Thank you for taking this survey. This is NOT a test. There are no right or wrong answers to the questions, so please choose the responses that best apply to you. This survey will take approximately 10 minutes to complete.

* 1. What is your age?

* 2. Gender

* 3. Name of Corps

* 4. Location where you worked this summer (City, State)

* 5. How do you identify yourself in terms of ethnicity/race? Please select all that apply:

* 6. Where do you currently live? (City or Town and State)

* 7. Check the highest level of education that you have completed

* 8. Are you currently enrolled in school?

* 9. If not, when were you last enrolled in school? 

Date
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* 10. Have you ever done any of the following? (check all that apply)

* 11. What is the longest amount of time you have been at a single job?

* 12. What are your plans for employment after you leave this program?

If you are still in school and not working part or full-time, please skip the following question.

* 13. Which of the following might be a problem for you in getting a job or making it to work every day? Mark "Yes" or "No" on each line:

  Yes No
Transportation
Child care
The right clothing
Caring for elderly, sick, or disabled family members
My own illness, injury, or disability

* 14. Because of my participation in a Corps program....

  Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
...I am more aware of the needs of my community
...I believe I am a more valuable member to my community
...I feel a greater sense of responsibility for making positive changes in my community
...I am more likely to volunteer in my community
…I am, or plan to become, more actively involved in the issues that positively affect my community
…I have a better idea of my career goals
…I know where to look and who to ask to get more information about jobs that interest me
…I am interested in a career that involves helping others or improving my community
…I feel more confident that I can do the work needed for a job.
...I will hold my work to a higher standard of quality
...I am better at planning, organizing, and completing tasks
…I intend to pursue education beyond high school (e.g. college, trade school)
…I would recommend that friends or siblings participate in a similar program next summer
…I feel that I can set goals
…I feel that I can make a commitment to stay drug or alcohol free
…I can manage to solve difficult problems if I try hard
...I am a better leader
...I am better at being a team player
…I feel good about myself

* 15. What was most rewarding about your experience with this program?

* 16. What is one thing you would have changed about your experience with this program?

* 17. What was the most important thing you learned about yourself during your time with this program?

* 18. Is there anything else you would like to share with us that you have been unable to include in this survey?

* 19. For in-school youth, would you return to this program next summer?

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