Unique Perspectives (UP) for Change

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You are being asked to respond to this survey because you are an UP for Change Leader. Up for Change, an initiative of the International Youth Foundation, collects information from program participants to monitor the quality, effectiveness, and relevance of programs for youth. Information from surveys helps assess the program and find ways to improve future programs and may be used in the production of reports. Your responses are confidential and will not be shared with anyone outside of the program staff.

Participation in this survey is voluntary. You are free to refuse to participate in the survey, free to stop answering questions in the survey at any time, and free to refuse to respond to certain questions without any explanation. You will not be given any advantage or disadvantage by participating in this survey, but we greatly value your opinions and participation.

Please sign below to confirm that you have read, understood, and agreed to participate in this survey. Sign name below and click "Submit".

Name

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Section 1: Personal Information

1. First name(s)

2. Last name(s)

3. Email address

Other

What is your date of birth?

MM/DD/YYYY

Section 2: Education & Training

1. What is the highest level of education you completed?

2. Are you currently enrolled in an educational institution?

YesNo

3. What level of education are you currently enrolled in?

Section 3: Life Skills

Please rate the following statements. If the statement is always true for you, please check 4, if it is often true, check 3, if sometimes true, check 2, and if it is never true for you, check 1.

	1- Never true	2 - Sometimes true	3 - Often true	4- Always true
1. I recognize myself as a valuable person.
2. I stay calm even when I feel stressed.
3. I know when I need to ask for help.
4. I bounce back quickly after hard times.
5. I can express my own ideas clearly.
6. I ask questions to deepen my understanding.
7. I do my share when working in a team.
8. I respect others' opinions during a disagreement.
9. I question assumptions or the way things are done.
10. I am able to identify problems that keep me from my goals.
11. I think about how the decisions I make will affect me in the long run.
12. I am comfortable taking risks when trying to solve a problem.
13. I do what I believe is right, even if my friends make fun of me.
14. It is important to me to contribute to my community and society.
15. I go out of my way to help others.
16. It is important to me to respect the values and beliefs of people who are of a different race or culture than I am.

Section 4: Leadership & Collaboration Skills

If the statement is always true for you, please check 4, if it is often true, check 3, if sometimes true, check 2, and if it is never true for you, check 1.

	1- Never true	2 - Sometimes true	3 - Often true	4- Always true
1. I have the personal skills – such as communication, ability to work with others, problem solving, self-presentation – I need to collaborate on a joint project.
2. I feel comfortable presenting ideas, recommendations, and work products to a group of my peers.
3. I feel comfortable presenting ideas, recommendations, and work products to people in positions of power or authority.
4. I believe I have the ability to be a leader.

Section 5: Learning Differences & Participatory Grantmaking Knowledge & Skills

	1- Never true	2 - Sometimes true	3 - Often true	4- Always true
1. I am able to identify and understand the root causes of challenges young people with learning differences face in society.
2. I can identify at least three supports or services that can be provided to facilitate the development and inclusion of young people with learning differences.
3. I understand the various stakeholders involved in philanthropy and the roles they play.
4. I am familiar with the steps involved in issuing and managing a grant.
5. I have the ability to analyze information and data to form conclusions and recommendations.

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Section 6: Youth Engagement

If the statement is always true for you, please check 4, if it is often true, check 3, if sometimes true, check 2, and if it is never true for you, check 1.

	1- Never true	2 - Sometimes true	3 - Often true	4- Always true
1. I am involved in key decisions affecting my development.
2. I have access to the mentorship and support needed to achieve my goals.

Section 7: Community Engagement & Belonging

If the statement is always true for you, please check 4, if it is often true, check 3, if sometimes true, check 2, and if it is never true for you, check 1.

	1- Never true	2 - Sometimes true	3 - Often true	4- Always true
1. I believe that I have an impact on my community.
2. I try to participate in issues that are important to me.
3. I volunteer and help out people in my community.
4. I contribute to make my community and society better.
5. I have a community where I feel I belong.
6. I have a community where I feel valued.
7. I have people in my community with whom I connect.
8. I feel satisfied with how much I engage in my community.
9. I feel satisfied with the ways in which I am engaged in my community.

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Section 8: Development Offers & Interests

As UP for Change Leaders, you bring skills to the initiative that we hope you will share, and some skills we hope you will develop along the way. The list below reflects some of the skills you will use and develop during the project:

Leadership: Skills like communication, teambuilding, conflict resolution, motivation, giving and receiving feedback, and negotiation that support a group pf people to achieve a common goal.
Storytelling and Public Speaking: Skills to develop and convey your ideas to different audiences in creative and compelling ways and formats (for example, through spoken or written words, audio and visual media, etc.).
Advocacy: Skills like research, networking, persuasion, data visualization, and knowledge of policies and social services.
Information and Communication Technology (ICT): skills to understand and operate a variety of technology devices and software, including mobile and computer-based apps and programs.

1.Are there skills listed above that you feel particularly strong in and would be willing to share your experience and advice with the group? If yes, please indicate which one(s) and tell us a little bit about what they are and how you developed them:

Leadership SkillsStorytelling & Public Speaking SkillsAdvocacy SkillsInformation and Communication Technology (ICT) Skills

2. Please tell us a bit about how you developed them (e.g., after-school or extracurricular program/club, school project, volunteer opportunities, course, online tutorials, etc.):

3. Are there any skills listed above that you are particularly interested in developing during your UP for Change participation? If yes, indicate which one(s) and why:

Leadership SkillsStorytelling & Public Speaking SkillsAdvocacy SkillsInformation and Communication Technology (ICT) Skills

4. Tell us why:

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