Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. BASIC INFORMATION LayoutToday's Date *Name *FirstLastAddress(if changed recently or different from our records)Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayoutEmail(if email will be changing from edu to personal)Phone *Approximately how long have you served as an intern at AfA? *Name of supervisor *(List all)Area(s) of Service *ArtCuriousBoard of AdvisorsBoard of DirectorsAdmin/Office SupportCommunicationsCommunity LiaisonEventsFunDevelopmentGrant WritingVolunteer CoordinationYouth Workshop FacilitatorOtherLayoutIf you answered "Other"Please let us know if your educational goals were not listed above. Title (if any)Were you given an official title during your internship? AGENCY ASSESSMENT Please briefly let us know what first brought you to the agency. *Please let us know if your experience was very different from what initially engaged you and how. *Do you feel you received sufficent training in support of your education?YesNoSomewhatIf you answered "no," what could have been done differently? If you answered "somewhat," what could we improve upon?Do you believe you were sufficiently supported in your educational goals by the agency staff/board? *YesNoSomewhatIf you answered "no," what could have been done differently? If you answered "somewhat," what could we improve upon?If your service with AfA ended before your internship ended, please let us know why. *Do not feel compelled to disclose any details of a personal nature, but please be candid if it was something we can learn from. Overall, how would you rate your experience as an intern at Art from Ashes?Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Please let us know the reason for your rating. *We would love to have your input about what you believe would improve our program and our internship process. Please tell us what changes or improvements you would recommend:If you were a facilitator, please let us know specifics about the facilitation process at the end of this form. Any other comments about your experience at Art from Ashes?Please let us know if we can use positive comments as a testimonial. FURTHER INVOLVEMENT Based on your experience, would you consider continuing your involvement at some point in the future? *YesNoUndecidedMore specifically, are you interested in staying involved as an ambassador for AfA? *Those who wish to support the agency but don't have the 6 hours a month to commit to volunteering, but ARE committed to sharing our mission and showing up in times of need. We will always welcome Ambassadors at the occasional Volunteer Meeting, as well! YesNoNeed more infoMay we add you to our email list to keep you informed about agency news? *YesNoI'm already on it FACILITATOR ASSESSMENT ONLY LayoutSupervisor and/or Lead Facilitator's nameIf you were trained by more than one person in facilitation, please list each person and their role in your training. How long was your training before you began to work directly with young people?Please let us know if you believe this was sufficient time for you to adequately introduce the program and deliver the curriculum and why/why not.Please check all aspects of your training that were covered during your internship:Check all that applyAdult WorkshopWeekly Curriculum TrainingMonthly Training MeetingsTraining in Set-Up and PackingIntensive TrainingSupporting a Lead at In-Person WorkshopsSupporting a Lead at Virtual WorkshopsTraining with a Lead to Facilitate In-Person WorkshopsTraining with a Lead to Facilitate Virtual WorkshopsFacilitation ReviewWhat do you believe could be improved about the facilitator training process?Overall, how would you rate your experience as a facilitator at Art from Ashes?Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Please let us know the reason for your rating.Quick Video?It would be wonderful if you could video record a really quick testimonial and upload it here if you found your volunteer time to be fulfilling! Click or drag a file to this area to upload. Submit
