Focus Groups with Students

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OMB No. XXXX-XXXX

Exp. Date::xx /xx/xxxx

ob Corps Process Study

Appendix I. Focus Group Participant Information Form

FOCUS GROUP PARTICIPANT INFORMATION FORM

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information from a federal agency unless it displays a valid OMB control number, number, which is displayed at the top of this form. The time required to complete this information collection is estimated to average 60 minutes per response, including the time to collect consent, review instructions, search existing data sources, gather and maintain data needed, and complete and review the collection of information. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please contact Savi Swick at swivk.savi@dol.gov.

You agreed to participate in this focus group to assist with determining Job Corps practices that are linked with center success. This project is sponsored by the Department of Labor, Employment and Training Administration. You are free to ask questions at any time before, during, or after your participation in this session. Your participation in this focus group is voluntary. This group discussion will take about one hour of your time, and all individual responses will be kept private to the maximum extent allowed by the law. We will not share or use your name, address, or any other identifying information in reports or other materials related to this study. We will not identify any of the students by name. All of the information we collect here today is private to the maximum extent possible under the law. All data will be pooled with data from similar sessions with participants in other programs throughout the United States and published in aggregate form only.

What is your gender?

Female Male

How old are you? ______________

Are you of Spanish, Hispanic, or Latino origin?

Yes

No

Do you consider yourself to be…[Mark one or more]

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White

How long have you been enrolled at this center? ____________________________________________________

When do you expect to graduate? _____________­­­­­­­­­­­­­­­­___________________________________________________

How did you hear about Job Corps? _______________________________________________________________

What is your career technical training program? _____________________________________________________

Why did you decide to enter Job Corps? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________?

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