Compendium Survey

SILC & ASSOCIATION SURVEY

SILC & ASSOCIATION INFORMATION

Executive Director first name: last name:

SILC or Association Name

Address

City

State

ZIP

Phone

Fax

TDD/TYY

Email

Web site

Does your SILC submit a Section 704 annual performance report for federal funding? yes no

Year your SILC or Association was established

National, Regional, or State Memberships

Number of Full Time Staff

Number of Part Time Staff

Number of Volunteer Staff

ORGANIZATIONAL STRUCTURE OF YOUR SILC or ASSOCIATION

Please enter the number of:

Departments

Upper-Level Management

Mid-Level Management - Department Heads

Supervisors

Direct Services Staff

Support Staff (administrative/office staff)

Other Organization Information

Do you offer the following employee benefits?

Health Care
Dental Care
Life Insurance
Retirement Plan
Paid Vacation
Paid Sick Leave
Other Benefits

TRAINING AND DEVELOPMENT

Please check the "formal" programs (structured with handouts, evaluation) offered in-house for staff.

Staff Orientation
Systems Change Advocacy
IL Philosophy / History
Benefit Consultation
ADA and related regulations
Self-Advocacy
Peer Counseling Skills
Time Management Skills
Computer Skills
Cultural Diversity
Communication Skills
Other

PROGRAM INFORMATION

Please tell us about your organization's program and service areas and any special expertise. Identify services offered within the past year. Check all that apply.

ADVOCACY/LEADERSHIP DEVELOPMENT
General Overview
Community/Grassroots Organizing
Individual Empowermen
Systems Advocacy
Legislative Process
APPLICABLE LAWS
General Overview And Promulgation Of Various Disability Laws
Americans with Disabilities Act
Air-Carrier's Access Act
Fair Housing Act
Individuals With Disabilities Education Act
Medicaid / Medicare / PAS / Waivers / Long-Term Care
Rehabilitation Act Of 1973, as amended
Social Security Act
Workforce Investment Act Of 1998
Ticket To Work And Work Incentives Improvement Act Of 1999
ASSISTIVE TECHNOLOGIES
General Overview
DATA COLLECTING AND REPORTING
General Overview
704 Reports
Dual Reporting Requirements
Case Documentation
DISABILITY AWARENESS and INFORMATION
Specific Issues
EVALUATION
General Overview
CIL Standards And Indicators
Community Needs Assessment
Consumer Satisfaction Surveys
Focus Groups
Government Performance Results Act and Title VII
Outcome Measures
FINANCIAL: GRANT MANAGEMENT
General Overview
Federal Regulations
Budgeting
Fund Accounting
FINANCIAL: RESOURCE DEVELOPMENT
General Overview
Diversification of Funding Base
Fee-for-Service Approaches
For Profit Subsidiaries
Fund-Raising Events of Statewide Campaigns
Grant Writing
INDEPENDENT LIVING PHILOSOPHY
General Overview
INNOVATIVE PROGRAMS
Best Practices
Specific Examples
MANAGEMENT INFORMATION SYSTEMS
Computer Skills
Software
MARKETING and PUBLIC RELATIONS
General Overview
Presentation/Workshop Skills
Community Awareness
NETWORKING STRATEGIES
General Overview
Electronic
Among CILs & SILCs
Community Partners
PROGRAM PLANNING
General Overview of Program Management and Staff Development
CIL Executive Directorship Skills Building
Conflict Management and Alternative Dispute Resolution
First-Line CIL Supervisor Skills Building
IL Skills Modules
Peer Mentoring
Program Design
Time Management
Team Building
OUTREACH TO UNSERVED/UNDERSERVED POPULATIONS
General Overview
Disability
Minority
Institutionalized Potential Consumers
Rural
Urban
SILC ROLES/RELATIONSHIP TO CILS
General Overview
Development of State Plan for Independent Living
Implementation (monitor & review) of SPIL
Public Meetings
Role and Responsibilities of Executive Board
Role and Responsibilities of General Members
Collaborations with In-State Stakeholders
CIL BOARD OF DIRECTORS
General Overview
Roles and Responsibilities
Policy Development
Recruiting/Increasing Involvement
VOLUNTEER PROGRAMS
General Overview

Your organization's area of expertise

Please indicate the documents in use at your center. Check all that apply.

Vision / Mission Statement
Personnel Policy Manual
Program Descriptions
Newsletter
Service Delivery Procedures / Standards
Organizational Procedures
Organizational Structure (org. chart)
Brochures (agency / program)
By laws
Job Descriptions
Office Protocol / Procedures
Employee Orientation Manual

Please email any documents used at your center to info.

STAFFING / SALARY

Position Number of Staff # FTE Starting Salary

Executive Director or CEO $

Department Head $

Supervisors / Managers $

Advocates $

Secretaries $

Administrative Assistants $

Personal Care Aides (staff assist) $

Personal Care Attendant Community Assist $

Sanitation / Janitorial (only if staff) $

Trainers $

Accountant / Bookkeeper $

Computer Systems Technicians $

Fund Raiser / Grant Writer $

Public Relations $

Contract Employees $

Other $

Other $

Other $

Other $

Other $

REVENUE AND SOURCES

Total Annual Budget (for current fiscal year)

Federal Sources

Dept. of Education

Dept. of Health

Dept. of Labor

Human Services

Social Security

Other Federal
Details:

State Sources

Dept. of Education

Dept. of Mental Health

MR / DD

Blind Voc. Rehab

Other Voc. Rehab

Social Services

Other State
Details:

County

City / Local

United-Way

Foundations

Fund Raising Events

Memberships

Other Sources Details:

Fee for Service Revenue

State VR Programs

CD-PAS

Transportation

Medicaid

Sign Language

Private VR

Endowments

Business Activity

Other Revenue Details:

SILC & ASSOCIATION INFORMATION
Executive Director	first name: last name:
SILC or Association Name
Address
City
State
ZIP
Phone
Fax
TDD/TYY
Email
Web site

Does your SILC submit a Section 704 annual performance report for federal funding?	yes no
Year your SILC or Association was established
National, Regional, or State Memberships
Number of Full Time Staff
Number of Part Time Staff
Number of Volunteer Staff

ORGANIZATIONAL STRUCTURE OF YOUR SILC or ASSOCIATION
Please enter the number of:
Departments
Upper-Level Management
Mid-Level Management - Department Heads
Supervisors
Direct Services Staff
Support Staff (administrative/office staff)
Other Organization Information

Do you offer the following employee benefits?
Health Care Dental Care Life Insurance Retirement Plan Paid Vacation Paid Sick Leave Other Benefits

TRAINING AND DEVELOPMENT
Please check the "formal" programs (structured with handouts, evaluation) offered in-house for staff. Staff Orientation Systems Change Advocacy IL Philosophy / History Benefit Consultation ADA and related regulations Self-Advocacy Peer Counseling Skills Time Management Skills Computer Skills Cultural Diversity Communication Skills Other

PROGRAM INFORMATION
Please tell us about your organization's program and service areas and any special expertise. Identify services offered within the past year. Check all that apply. ADVOCACY/LEADERSHIP DEVELOPMENT General Overview Community/Grassroots Organizing Individual Empowermen Systems Advocacy Legislative Process APPLICABLE LAWS General Overview And Promulgation Of Various Disability Laws Americans with Disabilities Act Air-Carrier's Access Act Fair Housing Act Individuals With Disabilities Education Act Medicaid / Medicare / PAS / Waivers / Long-Term Care Rehabilitation Act Of 1973, as amended Social Security Act Workforce Investment Act Of 1998 Ticket To Work And Work Incentives Improvement Act Of 1999 ASSISTIVE TECHNOLOGIES General Overview DATA COLLECTING AND REPORTING General Overview 704 Reports Dual Reporting Requirements Case Documentation DISABILITY AWARENESS and INFORMATION Specific Issues EVALUATION General Overview CIL Standards And Indicators Community Needs Assessment Consumer Satisfaction Surveys Focus Groups Government Performance Results Act and Title VII Outcome Measures FINANCIAL: GRANT MANAGEMENT General Overview Federal Regulations Budgeting Fund Accounting FINANCIAL: RESOURCE DEVELOPMENT General Overview Diversification of Funding Base Fee-for-Service Approaches For Profit Subsidiaries Fund-Raising Events of Statewide Campaigns Grant Writing INDEPENDENT LIVING PHILOSOPHY General Overview INNOVATIVE PROGRAMS Best Practices Specific Examples MANAGEMENT INFORMATION SYSTEMS Computer Skills Software MARKETING and PUBLIC RELATIONS General Overview Presentation/Workshop Skills Community Awareness NETWORKING STRATEGIES General Overview Electronic Among CILs & SILCs Community Partners PROGRAM PLANNING General Overview of Program Management and Staff Development CIL Executive Directorship Skills Building Conflict Management and Alternative Dispute Resolution First-Line CIL Supervisor Skills Building IL Skills Modules Peer Mentoring Program Design Time Management Team Building OUTREACH TO UNSERVED/UNDERSERVED POPULATIONS General Overview Disability Minority Institutionalized Potential Consumers Rural Urban SILC ROLES/RELATIONSHIP TO CILS General Overview Development of State Plan for Independent Living Implementation (monitor & review) of SPIL Public Meetings Role and Responsibilities of Executive Board Role and Responsibilities of General Members Collaborations with In-State Stakeholders CIL BOARD OF DIRECTORS General Overview Roles and Responsibilities Policy Development Recruiting/Increasing Involvement VOLUNTEER PROGRAMS General Overview
Your organization's area of expertise
Please indicate the documents in use at your center. Check all that apply. Vision / Mission Statement Personnel Policy Manual Program Descriptions Newsletter Service Delivery Procedures / Standards Organizational Procedures Organizational Structure (org. chart) Brochures (agency / program) By laws Job Descriptions Office Protocol / Procedures Employee Orientation Manual Please email any documents used at your center to info.

STAFFING / SALARY
Position	Number of Staff	# FTE	Starting Salary
Executive Director or CEO			$
Department Head			$
Supervisors / Managers			$
Advocates			$
Secretaries			$
Administrative Assistants			$
Personal Care Aides (staff assist)			$
Personal Care Attendant Community Assist			$
Sanitation / Janitorial (only if staff)			$
Trainers			$
Accountant / Bookkeeper			$
Computer Systems Technicians			$
Fund Raiser / Grant Writer			$
Public Relations			$
Contract Employees			$
Other			$
Other			$
Other			$
Other			$
Other			$

REVENUE AND SOURCES
Total Annual Budget (for current fiscal year)

Federal Sources
Dept. of Education
Dept. of Health
Dept. of Labor
Human Services
Social Security
Other Federal	Details:

State Sources
Dept. of Education
Dept. of Mental Health
MR / DD
Blind Voc. Rehab
Other Voc. Rehab
Social Services
Other State	Details:

County
City / Local
United-Way
Foundations
Fund Raising Events
Memberships
Other Sources	Details:

Fee for Service Revenue
State VR Programs
CD-PAS
Transportation
Medicaid
Sign Language
Private VR
Endowments
Business Activity
Other Revenue	Details: