENT (ENV)


ENV-a. Total estimated number of people who benefited:

Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.


ENV-1. Waste Reduction/Management/Recycling


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Conserved, stored, treated, or disposed of

pounds of waste.




Created or staffed

recycling centers or neighborhood pick-up programs.




Recycled

pounds of materials.


ENV-2. Environmental Awareness


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Developed a directory of

environmental groups.




Distributed directories of environmental groups to

people.




Developed or participated in

environmental education, information programs or presentations (e.g., awareness campaigns, environmental fairs, nature walks).




Developed or participated in environmental education, information programs or presentations attended by

people.




Distributed environmental awareness materials to

people.




Disseminated information or fact sheets or made presentations about environmental hazards and health to


people.


ENV-3. Clean Air


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Tested and monitored air quality in

locations.


ENV-4. Clean and Safe Waters


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Adopted and cleaned

beaches and streams.




Monitored

taps for water quality.




Set up

ground water and surface protection programs.




Tested

wells, streams, and water tanks.


ENV-5. Energy Conservation


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Conducted information campaigns on energy saving devices reaching

people.




Winterized and weatherized

homes or community buildings.


ENV-6. Indoor Environment


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Cleaned up (excluding making repairs and providing housing services) for

contaminated housing units.




Cleaned up contaminated housing units for

people.




Tested

buildings and homes for pollutants such as lead, radon, smoke and asbestos.

ENV-7. Wildlife, Land, and Vegetation Protection and Restoration


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Developed and/or participated in

activities aimed at reducing wildlife mortality due to pesticides.




Participated in activities to reduce wildlife mortality affecting

acres of wildlife habitat.




Restored or protected

acres of degraded land.




Restored or protected

miles of degraded land.


ENV-8. Other Environmental Services


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Please specify these other environmental services:



(1) , to…

people.

(2) , to…

people.

(3) , to…

people.


COMMUNITY AND ECONOMIC DEVELOPMENT (C)


C-a. Total estimated number of people who benefited:

Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.


C-1. Consumer Education


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Developed and/or participated in information campaigns on consumer issues (e.g., health and life insurance, estate counseling, and consumer protection) reaching

people.


C-2. Transportation Services


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Developed and/or operated

transportation systems.




Developed and/or operated transportation systems used
by

people.




Helped drive

people on errands, doctor visits, or between facilities.




Helped drive people on errands, doctor visits, or between facilities for

miles.


C-3. Community Improvement


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Constructed/renovated

playgrounds.




Constructed/renovated playgrounds used by

children and families.




Removed trash or abandoned cars, cleaned, removed graffiti, repaired fences, and provided landscaping at

community areas.


C-4. Community-based Volunteer Programs


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Recruited and coordinated

RSVP volunteers.




Recruited

non-RSVP volunteers.




Trained and coordinated

RSVP volunteers.




Trained and coordinated

non-RSVP volunteers.




Led team building activities for

volunteers.


C-5. Food Production/Community Gardens/Farming


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Established, expanded, or revitalized

acres of community gardens.




Established, expanded, or revitalized community gardens used by

people.




Participated in

community gardening programs, alternative crop programs, or improved food growing programs.




Participated in community gardening programs, alternative crop programs, or improved food growing programs serving

people.




Grew

pounds of food.




Grew food used by

people.


C-6. Management Consulting


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Volunteer executives provided assistance to expand or improve the operation of



private, non-profit or public agencies.




Volunteer executives provided assistance to expand or improve the operation of private, non-profit, or public agencies serving

people.

C-7. Small and Minority Business Development


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Assisted

small or minority businesses.




Assisted small or minority businesses operated by

people.


C-8. Tax Consulting/Counseling


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Assisted or trained

people to do their taxes.




Trained

people to be tax counselors/preparers.




Prepared tax returns for

people.


C-9. Thrift Store


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Organized or started

thrift stores.




Organized or started thrift stores providing affordable goods bought by

people.


C-10. Other Community and Economic Development Services


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Please specify these other community and economic development services:



(1) , to…

people.

(2) , to…

people.

(3) , to…

people.


PUBLIC SAFETY (pS)


PS-a. Total estimated number of people who benefited:

Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.


PS-1. Safety/Fire Prevention/Accident Prevention


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Coordinated or participated in

safety programs (such as fire prevention, auto safety, traffic/pedestrian control programs).




Coordinated or participated in safety programs attended
by

people.


PS-2. Adult Offender/Ex-Offender Services


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Coordinated or participated in rehabilitation services for

adult offenders/ex-offenders.




Provided information, program enrollment or referrals on offender/ex-offender services to

people.


PS-3. Juvenile Justice, Delinquency, Gangs


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Coordinated or participated in rehabilitation services for

youth offenders/ex-offenders.




Provided one-on-one support and nurturing to

youth offenders/ex-offenders.




Served as mentors to

youth offenders/ex-offenders.


PS-4. Crime Awareness/Crime Avoidance


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Identified

unsafe areas.




Provided fingerprinting services to

people.




Provided safety escort services to

people.




Providing training in ways to avoid victimization (e.g., direct deposit, scam alerts, tourist safety) to

people.


PS-5. Victim/Witness Assistance


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Assisted

crime victims.


PS-6. Community Policing/Community Patrol


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Developed or participated in

police district patrols or citizen patrols.




Worked with

local police and community organizations to insure safer neighborhoods.




Helped direct traffic at

events.




Helped to trace abandoned cars, followed up with victims, or did other administrative work on behalf of

people.




Conducted

foot patrols.




Conducted foot patrols freeing up

hours of police officer time.



PS-7. Conflict Resolution/Mediation


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Educated

people about gang activity.




Mentored

gang members.




Started or participated in

peer mediation programs and youth courts.




Started or participated in peer mediation programs or youth courts serving

juveniles.




Provided training in conflict resolution/conflict mediation techniques and violence prevention to


people.




Provided conflict resolution assistance to

people.


PS-8 Improvement of Household Security


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Conducted

workshops on household safety.




Conducted workshops on household safety attended by

people.




Conducted

security audits and surveys.




Conducted security audits and surveys for

households.




Installed

new windows, door locks, or window bars.




Installed new windows, door locks, or window bars for

households.


PS-9. Neighborhood Watch/Block Watch


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Developed or participated in

neighborhood watch programs.




Developed or participated in neighborhood watch programs serving

people.


PS-10. Sexual Abuse/Rape


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Provided support to

sexual assault/harassment victims.




Started/expanded

shelters for sexual assault/harassment victims.




Started/expanded shelters benefiting

sexual assault/harassment victims.




Provided sexual abuse, awareness, and self-defense training to

people.


PS-11. Other Public Safety


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Please specify these other public safety services:



(1) , to…

people.

(2) , to…

people.

(3) , to…

people.


HOUSING (h)


H-a. Total estimated number of people who benefited:

Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.


H-1. Homeless


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Participated in programs to help the homeless (except for housing referrals) attended by

people.


H-2. Home Management


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Provided training on application processing, mortgages, taxes, upkeep and home maintenance for

people.




Distributed information on home ownership to

people.




Helped

people with budgeting, financial planning, and filling out forms and bills.


H-3. Housing Referrals/Relocation/Other


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Obtained household furnishings for

households.




Made housing referrals for

people.


H-4. Housing Rehabilitation/Construction


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Helped build, repair, inspect, or rehabilitate

homes.




Helped build, repair, inspect, or rehabilitate homes for

people.




Recruited and supported

volunteers for housing rehabilitation and construction.


H-5. Other Housing Services


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Please specify these other housing services:



(1) , to…

people.

(2) , to…

people.

(3) , to…

people.


DISASTER (D)


D-a. Total estimated number of people who benefited:

Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.


D-1. Disaster Preparedness


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Participated in response, relief, recovery and mitigation during



emergencies/fires/natural disasters.




Participated in response, relief, recovery and mitigation during emergencies/fires/natural disasters affecting

people.




Provided natural disaster preparedness training (such as Red Cross training) to

people.




Provided natural disaster preparedness training to

people.




Provided information, class enrollment, or referrals on natural disaster preparedness to

people.




Were on “on-call” lists for

emergencies or needs.




Prepared disaster plans for

agencies.




Gave presentations to

groups of people attending.


D-2. Other Disaster Services


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Please specify these other disaster services:



(1) , to…

people.

(2) , to…

people.

(3) , to…

people.


HOMELAND SECURITY (HS)

The Homeland Security area includes programs that prepare to minimize the damage and recover from any future terrorist attacks that may occur despite our best efforts at prevention. This includes programs that help to plan, equip, train, and practice the response capabilities [of] many different response units (including first responders, such as police officers, firefighters, emergency medical providers, public works personnel, and emergency management officials) ready to mobilize without warning for any emergency. This area also includes programs that will consolidate federal response plans and build a national system for incident management in cooperation with state and local government including emergency preparedness and response efforts to engage the private sector and the American people.


HS-a. Total estimated number of people who benefited:

Please complete those items that are relevant to your RSVP volunteers for the period October 1, 2002 through September 30, 2003.


HS-1. Disaster Preparedness


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Participated in response, relief, recovery and mitigation during

emergencies.




Participated in response, relief, recovery and mitigation during emergencies affecting

people.




Provided homeland security training (such as Red Cross and CERTS training) to

people.




Provided homeland security preparedness training to

people.




Provided information, class enrollment, or referrals on homeland security disaster preparedness to

people.


HS-2. Public Safety


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Mobilized

volunteers to assist first responders (e.g., police, fire fighters) during disasters.




Performed administrative duties so that

fire departments, police departments, and other public service agencies were able to prepare and respond to emergencies.


HS-3. Public Health


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Provided assistance to

medical and emergency medical personnel




Coordinated emergency supplies and established coordination links during

emergencies.


HS-4. Homeland Security Services


Number of RSVP Volunteers who provided these services:


Total number of RSVP Volunteer hours:



Type of Service

Number





Made educational presentations on homeland security (e.g., Bioterrorism, terrorist attacks) to

community groups.




Assisted individuals and families during

disasters.




Provided support services (e.g., fundraising, answering questions, distributing food) for

organizations involved in emergency and disaster relief.




Taught classes in safety, fire prevention, basic first aid, and/or CPR to

adults and/or children.




Provided information and referral services during disasters and emergencies to

people.


Type of Service

Number





Please specify these other Homeland Security services:



(1) , to…

people.

(2) , to…

people.

(3) , to…

people.

OTHER SERVICES (OS)



Activity not
included in survey

Specific activity performed by RSVP Volunteers

Number of Volunteers Performing Activity

Total Number of Hours Spent on Activity

Number of People Served by the Activity

Language Assistance

Language interpretation

8

200

16
































Please add any additional information on the reverse side of this page.

10 RSVP-B

File Typeapplication/msword
File TitleA Survey of the Retired and Senior Volunteer Program’s (RSVP) Activities and Accomplishments
AuthorSonji Hogan
Last Modified ByLaMonica Shelton
File Modified2007-07-26
File Created2007-07-26

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