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 thirty (30) 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/ISS/DIR, U.S. Department of State, Washington, D.C. 20520.
Exchange programs provide participants with many important opportunities for learning and engaging people from other countries. In the table below, please select 3 accomplishments that have had the most impact on your life, since your return home.
Accomplishments |
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Gained expertise in my field of study and discipline |
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Gained expertise in a new field of study and discipline |
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Developed new curricula and coursework |
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Learned about new pedagogies and new teaching skills |
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Met professional peers |
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Increased my understanding of American values, society, and culture |
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Other? (Write in) |
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Please elaborate on the impact any of these or other accomplishments, not listed above.
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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.
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Not at all useful |
Somewhat useful |
Useful |
Very useful |
[Insert Topic 1] |
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[Insert Topic 2] |
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[Insert Topic 3] |
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[Insert Topic 4] |
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[Insert Topic 5] |
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[Insert Topic 6] |
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If so, please give some examples.
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Did your participation in the program help you develop your knowledge of the topics listed below, which are necessary for university faculty? Please check one box in each row.
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Yes |
No |
The particular subject of your summer institute |
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American pedagogical methods |
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Curriculum development |
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Multi-disciplinary approaches to your subject area |
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If so, please explain in more detail.
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Did you teach a course or part of a course on “[INSESRT Title of Course]” after your return home?
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Yes |
No |
As part of a course |
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As an entire course |
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If yes, how valuable was the Summer Institute in preparing you to teach this course (or part of a course)?
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Not at all valuable |
Neither valuable nor invaluable |
Somewhat valuable |
Extremely valuable |
As part of a course |
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As an entire course |
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Are you a more effective teacher as a result of participating in this Summer Institute?
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No, I am equally effective |
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Yes, I am more effective |
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Yes, I am much more effective |
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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.
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Yes |
No |
Increased volunteer activities/community service |
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Founded an NGO or new organization |
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Introduced new ideas and knowledge |
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Introduced new initiatives, new ways of doing things |
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Established new exchanges |
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Tried to influence public opinion about the United States through the media |
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Established joint ventures, organizational partnerships, or linkages |
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Introduced new policies or procedures |
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Introduced new curricula, pedagogical methods, or educational standards |
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Became elected or appointed to a local, regional or national government position |
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Proposed, wrote, and/or passed a new law or treaty |
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Have you shared your program experience or the knowledge gained during your exchange in any of the following ways? Please check one box in each row.
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Yes |
No |
Participated in media interviews (newspaper, television, radio, internet) |
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Gave presentations to community, neighborhood, school or university groups |
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Wrote newspapers articles, including editorials and opinion pieces. |
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Wrote academic books |
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Wrote non-academic books |
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Wrote academic articles—for journals or academic publications |
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Other (please write in): |
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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 box in each row.
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Yes |
No |
Higher level of responsibilities or leadership in the same job |
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Organized or initiated new activities or projects in the same job |
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New, more responsible job |
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Increased salary/wages |
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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 box in each row.
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Yes |
No |
Assumed a leadership role or position in your community |
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Organized or initiated new activities or projects in your community |
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Established a new organization in your community |
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How have you been able to apply what you learned at your home institution?
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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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How do you view the United States government and its relationship with your home country?
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Strongly Disagree |
Disagree |
Neither Agree or Disagree |
Agree |
Strongly Agree |
The U.S. government is a trustworthy partner for my country. |
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How do you view the U.S. government and the American people? Please check one box in each row.
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Strongly Unfavorable |
Generally Unfavorable |
Neither favorable or unfavorable |
Generally Favorable |
Strongly Favorable |
U.S. government |
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American people |
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To what extent do you agree or disagree with the statements below?
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Strongly Disagree |
Disagree |
Neither Agree nor Disagree |
Agree |
Strongly Agree |
Voting is important because real decisions are made in elections. |
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Free and fair elections are the cornerstone of democracy. |
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An independent media is important to the free flow of information. |
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All citizens in a country should have equal rights and protections under the law, regardless of circumstances. |
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The Rule of Law is fundamental to a functioning democracy. |
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Individuals and organizations have the right to free speech and to voice opposition. |
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Democratic principles enhance the workplace. Supervisors should incorporate democratic principles into their management practices. |
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Have you remained in contact with people you met during your exchange program?
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Yes |
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No |
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If yes, with whom have you remained in contact? Please check one box in each row.
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Yes |
No |
Other Institute participants |
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Institute staff/program administrators |
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Institute Faculty |
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Americans in the community whom you met |
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U.S. State Department staff in Washington D.C. |
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U.S. Embassy staff |
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Other (specify) ________________________ |
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Have you established or continues professional collaborations that grew out of your exchange experience?
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Yes |
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No |
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As a result of your exchange experience, have you or your organization established 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 either questions 19, 21, or 22 above, do you have any specific comments to add?
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Upon reflection, what has participation in the program meant to you personally?
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What is your field of work? Please check all that apply.
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Agriculture |
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Library and information science |
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Athletics |
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Media, mass communications, journalism, communication technology, advertising, graphics |
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Arts and humanities (history, languages, literature, art, theater, etc.) |
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Medicine |
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Business administration, finance |
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Military service |
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Computer science, information technology |
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Public administration |
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Education |
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Public health |
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Engineering |
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Religion |
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Environment |
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Science (physics, math, chemistry, biology, astronomy, geography, agronomy, etc.) |
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Government |
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Social sciences (sociology, economics, psychology, political science, etc.) |
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Humanitarian affairs, development assistance, conflict resolution |
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Social work |
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International relations |
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Teaching English, English language instructions |
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Labor, trade unions |
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Not sure |
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Law, judicial, law enforcement |
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Other (please write in): |
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Geographic location:
I live in… |
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My country’s capital city |
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Another major city in my country other than the capital |
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A small city, town or rural location in my country |
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Home country: [Drop Down List]
Date of birth (day/month/year) Ex: 20/10/1978: _________________
Sex:
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Female |
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Male |
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Which language do you consider to be your native language/mother tongue? _________________
What religious group do you consider yourself a member of or feel closet to? (Please check one.)
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Baha’ism |
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Shintoism |
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Buddhism |
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Sikhism |
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Christianity |
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Taoism |
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Confucianism |
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Zoroastrianism |
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Hinduism |
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Not close to any group |
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Islam |
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None |
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Jainism |
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Other: (please write in)
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Judaism |
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Do you know about and have you registered for the State Department Alumni website, https://alumni.state.gov?
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Yes, I know about it and I have registered |
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Yes, I know about it but I have not yet registered |
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Yes, I know about it but I do not plan to register |
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No, I do not know about it |
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Thank you for completing this survey! If you have additional comments you would like to make, please do so here.
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How long did it take you to complete this survey? _____Minutes
Control No: SV2007-016
Expiration Date: 02/29/08
Estimated Burden Time: 30 minutes
File Type | application/msword |
File Title | Hello |
Author | m hale |
Last Modified By | Jaemie L. Drake |
File Modified | 2007-06-11 |
File Created | 2007-04-12 |