One-to-One
Group
Team
E-Mentoring
Peer-to-peer
One-to-One
Group
Team
E-Mentoring
Peer-to-Peer
2. Are the mentors in your program adults or youth?
Mentors are primarily adults Mentors are primarily youth Mentors are both adults and youth
3. Where do the matches primarily meet for your program? (Check all that apply)
At a school At a community-based organization Out in the community At a business At a church, synagogue, mosque or other faith-based institution On-line (e-mentoring) In a residential facility Other
4. How old are the youth served in your mentoring program? (Check all that apply)
5-10 years 11-14 years 15-18 years Older than 18 No specific age Other
5. How are youth typically referred to your mentoring program? (Check all that apply)
Self referral Parent referral Social worker referral Teacher referral Other professional referral Court ordered
6. As of December 31, 2007, what was the number of youth on your waiting list for a placement/match with a mentor? (Please enter 0 if none)
7. How many mentors were involved in your mentoring program during the 2007 calendar year?
8. As of December 31, 2007, what was the number of mentors on your waiting list for a placement/match with a youth (enter 0 if no mentors are waiting)?
9. What do you estimate is the average length of mentor-mentee relationships (in number of months)?
10. What is your program's expected length of commitment per match for mentors?
None Less than 3 months 3 months to less than 6 months 6 months to less than 9 months 9 months to less than 12 months (or school year) One full calendar year More than 1 year to less than 2 years More than 2 years
11. How frequently does your progam expect mentors to meet with youth?
1 time per month 2-3 times per month Weekly 2 times per week 3 or more times per week No expectation/requirement
12. Generally, how much time do mentors and youth spend together per meeting?
30 minutes 1 hour 1.5 hours 2 hours 2.5 hours 3 hours 3.5 hours 5 or more hours
13. Which of the following best describes your mentoring program?
One-to-One Mentoring: One mentor with one youth Group Mentoring: One mentor with more than one youth Team Mentoring: multiple mentors teamed with one youth Multiple Groups Mentoring: More than one mentor with more than one youth E-mentoring: Mentoring relationship takes place primarily on-line
14. How long has your youth mentoring program been in existence?
Less than 1 year Between 1 and 2 years 2 or more years but less than 5 years 5 or more years but less than 10 years 10 or more years but less than 15 years 15 or more years
15. Which best describes the structure of your mentoring program:
Independent/stand-alone youth mentoring organization (e.g. Big Brothers Big Sisters, Kinship, etc...) Youth mentoring program within a broader organization (e.g. Western Community Action, YMCA, etc....) Other
16. Please provide an estimate for the annual operating budget for your mentoring program.
17. How many Full-Time Equivalent (FTE) staff members are currently employed by your mentoring program:
18. Considering your current staff levels and financial resources, what is the maximum number of matches your program can manage on an annual basis?
19. If you kept track of the number of mentor volunteer hours contributed to your program during the 2007 calendar year, place that number below. Please enter zero if you do not keep track of mentor volunteer hours.
20. If you kept track of the number of non-mentor volunteer hours contributed to your program during the 2007 calendar year, please place than number below. If you did not keep track of your non-mentor volunteer hours, enter 0.
21. Does your mentoring progam conduct its own background check(s) to screen mentors or do you use an outside company? (Check all that apply.)
We conduct our own background checks. We conduct background checks using an outside company. (e.g. law enforcement, MN BCA, independent agency) We conduct background checks using Safety Net. None. My mentoring program does not conduct background checks on adult mentors. None. My mentoring program does not conduct background checks on student/youth mentors.
22. If you conduct your own background checks, what kind do you use? (check all that apply)
Local criminal history check State criminal history check Federal criminal history check Driver record check Child abuse/sexual offender registry check None. We use an outside company. None. My mentoring program does not conduct background checks.
23. Are you or your program familiar with the Elements of Effective Practice?
Yes
No A statement of purpose and long range plan.
-----------SELECT ONE------------- Incomplete In Progress Complete NA A recruitment plan for both mentors and mentees
-----------SELECT ONE------------- Incomplete In Progress Complete NA An initial information session or orientation for mentors and mentees
-----------SELECT ONE------------- Incomplete In Progress Complete NA Eligibility screening for mentors and participants
-----------SELECT ONE------------- Incomplete In Progress Complete NA A readiness and training curriculum for all mentors and mentees
-----------SELECT ONE------------- Incomplete In Progress Complete NA A matching strategy
-----------SELECT ONE------------- Incomplete In Progress Complete NA A match monitoring process
-----------SELECT ONE------------- Incomplete In Progress Complete NA A support, recognition, and retention component
-----------SELECT ONE------------- Incomplete In Progress Complete NA Closure step
-----------SELECT ONE------------- Incomplete In Progress Complete NA An evaluation process
-----------SELECT ONE------------- Incomplete In Progress Complete NA 25. Does your program currently use other program development and management tools in the place of or in addition to the Elements of Effective Practice?
Yes
No 26. If yes, please check those organizations from which your program has accessed resources or other technical assistance support.
MENTOR National Mentoring Partnership National Mentoring Center: NWREL, Northwest Regional Educational Laboratory America's Promise: The Alliance for Youth Friends for Youth U.S. Department of Education Mentoring Resource Center - edmentoring.org Mentoring Partnership of Minnesota Other
For Other, please provide name.
My program currently has enough staff to operate a quality mentoring program.
---------SELECT ONE-------------- 5. Strongly Agree 4. Agree 3. Neither Agree nor Disagree 2. Disagree 1. Strongly Disagree Not Applicable My program receives sufficient training and professional staff development to operate a quality mentoring program.
---------SELECT ONE-------------- 5. Strongly Agree 4. Agree 3. Neither Agree nor Disagree 2. Disagree 1. Strongly Disagree Not Applicable My program currently receives sufficient financial resources to operate a quality mentoring program.
---------SELECT ONE-------------- 5. Strongly Agree 4. Agree 3. Neither Agree nor Disagree 2. Disagree 1. Strongly Disagree Not Applicable My program has the long-term financial plan to sustain a quality mentoring program.
---------SELECT ONE-------------- 5. Strongly Agree 4. Agree 3. Neither Agree nor Disagree 2. Disagree 1. Strongly Disagree Not Applicable 28. How often does your mentoring program conduct an outcome evaluation of mentoring for the youth you serve?
One time only One time per year Two times per year Quarterly Every two years My mentoring program does not conduct any outcome evaluations.
29. Why does your mentoring program conduct an outcome evaluation? (check all that apply)
My mentoring program funder requires it The parent organization for my mentoring program requires it For internal use and program improvement My mentoring program does not conduct any outcome evaluations
30. Which outcomes do these evaluations target? (Check all that apply)
Academic grades and standardized test scores High school graduation Job skills Positive outlook on the future Crime or deliquency prevention Teenage pregnancy Social skills Positive relationship with peers Self-esteem My mentoring program does not conduct any outcome evaluations Other evaluation outcomes
If you chose Other, please specify:
