Section
1: Background Information
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1
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To
the best of your knowledge, select all years that your university
hosted Mandela Washington Fellows, and the corresponding tracks
for each year. Select all that apply.
Answer
type: Multiple selection of available years and tracks
Options:
Business
and Entrepreneurship: 2014, 2015, 2016, 2017, 2018
Civic
Leadership: 2014, 2015, 2016, 2017, 2018
Public
Management: 2014, 2015, 2016, 2017, 2018
Energy:
2016
Energy
– Public Management: 2017
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2
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Check
the box that most closely describes your
formal
role in the Academic and Leadership Institute.
Answer
type: Multiple choice (Select one)
Options:
Academic
Director
Administrative
Director
Session
leader / discussant / facilitator / speaker
Leadership
Director
Networking
Coordinator
Community
Service Lead
Cultural
Activities Coordinator
Site
Visit Lead
Faculty
Member
Support/Administrative
staff
Other
(please describe)
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3
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How
did you support the Academic and Leadership Institute in your
role?
Answer
type: Short answer
Character
limit: 1,000 characters
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4
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What
year(s)
have
you personally engaged (in any role) in the Academic and
Leadership Institute?
Answer
type: Multiple selection
Options:
2014, 2015, 2016, 2017, 2018
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Section
2: Individual level impact.
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5
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For
the most recent year, select the curriculum components provided
by the Academic and Leadership Institute. (Select all that apply)
Answer
type: Multiple choice
Options:
Academic
sessions
Practical/Experiential
sessions
Leadership
training
Community
service
Cultural
experiences
Networking
activities
Fellow
feedback activities
Site
visits to organizations/businesses/government agencies
Unstructured/independent
networking time
Other
(insert)
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6
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Has
your university hosted Fellows for more than one year?
Answer
type: Multiple choice
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7
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To
the best of your knowledge, from
one year to the next, has your Institute made
any key programming changes or modifications (outside of
any
Department of State-mandated changes) and the reasons for these
changes or modifications.
Answer
type: Open-ended
Character
limit: 2,000 characters
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8
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In
the most recent year, across Academic and Leadership Institute
programming, what percentage of time did Fellows spend on the
following:
Activities
focused on applied
academic
knowledge
Leadership
skills
Teamwork,
problem solving, interpersonal communication, conflict
resolution, time management
Other
(please specify)
Round
each percentage to the nearest whole number. Answers should
equal 100%.
Answer
type: Four
short answer fields for percentages (Percentage theoretical,
Percentage other) Validation will require answers add to 100%
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9
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Indicate
your level of agreement with the following statement: “The
Academic and Leadership Institute at our university contributed
to the professional development of the Fellows we hosted.”
Note:
Professional Development is
defined here as the development of professional knowledge,
skills, competency, and effectiveness as a professional or leader
Answer
type: Likert Scale
Options:
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9a
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Explain
the key reasons for your rating in the previous question
and/or any examples of Fellows’ Professional Development
that you may have.
Answer
type: Open-ended
Character
limit: 1,000 characters
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10
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Please
highlight
one or two of the most significant experiences for the Fellows at
your Academic and Leadership Institute.
Answer
type: Open-ended Character limit: 1,000 characters
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Section
3: Community & Public Diplomacy Impact. How does the Mandela
Washington Fellowship benefit local American Communities?
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11
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Indicate
the extent to which your university’s participation in the
Fellowship was influential in supporting the following:
Breaking
down stereotypes of Africa in the local community
Building
on existing relationships with private companies
Forming
new relationships or partnerships with private companies
Building
on existing relationships with local/state government
Forming
new relationships with local/state government
Answer
Type: Likert Scale (all topics above shown in a table)
Options:
Extremely
Influential
Very
Influential
Somewhat
Influential
Not
at all Influential
Don’t
know /
can’t ascertain
If
1, 2, or 3 selected, move to question 11a.
If
4 or 5 selected, go to question 11b.
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11a
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Please
provide some examples of how the Academic and Leadership
Institute has benefitted the local community.
Note:
Local
community is defined here as the community in which the
university resides.
Answer
type: Open-ended
Character
limit: 1,000 characters
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11b
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In
your opinion, how
could the Academic and Leadership Institute have had a stronger
impact on the local community?
Note:
Local
community is defined here as the community in which my university
resides.
Answer
type: Open-ended Character limit: 1,000 characters
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12
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Indicate
your level of agreement with the following statement: “Hosting
the Academic and Leadership Institute has strengthened ties
between the local community (e.g., the community in which my
university resides) and my institution.”
Answer
type: Likert Scale
Options:
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12c
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Optional:
Explain the key reasons for your selection in the previous
question.
Answer
Type: Open-ended
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13
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How
impactful has hosting the Academic and Leadership Institute been
in further enhancing your institutional capacity to support
international visitors (e.g. scholars, students, Fellows, etc.)?
Answer
type: Likert
Scale
Options:
Significant
positive impact
Some
positive impact
Neutral
Some
negative impact
Significant
negative impact
Don’t
know / can’t ascertain
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13c
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Optional:
Explain the key reasons for your selection in the previous
question.
Answer
Type: Open-ended
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14
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Are
you aware of any collaborations that have occurred between any of
the following after hosting Fellows? (Select all that apply)
Answer
type: Multiple selection
Your
Institution/Fellow collaboration
Faculty/Fellow
collaborations
Local
Business/Fellow Collaborations
Local
non-governmental
organization/Fellow
Collaborations
Local
Religious organization/Fellow Collaborations
Other/Fellow
collaborations (please describe)
I
don’t know
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15
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Indicate
your level of agreement with the following statement: “The
Academic and Leadership Institute hosted by my university helped
build lasting and productive institutional
relationships between the U.S. and Sub-Saharan Africa.”
Answer
type: Likert Scale
Options:
Strongly
agree
Agree
Neutral
Disagree
Strongly
disagree
Don’t
Know
If
1 or 2 selected, go to 15a
If
3, 4, 5, or 6 selected, go to 16
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15a
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Please
describe examples of relationships that have been formed.
Answer
type: Open-ended Character limit: 1,000 characters
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16
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Indicate
your level
of agreement with the following statement: “The Academic
and Leadership Institute hosted
by my university helped
build lasting and productive personal
relationships between people in the U.S. and Sub-Saharan Africa.”
Answer
type: Likert
Scale
Options:
Strongly
agree
Agree
Neutral
Disagree
Strongly
disagree
Don’t
Know
If
1 or 2 selected, go to 16b
If
3, 4, 5, or 6 selected, go to 17
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16b
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Please
describe examples of relationships that have been formed.
Answer
type: Open-ended
Character
limit: 1,000 characters
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16c
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How
would you describe the nature of your
personal
relationship(s) with the Fellow(s)? Select all that apply.
Answer
type: Multiple selection
Options:
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16d
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How
many Fellowship Alumni have you been in contact with within the
last 12 months?
Answer
type: drop down menu
1-2
alumni
3-5
alumni
More
than 5 alumni
If
0, move to Question
17
If
1 or more, move to Question
16e
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16e
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How
often do you maintain contact with the Fellowship Alumni?
Answer
type: Multiple Choice
Options:
Frequently
(at least once a month)
Somewhat
frequently (at least a few times a year)
Infrequently
(maybe once a year)
Not
at all
Other
(if ‘other’ is selected, please describe)
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Section
4: Support of U.S. Foreign Policy Goals
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17
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Indicate
if the Fellowship resulted in any of the following types of
collaboration between personnel from your Academic and Leadership
Institute and Fellowship Alumni (from any year). Select all that
apply.
Answer
type: Multiple selection
Options:
Professional
visit to Alumni’s home country and/or workplace
Personal
visit
to Alumni’s home country and/or workplace
Signed
MOU between an Alumni’s home organization/ company and the
host university
Signed
MOU between Alumni’s home organization/company and other
entity that supported Fellows during the Academic and Leadership
Institute
Developed
a joint program or project
Collaborated
on joint publication of articles or research
Collaborated
on joint grant applications or other complementary funding
opportunities
Commercialization
of a product resulting from joint research
Requested
additional funding for a collaborative project
Presented
at a conference
Hosted
Americans in Alumni’s workplace
Hosted
Alumni at university after the Fellowship
Collaborated
on joint seminars, courses, trainings etc.
Other
-Please describe (short answer field available)
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18
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If
relevant, provide specific examples of the
types of
collaborations or joint activities that you are aware of that
were a result of the Academic and Leadership Institute. Write
N/A if not applicable.
Answer
type: Open-ended
Character
limit: 1,000 characters
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19
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Indicate
your level of agreement with the following statement.
“Hosting
the
Academic and Leadership Institute increased cross-cultural
understanding in my community.”
Answer
type:
Likert
Scale
Options:
Strongly
agree
Agree
Neutral
Disagree
Strongly
disagree
Don’t
know
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19a
|
Optional:
Explain the key reasons for your selection in the previous
question.
Answer
Type: Open-ended
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20
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Indicate
your level of agreement with the following statement.
“Hosting
the Academic and Leadership Institute supported
internationalization of my institution.”
Answer
type:
Likert
Scale
Options:
Strongly
agree
Agree
Neutral
Disagree
Strongly
disagree
Don’t
know
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20a
|
Optional:
Explain the key reasons for your selection in the previous
question.
Answer
Type: Open-ended
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21
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Indicate
your level of agreement with the following statement:
“Hosting
the
Academic and Leadership Institute increased my personal
cross-cultural understanding.”
Answer
type:
Likert
Scale
Options:
Strongly
agree
Agree
Neutral
Disagree
Strongly
disagree
Don’t
know
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21a
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Optional:
Explain the key reasons for your selection in the previous
question.
Answer
Type: Open-ended
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22
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Indicate
your level of agreement with the following statement:
“Hosting
the Academic and Leadership Institute increased interest in
international exchange/opportunities within our local community.”
Note:
Local community is defined here as the community in which your
host university resides.
Answer
type: Multiple
Choice (select one)
Options:
If
“Yes” selected, go to Question 22a
If
“No” or “Don’t Know” selected, go
to Question 23
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22a
|
If
yes, briefly describe how the Fellowship Academic and Leadership
Institute increased interest in international
exchange/opportunities within your local community.
Answer
type: Open-ended
Character
limit: 1,000 characters
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23
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Indicate
your level of agreement with the following statement:
“Hosting
the
Academic and Leadership Institute increased my interest in
international exchange/opportunities.”
Answer
type: Likert Scale
Options:
Strongly
disagree
Disagree
Neutral
Agree
Strongly
Agree
Don’t
know
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23a
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Optional:
Explain the key reasons for your selection in the previous
question.
Answer
Type: Open-ended
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24
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Indicate
your level of agreement with the following statement: “The
Fellowship helped Fellows understand how their professional
activities/leadership can contribute to stronger democratic
institutions and/or governance.”
Answer
Type: Likert Scale
Options:
Strongly
agree
Agree
Neutral
Disagree
Strongly
disagree
Don’t
know
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24a
|
Optional:
Explain
the
key reasons for your
selection
in the previous question.
Answer
Type:
Open-ended.
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Section
5: Suggestions/Recommendations
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25
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What
is your overall experience with the management of the Fellowship
by IREX and the U.S. Department of State? Please share feedback
for the entire time you have been involved with the Fellowship.
In your response, please include:
Professional
interactions
Promptness
and effectiveness of managing problems and finding solutions to
problems
Clarity
of Institute/program goals and objectives
Answer
type: Likert Scale
Options:
Excellent
Good
Neutral
Poor
Very
Poor
Don’t
know
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25a
|
Please
use the comment box to provide any
additional
details
on your response to the previous question.
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26
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Did
you encounter any problems or issues with the Mandela Washington
Fellowship process? For example, team/fellow interactions,
financing match, travel and logistics, Summit preparations,
other?
Answer
type: Multiple choice
Options:
Yes
(if selected, go to 26a)
No
(if selected, go to 27)
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26a
|
Please
explain briefly and how (or if) the problems or issues were
resolved.
Answer
type: Open-ended
Character
limit: 1,000 characters
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27
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Have
you personally attended the Mandela Washington Fellowship Summit?
Answer
type: Multiple Choice (select one)
Options:
If
“Yes” selected, go to Question 27a
If
“No” or “Don’t Know” selected, go
to Question 28
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27a
|
Please
indicate your agreement with the following statement: “I
found the Mandela Washington Fellowship Summit to be a useful
event”.
Answer
Type: Likert Scale
Options:
Strongly
agree
Agree
Neutral
Disagree
Strongly
disagree
Don’t
know
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27b
|
Please
use the comment box to provide any additional details.
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28
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Have
you personally attended a Fellowship Institute Partner (Planning)
Retreat?
Answer
type: Multiple Choice (select one)
Options:
If
“Yes” selected, go to Question 28a
If
“No” or “Don’t Know” selected, go
to Question 29
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28a
|
Please
indicate your agreement with the following statement: “I
found
the Fellowship Institute Partner
(Planning)
Retreat to
be a useful event”.
Answer
Type:
Likert Scale
Options:
Strongly
agree
Agree
Neutral
Disagree
Strongly
disagree
Don’t
know
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28b
|
Optional:
Explain the key reasons for your selection in the previous
question.
Answer
Type: Open-ended
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29
|
From
your point of view, please rank the following Academic and
Leadership Institute programming objectives by level of
importance
for your institution,
from 1 (most important) to 5 (least important) for future program
implementation. Each item must have a different rank (e.g., two
items cannot be ranked as "1")
Leadership
Development
Professional
Networking
Professional/technical
skill building
Personal/social
relationship building/networking
Building
broader cross-cultural awareness and communication skills
Answer
Type: Ranking
Options:
(1) Least Important to (5) Most Important
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30
|
Do
you have any suggestions for improving or changing the Mandela
Washington Fellowship?
Answer
type: Open-ended
Character
limit: 1,000 characters
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31
|
If
possible, please provide a personal anecdote that demonstrates
the impact of hosting Mandela Washington Fellows at your
Institute,
for example, a story about a new collaboration, or partnership
that wouldn’t have happened without the Mandela Washington
Fellowship Program.
Answer
type: Optional, Open-ended
Character
limit: 2,000 characters
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31a
|
Please
feel free to use the comment box below to share any web links
(e.g., URLs) that will help further illustrate your survey
feedback (e.g., news articles, videos, etc.)
Answer:
Comment box
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31b
|
Please
feel free to upload any media that will help further illustrate
your survey feedback (e.g., news articles, Institute artifacts,
social media posts, etc.)
Answer:
File upload option
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Section
6: Next Steps
As
a reminder, your contributions are confidential and no individual
identities will be used in any reports or publications resulting
from the evaluation unless the individual provides consent to the
Evaluation Team.
|
32
|
Did
your organization submit a bid to be a 2019 Academic and
Leadership Institute?
Answer
type: Multiple choice
Options:
Yes
(if selected, go to 32a)
No
(if selected, go to 32b)
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32a
|
If
yes, please describe your motivation for submitting the bid.
Answer
type: Short answer
Character
limit: 1,000 characters
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32b
|
If
no, please describe why you decided to not submit a bid.
Answer
type: Short answer
Character
limit: 1,000 characters
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33
|
What
is the name of your host university? Select all that apply.
Answer
type: List of all host universities
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34
|
What
is the location of your Academic and Leadership Institute (city,
state)?
Answer
type: Short answer field
|
35
|
What
is your current job title?
Answer:
Short answer (100 characters)
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36
|
Please
check option that best describes your gender: (OPTIONAL)
Answer
type: Drop-down menu
Options:
Male
Female
Non-binary
I
do not wish to respond
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37
|
The
Guidehouse Evaluation Team will be conducting follow-up
one-on-one interviews and group discussions with Academic and
Leadership Institute representatives. If you are interested in
participating, please provide your name and email address.
Answer
type: Three short answer fields
Surname/last
name(s)
Given/first
name(s)
Preferred
email address
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38
|
The
Guidehouse Evaluation Team will be surveying U.S. Community
Members about their experiences with the Mandela Washington
Fellowship. Given your interactions with these individuals, we
would appreciate if you could share the survey link with them.
The link is here: [TBD
U.S. COMMUNITY MEMBER LINK]
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