United Way Youth Venture Spring 2009 Team Member Survey
Required Required Question(s)
Progress: 
 

About Me
 
Required 1.

Please enter the information indicated below.
First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

Required 2.

Which school or community organization do you participate in UWYV through? Select all that apply.
Leominster High School
Skyview Middle School, Leominster
Memorial Middle School, Leominster
Leominster Center for Technical Education
Murdock Middle High School
21st Century After-School Program, Fitchburg
Fitchburg High School
Francis W. Parker Charter School
Shirley Middle School
Lura White Elementary School, Shirley
BF Brown, Leominster
Other  
3.

LEOMINSTER STUDENTS: Which UWYV teams do you belong to? If more than one, please list all teams (additional teams listed in question #4).


If you do not attend Leominster schools, please skip on to the question pertaining to your school district.
Leadership Venture
Mums & Muffins
C.L.A.S.S. - Classroom Learning Activities for Samoset Students
L.E.A.F.S. - Learning Environment Activities for Students
Operation Photojournalism
Project Launchpad
Tech Awareness Venture
C.O.M.P. - Community Outreach Mural Project
Little People's Literature
S.T.A.M.P. - Students Taking Action in Massachusetts Politics
Wildcat Wares Wagon
The Buzz Literary Magazine
Giving Back to the Community
Willing to Help Venture - Queriendo Ayudar
Traveling Through the World
L.A.N.D. - Leominster Advocates for Nature's Den
Hawk's Nest
Backyard Group Venture
Positive Pre-School Pals
Teen Reach
4.

LEOMINSTER STUDENTS: Which of the following UWYV teams do you belong to? Please select all that apply (additional Leominster teams listed in above question).
Freedom Venture
Devil Pups
Samoset Gazette
Teen Generational Service Venture
Other  
5.

SHIRLEY STUDENTS: Which of the following UWYV teams do you belong to? Please select all that apply.

 

If you do not attend Shirley schools, please move on to the question pertaining to your school district.
Shirley Bakes
Shirley School Store
E.T.C. - Energy Through Creativity
Good Sport
Kids at Play
SAFE
Charity Garden
S.A.F.A. - Shirley Arts for All
SMS Literary Magazine
Fix It Up Wrap It Up
S.O.S. - Skaters of Shirley
The Rolled Up Newspaper - For the Kids By the Kids
Shirley Penguins
T.R.U.N. 2 - SMS
Supplies for Good
Food Dudes
Shirley School Mascot
T&J Basketball Venture
Group 5
Other  
6.

FRANCIS W. PARKER CHARTER STUDENTS: Which of the following UWYV teams do you belong to? Please select all that apply.

 

If you do not attend Parker Charter, please move on to the question pertaining to your school district.
Team Ultimate
Club PAGE
Parker STAND
Puppy Love
Other  
7.

WINCHENDON STUDENTS: Which of the following UWYV teams do you belong to? Please select all that apply.

 

If you do not attend Winchendon schools, please move on to the question that pertains to your school district.
Extreme Makeover: Field Edition
The Sound of Murdock
Operation Murdock Cares
Wii Care
Other  
8.

FITCHBURG STUDENTS: Which of the following UWYV teams do you belong to? Please select all that apply.

 

If you do not attend Fitchburg schools, please move on to the question pertaining to your school district.
Riverfront Revival of the Arts
From Crocker to Crocker
STAGES
Life-Link
Intergenerational Venture
Prom Dress Express
Red Raider Rock Band
Other  
9.

21st CENTURY AFTER-SCHOOL STUDENTS: Which of the following UWYV teams do you belong to? Please select all that apply.

 

If you do not participate in the 21st Century After-School program, please move on to the question pertaining to your school district.
E.S.P. - Eco-School Project
P.A.T.H. - Peer Academic Tutoring Help
Other  
Required 10.

How long have you been on a United Way Youth Venture (UWYV) team?
Less than 6 months
6 months to less than 1 year
1 year to less than 3 years
3 years to less than 5 years
5 years or more
11.

How frequently do you work on your Venture?
10+ hours each week
7-9 hours each week
4-6 hours each week
1-3 hours each week
A couple times a month
Once a month
Once or twice a year
12.

How satisfied have you been with your UWYV experience this year?
Highly satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Highly dissatisfied
13.

Do you plan to participate in UWYV next year?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
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14.

How would you describe your racial and/or ethnic background? Please check all that apply.
American Indian or Alaskan Native
Asian
African-American
Cape Verdean
Native Hawiian/Pacific Islander
Latino/Hispanic
Caucasion/White
Prefer not to answer
Other  
15.
What is your gender?
Male
Female
Prefer not to answer
16.

How old are you?
12
13
14
15
16
17
18
19
20
21+
Under 12
17.

What grade are you in at school?
1st - 4th
5th
6th
7th
8th
Freshman
Sophomore
Junior
Senior
College
Other  
18.

Which of the following other activities do you participate in? Please mark all that apply.
Sports
School Clubs (Key Club, Kiwanis, Photography, etc.)
Junior ROTC
Band/Chorus/Theater
Student Government
Girl Scouts
Boy Scouts
Church Youth Group
Other  
19.

Overall, what type of grades do you usually get in school?
Mostly A's
A's and B's
Mostly B's
B's and C's
Mosty C's
C's and D's
Mostly D's
Failing