CPO Initial Program Survey
Please fill out this survey at the beginning and middle of
your program. This form helps us track volunteer and student participation.
First Name:
Last Name:
Email
Service Schedule Name
How many students are attending this program?
Estimate if unsure of exact number.
How many
CPO
volunteers are facilitating this program?
Please include yourself in this count.
Do you need additional supplies?
Do you need additional supplies or print outs?
Do you receive your print outs on a consistent basis?
Comments
Is there anything about the program that you would like to share?
Comments, questions, concerns
Survey Type
Please select...
Initial
Final
Contact Information