Evaluation Champion Partnership Project: 2021-2022 Section A: Applicant information Question Title * 1. Name of your institution: Question Title * 2. Your name and contact information: Name Email Phone Question Title * 3. The department or division you belong to: Section B: Evaluation Readiness Question Title * 4. Is there someone who can lead the evaluation work? Yes No, but we will address it by: Question Title * 5. Does the person who leads this work have time to coordinate what needs to be done or adjust workload in order to do so? Yes No, but we will address it by: Question Title * 6. Do you have someone who can analyze the data and produce relevant reports or knowledge exchange and transfer products coming out of the evaluation? Yes No, but we will address it by: Question Title * 7. Will the project lead have experience in evaluation work, OR can they access webinars, tutorials or engage in other learning to get things moving on the evaluation planning? Yes No, but we will address it by: Question Title * 8. Is there a timeline for your evaluation activities? If yes, please elaborate If no, we will address it by Question Title * 9. Do the staff have time to complete evaluation activities? Yes No, but we will address it by: Question Title * 10. Is there any internal funding that can be dedicated to evaluation activities (ie. hiring staff, software and tools)? Yes No, but we will address it by: Question Title * 11. Do you have access to any software or data infrastructure on your campus that can help you analyze data? Yes No, but we will address it by: Question Title * 12. Are the decision-makers or leaders at your institution or your department ready to support you to do evaluation? Yes No, but we will address it by: Question Title * 13. Is your department and project lead prepared to commit approximately 6-9 months for the completion of this project? Yes No, but we will address it by: Question Title * 14. Which of the two Evaluation Project streams do you believe this project best fits? Development Stream - The focus for this year will be to work with an Evaluation Champion to ensure the foundational pieces are in place to collect data the following year. Evaluation Stream - The focus of this year will be to collect data with the support and guidance of an Evaluation Champion. Section C: Evaluation Proposal Question Title * 15. Mental Health Program or Service that would be the focus of the evaluation: Question Title * 16. Brief description of any specific focus of your evaluation- one aspect or element of the service and the key questions you want want to answer through the evaluation: Question Title * 17. Will this pilot be conducted and involve one department or engage others? If others, who? Question Title * 18. How do you plan to dedicate time to work with a champion? Will there be a dedicated person on campus to work with the champion? Will it be shared amongst the team? Question Title * 19. How will you plan to dedicate time to work with a champion? Will there be dedicated hours per month for the project? Question Title * 20. How would you describe the current strengths/weaknesss and areas of growth and learning regarding evaluation? Question Title * 21. Why is your institution interested in this project now? Question Title * 22. Does your institution and or campus have a broader mental health strategy? Section D: Project Deliverables Question Title * 23. At the end of the project, will you be able to prepare a 1-2 page project summary to be shared on our site? Here are examples from previous projects: https://campusmentalhealth.ca/toolkits/evaluation/projects/ Yes No Question Title * 24. At the end of the project, will you be open to sharing your findings by presenting them at our annual conference? Yes No Done!