Adopt-A-School Weekly Report Form AASN - Weekly Report 1. What kind of services did you render? Tutoring Cafeteria help Hall help Chaperone Attendance Clerical Mentoring Food Clothing 1b. Other 2. Where were your services rendered? at the school at the church recreation ctr community center 2b. Other 3. How many volunteers from your congregation participated this week? 4. How many students were served? 4b. How many teachers were served? 5. How receptive were the students you served? Scale of 1-10 (10 being very receptive) 6. Did you render any services to any of the student’s parents? yes or no (If yes, please share details) 7. Did you use any evaluation tools? (Pre and Post Tests, Surveys, etc.) yes or no (If yes, please share what kind you are using) 8. How was your interaction with the principal and staff? Scale of 1-10 (10 being very good) 9. Did you face any problems or challenges this week? yes or no (If yes, please share details) 10. Are you working in collaboration with other church congregations/ministries/organizations and/or businesses that have adopted the same school? yes or no, urban and/or suburban 11. Do you have any testimonials (good news reports) to share with the network? yes or no 12. Do you have any pictures to share? yes or no 13. Do you have any resource suggestions to share with the network? yes or no (If yes, please share what they are) 14. Do you need any assistance with resources or training? yes or no (If yes, please define) 15. Has a liaison/contact person been assigned to represent your congregation/ministry/organization or business with the network? yes or no 16. Do all volunteers have background checks completed? Yes or No 17. Do you have any additional comments, suggestions, etc.? Your Name Church/Ministry/Organization/Business Pastor/Director/Owner Liaison/Contact Person Phone Email Name of the school you/we have adopted Report for the week of Date Completed If you are human, leave this field blank. Submit Ministry of Reconciliation – Northeast Ohio Adopt-A-School Network P.O. Box 202206 Shaker Hts., Ohio 44120 Office: 216-464-1900 Cell: 216-571-4885 Email: ministryofreconciliationinc@gmail.com Website: www.ministryofreconciliationinc.com
