Community Partner Survey

CNCS is a federal agency that provides funding for national service programs including 

AmeriCorps, Senior Corps, NCCC and the Social Innovation Fund. We are conducting a survey

of AmeriCorps grantees and community partners to assess how our AmeriCorps grantees are 

working in communities. We received your organizations name and contact information from 

__[name of grantee organization] __. 

We are interested in learning about how AmeriCorps grants have contributed to the development 

of community partnerships. Partnerships may entail among other things, shared administrative 

tasks or functions, joint ventures, membership in professional organizations, advocacy activities 

on behalf of beneficiaries and primary services for mutual clients.

1. Does your organization currently collaborate with _[grantee organization]_ as a partner 

organization in your community?

Yes___ No___

If 1=No

2. Are you familiar with this program’s services and/or staff? Yes___ No___

3. Are you aware that ____________ has received an AmeriCorps grant?

Yes___ No___

4. Have you ever served on any community advisory boards, steering committees advocacy 

groups or other organizations with _________________ 

 Yes _____ No ______ Don’t know ________

If 1=Yes or 4=Yes

5. If yes, please check the primary area(s) of collaboration that you share with the 

AmeriCorps grantee organization

Fiscal and management duties 

(e.g. funding projects, purchasing of services agreements, sharing facility

space, record keeping and managing information systems)
Organizational tasks

(e.g. developing programs or services, program evaluation,

staff training, promotion, collaborative workshops and conferences 

Service functions (e.g. client services – screening, evaluation/assessment, 

shared intake forms, service plan development, case conference or 

reviews, referrals

Administrative Tasks

(e.g. formal/informal agreements

contracts, legally mandated collaborative relationships, interagency

committees, collaborative advocacy

Other. Please describe: __________________________

6. Before this survey, were you aware that __[grantee organization] __ has received an 

AmeriCorps grant?

Yes___ No___

If 6=yes:

7. Is your partnership with [grantee org] a result, in whole or part, of the AmeriCorps grant? 

Yes __ No ___

8. In your view, to what degree have the AmeriCorps members helped [grantee org] develop 

new partnerships with organizations or individuals in the community?

Don’t know

Not at all

A small degree

Moderate degree

A great degree

If 8>not at all

9. In your view what are the key ways that AmeriCorps members contributed to forming 

new partnerships? [Open ended response]
10. In your view, to what degree have the AmeriCorps members helped [grantee org] 

strengthen existing partnerships with organizations or individuals in the community?

Don’t know

Not at all

A small degree

Moderate degree

A great degree

If 10>not at all

11. In your view what were the key ways that AmeriCorps members grant contributed to 

strengthening existing partnerships? [Open ended response]

12. To what degree have the AmeriCorps members worked with community members and 

other organizations in the community, to identify needs and strengths in the community?

Don’t know

Not at all

A small degree

Moderate degree

A great degree

13. To what degree have the AmeriCorps members worked with community members and 

other organizations in the community to identify resources? Resources could include, for 

example, financial, human capital, in-kind, or legal. 

Don’t know

Not at all

A small degree

Moderate degree

A great degree

If 6=No:

14. Did you have a partnership or work with this organization prior to [year became grantee]? 

Yes _____ No ______ Not sure_________

If 14=No:

15. In your view, to what degree has [grantee org] worked to develop new partnerships with 

organizations or individuals in the community?

Don’t know

Not at all

A small degree
Moderate degree

A great degree

16. In your view, to what degree has [grantee org] worked to strengthen existing partnerships 

with organizations or individuals in the community?

Don’t know

Not at all

A small degree

Moderate degree

A great degree

17. To what degree has [grantee org] worked with community members and other 

organizations in the community, to identify needs and strengths in the community?

Don’t know

Not at all

A small degree

Moderate degree

A great degree

18. To what degree has [grantee org] worked with community members and other 

organizations in the community to identify resources? Resources could include, for 

example, financial, human capital, in-kind, or legal. 

Don’t know

Not at all

A small degree

Moderate degree

A great degree

If 14=Yes:

19. In your view, to what degree has [grantee org] worked to develop new partnerships with 

organizations or individuals in the community?

Don’t know

Not at all

A small degree

Moderate degree

A great degree

If 19>Not at all

20. How have the extent of the efforts of [grantee org] to develop new partnerships changed 

since [start of grant]? 

Don’t know

Decreased
Stayed the same

Increased

21. In your view, to what degree has [grantee org] worked to strengthen existing partnerships 

with organizations or individuals in the community?

Don’t know

Not at all

A small degree

Moderate degree

A great degree

If 21>Not at all

22. How have the extent of the efforts of [grantee org] to strengthen existing partnerships 

changed since [start of grant]? 

Don’t know

Decreased

Stayed the same

Increased

23. To what degree has [grantee org] worked with community members and other 

organizations in the community, to identify needs and strengths in the community?

Don’t know

Not at all

A small degree

Moderate degree

A great degree

If 23>Not at all

24. How have the extent of the efforts of [grantee org] to identify needs and strengths in the 

community changed since [start of grant]? 

Don’t know

Decreased

Stayed the same

Increased

25. To what degree has [grantee org] worked with community members and other 

organizations in the community to identify resources? Resources could include, for 

example, financial, human capital, in-kind, or legal. 

Don’t know

Not at all

A small degree

Moderate degree

A great degree
If 25>Not at all

26. How have the extent of the efforts of [grantee org] to identify community resources 

changed since [start of grant]? 

Don’t know

Decreased

Stayed the same

Increased