9 - Prof Dev Scholarship Feedback

NHTTAC Consultant and Evaluation Package

9 - Prof Dev Scholarship Feedback

OMB: 0970-0519

Document [pdf]
Download: pdf | pdf
PROFESSIONAL DEVELOPMENT
SCHOLARSHIP FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form

In order to help the National Human Trafficking Training and Technical Assistance Center (NHTTAC) 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, including reporting all information in aggregate
to avoid identifying information. Only members of the NHTTAC Evaluation Team have access to information that could identify
respondents. If you have any questions about this survey or the evaluation, please contact NHTTACEval@icf.com.
Please provide the information below to create an anonymous ID:

Birth Month
First letter of first name
(insert just the month
(example: S for Sara)
for your date of birth,
example: 08 for August)

First letter of your middle name
(example: M for Maria)

Part I. NHTTAC Scholarship Program
1.

How did you hear about this Scholarship Program? (Mark all that apply.)
□
□
□
□

□
□
□
□

NHTTAC Website
Exhibit or presentation at a conference
NHTTAC Listserv
OTIP program monitor or other OTIP staff person

Another organization
A colleague or friend
A publication or newsletter
Other (please specify):

2.

What month and year did you apply?

3.

Would you recommend the NHTTAC Professional Development Scholarship to others?

□

□ No

Yes

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

APPLICATION PROCESS

Strongly
Disagree

Disagree

Agree

Strongly
Agree

Not
Applicable

4.

NHTTAC was responsive to my questions and needs.

1

2

3

4

NA

5.

The application was easy to complete.

1

2

3

4

NA

6.

The application instructions clearly explained the
eligibility requirements.

1

2

3

4

NA

7.

The application instructions clearly explained the
expenses covered under the program.

1

2

3

4

NA

8.

I am satisfied with the notification process.

1

2

3

4

NA

9.

I am satisfied with the overall application process by
NHTTAC.

1

2

3

4

NA

10. What could be done differently to improve the application process?

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public reporting
burden for this collection of information is estimated to average 0.167 hours per respondent, including the time for reviewing instructions,
gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An
agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the
Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments on this collection of
information, please contact the NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.

PROFESSIONAL DEVELOPMENT
SCHOLARSHIP FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form
11. Do you have any other comments or suggestions about the application process?

Please rate the following registration, pre-meeting service, and logistical arrangements using the following scale:
Poor

Fair

Good

Excellent

Not
Applicable

12. Meeting registration

1

2

3

4

NA

13. Onsite registration check-in process

1

2

3

4

NA

14. Attendee meeting packet

1

2

3

4

NA

15. Meeting direction signs

1

2

3

4

NA

16. Conference meeting room

1

2

3

4

NA

17. Travel information (if applicable)

1

2

3

4

NA

18. Hotel accommodations (if applicable)

1

2

3

4

NA

LOGISTICS

19. Please rate the overall quality of this scholarship program.
1

2

3

4

Poor

Fair

Good

Excellent

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

□
□
□
□
□
□
□
□

Academic institution
Anti-trafficking organization
Business/For-profit organization
Coalition/Multidisciplinary team/Task force
Federal government
Faith-based organization
State and local government
Nonprofit/Community-based organization

□
□
□
□
□
□
□

OTIP grantee
Self-employed
Survivor-led organization
Tribal government
Union/Worker advocacy organization
Victim service provider
Other, please specify:

21. Which of the following best describes your professional capacity or types of services you provide? (Mark all that
apply.)
□ Behavioral health professional (e.g., psychologist,
□ Educator (e.g., teacher, professor, school
psychiatrist, mental health/substance use counselor)
administrator)
□ Child welfare (e.g., state agency staff, child welfare
□ Health care (e.g., physician, physician
contractor, nonprofit personnel)
assistant, nurse practitioner, dentist, nurse,
□ Corrections-based services (e.g., parole, probation)
pharmacist)
□ Criminal justice (e.g., law enforcement, prosecutor,
□ Housing (e.g., case worker, shelter director,
probation, court, forensic interviewer)
public housing authority agencies)
PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public reporting
burden for this collection of information is estimated to average 0.167 hours per respondent, including the time for reviewing instructions,
gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An
agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the
Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments on this collection of
information, please contact the NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.

PROFESSIONAL DEVELOPMENT
SCHOLARSHIP FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form
□

□
□

Legal (e.g., immigration, civil and/or rightsbased attorney and/or paralegal, clinic)
Public health (e.g., licensure board, health
department staff, health care executive,
community health workers)Social worker
(e.g., case manager, school counselor,
supervisor, administrator)

□

□

Survivor empowerment, mentoring, or peer to peer
Violence prevention (e.g., Child abuse and
neglect; elder abuse; domestic violence, sexual
violence, youth violence)
Other (please specify):

22. Is your organization responsible for working with people who are currently being trafficked or have been trafficked?
□ Yes

□ No

23. 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

24. Which of the following best describes your primary role in your current position?
□ Direct delivery/frontline staff
□ Management
□ Other (please specify):

□ Consultant/Trainer
□ Volunteer

□ Administration
□ Peer Educator

25. In your professional capacity, how frequently do you come into contact with people who are currently being trafficked, at risk
of being trafficked, or have been trafficked?
1

2

3

4

Never

Rarely

Frequently

All the Time

26. Which of the following best describes your geographic population? (Mark all that apply.)
□
□
□
□

National
State (please specify):
Tribal
International (please specify country):

□ Local
□ Urban
□ Rural
□ Suburban

27. Please select any of the following populations you currently work with in a professional capacity (Mark all that apply.)
□

□

Human trafficking
□ Commercial sexual exploitation of
children
□ Sex trafficking
□ Adults
□ Minors
□ Labor trafficking
□ Adults
□ Minors
Children/youth
□ Out of home/Foster care/Kinship care
□ Juvenile justice
□ Runaway/Homeless youth

□
□
□
□
□
□
□

People with disabilities
Deaf/Hearing impaired
Elderly
Lesbian, gay, bisexual, transgender, and
questioning
Foreign nationals (migrant workers, undocumented
immigrants, refugees)
People with low incomes
Racial and ethnic minorities
□ American Indian or Alaska Native
□ Asian
□ Black or African American
□ Native Hawaii or other Pacific Islander

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public reporting
burden for this collection of information is estimated to average 0.167 hours per respondent, including the time for reviewing instructions,
gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An
agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the
Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments on this collection of
information, please contact the NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.

PROFESSIONAL DEVELOPMENT
SCHOLARSHIP FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form

□
□

□
□

□
□
□

White
Hispanic or Latino ethnicity
History of substance use
Domestic and dating violence

Gang-related crime
Sexual abuse/Violence
Other (Please specify):

28. What is your race? (Mark all that apply.)

□
□
□
□
□
□

American Indian or Alaska Native
Asian
Black or African American
Native Hawaii or other Pacific Islander
White
Other (please specify):

29. What is your ethnicity? (Mark all that apply.)

□
□
□

Hispanic or Latino
Middle Eastern or North African
Other (please specify):

30. What is your gender? (Mark all that apply.)

□
□
□
□

Male
Female
Transgender
Other (please specify):

Part II. Event Feedback
31. Please provide the following information about the event you attended with scholarships funds:
Event title:
Date(s):

Location:

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

EVENT FEEDBACK

Strongly
Disagree

Disagree

Agree

Strongly
Agree

Not
Applicable

32. The event increased my skills and knowledge related to the
topic(s).

1

2

3

4

NA

33. The event improved my knowledge of current evidencebased research or promising practices.

1

2

3

4

NA

34. The event improved my skills and knowledge about traumainformed practices.

1

2

3

4

NA

35. The event improved my skills and knowledge about
survivor-informed practices.

1

2

3

4

NA

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public reporting
burden for this collection of information is estimated to average 0.167 hours per respondent, including the time for reviewing instructions,
gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An
agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the
Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments on this collection of
information, please contact the NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.

PROFESSIONAL DEVELOPMENT
SCHOLARSHIP FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form
36. The event improved my skills and knowledge about a
multidisciplinary approach to addressing human trafficking.

1

2

3

4

NA

37. The event improved my skills and knowledge about a public
health approach to addressing human trafficking.

1

2

3

4

NA

38. The event improved my ability to serve people who are
current being trafficked, at risk of trafficking, or have been
trafficked.

1

2

3

4

NA

39. The education materials provided for this event were useful.

1

2

3

4

NA

40. The event increased my practical skills related to the
topic(s).

1

2

3

4

NA

41. The event met my professional needs.

1

2

3

4

NA

42. The event met my educational needs.

1

2

3

4

NA

43. I will be able to apply what I learned in my work.

1

2

3

4

NA

44. At which type of event was the training held?

□ National conference
□ State/regional conference

□ Local conference
□ Other (please specify):

45. As a result of participating in this scholarship program, do you plan to do any of the following? (Mark all that apply.)

□
□
□
□
□
□
□
□
□
□

Change my management/leadership or
interpersonal communication style
Further develop skills and knowledge about serving
people who are currently being trafficked, at risk of
trafficking, or have been trafficked
Write grants/fundraise/identify new funding
resources
Advocate or meet with leadership of my
organization to develop/enhance vision, mission, or
strategic plan
Advocate or meet with leadership of my
organization to develop/enact policy changes at my
organization
Improve programs/practices
Improve technology/websites/infrastructure
Integrate victim-centered, survivor-informed
strategies
Expand services or types of services
Begin a new project or initiative

□
□
□
□
□
□

□
□
□
□
□
□

Develop/strengthen collaborative or strategic
relationships
Network with other participants
Share materials with colleagues
Provide information to clients/families/youth
Train/educate others in content/skills learned
Raise public awareness/advocacy/outreach
activities offered to people who are currently being
trafficked, at risk of trafficking, or have been
trafficked
Refer colleagues to NHTTAC events/resources
Conduct research
Strengthen evaluation or needs assessment
activities
Improve identification and reporting methods for
trafficking
Take additional training on human trafficking
Other (please specify):

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public reporting
burden for this collection of information is estimated to average 0.167 hours per respondent, including the time for reviewing instructions,
gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An
agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the
Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments on this collection of
information, please contact the NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.

PROFESSIONAL DEVELOPMENT
SCHOLARSHIP FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form
46. Of the barriers listed below, which do you believe will be a significant challenge to performing the activities you selected in
the previous question? (Mark all that apply.)

□
□
□
□
□
□
□
□
□

Lack of senior leadership support
Lack of frontline support and accountability
Continuous turnover
Shortages of key personnel
Competing priorities
Inaccessible research and/or information
Lack of urgency
Lack of shared responsibility across organizational
collaboration
Difficulty in establishing and/or
maintaining a multi-disciplinary team

□
□
□
□
□
□

Need for partnership building
with other organizations
Variation in mission and regulatory
frameworks when partnering with other
organizations
Lack of information and/or data sharing
among organizations
Lack of time to implement changes
Lack of training for staff in how to implement
change
Other (please explain):

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

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

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

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public reporting
burden for this collection of information is estimated to average 0.167 hours per respondent, including the time for reviewing instructions,
gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An
agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the
Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments on this collection of
information, please contact the NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.


File Typeapplication/pdf
File Title9 - Prof Dev Scholarship Feedback.docx
AuthorField, Michael
File Modified2020-03-20
File Created2020-03-20

© 2024 OMB.report | Privacy Policy