5) What was done? What was distributed? How was it distributed? Where was it distributed? Date of Distribution SCOPE Year 1 SCOPE Year 2 Year 3 Year 4 SCOPE Year 5 Low-income Ethnic minorities Distributed 30 newsletters by mail to African American churches in the county. 1/25/16 X Spoke at 5 African American churches within city limits about senior center and handed out newsletters and calendars. 3/12/17 X Rural X Physical or cognitive impairments Dropped off 40 newsletters to social worker for the blind. 1/25/16 X Primary language not English
Please list any new fitness activities you would like to have at the center: Please list any new arts or crafts classes/activities you would like to have at the center: Please list any speakers or educational programs you would like to have: Please list any new social/recreational activities you would like to have: Please list any trips or special events you would like the center to consider. Please list any new equipment you would like the center to consider purchasing: What is your favorite thing about coming to the center? You! Your Opinions Are Very Important to Us. [Name of Center] Senior Center Community Survey Please complete this survey if you are more than ___ old, live in ________, and do not take part in activities and programs at [name of senior center] Have you ever been to the [name of senior center]? No Yes, a few Yes, but not for a long time Yes, I have been to the center 10+ times in the past year Please do not continue the survey What are the reasons that you do not attend the [name of center] regularly? all that apply). I do not know much about it I do not know where it is I do not have transportation I do not anything there would interest me I do not know anyone who goes I am caring for someone who is sick or has a disability I am still working I am caring for grandchildren or other children I am too busy Other {Please specify) _________________________
Question 28 Hours of Operation X Visibly posted full-time hours Hours posted onsite and visible from outside the center. Question 29 Extended hours (Excellence only) X Extended hours of operation or evidence of attempts to offer extended hours Posted on door or in recent schedules, newsletters, fliers showing after-hour events Copies of memos or other materials showing efforts if there is a plan to extend hours Attendance data demonstrating lack of success if center extended hours within the SCOPE time frame and did not receive response sufficient to warrant continued efforts Copies of correspondence, policy manual, or relevant statute if city/county owns building and does not permit additional hours or there are other, insurmountable obstacle Questions 30 Compliance with Local Code X Current compliance with local codes Current sanitation certificate, fire inspection report, elevator inspection (if applicable Question 31 Upkeep X Questions 32 Accessibility X Question 33 Center Space X* For initial: a minimum of 4000 square feet, of which 3200 must be used for center programming. *No evidence needed for recertification if building/space has remained the same. Blue prints, letter from building inspector, deed, mortgage/rental agreement, or drawing with measurements shown for each dimension. Question 34 Signage X A sign identifying center by name that is visible from the nearest road Sign(s) Questions 35 Fundraisers and Grants X Initial certification- 2 fundraising and/or activities in the last year Recertification- at least 10 fundraising and/or grant activities with at least 1 in the last year Copies of proposals, letters from funders, advertisement for fundraisers, financial reports, copies of checks or receipts Questions 36-37 Financial Reporting (Excellence only) X Annual financial reporting with audit (if applicable) and availability of report to participants Copy of annual financial statement, fiscal report, and report (if applicable) and materials publicizing statement availability, observed onsite if publicized on a bulletin board
Section 6. The Extra Mile Question 5 Year 1 Year Now None Needed Center Needs to Document What site visitors will look at Question 38 Special Projects (Excellence only) X All special projects mentioned in the SCOPE Corresponding pictures, publicity documents, correspondence, sign-up lists, and/or agreements with project collaborators Question 39 Mentoring (Excellence only) X All mentoring mentioned in the SCOPE Thank-you letters, site visit confirmation letters, listserv correspondence Question 40 Summary Statement (Excellence Only) X