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2016-17 Adopt-A-School End of Year Report
Directions: This year, we are asking for only one report submission from each partnership (so no duplication of effort). Coordinators for adopters are encouraged to be in charge of making the submission as this is a busy time for school coordinators. School coordinators may choose to handle if that is preferred. Please discuss this form with your partner before submission to make sure all activities and info will be reported correctly and both agree on the submission. Note: VIP application is included (Section 2) and may be skipped over by those not applying.
Business/Organization Name
Your answer
Adopted School Name
Your answer
Your Name
Your answer
Your Email Address & Phone Number
Your answer
Please provide an estimate of the following for the entire 2016-17 school year. (We need this to compile a total impact on schools. Your info is confidential and won't be shared individually.)
Approximate # adopter volunteers (people) involved in partnership activities
Your answer
Approximate # total adopter volunteer hours invested
Your answer
Financial investment/expenditures in the partnership
Your answer
List other in-kind donations (food, books, furniture, computers, etc.) & estimated value, if known
Your answer
Evaluation of Overall Adopt-A-School Program. Please comment on strengths/benefits, greatest needs & challenges, along with other ideas/suggestions for improvement.
Your answer
Give a brief description of your partnership activities conducted in the following categories
Student Incentive/Motivation
Your answer
Career Awareness/Junior Achievement
Your answer
Curriculum/Cultural Enrichment
Your answer
Character Development
Your answer
Community Service Projects
Your answer
Improving School Environment (landscaping, painting, computer upgrades, etc.)
Your answer
Partnership Appreciation Activity (teacher or adopter)
Your answer
Other Activities/Projects by Adopter for School
Your answer
Activities Done by School for Adopter
Your answer
Of the activities listed above, which do you feel has the greatest impact on enhancing education for students at your school?
Your answer
Does the adopter agree to RECOMMIT for next school year?
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