CSC Returning Group Registration Form

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Center for Social Concern
Johns Hopkins University
3103 N. Charles Street ~ Baltimore, MD 21218
Phone: (410) 516-4777 ~ Fax: (410) 516-5123
CSC Returning Group Re-registration Instructions – Academic Year 2015-2016
Please provide detailed responses to the following questions. Please email the completed registration, group
budget document, and event outline (if necessary) to volunteer@jhu.edu by
Tuesday, September 8, 2015 at noon
If you wish to return as a CSC student group, you must submit your group re-registration form by
the deadline. If you have questions about any of the items below, please provide as much information as
possible and discuss it with your advisor during your re-registration meeting. You will have the opportunity
to revise this form after your conversation with your advisor.
NOTE: Student groups forming at service sites that are new to CSC’s agency network will not be able to
serve or receive group funds until their agency signs a Memorandum of Understanding.
Group Name:
1. Mission Statement (min 30 words)
NOTE: Your mission statement should answer the following questions: what does your group do, how
do you do it, and why do you do it (the answer should relate to a community-identified need, either JHU
or Baltimore community)? Please note—this paragraph will appear on the CSC website and list of student
organizations.
2. Statement of Need (50-200 words)
Please describe in more detail the community-identified need your group addresses. How have you
examined and evaluated this need? Who is your target audience(s)? What gap in services and/or
programming are you filling in support of your community partner and, ultimately, your target audience?
Statistics and other data are helpful—consider the following sources, in addition to information from
your community partner: Baltimore City Health Department (http://health.baltimorecity.gov/node/23),
the Baltimore Neighborhood Indicators Alliance (http://bniajfi.org/), and City-Data.com
(http://www.city-data.com/city/Baltimore-Maryland.html).
3. Organizational Niche and Opportunities for Collaboration (50-250 words)
What current student organizations share a similar purpose, goals, target audience, or community
partner with your organization? How is your organization different from those organizations? How
might you collaborate with one or more of these student organizations? Please note that collaboration is
central to the work of the Center for Social Concern and groups are strongly encouraged to identify ways
to collaborate with other groups sharing community partners or similar target audiences and purposes.
4. Recruitment Plan (50-250 words)
2015-2016 CSC Group Registration Form – Due Tuesday, September 8, 2015 at noon
Page 1 of 5
Center for Social Concern
Johns Hopkins University
3103 N. Charles Street ~ Baltimore, MD 21218
Phone: (410) 516-4777 ~ Fax: (410) 516-5123
How do you recruit new student volunteers? What expectations do you have of potential members (i.e.
number of hours required, meeting attendance requirements)?
5. Description of Community Partner (50-500 words)
Please describe the mission and goals of your partnering organization(s). Please name your contact at
your partner organization and describe the relationship and communications you have had with him or
her. What plans have you made with your community partner regarding continuing to serve during the
2015-2016 academic year?
6. Goals for your Student Organization in 2015-2016.
Please list at least three key SMART (Specific Measurable Achievable Relevant Time-bound) goals for
your organization, including both immediate and long-term goals. What is the overall purpose of the
program? What are the aims of the program in terms of providing service to community partners,
supporting student volunteers, and building relationships between campus and community?.
EXAMPLE
S – We will recruit new volunteers for our program.
M – We are looking for 10 new volunteers to tutor twice a week.
A – We will begin recruiting new volunteers at SOHOP in the spring as well as the fall activities
fair; we will do an orientation with all new volunteers so they have a better understanding of
what is going on and pair them with a returning volunteer who will check in with them to help
increase retention.
R – New volunteers will help us to lower the tutor/tutee ration for our program.
T – We will recruit new volunteers by October 1, and start the volunteer mentoring program by
November 1.
Tips for success:
 Please be as specific as possible. “Raising awareness about homelessness” is difficult to measure.
 Consider including a goal related to strengthening your organization internally to pave the way
for a sustainable organization.
 Your goals must address community-identified needs. Please be sure to discuss your
proposed goals and objectives with your community partners to make sure they are focused on
the most pressing challenges the community is looking to address.
 Focus on program quality, not program quantity – expanding the number of service sites is often
not the best way to grow the organization.
 Measuring the success of your goals is very important – how might you evaluate whether you are
successfully achieving what you are setting out to do? Methods of evaluating goals include preand post-tests; surveys; and taking attendance.
Please list at least 3 goals—you will discuss these with your CSC advisor during your re-registration meeting
Goal 1
2015-2016 CSC Group Registration Form – Due Tuesday, September 8, 2015 at noon
Page 2 of 5
Center for Social Concern
Johns Hopkins University
3103 N. Charles Street ~ Baltimore, MD 21218
Phone: (410) 516-4777 ~ Fax: (410) 516-5123
S
M
A
R
T
Goal 2
S
M
A
R
T
Goal 3
S
M
A
R
T
7. Please describe the internal organization of your group. (50-300 words)
Who are your officers and what are their duties? How frequently do you meet on campus (not at your
service site) to discuss the program, reflect on your service, and plan for future events and activities?
How do you train volunteers to ensure they have the skills necessary to serve well? If none of these
structures are in place, how could the CSC advisors and group management interns help you?
8. Please List Your Officers for the 2015-2016 Academic Year.
Name
Position
Email
Phone
Year
Van
Certified?
President
Financial
Officer
2015-2016 CSC Group Registration Form – Due Tuesday, September 8, 2015 at noon
Page 3 of 5
Center for Social Concern
Johns Hopkins University
3103 N. Charles Street ~ Baltimore, MD 21218
Phone: (410) 516-4777 ~ Fax: (410) 516-5123
9. Organization Evaluation (50-350 words)
How do you evaluate the success of your organization’s work as it pertains to the SMART goals you set?
Consider how you might evaluate your service from the perspectives of:
a) The service recipients
b) Student volunteers
c) Group leaders
d) Community Partners
You might consider surveys, questionnaires, pre- and post-tests, interviews or conversations with
community partners, or spending a group meeting discussing what is going well and what could use
improvement. Your CSC advisor can discuss other methods of evaluation with you during your fall
advising appointment.
10. Center for Social Concern Support (50-200 words)
What are your expectations of support from the CSC and what assistance do you need from your CSC
advisor and the group management interns in order to make this year successful for your organization?
11. On-campus Advisor Contact(s)
Please list contact information for your on-campus advisor if someone outside the CSC has agreed to
advise your organization.
Name
Title/Position
Phone (Work)
(Cell)
Email
Fax Number
Physical Address
Mailing Address (if different)
12. Baltimore Community Partner Contact Information
DO NOT LIST YOURSELF OR A MEMBER OF YOUR GROUP! This MUST be an
EXTERNAL community contact from the organization where you serve.
Name
Title/Position
Phone (Work)
(Cell)
Email
Fax Number
2015-2016 CSC Group Registration Form – Due Tuesday, September 8, 2015 at noon
Page 4 of 5
Center for Social Concern
Johns Hopkins University
3103 N. Charles Street ~ Baltimore, MD 21218
Phone: (410) 516-4777 ~ Fax: (410) 516-5123
Physical Address
Mailing Address (if different)
13. Letter of support
You must include a letter of support from a community partner indicating an interest in having the
Hopkins student organization support the work of the organization and an understanding that the
student organization’s goals and mission align with those of the community based organization. (note:
an email from your community partner to this effect is sufficient). Please attach PDF of the letter
or a screenshot of the email when you email this registration form to volunteer@jhu.edu.
Please save this form as Groupname_2015Reg.doc (for example JHUGirlScouts_2015Reg.doc) Thank you!
This form **must** be submitted by Tuesday, September 8, 2015 at noon to volunteer@jhu.edu. Early
forms are appreciated! A group management intern will review this registration form and let you know if
you need revisions
All groups must schedule a meeting with their CSC advisor. We will send an email later this summer with
instructions on how to set up your advising appointment, which will take place between Thursday,
September 10 and Thursday, September 24.
Please mark your calendar for the CSC Leadership Conference, which will take place on Saturday,
September 19. All returning groups must send at least two delegates to this conference.
Only groups that:
1) Turn in registration and budget forms by September 8 at noon;
2) Attend a registration appointment; and
3) Send 2 delegates to the leadership conference
will be approved for re-registration.
2015-2016 CSC Group Registration Form – Due Tuesday, September 8, 2015 at noon
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