ICB/CUPF and MCPS Safe and Secure School Survey

The Interagency Coordinating Board for the Community Use of Public Facilities (ICB/CUPF) and Montgomery County Public School (MCPS) are partnering to promote safe use of school property and security of children participating in after school and weekend activities. Our first step is to assess what steps your group is taking to protect your participants and others who may be in the building simultaneously that may interact with your participants or spectators. The survey takes only a few minutes, but will help us identify additional ways to protect children. Your cooperation is greatly appreciated.

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* 1. What best describes the group you are permitting on behalf of?

Non-profit organization

Club, community recreation or other informal community group

For-profit organization

General public or individual

Don't know

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* 2. Please estimate the percentage of youth under 18 years of age that typically participate or attend your activity, including spectators. Do not include adults leading or conducting the program.

100% Youth - all participants are under age 18

75-99% Youth - mixed age groups, most under age 18

50% Youth - equal or near equal participation of adults and youth

25-49% Youth - mixed age groups, most are adults

1-24% Youth - adult participants with some youth in attendance

0% Youth - all participants are over age 18

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* 3. Which statement best describes your program(s)?

Same participants throughout the program, such as a class or sport/recreational activity. No spectators or audience.

Participation by general public as walk-in to a program

Spectators/audience attend program

Other (please specify)

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* 4. How aware or knowledgeable are you of the following:

	Very	Somewhat	Minimal	Not at all
ICB/CUPF rules for using a school	ICB/CUPF rules for using a school Very	ICB/CUPF rules for using a school Somewhat	ICB/CUPF rules for using a school Minimal	ICB/CUPF rules for using a school Not at all
ICB/CUPF rules for using an athletic field	ICB/CUPF rules for using an athletic field Very	ICB/CUPF rules for using an athletic field Somewhat	ICB/CUPF rules for using an athletic field Minimal	ICB/CUPF rules for using an athletic field Not at all
MCPS policy on playground safety	MCPS policy on playground safety Very	MCPS policy on playground safety Somewhat	MCPS policy on playground safety Minimal	MCPS policy on playground safety Not at all
State education policy on concussions	State education policy on concussions Very	State education policy on concussions Somewhat	State education policy on concussions Minimal	State education policy on concussions Not at all
MCPS policy on preventing child sexual or other abuse	MCPS policy on preventing child sexual or other abuse Very	MCPS policy on preventing child sexual or other abuse Somewhat	MCPS policy on preventing child sexual or other abuse Minimal	MCPS policy on preventing child sexual or other abuse Not at all
Policies on accommodating individuals with disabilities or A.D.A.	Policies on accommodating individuals with disabilities or A.D.A. Very	Policies on accommodating individuals with disabilities or A.D.A. Somewhat	Policies on accommodating individuals with disabilities or A.D.A. Minimal	Policies on accommodating individuals with disabilities or A.D.A. Not at all

Question Title

* 5. How aware or knowledgeable are your representatives that use the school space of the following:

	Very	Somewhat	Minimal	Not at all	Not Applicable
ICB/CUPF rules for using a school	ICB/CUPF rules for using a school Very	ICB/CUPF rules for using a school Somewhat	ICB/CUPF rules for using a school Minimal	ICB/CUPF rules for using a school Not at all	ICB/CUPF rules for using a school Not Applicable
ICB/CUPF rules for using an athletic field	ICB/CUPF rules for using an athletic field Very	ICB/CUPF rules for using an athletic field Somewhat	ICB/CUPF rules for using an athletic field Minimal	ICB/CUPF rules for using an athletic field Not at all	ICB/CUPF rules for using an athletic field Not Applicable
MCPS policy on playground safety	MCPS policy on playground safety Very	MCPS policy on playground safety Somewhat	MCPS policy on playground safety Minimal	MCPS policy on playground safety Not at all	MCPS policy on playground safety Not Applicable
State education policy on concussions	State education policy on concussions Very	State education policy on concussions Somewhat	State education policy on concussions Minimal	State education policy on concussions Not at all	State education policy on concussions Not Applicable
MCPS policy on preventing child sexual or other abuse	MCPS policy on preventing child sexual or other abuse Very	MCPS policy on preventing child sexual or other abuse Somewhat	MCPS policy on preventing child sexual or other abuse Minimal	MCPS policy on preventing child sexual or other abuse Not at all	MCPS policy on preventing child sexual or other abuse Not Applicable
Policies on accommodating individuals with disabilities or A.D.A.	Policies on accommodating individuals with disabilities or A.D.A. Very	Policies on accommodating individuals with disabilities or A.D.A. Somewhat	Policies on accommodating individuals with disabilities or A.D.A. Minimal	Policies on accommodating individuals with disabilities or A.D.A. Not at all	Policies on accommodating individuals with disabilities or A.D.A. Not Applicable

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* 6. Does your organization carry liability insurance naming MCPS or Montgomery County, MD as additional insured?

Yes

Not sure

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* 7. Do you or your group have an emergency plan and/or policies for the following?

	Yes	No	Not Sure or Don't Know
Fire alarm/building evacuation	Fire alarm/building evacuation Yes	Fire alarm/building evacuation No	Fire alarm/building evacuation Not Sure or Don't Know
Shelter in place	Shelter in place Yes	Shelter in place No	Shelter in place Not Sure or Don't Know
Notification of parents/guardians/other	Notification of parents/guardians/other Yes	Notification of parents/guardians/other No	Notification of parents/guardians/other Not Sure or Don't Know

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* 8. If you/group are serving children under 18 years of age, what percentage of individuals conducting a program for your organization meet the following?

	100%	75-99%	50-74%	25-49%	None	Don't Know/Not Applicable
Criminal background check	Criminal background check 100%	Criminal background check 75-99%	Criminal background check 50-74%	Criminal background check 25-49%	Criminal background check None	Criminal background check Don't Know/Not Applicable
Fingerprinting	Fingerprinting 100%	Fingerprinting 75-99%	Fingerprinting 50-74%	Fingerprinting 25-49%	Fingerprinting None	Fingerprinting Don't Know/Not Applicable
Completion of training to prevent abuse of children	Completion of training to prevent abuse of children 100%	Completion of training to prevent abuse of children 75-99%	Completion of training to prevent abuse of children 50-74%	Completion of training to prevent abuse of children 25-49%	Completion of training to prevent abuse of children None	Completion of training to prevent abuse of children Don't Know/Not Applicable
Completion of training in first aide	Completion of training in first aide 100%	Completion of training in first aide 75-99%	Completion of training in first aide 50-74%	Completion of training in first aide 25-49%	Completion of training in first aide None	Completion of training in first aide Don't Know/Not Applicable
Completion of training on concussion signs and reporting	Completion of training on concussion signs and reporting 100%	Completion of training on concussion signs and reporting 75-99%	Completion of training on concussion signs and reporting 50-74%	Completion of training on concussion signs and reporting 25-49%	Completion of training on concussion signs and reporting None	Completion of training on concussion signs and reporting Don't Know/Not Applicable
Completion of training on playground safety	Completion of training on playground safety 100%	Completion of training on playground safety 75-99%	Completion of training on playground safety 50-74%	Completion of training on playground safety 25-49%	Completion of training on playground safety None	Completion of training on playground safety Don't Know/Not Applicable

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* 9. Describe how you monitor participants or spectators (adults and youth) for your program or activity to ensure that the rules for using a school are followed, such as not going to areas that are not on your permit, treating MCPS staff with respect, not attempting to gain early access or stay later than covered by your permit, adequate supervision provided for youth, etc.

ICB/CUPF and MCPS Safe and Secure School Survey

Question Title

* 1. What best describes the group you are permitting on behalf of?

Question Title

* 2. Please estimate the percentage of youth under 18 years of age that typically participate or attend your activity, including spectators. Do not include adults leading or conducting the program.

Question Title

* 3. Which statement best describes your program(s)?

Question Title

* 4. How aware or knowledgeable are you of the following:

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* 5. How aware or knowledgeable are your representatives that use the school space of the following:

Question Title

* 6. Does your organization carry liability insurance naming MCPS or Montgomery County, MD as additional insured?

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* 7. Do you or your group have an emergency plan and/or policies for the following?

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* 8. If you/group are serving children under 18 years of age, what percentage of individuals conducting a program for your organization meet the following?

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* 10. Optional - Name of your organization/group:

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* 11. Comment: