Program Info page
Name
Program Name:
______________________________________________________________________________
Main Address
Main Address:
______________________________________________________________________________
______________________________________________________________________________
Billing Address:
____________________________________________________________________________
____________________________________________________________________________
Phone Numbers
Phone Number: ____________________________________
Fax Number: _______________________________________
Sponsoring Organization
Sponsoring Organization Name: ________________________
Sponsor Website: ___________________________________
Sponsor Phone: ____________________________________
Sponsor Fax: ______________________________________
Separate Sponsor Address:
____________________________________________________________________________
____________________________________________________________________________
Rural/Tribal Status
Rural Status: Urban / Part Rural / Rural
Tribal Status: Not Tribal / Part Tribal / Tribal
Web Addresses
Website: _________________________________________
Facebook: _______________________________________
Twitter: __________________________________________
YouTube: ________________________________________
Flickr: ___________________________________________
Instagram: ________________________________________
Program Model page
Enrollment, Attendance, and Program Length
Months over the upcoming year in which you expect to enroll new students:
Jan / Feb / Mar / Apr / May / Jun / Jul / Aug / Sep / Oct / Nov / Dec
What is the average program length of this YouthBuild program? __________Months
How many hours per week does this YouthBuild program expect a full time YouthBuild student to be in attendance? __________ hours/week
How many scheduled instructional hours are in a typical day at this YouthBuild program? __________ hours/day
Education
Who provides the educational component at this YouthBuild program?
YouthBuild Staff
Other Staff
Staff at a Partner Organization
Are students able to earn high school diplomas through this YouthBuild Program?
Yes / No
If Yes: These diplomas are granted through a:
Traditional Public High School
Charter School
Alternate High School
Other: ___________________
If Charter School: Is this YouthBuild program chartered through its state or its district?
State
District
If Other: Other Diploma Grantor ____________________
What are the requirements for achieving a high school diploma through this YouthBuild Program?
__________________________________________________________________________
Which career pathways are offered at this YouthBuild program?
Construction
Culinary
Technology
Healthcare
Other(s): ________________________________________________________________
Green Building Practices
Is this YouthBuild (or its sponsoring organization) a member of the U.S. Green Building Council?
Yes / No
Program Design
Does this YouthBuild program have a Policy Committee with youth involvement?
Yes / No
Does this YouthBuild program have a formal substance abuse policy?
Yes / No
Does this program offer financial literacy skills development activities?
Yes / No
What PSE bridging activities does this program offer?
Bridge Program
Dual Enrollment
College Visits or Tours
PSE Preparation Courses
Advising by PSE staff
After School Tutoring
No bridging activities offered
Other(s): ________________________________________________________________
Essential Components
Does your program provide Life Coaching?
Yes / Partially / No
Does your program provide activities to develop meaningful relationships?
Yes / Partially / No
Does your program provide activities to build competencies related to character and social emotional learning?
Yes / Partially / No
Does your program provide a pre-program orientation introducing participants to YouthBuild experience and assesses program readiness?
Yes / Partially / No
Is your program’s educational approach student-centered?
Yes / Partially / No
Does your program provide activities to develop life skills, work readiness and career planning?
Yes / Partially / No
Does your program provide structured ways to engage alumni beyond the program?
Yes / Partially / No
Does your program provide formal leadership training and development?
Yes / Partially / No
Does your program have an active Youth Advisory Committee?
Yes / Partially / No
Does your program have a designated and transparent YouthBuild budget?
Yes / Partially / No
Is your organization operating in good standing with oversight bodies?
Yes / Partially / No
Does your program have program policies and procedure manual outlining program operational guidelines and standards?
Yes / Partially / No
Does your program have a comprehensive participant handbook?
Yes / Partially / No
Annual Survey Questions
(asked each October, link found on the Program Overview page)
Applicants
Between October 1, 20__ and September 30, 20__ your program enrolled xx Students and exited xx Students. (numbers of students auto-populate with data in DYB)
How many applicants did your program have in this timeframe?
__________ Applicant(s)
How many of those applicants were accepted and started Mental Toughness?
__________ Applicant(s)
Housing Units
Please indicate the total number of housing units completed between October 1, 20__ and September 30, 20__ for each of the following types.
How many new housing units were completed?
__________ New Unit(s)
How many housing units were rehabbed?
__________ Unit(s) Rehabbed
(If one or more units were completed or rehabbed:)
Please indicate how many of the above housing units were built or rehabbed using the following practices.
How many of these units were weatherized?
__________ Unit(s)
How many of these units were Energy Star rated?
__________ Unit(s)
How many of these units were LEED Certified?
__________ Unit(s)
How many of these units used any other green practices?
__________ Unit(s)
Article Keywords / Topics: Data Points, List of Questions, Dual Enrollment