This is the second of three surveys that the Department of State will ask you to complete as part of its efforts to measure the effectiveness and impact of the NSLI Summer Language Institute.
Please know that your answers will be strictly confidential and will in no way affect your participation in this or future programs. 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 twenty (20) 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.
Which program did you attend? (Drop down List: China Institute Beijing, University of Denver, Chicago Public Schools) [Question Only for Chinese Language Group]
Exchange programs provide participants with many important opportunities for learning and engaging people from other countries. In the table below, please identify the three most important accomplishments of your exchange program.
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Learned and practiced [Insert language] |
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Represented the United States abroad |
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Learned about the culture of the Arabic world [Only for Arabic Groups] |
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Learned Modern Standard Arabic [Only for Arabic Groups] |
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Learned about Chinese culture [Only for Chinese language Group] |
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Shared my culture with others |
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Made friends with [Insert country] students and their families |
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Increased my understanding of contemporary [Insert country] and [Insert country] society, people, and culture |
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Learned more about [Insert country] history – ancient to modern |
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Other (Please write in): _____________________________________ |
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Please elaborate on the most important accomplishment that can be linked to your exchange experience.
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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 |
Administration |
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Content |
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Variety of Experiences |
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Relevance of program to professional or educational development |
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Please rate your satisfaction with the specific program components of the NSLI program listed below. Please check one box in each row.
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Very Dissatisfied |
Dissatisfied |
Neutral |
Satisfied |
Very Satisfied |
Not Applicable |
Information received about the program prior to departure |
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Pre-program orientation |
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Language course content and design |
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Language course instructors/faculty |
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Language course materials |
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Opportunities to use target language outside of the classroom |
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Other program courses and activities |
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Access to internet connectivity/email, adequate computing facilities |
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Access to libraries/information |
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Homework load |
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Cultural activities |
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Community service opportunities |
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Out-of classroom trips and meetings |
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Opportunities to interact with local people |
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Home stays |
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Housing/meals |
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Sensitivity of program to your cultural or religious needs |
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Administration/logistics (for example, whether your stipend was paid on time, whether program events were well-planned and run efficiently) |
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What did you like best about the NSLI program?
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What did you like least about the NSLI program?
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Please rate your current [Insert language] language skill level. Please check one box in each row.
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None |
Beginner |
Advanced Beginner |
Intermediate |
Advanced |
[Insert language]: Reading comprehension [Only for Chinese Group] (pinyin Romanization and character recognition) |
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[Only for Arabic Groups] Colloquial Arabic (conversational) |
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[Only for Arabic Groups] Modern Standard Arabic: Composition |
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[Insert language]: Grammar and vocabulary |
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[Only for Chinese Group] Mandarin: Writing (pinyin Romanization and character writing) |
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[Only for Chinese Group] Mandarin: Speaking |
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[Only for Chinese Group] Mandarin: Listening comprehension |
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As a result of your participation in the NSLI program, did you improve your [Insert language] skills level? Please check one box in each row
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Not At All |
To A Small Extent |
To A Good Extent |
To A Great Extent |
[Insert language]: Reading comprehension [Only for Chinese Group] (pinyin Romanization and character recognition) |
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[Only for Arabic Groups] Colloquial Arabic (conversational) |
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[Only for Arabic Groups] Modern Standard Arabic: Composition |
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[Insert language]: Grammar and vocabulary |
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[Only for Chinese Group] Mandarin: Writing (pinyin Romanization and character writing) |
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[Only for Chinese Group] Mandarin: Speaking |
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[Only for Chinese Group] Mandarin: Listening comprehension |
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What did you accomplish or learn during this visit that you could not accomplish at home?
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Which of the following statements accurately reflects your immediate plans to study your target language? Please check one box in each row.
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Yes |
No |
I am enrolled in a course for [Insert language] language at my high school, university or other academic institution |
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I intend to enroll in a course for [Insert language] at my high school, university or other academic institution within the next six months |
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I intend continue [Insert language] language studies through private lessons or a tutor |
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I intend to continue [Insert language] language studies on my own through the use of self-tutoring guides, videos, books |
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I intend to reinforce my [Insert language] language studies by utilizing various media outlets in the target language (for example: radio, television, movies, music, and Internet) |
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I intend to reinforce my [Insert language] language studies by reading newspapers, books and/or magazines in the target language |
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I intend seek out conversation with friends, instructors and/or colleagues in [Insert language] |
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I intend maintain contact with host-country nationals I met while studying [Insert language] |
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I intend to engage in academic or work-related research in [Insert language] within the next six months |
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I am currently enrolled in a language program, internship or have a job with an organization in the country or region where [Insert language] is used |
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I intend to enroll in a language program, internship or have a job with an organization in the country or region where [Insert language] is used |
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How will participation in an overseas exchange through the NSLI program complement or strengthen your [Insert language] language studies?
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Do you see yourself using [Insert language] as part of your future profession? Please check one box.
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Yes |
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No |
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Not sure yet |
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Please rate your knowledge or understanding of the following topics. Please check one box in each row.
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No Knowledge |
Less Than Basic |
Basic Knowledge |
Beyond Basic |
Advanced Knowledge |
[Insert country] political system |
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[Insert country] economy |
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[Insert country] values and culture |
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Religious and ethnic diversity in [Insert country] |
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Freedom of speech and the press in [Insert country] |
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Voluntary community service in [Insert country] |
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Daily life in [Insert country] |
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How much did participation in the program 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 |
[Insert country] political system |
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[Insert country] economy |
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[Insert country] values and culture |
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Religious and ethnic diversity in [Insert country] |
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Freedom of speech and the press in [Insert country] |
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Voluntary community service in [Insert country] |
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Daily life in [Insert country] |
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How do you view the [Insert country] Government and its relationship with the United States?
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Strongly Disagree |
Disagree |
Neither Agree Nor Disagree |
Agree |
Strongly Agree |
The [Insert country] Government is a trustworthy partner for my country |
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How do you view the [Insert country] Government and the [Insert country] people? Please check one box in each row.
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Strongly Unfavorable |
Generally Unfavorable |
Neither Favorable Nor Unfavorable |
Generally Favorable |
Strongly Favorable |
[Insert country] Government |
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[Insert country] people |
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How did your views of the [Insert country] Government and the [Insert country] people change as a result of your program participation? Please check one box in each row.
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Much Less Favorable |
Less Favorable |
No Change |
More Favorable |
Much More Favorable |
[Insert country] Government |
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[Insert country] people |
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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 (newspaper, television, radio, Internet) |
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Give presentations to community, neighborhood, school or university groups |
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Write newspapers 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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Other (Please write in): ________________________________________ |
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As a direct result of your participation in the exchange program, do you think you will do or receive any of the following at school or university? Please check one box in each row.
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Yes |
No |
Higher level of responsibilities or leadership at school/university |
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Organize or initiate new activities or projects at school/university |
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Establish a new organization at school/university |
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21 As a direct result of your participation in the exchange program, do you think you will do or receive any of the following in your community? Please check one box in each row.
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Yes |
No |
Assume a leadership role or position in your community |
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Organize or initiate new activities or projects in your community |
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Establish a new organization in your community |
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Do you think you will remain in contact with people you met during your exchange program?
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Yes |
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No |
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Are you considering pursuing a different field of study as a result of your participation in this program?
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Yes |
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No |
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When you enter the job market, which of the following institutions or organizations are you most likely to work for? Please check one box.
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Academia |
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International NGOs |
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Think-tanks |
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United States Government, The State Department |
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United States Government, Other Agency (for example: USAID, DOJ, CIA) |
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Multi-lateral Institutions (for example: UN, The World Bank) |
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Private International Development Firms |
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Private Business |
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Other (Please write in): __________________________ |
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Undecided |
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Are there any suggestions you could recommend for programming to further promote students’ studies in [Insert language] once they return from the program?
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Home state: [Drop Down List]
Which best describes the geographic location where you live? Please check one box.
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A major city |
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A suburb of a major city |
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A small city or town |
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A rural area |
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Age: [Drop Down List]
Gender:
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Female |
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Male |
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Which religion do you most closely identify with? Please check one box.
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Baha’ism |
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Judaism |
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Buddhism |
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Shintoism |
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Christianity (for example: Orthodox, Catholic, Protestant) |
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Sikhism |
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Confucianism |
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Taoism |
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Hinduism |
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Zoroastrianism |
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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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Do you know about the State Department Alumni website, https://alumni.state.gov? Please check one box.
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Yes |
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No |
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Have you registered for the State Department Alumni website, https://alumni.state.gov? Please check one box.
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I have registered |
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I have not yet registered |
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I do not plan to register |
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Thank you for completing this survey! If you have additional comments you would like to make, please do so here.
__________________________________________________________________________________________________________________________________________________________________________
How long did it take you to complete this survey? ______minutes
File Type | application/msword |
File Title | Please know that your answers will be strictly confidential and will in no way affect your participation in the program |
Author | dingbat |
Last Modified By | R. A. Ciupek |
File Modified | 2008-06-10 |
File Created | 2008-06-06 |