Exit this survey PYLI experts! Help generationOn stay in touch with you! Question Title Greetings PYLI Trainers!PYLI, the Points of Light Youth Leadership Institute, has been revised and is now known as goLEAD (the generationOn Leadership, Education and Development program). We want to make sure you have the most up-to-date materials and have an opportunity to join the growing community of goLEAD facilitators. Please take a few minutes to complete this simple survey and let us know who you are, your experience, and how you would like to be involved in the future. If you know other PYLI trainers, please feel free to forward this announcement to them so they can get in on the fun. If you have questions, please contact Elizabeth via email at elizabeth@generationOn.org. Thanks!-The generationOn | PYLI/ goLEAD Team Question Title * 1. Please provide your name and contact information. Name: * Organization: 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 ZIP: Country: Email Address: * Phone Number: Question Title * 2. When were you originally trained on the PYLI curriculum? Original PYLI Training (Approximate Date): Date Question Title * 3. Approximately how many PYLI Institutes have you run since being trained? Total Sessions: Question Title * 4. Do you consider yourself an active PYLI trainer? YES (write "yes" in the text box): If yes, how many Institutes have you run in the past year? If yes, how many youth participated in total? If yes, when was your last PYLI Institute? NO (write "no" in the text box): If no, when was your last PYLI Institute? Question Title * 5. What are the dates and locations of your next scheduled PYLI Institutes? Upcoming PYLI Institute date 1 (begins) - MM/DD/YYY: Upcoming PYLI Institute date 1 (ends) - MM/DD/YYY: Upcoming PYLI Institute date 1 (location) - City, State: Upcoming PYLI Institute dates 2 (begins) - MM/DD/YYY: Upcoming PYLI Institute date 2 (ends) - MM/DD/YYY: Upcoming PYLI Institute date 2 (location) - City, State: Upcoming PYLI Institute dates 3 (begins) - MM/DD/YYY: Upcoming PYLI Institute date 3 (ends) - MM/DD/YYY: Upcoming PYLI Institute date 3 (location) - City, State: Question Title * 6. In the next 12 months (May 2012 - June 2013), approximately how many youth will participate in your Institutes? Total Number: Question Title * 7. What do you think makes PYLI a successful model? Please provide as many specific details as possible in the space below. Question Title * 8. Are there any aspects of the PYLI curriculum that could be improved? Please make your suggestions as detailed as possible. Question Title * 9. Have you made any successful changes or updates to the program materials? If so, please describe them in detail below. Question Title * 10. Do you know any other PYLI trainers who should be added to our contact list? Add their contact info here. If you prefer, you may forward this survey to others or email Elizabeth directly (Elizabeth@generationOn.org) with additional information. PYLI TRAINER 1: Name: Organization: Email Address: Phone Number: PYLI TRAINER 2: Name: Organization: Email Address: Phone Number: Done