CTEP SITE

CAPACITY ASSESSMENT

Indicate which assessment you are completing:

BEGINNING OF YEAR MID YEAR END OF YEAR

Date Reviewed and Approved by both Supervisor and Member:

Date this Survey was submitted to CTEP:

Name and address of your CTEP Partner Agency

Name of CTEP member(s) completing the Site Capacity Assessment:

Name of Supervisor plus his/her title, address, phone, and email

CUMULATIVE SCORE

Average Beginning of Year Score:

Average Mid Year Score:

Average End of Year Score:

BACKGROUND: Description of Neighborhood Served

1. PHYSICAL SPACE- Facilities and Access

BEGINNING OF YEAR SCORE

MID YEAR SCORE

END OF YEAR SCORE

Beginning of Year Description:

Mid Year Change. Write “none” if no change

End of Year Change (different from mid year), if any. Write “none” if no change

2. TYPICAL WEEKLY SCHEDULE

BEGINNING OF YEAR SCORE

MID YEAR SCORE

END OF YEAR SCORE

Beginning of Year Description:

Mid Year Change. Write “none” if no change

End of Year Change (different from mid year), if any. Write “none” if no change

3. TECHNOLOGY EDUCATION

BEGINNING OF YEAR SCORE

MID YEAR SCORE

END OF YEAR SCORE

Beginning of Year Description:

Mid Year Change. Write “none” if no change

End of Year Change (different from mid year), if any. Write “none” if no change

4. USERS

BEGINNING OF YEAR SCORE

MID YEAR SCORE

END OF YEAR SCORE

Beginning of Year Description:

Mid Year Change. Write “none” if no change

End of Year Change (different from mid year), if any. Write “none” if no change

5. STAFFING

BEGINNING OF YEAR SCORE

MID YEAR SCORE

END OF YEAR SCORE

Beginning of Year Description:

Mid Year Change. Write “none” if no change

End of Year Change (different from mid year), if any. Write “none” if no change

6. VOLUNTEERS

BEGINNING OF YEAR SCORE

MID YEAR SCORE

END OF YEAR SCORE

Beginning of Year Description:

Mid Year Change. Write “none” if no change

End of Year Change (different from mid year), if any. Write “none” if no change

7. OUTREACH

BEGINNING OF YEAR SCORE

MID YEAR SCORE

END OF YEAR SCORE

Beginning of Year Description:

Mid Year Change. Write “none” if no change

End of Year Change (different from mid year), if any. Write “none” if no change

8. FUNDING

BEGINNING OF YEAR SCORE

MID YEAR SCORE

END OF YEAR SCORE

Beginning of Year Description:

Mid Year Change. Write “none” if no change

End of Year Change (different from mid year), if any. Write “none” if no change

9. PARTNERSHIPS

BEGINNING OF YEAR SCORE

MID YEAR SCORE

END OF YEAR SCORE

Beginning of Year Description:

Mid Year Change. Write “none” if no change

End of Year Change (different from mid year), if any. Write “none” if no change

10. INVENTORY OF HARDWARE

BEGINNING OF YEAR SCORE

MID YEAR SCORE

END OF YEAR SCORE

Beginning of Year Description:

Mid Year Change. Write “none” if no change

End of Year Change (different from mid year), if any. Write “none” if no change

11. INVENTORY OF SOFTWARE

BEGINNING OF YEAR SCORE

MID YEAR SCORE

END OF YEAR SCORE

Beginning of Year Description:

Mid Year Change. Write “none” if no change

End of Year Change (different from mid year), if any. Write “none” if no change

12. NETWORKS

Beginning of Year Description:

Mid Year Change. Write “none” if no change

End of Year Change (different from mid year), if any. Write “none” if no change

13. INTERNET CONNECTION

BEGINNING OF YEAR SCORE

MID YEAR SCORE

END OF YEAR SCORE

Beginning of Year Description:

Mid Year Change. Write “none” if no change

End of Year Change (different from mid year), if any. Write “none” if no change

14. RECOMMENDATIONSFORCAPACITYBUILDING PROJECTS