Appendix D:

Sample Community Needs Assessment Report


Name of community group/proposed literacy Program: ___________________________

Mailing Address: _______________________________________________________

Telephone # (day): _______________________________

Names of members of the study group: _______________________________________

_____________________________________________________________________

Background to the Needs Assessment

In this section of the report, you should identify how your community got interested in setting up a literacy program. Why you believed there is a literacy need in your community. How you first established contacts.

Community Contacts (surveys)

This section should list all the people/groups you contacted about the prospect of a literacy program in the community. You should attached statistics about the number of businesses, service clubs and agencies and potential students you surveyed. You do not have to attached all of the completed surveys.

Public Awareness Initiatives

List here all the public awareness tasks you completed. You should include samples of publicity (e.g. posters or brochures) you developed. You should also include a list of groups your study group talked to about a literacy initiative in the community.

Plan of Action

Your plan of action should include the steps you will need to take once funding is secure for your project. Where will the program be located? Who will be the program managers? Who will provide program supports? How will recruitment of students and volunteers take place? What kind of learning program do you think the community wants?



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