|
 |
As part of our assessment efforts, starting in 2007, we will ask that each participating SAGE teacher to complete the following questionnaire.
Country: __________________________ Number of Years in SAGE: ______
Please mark the following as they apply to your high school:
SAGE is part of an existing class? Yes No
SAGE is an extracurricular activity only? Yes No
SAGE is open to all students in your school? Yes No
Please enter a number for each of the following:
Number of Faculty involved: _______Number of Active students involved with projects: _______
Number of BAB Members: ________ Total hours of involvement by BAB Members: _______
Number of University/College Mentors: _____Total hrs of involvement by University Mentors: _____
Estimated number of new business ventures started by the SAGE team?____
How many of these will likely continue next year?_____
Estimated number of continuing business ventures operated by the SAGE team?____
How many of these will likely continue next year?_____
Estimated number of new social ventures started by the SAGE team?____
How many of these will likely continue next year?_____
Estimated number of continuing social ventures operated by the SAGE team?____
How many of these will likely continue next year?_____
Estimated number of school age (5-13) children reached by all SAGE projects: ________
Estimated number of senior citizens (65 or older) reached directly by all SAGE projects: ________
Estimated number of community citizens reached by SAGE projects: ________
Mass Media:
Estimated total number of individuals reached through mass media (this counts a person only once, no matter how many times that person was reached): ______
Amount of SAGE funds raised through:
(1) SAGE Operated Businesses: $________
(2) Grants received: $________
(3) Donations received (e.g., fundraisers): $________
(4) Other: ___________________ $________
Please list the following:
1. The names of high school organizations affiliated with SAGE:
2. The names of community organizations involved with projects:
3. International countries your team worked with:
_________________________________
Signature of SAGE Faculty Advisor
_________________________________
Printed Name of SAGE Faculty Advisor
_________________________________
Email Address of SAGE Faculty Advisor
_________________________________
Web site of SAGE Team (if applicable)