CHAIRMAN/CO-CHAIRMAN

CHILD WELFARE PROJECT EVALUATION FORM

CHILD WELFARE PROJECT DEFINED

Since Junior Auxiliary gives primary consideration to children, each Chapter is

required to have at least one Child Welfare Project for which it has full

administrative responsibility. The objective of Child Welfare is to break the

cycle of dependency, whether it be physical or emotional. There are two basic

requirements for a Child Welfare Project.

• The project must provide one or more of the basic necessities of life: food,

clothing, shelter and/or emotional support.

• There must be an ongoing relationship and commitment established

between the Chapter member or members and the recipient.

A child must be 18 years of age or under, and full administrative responsibility

means that the Chapter initiates the project, executes the project and reserves the

right to continue or terminate the project. The Chapter may work with other

agencies or enlist services from other individuals.

Does this Child Welfare project provide one or more of the basic necessities of life:

food, clothing, shelter and/or emotional support? yes___ no_____

If yes, describe__________________________________________

Is there an in-depth, on-going relationship and commitment established between

the Chapter member or members and the recipient? yes___ no____

If yes, describe__________________________________________________

Is there a child l8 years of age or under involved? yes_____ no_____

Does the Chapter have full administrative responsibility for the project?

yes_____ no_____

Therefore, the Self-Evaluation Committee needs to concur that all child welfare

requirements have been met.

Name of project______________________________________

Year started_________________

Statistics

Number of Persons Helped _________

Number of Members Participating

Active _________

Provisional _________

Associate/Life_________

Total _________

Number of Hours Given

Active _________

Provisional _________

Associate/Life_________

Total _________

Cost of Project to Chapter _________

Summary of Project. On an attached sheet, include specific details of

member participation. To insure the confidentiality of JA clients, please use

fictitious names in the summary.

2. Briefly state the goals of this project. _________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

3. The project lasted from __________ until __________.(dates)

4. Did the project fulfill its goals? (explain) _______________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

5. What are the future plans or recommendations for this project?____________

______________________________________________________________

______________________________________________________________