Iowa Mentor 2021 Annual Survey

Thank you for taking the time to complete the Iowa Mentor's Annual Report.
For this survey you will reporting data for the state fiscal year 2021, from July 1st, 2020-June 30th, 2021.

If you wish to retain a copy of this report, please print this page for your records before advancing the page and submitting the survey.

If you have any questions or concerns please e-mail Mary Sheka at Mary.Sheka@iowaeda.com

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* 1. Name of person completing this report:

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* 2. Please provide your e-mail in order to send verification of report receipt.

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* 3. Name of the organization for whom you work.

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* 4. Name of your mentoring program:

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* 5. Counties served as a drop down

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* 6. Current number of active mentoring relationships in all programs in your organization.

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* 7. Current number of youth accepted to the program and waiting to be matched.

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* 8. Number of new mentoring relationships your program initiated since July 1st, 2020.

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* 9. Number of matches closed in your program since July 1st, 2020.

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* 10. Total number of youth served since July 1st, 2020