2008 Committee on Youth and Family

Please respond to this questionnaire or before December 17, 2009.

Name of service provider

In operation since

Name of person filling out this survey

Title of person filling out this survey

Phone number

Fax number

Email address

Address

What is the mission of your agency

The following are the Youth and Family Master Plan’s goals. Please mark the goals that apply to your agency's mission and indicate programs and services provided by your agency that address these goals. For some agencies, instead of focusing solely upon the goals, it may be helpful to ask, "What have we accomplished to better our agency's relationship with the city, school district, other non-profits serving youth and families of Claremont or the broader community?"

MOBILIZE THE COMMUNITY

1. GET THE WHOLE COMMUNITY INVOLVED
Every person, business, organization, and agency has a role to play in meeting the needs of youth and families.

Applies to my agency
Does not apply

Programs/Services:

2. INCLUDE AND RECOGNIZE YOUTH
Treat youth with respect, give them opportunities to contribute and recognize them for positive actions.

Applies to my agency
Does not apply

Programs/Services

3. VALUE DIVERSITY
Foster an inclusive community.

Applies to my agency
Does not apply

Programs/Services

4. PROVIDE GOOD INFORMATION ABOUT OPPORTUNITIES FOR YOUTH
Information should be easily accessible.

Applies to my agency
Does not apply

Programs/Services

ENABLE A COORDINATED SYSTEM OF SUPPORT AND ACTIVITIES

These five goals seek to implement the kind of service system embodied in the vision and guiding principles

5. PROVIDE MEANINGFUL ACTIVITIES FOR YOUTH WHEN THEY ARE NOT IN SCHOOL
Activities and outlets are the highest priority for school-age children.

Applies to my agency
Does not apply

Programs/Services

6. ENSURE THAT YOUTH HAVE ACCESS TO PHYSICAL HEALTH CARE
III children cannot learn.

Applies to my agency
Does not apply

Programs/Services

7. ENSURE THAT YOUTH HAVE ACCESS TO MENTAL HEALTH CARE
Distressed children cannot thrive.

Applies to my agency
Does not apply

Programs/Services

8. PROVIDE A SAFE AND SECURE ENVIRONMENT
Safe neighborhoods are essential to a healthy community.

Applies to my agency
Does not apply

Programs/Services

9. SUPPORT FAMILIES AND EDUCATE ADULTS WHO DEAL WITH YOUTH
Families need community support programs and policies and children don't come with an instruction manual.

Applies to my agency
Does not apply

Programs/Services

COORDINATE, SUPPORT AND MONITOR IMPLEMENTATION

10. COORDINATE EFFORTS TO REACH THESE GOALS
Coordinate and monitor the implementation of the Youth & Family Master Plan.

Applies to my agency
Does not apply

11. PROVIDE DETAILED ANNUAL REPORT AND REGULARLY UPDATE THE YOUTH & FAMILY MASTER PLAN

Applies to my agency
Does not apply

Please respond to the following questions keeping these goals in mind.

1. What other agencies do you partner with in carrying out the mission of your agency?

2. From your perspective, what are the top three issues facing Claremont youth?

3. From your perspective, what are the top three issues facing Claremont families?

4. Please provide information on how many Claremont residents your agency served in 2008 - 09.

Please share any additional comments.

5. How would you rate claremontconnect.com resource and referral website in linking residents to services and/or service providers to local resources.

About right
Could be improved
I am not familiar with the website

6. How would you rate the social services (community workers, food pantry, Tri-City Community Navigator) available through the City of Claremont and/or its partners in addressing the needs of Claremont’s youth and families.

About right
Could be improved
I am not familiar with the services

Please share any additional comments.

7. Please suggest the types of topics you would like to see covered at the Committee on Youth and Family’s Service Provider Summit planned for Spring 2010.

8. What additional programs, services and/or activities are needed in the community to support youth and families? Please share any possible opportunities for collaboration in delivering these services your agency might be interested in becoming involved in.