Scholarship Event Feedback

O MB#: 1121-XXXX Organizational Scholarship

Date of Expiration: XXXX Event Feedback

In order to help OVC TTAC better serve the field, we are reaching out to obtain your feedback. We will protect the privacy of your information in accordance with the Federal Privacy Act, and we will protect the confidentiality of your responses using procedures we have in place. Only members of the Evaluation Team have access to information that could identify respondents. Answers to these questions will only be reported after aggregating all responses, and the results will never identify you as an individual. Other participants/users, consultants/presenters, OVC staff, OVC TTAC staff, and your employer will not have access to what you as an individual say. Your participation is in this survey is completely voluntary. If you have any questions about this survey or the evaluation, please contact TTACEval@icfi.com.

Part I. Event Feedback

1. Please provide the following information about the event you attended that was funded by scholarships funds:

Event title: ____________________________________________________________________________________________

Date(s): ______________________________ Location: _____________________________________________________

Please indicate the extent to which you agree or disagree with the following statements.

OVERALL EVENT	Strongly Disagree		Disagree	Neither Agree nor Disagree	Agree	Strongly Agree	Not Applicable
The event addressed the critical issues related to the topic(s).	1	2		3	4	5	NA
The material was appropriate for my level of experience and knowledge.	1	2		3	4	5	NA
The event increased my knowledge related to the topic(s).	1	2		3	4	5	NA
The event increased my practical skills related to the topic(s).	1	2		3	4	5	NA
I will be able to apply what I learned in my work.	1	2		3	4	5	NA
The event improved my ability to serve victims.	1	2		3	4	5	NA
The event improved my ability to reach underserved victims.	1	2		3	4	5	NA
The event improved my ability to collaborate with others.	1	2		3	4	5	NA
The event met my goals.	1	2		3	4	5	NA
I am satisfied with the overall quality of the event.	1	2		3	4	5	NA

12. At which type of event was the training held? (Mark all that apply.)

□ National conference □ Local conference

□ State/regional conference □ Other (please specify): __________________________

13. Do you plan to do any of the following as a result of participating in this event? (Mark all that apply.)

□ Share material with colleagues □ Expand services to new victim populations

□ Refer colleagues to other OVC TTAC events/resources □ Expand types of services offered to victims

□ Train/educate others in content/skills learned □ Expand capacity/frequency of services to victims

□ Enact policy changes at my organization □ Strengthen evaluation or needs assessment activities

□ Begin a new project or initiative □ Network with other participants

□ Change my management, leadership, or □ Identify/pursue new funding resources

interpersonal communication style □ Implement/change financial procedures

□ Pursue additional professional development □ Modify outreach/marketing activities

□ Develop/strengthen use of technology or infrastructure □ Develop/enhance vision, mission, or strategic plan

□ Develop/strengthen collaborative or strategic relationships □ Other(s): _____________________________________

Please explain in detail any of these activities: _______________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

14. What aspects of the event were most helpful and why?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

15. Do you have any other comments or suggestions about the event?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

16. Which of the following best describes the organization in which you work? (Mark all that apply.)

□ Community-Based/Grassroots □ Health/Mental Health Services □ Military

□ Criminal Justice Agency □ Human/Social Services □ Research

□ Education □ Legal Services □ Other (please specify):

□ Faith-Based □ Legislation/Policymaking _________________________

17. Which types of victim services do you provide for crime victims in your current position? (Mark all that apply.)

□ I do not provide direct services □ Criminal Justice System □ Notification

□ Child Care Advocacy/Assistance □ Transportation

□ Compensation/Restitution □ Housing/Shelter □ 24-Hour Hotline

□ Counseling □ Information/Referral □ Other (please specify):

□ Crisis Intervention □ Medical/SANE/SART _________________________

18. Which of the following best describes the number of years of experience you have in your current field of work? (Mark one.)

□ Less than 3 years □ 3 to 5 years □ 6 to 10 years □ More than 10 years

19. Which of the following best describes your primary role in your current position? (Mark all that apply.)

□ Direct Delivery/Front Line Staff □ Consultant/Trainer □ Other (please specify):

□ Management/Administrative Staff □ Volunteer _________________________

20. Which of the following best describes the population you serve? (Mark all that apply.)

□ National □ Local

□ State □ Urban

□ Tribal □ Rural

□ International, list country: □ Suburban

_________________________________ □ Culturally specific populations(s): ________________________

Thank you for taking the time to complete this form and helping to improve OVC TTAC activities.

Paperwork Reduction Act Notice

Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control number. The estimated average time to complete this form is 10 minutes. If you have comments regarding the accuracy of this estimate or additional suggestions, please write to the OVC TTAC evaluation team at TTACEval@icfi.com or 9300 Lee Highway, Fairfax, VA 22031.