Resource Form

Organization		Note: Don't hit enter until you are done.
Location	Address
	Phone#
	FAX
	Email
	Web page
	License/ insurance
	Contact person
	Physical Safety
Activities	What's Offered
	Cost
	Hours
	Rewards
	For whom? Age, gender, special population, inclusion
	Focus enrichment, crafts, education, religion, sports, equipment, computers
Services	What do they do?
	How do they do it
	Need for services
	Transportation
	Bilingual
	Qualifications of staff
	Screening of staff
	Paid/ Volunteer	Paid Volunteer
Goals	Community Views
	Safety
	Educate
	Care-giving
	Statement of purpose
	Assessment of success
	Future Plans
	Self-assessment of success
History	Who?
	When?
	What?
	Where?
	Why?
	How?
	Success rate
	Changes in focus
	Recognition/ Awards
Funding	How Funded? Fees, donations, government, foundation, grants
	Outside sponsorship
	Cost to participant
	Financial aid
	Public Relations/ advertising
Comments