SV-2007-0002 Study of the United States Institutes For Faculty and Se

Hello! It has been some time since your Summer Institute. We would like to ask you some questions about the program and its impact on your life and professional work, since your return home. The information you provide will help us design programs that better meet the needs of our participants. Please know that your answers will be strictly confidential and will in no way affect your participation in the program. We will use the data for analytical and evaluative purposes only.

Please feel free to give us your honest opinions. This survey is not a test, and there are no right or wrong answers. Thank you for your participation 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.

1. Exchange programs provide participants with many important opportunities for learning and engaging people from other countries. In the table below, please select the 3 accomplishments that have had the most impact on your life, since your return home.

Accomplishments	
Gained expertise in my field of study and discipline
Gained expertise in a new field of study and discipline
Developed new curricula and coursework
Learned about new pedagogies and new teaching skills
Met professional peers
Increased my understanding of American values, society, and culture

2. Please elaborate on the impact of any of these or other accomplishments, not listed above.

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3. Would you say the knowledge and understanding you gained on the following topics have been useful for your professional development? Please check one box in each row.

	Not at all useful	Somewhat useful	Useful	Very useful
[Insert Topic 1]
[Insert Topic 2]
[Insert Topic 3]
[Insert Topic 4]
[Insert Topic 5]
[Insert Topic 6]

4. If so, please give some examples.

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5. Would you say that the program helped you in developing knowledge, as articulated below, necessary for university faculty? Please check one box in each row.

	Yes	No
The particular subject of your summer institute
American pedagogical methods
Curriculum development
Multi-disciplinary approaches to your subject area

5. If so, please explain in more detail.

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7. Did you teach a course or part of a course on [Insert Title of the Course] after your return home?

	Yes	No
As part of a course
As an entire course

8. If yes, how valuable was the Summer Institute in preparing you to teach this course (or part of a course)?

	No at all valuable	Neither valuable nor invaluable	Somewhat valuable	Extremely valuable
As part of a course
As an entire course

9. Are you a more effective teacher as a result of participating in this Summer Institute?

	
No, I am equally effective
Yes, I am more effective
Yes, I am much more effective

10. Have you used the knowledge or experience gained in the program to initiate any of these formal or informal changes in your organization or work? Please check one box in each row.

	Yes	No
Increased volunteer activities/community service
Founded an NGO or new organization
Introduced new ideas and knowledge
Introduced new initiatives, new ways of doing things
Established new exchanges
Tried to influence public opinion about the United States through the media
Established joint ventures, organizational partnerships, or linkages
Introduced new policies or procedures
Introduced new curricula, pedagogical methods, or educational standards
Became elected or appointed to a local, regional or national government position
Proposed, wrote, and/or passed a new law or treaty

11. Have you shared your program experience or the knowledge you gained during your exchange in any of the following ways? Please check one box in each row.

	Yes	No
Participated in media interviews (newspaper, television, radio, internet)
Gave presentations to community, neighborhood, school or university groups
Wrote newspapers articles, including editorials and opinion pieces.
Wrote academic books
Wrote non-academic books
Wrote academic articles—for journals or academic publications
Other (please write in):

12. As a direct result of your participation in the exchange program, have you done or received any of the following at work? Please check one response for each item.

	Yes	No
Higher level of responsibilities or leadership in the same job
Organized or initiated new activities or projects in the same job
New, more responsible job
Increased salary/wages

13. As a direct result of your participation in the exchange program, have you done or received any of the following in your community? Please check one response for each item.

	Yes	No
Assumed a leadership role or position in your community
Organized or initiated new activities or projects in your community
Established a new organization in your community

14. How have you been able to apply what you learned at your home institution?

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15. Have you encountered any obstacles or barriers? If so, please detail these obstacles and any strategies you developed to by-pass them.

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16. How do you view the United States government and its relationship with your home country?

	Strongly Disagree	Disagree	Neither Agree or Disagree	Agree	Strongly Agree
The U.S. government is a trustworthy partner for my government.

17. How do you view the U.S. government and the American people? (Please check one box in each row.)

	Strongly Unfavorable	Generally Unfavorable	Neither favorable or unfavorable	Generally Favorable	Strongly Favorable
U.S. government
American people

18. To what extent do you agree or disagree with the statements below?

	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree
Voting is important because real decisions are made in elections.
Free and fair elections are the cornerstone of democracy.
An independent media is important to the free flow of information.
All citizens in a country should have equal rights and protections under the law, regardless of circumstances.
The Rule of Law is fundamental to a functioning democracy.
Individuals and organizations have the right to free speech and to voice opposition.
Democratic principles enhance the workplace. Supervisors should incorporate democratic principles into their management practices.

19. Have you remained in contact with people you met during your exchange program?

	
Yes
No

20. If yes, with whom have you remained in contact? Please check one box in each row.

	Yes	No
Other program participants
Program staff/program administrators
Program Faculty
Americans in the community whom you met
U.S. State Department staff in Washington D.C.
U.S Embassy staff
Other (specify) ___________ _______________________

21. Have you established or continued professional collaborations that grew out of your exchange experience?

	
Yes
No

22. As a result of your exchange experience, have you or your organization established a formal, institutional relationship with another organization?

	
Yes
No

23. If you answered “yes’ to either questions 19, 21, or 22 above, do you have any specific comments to add?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

24. Upon reflection, what has participation in the program meant to you personally?

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

25. What is your field of work? Please check all that apply.

Agriculture	□	Library and information science	□
Athletics	□	Media, mass communications, journalism, communication technology, advertising, graphics	□
Arts and humanities (history, languages, literature, art, theater, etc.)	□	Medicine	□
Business administration, finance	□	Military service	□
Computer science, information technology	□	Public administration	□
Education	□	Public health	□
Engineering	□	Religion	□
Environment	□	Science (physics, math, chemistry, biology, astronomy, geography, agronomy, etc.)	□
Government	□	Social sciences (sociology, economics, psychology, political science, etc.)	□
Humanitarian affairs, development assistance, conflict resolution	□	Social work	□
International relations	□	Teaching English, English language instructions	□
Labor, trade unions	□	Not sure	□
Law, judicial, law enforcement	□	Other (please write in):	□

26. Home city/town: _________________

27. Geographic location: Please check one box.

I live in…	
My country’s capital city	
Another major city in my country other than the capital	
A small city, town or rural location in my country	

28. Home country: _________________

29. Date of birth (day/month/year) Ex: 20/10/1978: _________________

30. Sex:

	
Female
Male

31. What is your ethnic background? ___________________

32. Which language do you consider to be your native language/mother tongue? __________________

33. What religious group do you consider yourself a member of our feel closest to? (Please check one.)

			
Baha’ism		Judaism
Buddhism		Shintoism
Christianity		Sikhism
Confucianism		Taoism
Hinduism		Zoroastrianism
Islam		Not close to any group
Jainism		None
		Other: (please write in) ____________________

34. Do you know about and have you registered for the State Department Alumni website, https://alumni.state.gov?

	
Yes, I know about it and I have registered
Yes, I know about it but I have not yet registered
Yes, I know about it but I do not plan to register
No, I do not know about it

35. Thank you for completing this survey! If you have additional comments you would like to make, please do so here.

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36. How long did it take you to complete this survey? ______Minutes

SV-2007-0002 OMB No. 1405-0158

FE 11292006 Expiration Date: 02/29/2008

Estimated Burden: 30 Minutes