/MappingNewOrleansSurvey by Partnership for Youth Development

Mapping New Orleans Survey Form Organization Information Organization ID

Organization Name Street Address

Suite #

City

State

Main Phone

TTY

County

Zip

PO Box  Near Public Transportation

Website

Manager

Executive Director

Organization Type Non Profit

Profit

Federal Government

County Government

City Government

School

Faith Based

Civic Organization

Volunteer Organization

State Government

Program Information Organization ID

Program Name Street Address

Suite #

City

State

Main Phone

TTY

County

Zip

PO Box  Near Public Transportation

Website

Contact Person

Program provides: Direct Service Information and Referral Hours of Operation School Before School 24 hours Evening Hours

After School Daytime By Appointment

Open (days) Mon-Fri Weekends

Time of Year Year Round School Year Only Summer Only  School Breaks

Program Description

__________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________

What age groups does this program serve? Infant

Pre-Schl

Elementary

Mdle Schl

High Schl

 College

Adult

Family

Does the program specifically serve any youth with the following characteristics? Abused

Chemically Dependent

Foster Care Adult

Foster Care Child

Gay Lesbian Bisexual Transgender

Gifted and Talented

Homeless/Runaway

Immigrant

Juvenile Offender

Low Income

Teen Parent

Culture/Language  African American

American Sign Language

Arabic

African Language

Armenian

Chinese

French

French Creole

German

Greek

Gujarathi

Hebrew

Hindi

Hungarian

Italian

Japanese

Korean

Laotian

Miao, Hmong

MonKhmer, Cambodian

 Native American

 Oromo

Persian

Polish

Portuguese

Russian

Scandinavian Languages

SerboCroatian

Somali

Spanish

Tagalog

Thai

Urdu

Vietnamese

Yiddish

Disability ADDADHD

Autism

Neurologic al Disorder

Orthopedic Impairment (physical)

DeafBlindness

Deaf/Hard of Hearing

Developmental Delay

Other Health Impairment

Other Psychiatric Disability

Specific Learning Disability

(Early Childhood)

Emotional Disturbance

Intellectual Cognitive Development Disorder

Multiple Disabilities

Speech or Language Impairment

Traumatic Brain Injury

Visual Impairment Incl Blindness

Check the areas that are the Main Focus of the program. Must Check at Least 1 Item Under A Category After School Art

Athletics

Clubs

Faith Based

Games

General

Music

Science

Second Language

Tutoring

Assistance Crisis

Counseling

Crisis Nursery

Suicide Prevention

Sexual Abuse/Molestation

Domestic Abuse

Runaway/Homeless

Advocacy Services

Financial Assistance

Legal Services

Individual

Family

Group

Support Group

Mental Health Domestic Abuse

Anger Management Eating Disorder

Chemical Dependency

Child Abuse

PTSD

Sexual Abuse

Parenting Childcare

Childcare Subsidies

Parenting Education

Respite

Guardianship

The Basics Health Clinics

Dental

Mother & Infant Care

Immunization

Family Planning

STD Treatment

AIDS/HIV

Medical Expense Assistance

Health Advocacy

Weight Management

Physical Therapy/Rehab

Personal Care Assistance

Emergency

Subsidized

Household

Independent

Shelter

Housing Intermediate Care Facility

Items

Living Skills

General

Personal Grooming

Housing Housing Assistance Supervised Living for

Older Youth Food Pantries/Shelves

Group Homes

Food Stamps

Soup Kitchen

Children

Maternity

Accessibility

Clothing Baby

Transportation Payment Assistance

Community Ride

Program

Driver Training

Disability Related Transportation

Education Preschool

Elementary

Licensed

Middle School

Public

Preparing for College

High School

Public

College

Financial Aid Educational

Head Start

Private

Montessori

Charter

Alternative

Accommodations

Drop Out

Prevention

Tutoring

Assistive Technology English Language Learner

Special Ed

GED

Assistive Technology

Special Ed

English Language Learner Assistive Technology

Tutoring Special Ed Assistive Technology English Language Learner

English

Home

Language Learner

Schooling

Home Schooling

Planning Career Exploration

Adult Programs

Financial Aid Vocational

Adult Learning Program

High School Diploma Programs

Community

GED

Public Universities/Colleges

Career Exploration

Private Universities/Colleges

Accommodations

Accommodations Assistive Technology

Assistive Technology English Language Learner

English Language Learner

Assistive Technology English Language Learner Home Schooling

Recreation Sports Baseball/ Softball

Sports Adaptive Batting Cage Camp/Clinic Field Team

Basketball

Adaptive Camp/Clinic Court Team

Bowling

Adaptive Camp/Clinic Alley Lessons Team/league

Boxing

Crew

Fencing

Adaptive Camp/Clinic Gym Lessons Team Adaptive Camp/Clinic Shell House Lessons Team Adaptive Camp/Clinic Training Center Lessons Club

Sports

Figure Skating

Adaptive Camp/Clinic Rink Lessons Club

Football

Adaptive Camp/Clinic Field Team

Golf

Gymnastics

Adaptive Camp/Clinic Driving Range Course Lessons League Adaptive Camp/Clinic Gym Lessons Team

Hockey

Adaptive Camp/Clinic Rink Team

Horse Back Riding

Adaptive Camp/Clinic Trail/Stables Lessons Team

Sports

Lacrosse

Adaptive Camp/Clinic Field Team

Swimming

Martial Arts

Adaptive Camp/Clinic Gym Lessons Team

Tennis

Rugby

Adaptive Camp/Clinic Gym Lessons Team

Adaptive Camp/Clinic Pool Lessons Team Adaptive Camp/Clinic Court Lessons Team

Track/Field

Adaptive Camp/Clinic Track/Field Team

Skiing

Adaptive Camp/Clinic Field Team

Volleyball

Adaptive Camp/Clinic Court Team

Soccer

Adaptive Camp/Clinic Field Team

Water Polo

Adaptive Camp/Clinic Pool Team

Surfing

Adaptive Camp/Clinic Beach Lessons Team

Wrestling

Adaptive Camp/Clinic Gym Team

Arts and Education Art

Dance

Arts and Education Adaptive Museum Camp/Clinic School Lessons Adaptive Camp/Clinic Group/Team School Lessons

Youth Development Volunteerism

Program

Faith Based

Group Camp

Arts and Education

Drama

Adaptive Camp/Clinic Club School Lessons

Language

Adaptive Camp/Clinic Lessons

Music

Outdoor

Youth Development

Arts and Education

Mentoring

Program

Civic Leadership

Playground

Park

Arts and Education Adaptive Camp/Clinic School Lessons

Science

Adaptive Camp/Clinic Museum Program

Adaptive Camp/Clinic Club Program Arts and Education Program Club/Troop Class Camp

Service Learning Program

Program Class

Places Library

Recreation Center

Employment Career Exploration

Vocational Assessment

Resume Assistance

Job Finding Assistance

Youth Programs

Job Mentoring

Internship Programs

Disability Employment

On the Job Supports

Work Clothing

Unemployment Services