Form 3a Coalition Online Management and Evaluation Tool (COMET)

Drug Free Communities Support Program National Evaluation

attachment_3a__final_version__9.22.2008

Drug Free Communities Support Program National Evaluation

OMB: 3201-0012

Document [pdf]
Download: pdf | pdf
Attachment 3
Data Collection Instruments
(a) Coalition On-line Management and Evaluation Tool (COMET)
(screen shots)

(b) Coalition Classification Tool (CCT) (screen shots)

Attachment 3a.
Coalition On-line Management and Evaluation Tool (COMET) (screen shots)

Ft-

L

BE

-

¼

\\fl

O4DCP

5itek BELE (
it

tL

tc qatheung and anaysts of :a about the geoqra
area yoi coahton serves to
::o:3 UE
,ssessrnt
e::it: :::a;::e
:. :

-

-

z

or cchved needs assessments

:1 DnthE

3

tO O1 neCOS assessment
::o

ft you are finshed wtth aU your Assessment tasks
you can nov move on to Capacity

Eep

T

-,

=

--

-

-

-

-

ac
ato
iconrtc a .at i-r--

11.

Da- U, Li-d
i

--

- -

u

4

--

--:

OLth h -

: Area

Urlan
ea

r_oun-

-

7p

d
-+

Plee j-' 2es: a t-- G

a

Ic Aea)s) selected above e.g.. names of ciue, - -I-;, etc.)

So'

a large count

Ha
sa e

-

ss- b

c-

preventio

-

c-me of the

c

-

1sir-rJ?

-

-

=oi

-

jasane abuse w ad -essng the same risk

-:rtaJ

ccc-ccient Summary
t

a

-

- -

'y Name

-

12

-

-t

-

- -

Key Fin r

f iaaaaaae

Ta-r Gender

Both gendes

Target Grade

6

Substances of Issue

in

-

12 11 12

2 2

the Community

1

-

-

llet ta

- -

&P

+

.-

Factors

jua

arnphetarriie

- - -

T

-

p.
1

Va

itta-tit

Ui::

F

a

ark to Date

p

Ta _etCoar:

Panic

Target &eegt aphic keen:
1.

Target Speeffie Geogaphic keen:
Tart Zap Ct-dee
Plcate lath ret crilae the
geagpceeed ,toe,e
Rate. jet :
targeting eb
cede k

ant

are

pa

at

.t

carat-al

a

ted

Seacs acne ataatinaar at thatFeaedi:
Targ tG

ta a: fart-rae a:::

dee:
ale:

Tate
-

it

a-

-

P. he

h

.

.1.

t

eta.

Pracecteer Far tot

C

at to

p.:: \-:
flair tree.
Date Cc
Acti:it,

Date

D

um'

a

:

p. '.

a :etucber area iaaaz

-v-a

-

...........

ttatc gae CVaasette:a

are

a

a-.

0

-

-

Tm t C

-

T

:

r

5

fl

Name

-.

-W G-

Ta

-

0--.

Aea(s aeected above (ag.. names of cbies, countIe ec,(

-

L

,f a a

Have

v

-mu othm Sw -- ice abuse prevenbon
's ta
of the same

c

and i-i..

•'-

factors that

y
H
s

-- ..i

i.
-

.

0

Key Findinc

.

Ta- - 3en or

stan

o

-

' .orkng to pievent
g e same risk and
. geted communOy

the

-

ONL( P

-1

a

t

Saa

te t a Fa:t a that u a a ta je
2

(

u aso a

a

O4D(P
+

L

he'

t'

F

n:etethe

pe

Risk Factor to Targee

[ornrnuit1-Hqh fa ++ confi t

Descrt

Trend is

+

+

r'

+i

E

ask 3 o4j
+

+

-

ct+ties that ojr c

co lucted Use the ta

- -

S

te Sc

+

LE

-

ONDCP

\\Ih\ \

I4

F

[-- Oc

icC

-

Date

e

come book oto the s otem nd urdtP th

-

otCtL

ete

neth

Date Comp'eted

F-

-

Actvny cir c

Desci

-'-

-

_______

--

-----

-

:e t o n

i :t

.e

c

OND(P

L3

-

cha

-

If

aresth

j

-

u can

onh

-

cc -

to

-

j(4

0NVCP

-

-

1

-p
Type
Descpt

:P

iied

r--

F

4

ON 0 P

tL

-

L L 944

the
-

-

lc4 pf

-

-

-

-

-

to

-

tL

+
+

T

3-

-

ULU

;-,

-'

flt

U

+

pIojeot

at hae been conduct't
n

cI

ass+stence the
-

-

cots a d ohs

a

-

-

-

CtCt4+43

--

-

-

IfousrE4
OU

-

fl

-41

3

--

0 N DC P

I1

-.

-

-+- -

NeAt Task Ooflabo at

h-

stassrtcL

,

1;

()NDCP

\

C Ojan:at n C

Iy -

ie'U-

'e'

r

Sectc

Menibershp Staus
Tc .1 Numbe
e of

Current Representatives votng, non votinc
e

avesActh,e n Coalition Meethigs, A

a

-

31

HetT

e

(Y1DCP

L

tet

.,th-Date Corn eted 't
Activity Type

F

r

Descrpton

Date Started
Date Cornpeted

I

r

h

C

-

-

-

-

-

-*-----

-

-

-

-

--

-----

OD(P

ttIt

•h
- -

-

stance that !T
c

-

e neeied sri
on te Hsto

a

and neadtc
- -

-

-

3t

iders

to

-

-

€

to thers
smart n a
'C media

ho ha

-

ru
-

iionementa stri

ies

stei ats to stat aid

Next TooL Fund

a

EL

ONDCP

osk 3 of 3)

Date f1eeded
1ype
Des'

of Technicai Assistance or Training Needd

Preferred Delive
Desired Source
Status

.

.

Made
-.

' \} \

ON DC P

-

T

-

-

-0 -

-

Retu n

sf30 e

rnrnhr of ethp

-

L

n.

th

f il

\\II

i

U

*
-x 12

Y

-

S

e u:

DF

at

+

-

-- or;

sources

s

J ' status as :eh

ecord each fjnc nq soince a'd aiio

budget is

P tent Doilar Amount
130 000 00

cn-poft 0 anzat rs
ct

1

ur

s do you exp-. * jour coalitions fundinq level to +.+

ans total annual

-

O4DCP

io

t

Het Test'

P OeSS

0

DC P

L

t

J

I

1w d q stat

n the next 12 months do you expect

, ecwd ach fund

-

-

ns fundinc eve

4
What is Vow Coalitions total annual operating hu ]t
P -i-? I

ur

•

h

e

t

ynr

c
Vp

V

I

'

I
I
-

3S

5ot5

pIIshrnent3 anc

chIIe

-

ft 3U ale finIshed
GU

-

-

that

th aI

ULI Ooaition hac

GUI Capaclt tas a
tc P'aning

a

4

\'fl \ \

0 DC P

I-

Progess 1arReporting Petiod

iod

Type
Desuiption

-

-

L

oucp

F

+

+

ta

ronto

om
-

+

-

ron \o++1

of-

put

ftom
:e! ou DF+ qoa 3

f

++

00 3

n shed dh a
- or

o
-

tea a
taton

-

+

ON U C P

"Ii

as 1 of
Lt sat:.

-

The your strateTh plan.

Plan Sn,s
Year Plan Was First Developed
Year Plan Was Last Updated
Plan Used SMHSAs Strategic Prevention Framework

Uploaded File
Uploaded Dare
Location
flote
Next TarH

iV1OGC.

I CC

u r oc p

h

Uae the Bo se button to se'ect a fle from our local compute To repa
to

a

+

ci

a r an tha

upload
P1

Plan Status
Year Plan Wø V +

1

20:

Year Plan Was Lac Updated

I200

Plan Used SAMHSAs Strategic Prevention Framework

-t u s

- -

-

and upload it beis If ou al.

cue
tiote

Yes (

-

-

++-+-++-----+-

a

- oe I

U N DC P

CE

LiE.

2 fi
-

this s, stem Use the ro se button tu select a file from uur local comcutei To icr ac a n

-sle:t n ne fli

Uploaded 1de
Uploaded Date
Locadon
Note

tE

NeAt Tagi'

ls

t has at e

ii

.1

flQ

pe.pojdn ueq ApI

EL WL1 )pCLU

..

.

O

4 eJeq

.H

JfldLU00 B00I Jn0.

\ 'U\\

.

.L. )

.

0 O8S 0 UO1fl S..L0J9 eL

I

LU I

Sfl LU0

.

..-.:

..

.-

.

:.

.

c

H

-

8-

-

F

e

tEujeeH

E

Jp.

1.1
1.2
13
t4
15
1.6
1.7
13

1.10
1.11
1.12
1,13
111

2.
2.1
2.2
2.3
2.4
2.5
2.6
2.7
28
2.9
2.10
211

11

t

\ \\1

\

'-

L

Goal
Oh - ''e Uame
C),

.
Erh

etences,
)nst)tutConal C) )C'.
-

Percent oF Overall Coalition Effort and Resources

that warn into Achieving this Objective?'
Th-

'.e so! 's'id

Li- flC

-

-io- T-in-tedRiskFactor

I

- -

- -

--

car
Link Cr -

a

rgetodPr - tive Factor

r
-

Li

)( (

3) )C

Tart

-

-

--

)-'-•-e

-

+

)J)YCt)Cfl of ATCD

-:

-

I Ca

a

tanC-

--

-

for Achieving Objective'

To what extent has this Objechve been ac - - I'

1

z

E

O4D(P

4
1

'

flè t

ai ci

iat

UIF1L

n

Reportuig Penod
Type

Desc

J

\\U

-

if *

-

*- -*

**

-

ON DC P

\

-

*

to E

* -

a

*

-

*

* -

f ou a e fin shed
iou car

th aD our Ii
n - or

ants on tasks
atDl

*

-

ImpIemI niatin \Vork to Date

D1

C.
'ce be aIona euhc and aauli

Oh

dc LI'

'

abecie ci

CC
Ac
Ac

-

Pan . , - etne aria- r. 'her:

Stop Reach-

1-

Objectie 1,2:

han of th rat

ooath phociop

AlDc rripdon:
Date Sac
One Ca1 rd
y

.4ctitr
I
Panicip

*

cc,
a

e

a

I-

DIC Co
Goal I

Rehire trahrtanc aba e aao

Object e I I

ia1o,.ch a-i e 01

Irate Ider,:
ts1e.
Dezcnpnou

oaths and aduils

A

< \\1N \

4L P

He

DFC program goals

Estabsh

2

21

22
3•

To r.educe

-

--

-

--

:6th graders
Ne1 Ta

ton Progress

ONDCP

\fft, \

K

3:

LE

(Task 2 f 2)
-.

-

v.

-i

i--

V

t.

.
i.:c

I-H-

add

DFC proçram goats
I

111

2.

-

:3i3dUtS

T-II-H

EstabIi K-.V.IK-z-.:21

ncr=

ft

ou are

flnio
C

0 -K
K:

-::

-K H

H.

.

H H HHr
-H- HH- IH

H: -

-1030 H --

tasks

tO •:-

:-- ii

KI
.:

.

••-

L.----

H-

ONUC
'

)4

P

lr

-

.:e.
tFor
Comp'ete.

.:

ushouI•dcomehackrit

Go

tMty Ty1

Brief Des

pL

t Activity

DteStrted
Date Completed
Ac'j Sta
,

Lete

:)ne
:y r.1-nher
-

6ette
Scope/Reach of Activky

.

:.

S

e

.

L a1uaiii \\

ti

h

I;

&.l& >jae.
Date Coihored
Compared to the target area, the
teographca1 a,eo soieoed b

Zaozt
to

I

D,t. h'

Fn

'.1
''I,--'

D3d
prag'

star

Date5
Dsd
-S
Drsas ..

Tape'
Date aarteoi,
Doto Caatpteoests
A 't'"
A

Fs_',
E,s,

A
-

-

\',,

dee''.

Type:
Do cz spItt0

t-1ol4
U3 i

eraqe Aye of C

Pas iu 1y

Perc-

-

I

-

m Healt

R-.

'

outcome measures at least every two years ow tue cours.e of your DFC grant. If you have data more often tht.

the:.;:.

u.:ut

.ww::.

.

•..Th. •rua.:;s 1w, uf u ;uesticr.
wv

.uiPr..luvr
v.

...,

-.

.::

hie Cui Apphes to

Outcome Categ'

S irce for this Da;u'
and Yeai data wis uuHewev'
Cnipared to the Target Area (South Higgin s County ), the Geographk'a Area co vered by this data is
Enter all of the data that you have ava.ilahie by grade. You may also cho.ote to a 1 .i -

Enter Data n

Enter Data by G ide
Alcuhil
6

.sl da:ta by gw

ubicvu

;uia

vu
lwhw ubi.

vnrlm

..............
:.

J__

* 1*
7

,tiw iii

Yie

1-

F"e

-fl

::r_
-_

r- r-

.::v..

ODP

2
-

-

-

-

-,

i1uctpi U th tat heach ij

+

T

E

cu

rtu t

s tu ur

L

e category

n

e th& da

program

purposes?

P

H4

t

t cLr Ooa ton ha conducted Use

Next Taste E aust on

ccc

a

a

-

o

1

Type
Date Started

D- Con

-

'ed

I
-7

Lbe.

- -

j

uIJ come ba :k nto the a stem

ON DC P

tr- I- 3E

I

4
L
+

uItIpe sectcis of the
neu
etiteg s
urtn
th_-+ire te s
:. :
Telme
o
F
atonant
cleto-

-

-

- -

-

-

-

-

-

-

-

-

to-j

-

+

t

1

and abe

\\H \

ON 1) C P

C

Reporting Pe
Type
Descrptan c o

- -

r

p
''1F \

-.

Catne Ji n

F

Award Nurnbe genera)

te

6F23

nitia Year Dru Fre Con
A

Dae C
Coahn

Contact Uame

E

- tms

Address

Zp Code

Phone
2

X

Et

Grant Fhst Awaded
shea

ype

FeIds
State

e

F

Contact Email

-:

City

-

az H

Year Awarded

Award turnher (rnentodn)
Status

Ahernadve Grantee tiame

I

-12

P
r\\Ti \

Buffa'o Grantee

Gne

Atemative Grantee Name

ra:THoe

Year Awarded

me

Year Drug Free Co Ir
First Awarded

Status

Date C aNtion Vtas F
Co

Address
C ty

Stat&

Zp Code

Phone

Fax

Pj1 iE

Phone

-.555362.

ne

X

Email

Eaablished

:pe

Con a Emad

Contact Name

es Grant

Inn data

o

DC

Eej RL[

Jo1upjooJ uopoj

6

\
flONO

I1\\

ONDCP

3L

Project Drector
Co&mon Cooriato

-

L--t-I

State


File Typeapplication/pdf
File Modified0000-00-00
File Created2008-08-26

© 2024 OMB.report | Privacy Policy