Attachment 28 - Program Review Instrument

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Attachment 28 - Program Review Instrument (pdf)

Serve Illinois: Commission on Volunteerism and Community Service

AmeriCorps Program Review Instrument

Program Information:

Program Name:

DHS Contract #:

Name/title of person(s) completing this form:


Project Period/Budget Period:

Name/title of person(s) interviewed:


Note: the individual(s) completing this form need(s) to be familiar with AmeriCorps grant requirements. This instrument can be used for self assessment by the AmeriCorps program or by the ICVCS Program Officer when conducting site visits.

Source of Requirements: AmeriCorps Grant Provisions

Program Director Policy & Procedure Manual

Y: Yes

NI: Needs Improvement

N: No

NA: Not Applicable