Project Title/Theme: ___________________________________________________________
Project #: ____________________________________________________________________
ECA/PE/V Program Office: _____________________________________________________
Project Dates: _______________________________________________________________________
In order to evaluate the effectiveness of the International Visitor Leadership Program, the U.S. Department of State would appreciate your completing this survey. Your feedback is very important to us because it will help us to better understand the value of the IVLP to its participants, as well as help us to make program improvements to ensure the program’s effectiveness for future participants.
Your completion of this survey is voluntary. Your responses will be confidential and aggregated with those of other IVLP respondents of this survey. Thank you in advance for taking the time to complete this survey. We expect the completion time to be approximately 45 minutes.
Thank you in advance for your comments and suggestions. Your input is highly valued.
You may complete Section I, question 6 immediately following your stay in each city.
Please complete the remainder of the survey at the end of your program.
Return your completed survey to the U.S. Department of State Program Officer
at the closing evaluation.
Please print all responses and write as legibly as possible. Thank you.
Your Name (Optional): _______________________________________________________
Your Home Country: ________________________________________________________
Your Occupation (Optional): __________________________________________________
Email Address: _____________________________________________________________
Important Note to IVLP Participants:
The U.S. Department of State has established a website for alumni of its exchange programs. The website is the Department's "State Alumni" website and is intended to help exchange program alumni stay in contact with one another and make new contacts. Upon your return to your home country, the Department invites you to register for this website to help you to network with other alumni of the Department's IVLP and other exchange programs, and to stay involved with alumni activities. You can access the website at: https://alumni.state.gov.
Thank you for staying in touch and participating in this survey! |
Privacy Act and Paperwork Reduction Act Statements:
The information solicited on this survey is requested pursuant to the Government Performance and Results Act of 1993 (P.L. 103-62) and the Mutual Educational and Cultural Exchange Act of 1961, as amended, also known as the Fulbright-Hays Act (22 U.S.C. 2451, et seq.). In order to ensure that the U.S. Department of State’s international exchange programs meet statutory program requirements (22 U.S.C. 2460(c)), the Department’s Bureau of Educational and Cultural Affairs (ECA) regularly monitors the programs, gathers data about program accomplishments, and evaluates selected ones. ECA uses the information collected to inform program design, management, and funding. All personal information that is collected through surveys is considered confidential. All responses are coded to ensure the confidentiality of individual responses. Data collected under this study will not be shared, sold, or used for fundraising purposes. Survey data and findings will be used only in an aggregate form for the express purposes of fulfilling the data needs of the outcome assessment. Responses to this survey are voluntary.
Public reporting burden for this collection of information is estimated to average forty-five (45) minutes to respond to this survey, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An Agency may not conduct or sponsor, and respondents are not required to respond to, a collection of information unless it displays a valid OMB control number. Please send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to: A/RPS/DIR, U.S. Department of State, Washington, D.C. 20520.
Section I. Program Review and Program Satisfaction
What was your primary professional interest in participating in the International Visitor Leadership Program (IVLP)?
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What aspect (part) of your IVLP exchange experience best met your professional interest?
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How valuable do you think your IVLP experience will be for you in the future? Please check one box in each row.
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Not At All Valuable |
Slightly Valuable |
Generally Valuable |
Very Valuable |
Extremely Valuable |
Professionally |
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Personally |
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Please rate your satisfaction with the following program components. Please check one box in each row.
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Very Dissatisfied |
Dissatisfied |
Neutral |
Satisfied |
Very Satisfied |
Program administration |
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Program content |
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Variety of experiences |
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Relevance to professional or educational development |
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Please rate your satisfaction with the specific components of the IVLP listed below. Please check one box in each row.
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Very Dissatisfied |
Dissatisfied |
Neutral |
Satisfied |
Very Satisfied |
Pre-departure briefing provided by the U.S. Embassy or Consulate |
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Management of program logistics (e.g., travel, hotel arrangements) |
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Meeting and consultations with American professionals in your field |
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Range of views presented |
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Geographic and demographic diversity (e.g. regions of U.S. visited, urban/rural) |
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Speaking opportunities (e.g., schools, universities, civic groups, etc.) |
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Opportunities to communicate information about your country to Americans |
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Home hospitality |
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Cultural activities |
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Assistance provided by Interpreters or English Language Officers |
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Pace of program |
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Length of program |
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Rate your overall satisfaction with the programs in each city visited. Please select one answer in each row. In the comments section, please list strengths/weaknesses of each city program (such as professional meetings, speakers, arranged events, cultural activities).
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Very Dissatisfied |
Dissatisfied |
Neutral |
Satisfied |
Very Satisfied |
Washington, D.C. |
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Comments:
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[Insert City 1] |
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Comments:
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[Insert City 2] |
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Comments:
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[Team City (circle one):] |
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Comments:
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[Insert City 4] |
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Comments:
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What suggestions, if any, do you have to improve the IVLP?
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Section II. Impressions of Your IVLP Experience
and the United States
To what extent did your IVLP experience increase your understanding of the following project themes in the United States? Please check one box in each row.
The IVLP increased your understanding of: |
Not At All |
To a Small Extent |
To a Moderate Extent |
To a Great Extent |
[Insert Project Goal] |
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[Insert Project Goal] |
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[Insert Project Goal] |
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How much did participation in the IVLP change your understanding or knowledge of the following topics? Please check one box in each row.
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No change |
Minimal change |
Moderate change |
Substantial change |
U.S. democracy |
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U.S. economy |
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U.S. values and culture |
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Religious and ethnic diversity in the United States |
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Freedom of speech and the press in the United States |
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Voluntary community service |
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Daily life in the United States |
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Based on your IVLP experience in the United States, how much do you agree or disagree with the following statements? Please check one box in each row.
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Strongly Disagree |
Disagree |
Neither Agree nor Disagree |
Agree |
Strongly Agree |
The IVLP promotes closer relations between the United States and my country or region. |
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The IVLP helps to strengthen ties between people of the United States and people of my country. |
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The IVLP experience promotes mutual understanding and respect between people of the United States and people of my country or region. |
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The IVLP experience has provided me with a broader understanding of the United States. |
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As a result of the IVLP experience, I am interested in developing professional collaborations with Americans in my field. |
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The IVLP experience will enhance my professional development. |
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Has your overall perception of the United States changed as a direct result of your participation in the IVLP? If so, please describe the changes.
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What was the most important, surprising or memorable thing you learned or observed by participating in the IVLP and visiting the United States? (For example: what you learned about the United States or Americans; what you learned about yourself or your own country; unexpected observations, etc.)
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Section III. Future Plans
Do you think you will share your program experience or the knowledge you gained during your exchange in any of the following ways? Please check one box in each row.
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Yes |
No |
Participate in media interviews (for newspapers, magazines, television, radio, the internet, etc.) |
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Give presentations in your office or for community, neighborhood, school or university groups |
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Write newspaper/magazine articles, including editorials and opinion pieces |
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Write academic books |
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Write non-academic books |
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Write academic articles for journals or academic publications |
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Do you think you will share new information, knowledge and impressions gained during your IVLP visit to the United States with the following groups of people? Please check one box in each row.
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Yes |
No |
Not Sure |
Professional colleagues in your home country |
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Family and friends |
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People in your community |
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Other people in your home country (for example: the general public, the media, on the Internet, etc.) |
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What information about the United States will you share with others in your home country?
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Do you think you will remain in contact with people you met during your program?
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Yes |
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No |
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If you answered “yes” to question 16, please indicate the people you intend to stay in contact with upon returning to your home country. Please check one box in each row.
I intend to stay in contact with: |
Yes |
No |
Do Not Know |
U.S. Embassy/Consulate staff |
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Fellow participants in my IVLP group |
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U.S. professional counterparts I met on my IVLP program |
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Other Americans I met on my IVLP program |
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IVLP alumni and/or alumni of other U.S. exchange programs in my country |
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Do you think you will establish and continue professional collaborations that may grow out of your exchange experience?
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Yes |
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No |
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Do you think you or your organization will establish a formal, institutional relationship with another organization?
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Yes |
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No |
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If you answered “yes” to question 18 or 19, please comment on any long-term partnerships or relationships (professional or institutional) that you intend to develop.
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Do you think you will use the knowledge or experiences gained in this program to initiate any of the following formal or informal changes in your organization or work? Please check one box in each row.
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Yes |
No |
Increase volunteer activities/community service |
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Establish an Non-governmental Organization (NGO) or new organization |
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Introduce new ideas and knowledge |
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Introduce initiatives, new ways of doing things |
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Establish new exchanges |
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Try to influence public opinion about the United States through the media |
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Establish joint ventures/enterprises, organizational partnerships, or linkages |
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Introduce new policies or procedures |
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Introduce new curricula, pedagogical methods or educational standards |
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Become elected or appointed to a local, regional or national government position |
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Propose, write and/or pass a new law or treaty |
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If you answered “yes” to question 21, please elaborate on how you intend to use the knowledge, information or experiences from this program in your work back home? (For example: describe any new activities or projects you plan to begin.)
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Thank you for completing this survey! If you have additional comments you would like to make, please do so here. We value your thoughts and feedback.
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This survey is part of a larger effort of the U.S. Department of State to evaluate the effectiveness of the International Visitor Leadership Program. We may contact you via email within the next year to conduct a follow on survey. Should you be contacted, we would appreciate if you would take the time to complete the survey to help with our efforts to improve this important program. Thank you.
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How long did it take you to answer this survey? _____________ minutes
DP
08 15 2006
File Type | application/msword |
File Title | Pre Program Survey Base |
Author | dingbat |
Last Modified By | R. A. Ciupek |
File Modified | 2006-09-19 |
File Created | 2006-09-13 |