Communities In Action Organization Service Annual Evaluation
		We ask that organizations joining Communities In Action help us evaluate our services by completing this evaluation at the beginning of each year for the previous year. Organizations may use our Communities In Action feedback form for general questions, comments, or suggestions by clicking here.
		A printable version of this form is available here. Please mail printed forms to: ME³, P.O. Box 10683, Raleigh, NC, 27605
	Communities In Action Organization Annual Evaluation Next Evaluations Due Between December 26 and January 15, 2009 Today's Date: Organization Name: Your Name: Please answer the following questions as honestly and accurately as possible to help us evaluate and improve the services we provide in Communities In Action. Evaluation of Communities In Action Volunteers Number of CIA volunteers matched with our organization throughout the past year. (If none, write "0") Approximate number of hours CIA volunteers have served our organization this past year (if applicable). CIA volunteers assigned to us have shown up to volunteer when expected (check most appropriate): None of the time/never Some of the time/rarely Most of the time/usually All of the time/always List/describe the services provided/tasks completed or worked on by CIA volunteers this past year (if applicable): Describe the impact CIA volunteers had on your organization and/or your organization’s constituents (if applicable). Examples: “CIA volunteers tutored 3 low-income children in math” or “CIA volunteers helped us raise $500 for project supplies.” Evaluation of Communities In Action Services Rate your overall satisfaction with services provided to your organization through Communities In Action over the past year. Take into account volunteer quantity vs. your needs, quality, communication with CIA Coordinators, volunteer impact, and any other factors based on your expectations of our service(s). Not satisfied Somewhat satisfied Very satisfied If applicable, suggest areas for improvement in Communities In Action services and ways to improve them: Thank you for your assistance in evaluating our services. With your comments and ideas we can work to improve our Communities In Action program. Please contact us with any questions or comments at cia@me-3.org.
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