Summer Library Program Evaluation Form


Collaborative Summer Library Program Evaluation

(*)Indicates required fields to be filled in on this form.
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Name of Your Library: (*)
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Your Name: (*)
Please enter your name and position
Your Position: (*)
Please enter your position.
Email address (a submission receipt will be emailed to this address): (*)
Please enter an email address.
Please note that numerical entries need to be rounded up to the next whole number and should not include dollar symbols or decimal points. For example, dollar amounts should be entered as 42, not $42.17.


You must also enter an answer for every question, even if it does not apply to your library. For items that do not apply to your library's Summer Library Program, please indicate "NA" for text, "0" for a numerical response, or select "Same"for questions regarding changes in circulation.

Dates for Programs
Children's Program Start Date (please use 6/13/2014 format): (*)
Please enter a date (6/13/2013). For items that do not apply to your library's Summer Reading Program, please indicate "NA".
Children's Program End Date (please use 6/13/2014 format): (*)
Please enter a date (6/13/2013). For items that do not apply to your library's Summer Reading Program, please indicate "NA".
Young Adult Program Start Date (please use 6/13/2014 format): (*)
Please enter a date (6/13/2013). For items that do not apply to your library's Summer Reading Program, please indicate "NA".
Young Adult Program End Date (please use 6/13/2014 format): (*)
Please enter a date (6/13/2013). For items that do not apply to your library's Summer Reading Program, please indicate "NA".
Adult Program Start Date (please use 6/13/2014 format): (*)
Please enter a date (6/13/2013). For items that do not apply to your library's Summer Reading Program, please indicate "NA".
Adult Program End Date (please use 6/13/2014 format): (*)
Please enter a date (6/13/2013). For items that do not apply to your library's Summer Reading Program, please indicate "NA".


Did your library utilize the Collaborative Summer Library Program Materials? (*)

Required field



Did you visit the CSLP website?
(*)


Required field


Did you use any ideas or materials from the CSLP Manuals? (Please select all that apply) (*)




Please select all that apply.
Comments about the CSLP materials:
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Did your library staff attend the CKLS Summer Reading Workshop? (*)

Required field


Was the workshop helpful in planning your programs? (*)

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Comments about CSLP workshop:
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How many participated in the reading portion of your CSLP program?
(Please count all participants regardless of recordkeeping method. Participation includes signed up, read or completed. Include preschoolers with children.)


Number of Children: (*)
Please indicate a numerical response or "0" if this does not apply to your library's Summer Library Program.
Number of Young Adults: (*)
Please indicate a numerical response or "0" if this does not apply to your library's Summer Library Program.
Number of Adults: (*)
Please indicate a numerical response or "0" if this does not apply to your library's Summer Library Program.
Number using Blind/Physically Handicapped (Talking Books) materials: (*)
Please indicate a numerical response or "0" if this does not apply to your library's Summer Library Program.


Number of programs or activities specifically for:
Number Children's programs: (*)
Please indicate a numerical response or "0" if this does not apply to your library's Summer Library Program.
Number YA programs: (*)
Please indicate a numerical response or "0" if this does not apply to your library's Summer Library Program.
Number Adult programs: (*)
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Total attendance: (Number at each program added together. Note: do not include accompanying adults at children's programs, or children at adult programs)
Total number of Children attendance: (*)
Please indicate a numerical response or "0" if this does not apply to your library's Summer Library Program.
Total number of YA attendance: (*)
Please indicate a numerical response or "0" if this does not apply to your library's Summer Library Program.
Total number of Adult attendance: (*)
Please indicate a numerical response or "0" if this does not apply to your library's Summer Library Program.


Your cost of materials (please round up to the next whole number):
(DO NOT include staff time or materials provided by the state/system):
Cost of materials from Upstart: $ (*)
Please indicate a whole number response or "0" if this does not apply to your library's Summer Library Program. Please round up to the next whole dollar amount.
Cost of Other Materials: $ (*)
Please indicate a whole number response or "0" if this does not apply to your library's Summer Library Program. Please round up to the next whole dollar amount.
Cost of Performers: $ (*)
Please indicate a whole number response or "0" if this does not apply to your library's Summer Library Program. Please round up to the next whole dollar amount.
Donated prizes or materials
Total value of Donated: $ (*)
Please indicate a whole number response or "0" if this does not apply to your library's Summer Library Program. Please round up to the next whole dollar amount.


CKLS Summer Library Program Supplemental Evaluation

Circulation
Did Children's circulation change compared to last summer? (Select one) (*)


Please select one.


Total Children's Circulation for the Summer Library Program (*)
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Did Young Adult circulation change compared to last summer? (Select One) (*)


Please select one.


Total Young Adult circulation for the Teen Summer Library Program (*)
Invalid Input


Did Adult circulation change compared to last summer? (Select one) (*)


Please select one.


Did computer usage increase compared to last summer? (Select one) (*)


Please select one.


Activities (Please select all those used in your program) (*)







Please select all that apply.
Other activities used in your program (*)
Please enter the other activities used or enter NA, if none.


Upstart Materials
Which of the Upstart materials furnished by State Library funding were used? (*)






Please select all materials used.


Which of the Upstart materials furnished by CKLS funding were used? (*)








Please select all materials used.


Please select other types of materials you purchased yourself from Upstart: (*)



Please select one.


What of other types of materials did you purchase from Upstart? (*)




Please select one.


Other Materials Purchased
Which other companies did you purchase materials, prizes, performers, etc. from? (Please list all that apply or enter NA, if none) (*)
Please make an entry.


What types of other materials did you purchase? (*)




Please make a selection.


Enter the CAPTCHA text (*) Enter the CAPTCHA text
Please type the jumbled letters you see above the text box. (This is called the CAPTCHA code.)
After you submit your Summer Library Program Evaluation Form, click Continue and you will be redirected to the Testimonials form.
Here you may enter any Testimonials you received. You may also download and print a Testimonial paper form(s) and send it to CKLS Youth Services via USPS, Courier, or fax it to 620-793-7270.
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