Community Accountability Programs Information ... - Ministry of Justice

Instructions for Completing the First Quarterly ReportThank you for your assistance. The information gathered in the quarterly reports will be used tomonitor and evaluate the CAP initiative on a provincial level. Privacy will be ensured, as onlyaggregate information will be used in Ministry reports.Please complete all sections relevant to your program.Please use the ‘comments box’ or attach separate sheets of paper if more space is needed.Please call the Community Coordinator (Cynthia Bishop) at 604 660-3697 if you have anyquestions or concerns about this document.1. Status of Program:• please tick all relevant boxes (e.g., a program may still be under development but theprogram plan may be complete)• if the program is operational please indicate the start date (day/month/year)• if the “other” category is selected please provide the necessary detail2. Type of Program:• select only one type of program• if your CAP model is a combination program (e.g., it combines elements of two or moremodels), please use the “other” category and specify in the space provided3. Clientele:• tick one box only (i.e., adult, youth or both)• in the age range box, provide the age ranges for youth and adults that will be accepted toyour program (e.g., Youth: 12 - 18 yrs. ; Adults: 19 - 25 yrs.)4. If Program is Operational:• tick boxes for all agencies making direct referrals to your program• note the total number of volunteers working for your program (do not include steeringcommittee members)• note the number of volunteers that have had some form of training• describe the training your volunteers have received• note the number of volunteers that have had criminal records checks• please indicate if your program has insurance and how coverage is provided (e.g., anumbrella organization, the municipality, etc.)5. Summary Statistics:• please provide summary statistics using the following definitions:∗ the total number of referrals to your program from all referral sources∗ the total number of referrals accepted into your program (after a screening interview withthe potential participants or a similar process is complete)∗ the total number of cases that have been through your program previously (i.e., secondtime or repeat referrals)Page 4 of 5