2009-2010 Pre-Service Civic Involvement Survey

This pre-survey will be compared with a post-survey (given at the end of your service term) to determine any increase in civic involvement.
Name: 


  1. Before you began your AmeriCorps service, how often did you volunteer your time for community service activities?
    0 hours per month
    1-5 hours per month
    6-10 hours per month
    11 or more hours per month


  1. Breifly describe your feelings about community service:


  1. Are you registered to vote?
    Yes
    No


  1. Rate your current voting behavior.
    never
    rarely
    sometimes
    frequently
    always


  1. Do you keep up to date on local, national, and global issues?
    Yes
    No


  1. If so, how often?
    seldom
    somewhat
    regularly
    almost always


  1. If so, how do you keep informed?
    TV
    radio
    internet
    family/friends
    newspaper
    membership in organizations
    other (describe below)


  1. (description)


  1. Do you know who represents you in government? If yes, name them here:


  1. Have you contributed financially or volunteered time to a political cause, campaign, protest, rally, or event? If yes, describe.


  1. What skills do you bring to your AmeriCorps service that will help you be a positive contributor to your community?


  1. Do you have a written personal plan for civic involvement?
    Yes
    No


  1. If yes, briefly describe:


  1. What type of AmeriCorps member are you?
    Full Time
    Half Time
    Reduced Half Time
    Quarter Time
    Minimum Time


  1. Are you a first year member or a returning member?
    First year
    Returning





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