National CASA Association Annual Local Program Survey For Calendar Year 2016

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DEADLINE: March 31, 2017 National CASA Association Annual Local Program Survey For Calendar Year 2016 Program Name Person Completing Survey Title Email address Program Phone City State Zip As a part of our commitment to trust and transparency, your state organization will have access to the information in your completed survey. This will help ensure that state organizations have a full set of survey data to inform their work with and service to local programs in their state. Your survey information will be available only to your state organization and National CASA. * Mandatory question SECTION ONE PROGRAM OPERATIONS AND RESOURCES 1. What year did your program start assigning volunteer advocates to children? 2. Which model type does your program follow? Friend of the court GAL CASA/GAL attorney team Other: 3. What is the population of the area served by your program? Under 100,000 100,000-399,999 400,000-799,999 800,000+ 4. In your opinion, describe the primary area served by your program: Urban Rural Suburban and Mixed 5. Does your program serve tribal children? Yes No 6. Please describe the administrative structure of your program: Part of a government agency Independent nonprofit [501(c)(3)] organization Part of an umbrella organization (name of umbrella): Other (please specify): 7. Does your organization have a governing board of directors? Yes No (If no, go to question 10)

8. Number of board members by sex as of December 31, 2016: Female: Male: 9. Number of board members by race as of December 31, 2016: African American or Black: American Indian or Alaska Native: Asian: Native Hawaiian/Other Pacific Islander: Two or more races: Other: Do not know: 10. Number of board members by ethnicity as of December 31, 2016: Hispanic or Latino: Do not know: Not Hispanic or Latino: ALL FINANCIAL INFORMATION REQUESTED (QUESTIONS 10-13 IS FOR THE MOST RECENT FISCAL YEAR ENDING NO LATER THAN 12/31/2016 11. Was the program s total revenue less, the same, or more, than the previous fiscal year? Less Same More 12. Your program s total expenses for the fiscal year ending no later than 12/31/16: $ 13. Please provide the sources of funding for your CASA/GAL organization for the fiscal year ending no later than 12/31/16 and indicate the amount for each source. Please select program fiscal year: January 1 December 31, 2016 July 1, 2015 June 30, 2016 October 1, 2015 September 30, 2016 Other (specify): Your program s total revenue for the above fiscal year: $ Dollar amount $ State Court Administration $ Local Court Source of funding $ State funds direct from state government other than pass-through from the court or state CASA/GAL organization $ State funds received by your program via pass-through from your state CASA/GAL organization $ All other state funds $ County funds other than through local court $ City funds other than through local court $ Court Improvement $ VOCA-Victims of Crime Act $ TANF-Temporary Assistance to Needy Families $ Title IV-E 2

$ CJA-Children s Justice Act $ National CASA Association $ CDBG-Community Development Block Grant $ Other federal funding $ Corporations $ Individuals $ Membership dues $ Fundraising events $ Product sales $ United Way $ Foundations $ Kappa Alpha Theta $ IOLTA-Interest on Lawyers Trust Accounts $ Churches or other religious institutions $ Community service organizations/clubs $ Other sources (specify) $ AUTO CALCULATED TOTAL REVENUE 14. How many counties does your program serve? 15. List the counties your program serves: 16. How many court jurisdictions does your program serve? 17. Does your program serve the entire court jurisdiction in which it is located? Yes No 18. How many tribal courts does your program serve? 19. Does your program operate remote/satellite offices? Yes No If yes, how many? * Mandatory question SECTION TWO STAFF 1. *Number of paid local program staff in each category as of December 31, 2016: Full-time: Part-time: Total paid employees: 2. Number of paid local program staff by sex as of December 31, 2016: Female: Male: 3

3. Number of paid local program staff by race as of December 31, 2016: African American or Black: Asian: American Indian or Alaska Native: Native Hawaiian/Other Pacific Islander: Two or more races: Other: Do not know: 4. Number of paid local program staff by ethnicity as of December 31, 2016: Hispanic or Latino: Not Hispanic or Latino: Do not know: 5. Number of paid local program staff by highest education level completed as of December 31, 2016: High school: Some college: College graduate: Post-graduate: Do not know: Please list the salary, full-time equivalent (FTE) status (or hours per week) and the availability of benefits (such as health insurance) for the executive director (also known as program director, manager or coordinator) and the volunteer coordinator (also known as volunteer manager, case manager or supervisor). 6. Executive Director (ED): Annual ED salary (report actual amount) Salary $ per year Full- or part-time and hours per week Check one: Full-time employee Part-time employee Hours per week Benefits available? (please check) Health insurance Dental insurance Retirement Other 7. Volunteer Coordinator (VC): Annual VC salary (report actual amount) Salary $ per year Full- or part-time and hours per week Check one: Full-time employee Part-time employee Hours per week Benefits available? (please check) Health insurance Dental insurance Retirement Other 4

8. FTE of all program staff: TOTAL Full-time equivalent of all program staff (FTEs): TYPE OF STAFF (a) Director of CASA/GAL program (b) Program manager (c) Recruitment and/or training coordinator (d) Director of development (e) Development staff (f) Volunteer coordinator(s)/supervisor(s) (g) Peer coordinator(s) (h) Accountant (i) Human resources director (j) Data manager (k) Administrative assistant(s) (l) Program attorney (m) Other: Please specify: Number of Full Time Employees Number of Part Time Employees 9. How did the total number of paid program staff change in 2016 from the prior year? It increased (By how many paid positions/ftes?) Positions: FTEs: No change It decreased (Decreased by how many positions/ftes?) Positions: FTEs: 10. How many people held the ED position in 2016? 11. How many years has the current ED served in this role? (If less than one year please enter zero and list the number of months the ED served in that role.) years [If less than one year: months] 12. How many paid staff left in 2016, for the following reasons: a. Career advancement e. Terminated b. Salary increase in a new job f. Family or personal needs c. Program cutbacks/reorganization g. Retired d. Relocated/moved h. Other reasons (please specify below) 13. How many paid staff were assigned to children s cases in a CASA/GAL role in 2016? 5

14. What is your program s average supervisory staff-to-volunteer ratio for 2016? 1: 15. Does your program utilize peer coordinators or a similar model of advocates supporting other advocates? Yes No 16. If yes, how many peer coordinators were actively supporting volunteer advocates as of 12/31/16? 17. What is your program s peer coordinator-to-volunteer ratio? 1: * Mandatory question SECTION THREE VOLUNTEER ADVOCATES 1. *Total number of active CASA/GAL volunteer advocates in 2016: 2. Number of active CASA/GAL volunteer advocates in 2016 by sex: Female: Male: 3. Number of active CASA/GAL volunteer advocates in 2016 by race: African American or Black: American Indian or Alaska Native: Asian: Native Hawaiian/Other Pacific Islander: Two or more races: Other: Do not know: 4. Number of active CASA/GAL volunteer advocates in 2016 by ethnicity: Hispanic or Latino: Not Hispanic or Latino: Do not know: 5. Number of active CASA/GAL volunteer advocates in 2016 by age: 21 29: 30 39: 40 49: 50 59: 60+: Do not know: 6. Number of active CASA/GAL volunteer advocates in 2016 by highest education level completed: High school: Some college: College graduate: Post-graduate: Do not know: 7. Number of active CASA/GAL volunteer advocates in 2016 by employment status: Full-time: Part-time: Student: Not employed: Retired: Do not know: 8. Number of CASA/GAL volunteer advocates in 2016 by career type: Teacher: Other education professionals: Attorney: Other legal: Health care professional: Government/military: Other (not listed): Do not know: 9. *Total number of CASA/GAL volunteer hours (actual or estimated) contributed in 2016: 10. *Total number of new CASA/GAL volunteer advocates trained in 2016: 11. Number of new CASA/GAL volunteer advocates trained in 2016 by sex: Female: Male: 12. Number of new CASA/GAL volunteer advocates trained in 2016 by race: African American or Black: American Indian or Alaska Native: 6

Asian: Native Hawaiian/Other Pacific Islander: Two or more races: Other: Do not know: 13. Number of new CASA/GAL volunteer advocates trained in 2016 by ethnicity: Hispanic or Latino: Not Hispanic or Latino: Do not know: 14. *Total number of new CASA/GAL volunteer advocates assigned in 2016: 15. *Average length of time CASA/GAL volunteer advocates stay with your program in months: 16. Number of CASA/GAL volunteer advocates resigned or terminated in 2016: 17. Please rank the top three reasons for CASA/GAL volunteers leaving (with #1 being most common) : Family needs: Employment situation: Asked to leave: Burnout/stress: Frustration with system: Health issues: Move from area: Case satisfactorily completed: Not a good volunteer position match: Time commitment too great: Other (please specify): 18. Did your program conduct any targeted CASA/GAL volunteer recruitment campaigns in 2016? Yes No If yes, please check the focus of the campaign(s). (Please check all that apply.): Racial/ethnic diversity Male volunteers Specific geographic area Age diversity Other (please specify) 19. How does your program identify inactive CASA/GAL volunteer advocates? Supervisor tracks volunteer advocates Regular review of CASA/GAL volunteer advocates training requirements Regular review of CASA/GAL volunteer advocates background check requirements Do not track inactive CASA/GAL volunteer advocates Other 20. Number of inactive CASA/GAL volunteer advocates in 2016: Certificate/Training Requirement Lapse: Background check lapse: Other: 21. Did your program conduct exit interviews for CASA/GAL volunteer advocates that resigned or were terminated? Yes No 22. If yes, how many exit interview? 23. Does your program have a system/process to reach out to inactive CASA/GAL volunteer advocates? Yes 7

No 24. If yes, Explain: 25. Does your program track inactive CASA/GAL volunteer advocates? Yes No 26. Does your total number of active CASA/GAL volunteer advocates in question # 1 above include inactive volunteer advocates? Yes No * Mandatory question SECTION FOUR CHILDREN Reporting for calendar year 2016, please complete the following for the children in abuse and neglect cases: 1. *Number of children that were before the court due to abuse and/or neglect in the jurisdictions you serve in 2016: 2. * A) Number of children served by CASA/GAL volunteer advocates in your program: * B) Number of children unserved by CASA/GAL volunteer advocates in your program: 3. *Number of children served exclusively by paid staff advocates: 4. *Total number of cases served by volunteer advocates and/or staff advocates by your program in 2016: (do not include children monitored by staff) 5. Number of children served by CASA/GAL volunteer advocates in your program on September 30, 2016: 6. Number of children served exclusively by paid staff advocates on September 30, 2016: 7. Number of children served by your program in 2016 by placement type on September 30, 2016: Out of home care: Court involvement but living at home: 8. *Number of children monitored (children who were not assigned a volunteer advocate or staff advocate who had regular, in-person contact with them and made fact-based recommendations with the court) by your program in 2016: 9. Number of children served in 2016 by sex: Female: Male: Other: 10. Number of children served in 2016 by race: African American or Black: Asian: American Indian or Alaska Native: Native Hawaiian/Other Pacific Islander: Two or more races: 8

Other: Do not know: 11. Number of children served in 2016 by ethnicity: Hispanic or Latino: Do not know: 12. A) Number of children served in 2016 in each age group: Not Hispanic or Latino: Birth to 5: 6 11: 12 15: 16 17: 18 and above: B) Average Age: 13. During 2016 did your program serve any children who identified as lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ)? Yes No Do not know If yes, estimated number of LGBTQ youth served in 2016: 14. Number of new children assigned to a CASA/GAL volunteer advocate in 2016: 15. Number of new children assigned to paid staff advocates in 2016: 16. Number of new children served in 2016 by sex: Female: Male: 17. Number of new children served in 2016 by race: African American or Black: American Indian or Alaska Native: Asian: Native Hawaiian/Other Pacific Islander: Two or more races: Other: Do not know: 18. Number of new children served in 2016 by ethnicity: Hispanic or Latino: Not Hispanic or Latino: Do not know: 19. Average length of time a CASA/GAL volunteer advocate is assigned to a child in months: 20. Average length of time a paid staff advocate is assigned to a child in months: 21. *Average number of children a CASA/GAL volunteer advocate is appointed to at one time: 22. *Average number of cases a CASA/GAL volunteer advocate is appointed to at one time: 23. *Total number of children whose dependency was closed with the program in 2016: 24. *Number of children whose cases closed with the program in 2016 for each of the following reasons: Remained in/returned to home of origin (reunification): Adoption: Placed with legal guardians: Case removed from docket: Case transferred to another jurisdiction: Case transferred to delinquency court: Child aged out of system: Child ran away: Death of child: Family moved: Long-term foster care: Long-term kinship care (non-guardianship): 9

Emancipated: Other (please specify): 25. *Time assigned to program: Number of children whose cases closed in calendar year 2016 within the time frames listed (Time frames begin with the assignment of children to the CASA program.): Less than 1 month: 1 5 months: 6 11 months: 12 17 months: 18 23 months: 24 29 months: 30 35 months: 3 4 years: 4 years or more: Not tracked/unknown: 26. *Total time in out-of-home care: Number of children with an assigned CASA/GAL volunteer advocate whose cases closed in the calendar year 2016 who were in out-of-home care for the following lengths of stay: Less than 1 month: 1 5 months: 6 11 months: 12 17 months: 18 23 months: 24 29 months: 30 35 months: 3 4 years: 4 years or more: Not tracked/unknown: 27. *Time in out-of-home care since assigned to a volunteer advocate: Number of children with an assigned CASA/GAL volunteer advocate whose cases closed in the calendar year 2016 who were in out-of-home care for the following lengths of time after being assigned to a volunteer advocate: Less than 1 month: 1 5 months: 6 11 months: 12 17 months: 18 23 months: 24 29 months: 30 35 months: 3 4 years: 4 years or more: Not tracked/unknown: 28. Please indicate the number of children whose cases were closed in the past and whose cases reopened this year: 29. In addition to abuse and neglect cases, please check the other types of cases your program accepts and indicate the number of children served in each category: (Do not duplicate children already included as abuse and neglect cases) a. Divorce/custody cases: Number of children in 2016: b. Delinquency cases: Number of children in 2016: c. Mediation cases: Number of children in 2016: d. Supervised visitation: Number of children in 2016: e. Private petition cases: Number of children in 2016: f. Probate cases: Number of children in 2016: g. Other types of cases: Please list the types of other cases below and the number of children estimated to have received advocacy in these cases. Number of children in 2016: Number of children in 2016: Number of children in 2016: Please submit this completed survey online at https://app.keysurvey.com/portal/#1051278 Questions? Email to: survey@casaforchildren.org Thank you! We appreciate your help! DUE: March 31, 2017 10