An Evaluation of the Violence is Preventable (VIP) Program
An Evaluation of the Violence is Preventable (VIP) Program
An Evaluation of the Violence is Preventable (VIP) Program
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Appendix E: <strong>VIP</strong> Site Report<br />
<strong>Violence</strong> Is <strong>Preventable</strong> Site Activity Report #1<br />
Dear <strong>VIP</strong> Project Sites! Please fill out <strong>the</strong> information below with your Executive Director. Once<br />
completed and signed, please send th<strong>is</strong> back via mail to:<br />
BCYSTH: 325-119 West Pender Street, Vancouver, BC V6B 1S5<br />
A $2855 Honoraria has been allocated to each <strong>VIP</strong> Project site. Th<strong>is</strong> honoraria <strong>is</strong> meant to support <strong>the</strong><br />
work and contribution <strong>of</strong> your CWWA program and host agency to th<strong>is</strong> project. Upon completing th<strong>is</strong><br />
report, your site will be <strong>is</strong>sued <strong>the</strong> second payment <strong>of</strong> $1000.00. Th<strong>is</strong> may take up to 4 weeks to<br />
process. $1000.00 will be given at <strong>the</strong> end <strong>of</strong> <strong>the</strong> school year once all evaluation data <strong>is</strong> collected from<br />
your site including surveys, and participation in a conference call and <strong>the</strong> final activity report has been<br />
completed.<br />
If have any questions or need support completing th<strong>is</strong> activity report, please contact Joanna Kordus at<br />
joannakordus@bcysth.ca or 1-800-661-1040 ext 223.<br />
Thank you all for <strong>the</strong> amazing work and dedication to th<strong>is</strong> project!<br />
<strong>VIP</strong> Project Agency: ___________________________________<br />
<strong>VIP</strong> CWWA Counselor(s) Name: _________________________ _____________________________<br />
Address: _________________________________________<br />
City: ____________________ Postal Code: _____________<br />
Phone: _________________ Fax: ________________ Email: __________________________<br />
Your <strong>VIP</strong> Activities from September 2008 to December 2008:<br />
Total # <strong>of</strong> new schools contacted regarding <strong>the</strong> <strong>VIP</strong> <strong>Program</strong><br />
New Contributions Secured by Your Agency from: Total $ Amount<br />
Non-Pr<strong>of</strong>it Organizations<br />
Financial Institutions<br />
Government Agencies (not including core funding<br />
to CWWA program)<br />
Businesses/ Corporate Agencies<br />
Estimated monetary value <strong>of</strong> o<strong>the</strong>r In- Kind<br />
Contributions from partner schools , agencies,<br />
programs: such as, program space, facilitation<br />
support, resources, equipment,<br />
Donations<br />
O<strong>the</strong>r:____________________________<br />
53 | F a l l 2 0 0 8 V I P E v a l u a t i o n
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