Dd Form 2884 - Dod Youth Program Annual Summary Of Operations
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1REPORT CONTROL SYMBOL
DEPARTMENT OF DEFENSE YOUTH PROGRAM
DD-P&R(A)2154
ANNUAL SUMMARY OF OPERATIONS
INSTRUCTIONS
Complete the following information for your Service. If the information is available for Reserve and other youth programs under your
Service's jurisdiction, complete a separate form. Choose a date in July and a date in September that best represent your programs and
record data for specific entries noted with an asterisk (*).
1. BRANCH OF SERVICE/DEFENSE AGENCY
2. TIME PERIOD COVERED
(1 OCT XXXX - 30 SEP XXXX)
3. TOTAL INSTALLATIONS PROVIDING YOUTH PROGRAMS (YP)*
a. Total number of installations providing a youth sponsorship program*
b. How many installations offer:
(1) Program Activities
(5) Adventure Activities
(9) Vacation Camps
(2) Residential Camps
(6) Special Events
(10) Teen Programs
(3) Instructional Classes
(7) Core Programs
(4) Sports Programs
(8) Specialty Camps
4. TOTAL NUMBER OF FACILITIES DESIGNATED AS:
5. WHAT IS THE ENROLLMENT FOR EACH PROGRAM ON:
a. Youth Centers*
a. Date in September (XX):
b. Date in July (XX):
b. Teen Centers*
(1) Program Activities
(1) Program Activities
(2) Residential Camps
(2) Residential Camps
c. Which of the following types of facilities do you use
to provide services to youth? (X all that apply)
(3) Instructional Classes
(3) Instructional Classes
(1) Off-installation schools
(4) Sports Programs
(4) Sports Programs
(2) On-installation schools (DoDEA)
(5) Adventure Activities
(5) Adventure Activities
(6) Special Events
(6) Special Events
(3) On-installation schools sponsored by
organizations other than DoDEA
(7) Core Programs
(7) Core Programs
(4) On-base facilities
(8) Specialty Camps
(8) Specialty Camps
(5) Contracted facility
(9) Vacation Camps
(9) Vacation Camps
(6) Other (Specify)
(10) Teen Programs
(10) Teen Programs
6. NUMBER OF CHILDREN WITH SPECIAL NEEDS
7. FISCAL YEAR NONAPPROPRIATED FUND (NAF) FINANCIAL DATA FOR
WHO PARTICIPATED IN THE YOUTH PROGRAM
YOUTH PROGRAMS
ON THE DATE OF RECORD*
a. Total User Fees Collected
8. HOW MANY YP DIRECTORS ARE:*
9. NUMBER OF DIRECT SERVICE POSITIONS FILLED*
(APF/NAF/Contractor)
a. APF meeting qualifications outlined in DoDI 6060.4
b. APF not meeting qualifications outlined in DoDI 6060.4
NAF: a. CC 1
APF: f. GS 2
c. NAF meeting qualifications outlined in DoDI 6060.4
b. CC 2
g. GS 3
d. NAF not meeting qualifications outlined in DoDI 6060.4
c. CC 3
h. GS 4
e. Contractor meeting qualifications outlined in DoDI 6060.4
d. CC 4
i. GS 5
0
f. Contractor not meeting qualifications outlined in DoDI 6060.4
e. CC 5
Total APF
0
Total NAF
Total Contractor
10. NUMBER OF DIRECT SERVICE STAFF WHO ARE FAMILY MEMBERS
11. NUMBER OF DIRECT SERVICE STAFF RECEIVING
OF ACTIVE DUTY* (Spouse Employment)
BENEFITS*
12. NUMBER OF DIRECT SERVICE STAFF IN THE FOLLOWING CATEGORIES*
13. NUMBER OF VOLUNTEER HOURS WORKED THROUGH
THE YOUTH PROGRAM DURING THE LAST FISCAL YEAR
0
0
NAF:
APF:
a. Regular
c. Full-Time
a. Adults
b. Flex
d. Part-Time
b. Teens
14. TYPES OF JOBS PERFORMED BY VOLUNTEERS (X all that apply)
a. Coaches
c. Tutors
e. Administrative
g. Specialty Camps
b. Chaperones
d. Instructors
f. Special Events
h. Other
15. AFFILIATION WITH THE BOYS & GIRLS CLUBS OF AMERICA*
16. DOD CERTIFICATION*
a. Total number of eligible programs
a. Number of YPs DoD certified
b. Total number of affiliated programs
b. Number of YPs with expired DoD certification
c. Number of YPs operating under a waiver
17. REMARKS (Attach additional pages if necessary)
DD FORM 2884, JUL 2004
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