Evaluating the Effects of Sistema-Inspired Music Programs

in United States Communities

A Joint Study by The Longy School of Music of Bard College & WolfBrown

Made possible by funding from The Buck Family Foundation

General Information
Name of Sistema-inspired Program:
Website:
Designated Contact Person
Name
Email Address
Phone Number
How many years has your program been in existence?
How many years has the current Executive Director been in his/her position?
Please list any other key leadership positions by title, and indicate how long the current occupant has held each position:
Program Information
Does your program serve children whose primary language is not English?
If you answered yes to the item above, please list the other primary language(s) spoken by the children you serve, and indicate the approximate proportion(s) of your total population that speak these language(s).
Below is a table that we would like you to complete for your program. If you have only one site at which you operate, leave the entries for Sites B and C blank. Similarly, if you serve students at only one level of instruction at any or all sites, please leave the additional levels blank.
Site A Address:
Students (#) / Age Range / TAs (#) / Instruction Type(s) / Hrs/Wk / Wks/Yr
Level 1 /  In school
 After school
 Music camps (during year)
 Summer programs
 Other:
Students (#) / Age Range / TAs (#) / Instruction Type(s) / Hrs/Wk / Wks/Yr
Level 2 /  In school
 After school
 Music camps (during year)
 Summer programs
 Other:
Students (#) / Age Range / TAs (#) / Instruction Type(s) / Hrs/Wk / Wks/Yr
Level 3 /  In school
 After school
 Music camps (during year)
 Summer programs
 Other:
Site B Address:
Students (#) / Age Range / TAs (#) / Instruction Type(s) / Hrs/Wk / Wks/Yr
Level 1 /  In school
 After school
 Music camps (during year)
 Summer programs
 Other:
Students (#) / Age Range / TAs (#) / Instruction Type(s) / Hrs/Wk / Wks/Yr
Level 2 /  In school
 After school
 Music camps (during year)
 Summer programs
 Other:
Program Information (cont’d)
Site C Address:
Students (#) / Age Range / TAs (#) / Instruction Type(s) / Hrs/Wk / Wks/Yr
Level 1 /  In school
 After school
 Music camps (during year)
 Summer programs
 Other:
Students (#) / Age Range / TAs (#) / Instruction Type(s) / Hrs/Wk / Wks/Yr
Level 2 /  In school
 After school
 Music camps (during year)
 Summer programs
 Other:
Community Connections
Does your program provide any of the following activities for the children your serve and their families (please check all that apply)?
 Homework help/tutoring /  Care for younger siblings
 Tickets to program events and concerts /  Tickets to events and concerts in the community
 Transportation to or from the program /  Family support or interest groups
 A family advisory council /  Other:
Approximately what proportion of your children’s families regularly attend the program’s concerts (i.e., concerts featuring the children)?
Approximately what proportion of your children’s families are in regular communication with the program? (responding to messages and requests, returning permission slips) in a timely fashion, etc.?)
Community Connections (cont’d)
In the space below, please provide information about your major community partners. These may include, but are not limited to,organizations in which your program is embedded (e.g., an orchestra), host sites (e.g., schools, afterschool programs), as well agencies that provide additional services for your students and families.
Partner A:
Description of partnership:
Director or Leader of partner organization:
Primary staff liaison:
Does the partner organization provide general operating revenues or support (e.g., staff time, facilities, overhead)? If so, please list the amount and/or kind of support the program receives:
Duration of partnership:
Partner B:
Description of partnership:
Director or Leader of partner organization:
Primary staff liaison:
Does the partner organization provide general operating revenues or support (e.g., staff time, facilities, overhead)? If so, please list the amount and/or kind of support the program receives:
Duration of partnership:
Partner C:
Description of partnership:
Director or Leader of partner organization:
Primary staff liaison:
Does the partner organization provide general operating revenues or support (e.g., staff time, facilities, overhead)? If so, please list the amount and/or kind of support the program receives:
Duration of partnership:
Current & Prior Evaluation Work
Has your program previously been evaluated by either an internal or external team?
If so, when was this evaluation conducted, and by whom?
If there was a report or presentation produced as part of the evaluation, please attach a copy or provide a link to a website where the report or presentation may be downloaded.
If no report was produced, please describe the methods you used and the major findings of the report below.
Please indicate which types of data your organization is currently collecting. For each, please indicate who is responsible for collecting the data, how often it is collected, and whether a digital copy of the data exists. Where applicable, please indicate how many seasons or years prior to the current one these data are available in any form.
Who collects? / When is it collected? / Digital Copy? / Previous years:
Student demographics
Attendance
Practice journal
Musical knowledge
Musical performance (juries)
School records (report cards)
Test scores
Family demographics
Other:
Was parental consent obtained to collect the data listed above?
Goals for Collaboration
What are your major interests/goals in participating in the proposed evaluation?
What would make it worthwhile for you and your colleagues?
What are your questions and concerns about participating in the proposed evaluation?