Logo Home   Documents and Lists   Create   Site Settings   Help    Up to Grantee Support Site
Icon
Grantee Follow Up Survey

As part of our ongoing commitment to New York State residents with developmental disabilities and their families, we are asking former grantees to provide information that will help us document the impact of previously funded programs.  We will share this information, in aggregate, with our federal funding agency, the Administration on Developmental Disabilities (ADD).

Please complete the Survey below. When you are finished, click the "Save and Close" link at the top of the Survey.
   
Save and Close Save and Close
|
Go Back to Survey

Name
 
Your Title *
 
Agency *
 
Contact Phone *
 
Address *
 
Email *
 
DDPC Funded Program Title *
 
Grant Timeframe (e.g. Project funded from October 1, 2001 through September 30, 2003) *
 
Is the program which was established/supported previously under DDPC funding, still in existence? *
If your program has been continued in a different format, please tell us how it is different:
 
If your program has not continued beyond DDPC funding, what reasons or factors caused the program to come to an end?
 
If your program is still functioning, what is the yearly funding amount currently allocated to this program?
 
If your program is still functioning, what are the source(s) of that funding?
 
How many children with DD are you currently serving under this program?
 
How many families are you currently serving under this program?
 
How many adults are you currently serving under this program?
 
How many providers are you currently serving under this program?
 
How many persons not in one of the previous groups are you currently serving?
 
Is there other information that you would like DDPC to know about your program, particularly how it has impacted the lives of people that you serve?   Please provide a brief anecdote or example, if possible.
 
Please also include any other information that you would like DDPC to consider in this space.
 

*  indicates a required field