9. Year program started: _________________________________________________

10. Number of months program operates in a year: _____________________________

Staffing

11. How many paid staff are involved with the program as:

  1. Coordinators/organizers? _____________________ Part-time ___ Full-time ___
  2. Instructors? ________________________________ Part-time ___ Full-time ___
  3. Clerical/support?____________________________ Part-time ___ Full-time ___
  4. Other (specify) ____________________________________________________

12. How many paid hours per week are spent on the program by the following categories of staff:

  1. Coordinators/organizers?
  2. Instructors?
  3. Clerical/support?
  4. Other (specify)

___ Total hours

___ Total hours

___ Total hours

___ Total hours

13. What is the estimated percentage of paid time staff members work in the following activities over a typical program year?

  1. Publicity and recruitment
  2. Orientation and interviews
  3. Initial training
  4. Matching and placement
  5. Continuing advice and support
  6. In-service training
  7. Other (specify) __________________________________________________________________________

Total

___ % time

___ % time

___ % time

___ % time

___ % time

___ % time

___ % time

___ % time
100 %