Big Brothers Big Sisters School Based Mentoring Survey

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1. Please provide the name and contact information for the person filling out this survey.

Please provide the name and contact information for the person filling out this survey.   Name:
Company:
Address:
Address 2:
City/Town:
State:	-- select state --AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming
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2. What is your level of interest in having a Big Brothers Big Sisters program in your school or district?

What is your level of interest in having a Big Brothers Big Sisters program in your school or district?   1 - Not at all interested	2 - Unsure; need more information	3 - Somewhat interested	4 - Very interested
Comments

3. If you are a superintendent or other district administrator, which elementary school(s) in your district do you feel is/are most in need of Big Brothers Big Sisters programming?

If you are a superintendent or other district administrator, which elementary school(s) in your district do you feel is/are most in need of Big Brothers Big Sisters programming?

4. In your school or district's service area, what neighborhoods, housing or apartment complexes contain the highest concentration of low-income families?

In your school or district's service area, what neighborhoods, housing or apartment complexes contain the highest concentration of low-income families?

5. Which of the Big Brothers Big Sisters School Based programs do you feel would be best for your school or district?

Which of the Big Brothers Big Sisters School Based programs do you feel would be best for your school or district?   Lunch Buddies Afterschool program Both

6. IF YOU CHOSE "LUNCH BUDDIES" OR "BOTH" -- What workplaces, retirement homes, colleges or other nearby sites could be a ready source of volunteers for the Lunch Buddies program?

IF YOU CHOSE "LUNCH BUDDIES" OR "BOTH" -- What workplaces, retirement homes, colleges or other nearby sites could be a ready source of volunteers for the Lunch Buddies program?

7. IF YOU CHOSE "AFTERSCHOOL PROGRAM" OR "BOTH" -- BBBS has found that high school volunteers work best with afterschool programs. How far is your district's high school from the elementary school(s) where you would like to have an afterschool program?

IF YOU CHOSE "AFTERSCHOOL PROGRAM" OR "BOTH" -- BBBS has found that high school volunteers work best with afterschool programs. How far is your district's high school from the elementary school(s) where you would like to have an afterschool program?

8. IF YOU CHOSE "AFTERSCHOOL PROGRAM" OR "BOTH" -- Tentatively, what would be the best day of the week for your selected school(s) to host a Big Brothers Big Sisters afterschool program? (You may choose more than one answer)

IF YOU CHOSE "AFTERSCHOOL PROGRAM" OR "BOTH" -- Tentatively, what would be the best day of the week for your selected school(s) to host a Big Brothers Big Sisters afterschool program? (You may choose more than one answer)   Monday Tuesday Wednesday Thursday Friday

9. Our afterschool and Lunch Buddy matches are designed to last at least 2-3 years, sometimes more. Are there any considerations that could affect this longevity expectation? (NOTE: BBBS programs are of no cost to schools; however, there may be costs associated with keeping the building open after hours.)

Our afterschool and Lunch Buddy matches are designed to last at least 2-3 years, sometimes more. Are there any considerations that could affect this longevity expectation? (NOTE: BBBS programs are of no cost to schools; however, there may be costs associated with keeping the building open after hours.)

10. When beginning a new school based program, Big Brothers Big Sisters identifies a "champion" from that school: someone who is passionate about the program and can aid with recruitment, advocate for the program and act as a liaison between the agency and the school. Which faculty or administrative staff member would you select to fulfill that role, and why?

When beginning a new school based program, Big Brothers Big Sisters identifies a "champion" from that school: someone who is passionate about the program and can aid with recruitment, advocate for the program and act as a liaison between the agency and the school. Which faculty or administrative staff member would you select to fulfill that role, and why?