Fellow Program Evaluation (SEP)_0706

OMB Control No. 0551-New

Expiration Date: ##/##/####

Scientific Exchanges Program (SEP) Evaluation [Fellow]

Please complete this form and return to: __ no later than __ weeks after the visit to the Host Institution.

Basic Information

Your Name and contact information (email, phone, and mailing address):

Home Country:

Sex:

Highest education level at application: Masters/PhD/other (specify: )

Overall Thoughts about Your Scientific Exchanges Program Fellowship

We are interested in learning about your experience with the Scientific Exchanges Program Fellowship. Please indicate where appropriate, on a scale of 1 to 5, your response to each of the questions below, with 1 = not at all and 5 =better than expected. For each question, explain the reason for your scoring.

1. Did your experience with the Scientific Exchanges Program Fellowship match the research experience you expected?

Score (Please circle your answer): 1 2 3 4 5

Explain your answer:

2. Was your Mentor accessible enough to meet your needs related to the fellowship?

Score (Please circle your answer): 1 2 3 4 5

Explain your answer:

3. Did you feel that your research topic was an appropriate match with your Mentor?

Score (Please circle your answer): 1 2 3 4 5

Explain your answer:

4. Did you complete the research study you proposed in your action plan/proposal?

Check one: YES ☐ NO ☐

Explain your answer:

5. Do you feel you obtained new or improved skill during your fellowship experience? Check one: YES ☐ NO ☐

Explain your answer:

6. Did the mix of classroom, laboratory, and field activities help you achieve your research goals?

Score (Please circle your answer): 1 2 3 4 5

Explain your answer:

7. Did the housing, transportation, and other resources provided by your host institution meet your expectations?

Score (Please circle your answer): 1 2 3 4 5

Please describe any deficiencies or particularly good experiences.

8. During your 12-weeks with your Host Institution did you attend any professional development events or conferences?

Check one: YES ☐ NO ☐

If YES, please include the names and dates of these events:

9. Have you and your Mentor planned the reciprocal visit? Check one: YES ☐ NO ☐

Comments:

10. Overall, how was your experience with the Scientific Exchanges Program Fellowship?

Score (Please circle your answer): 1 2 3 4 5

Explain your answer:

Impact of your Scientific Exchanges Program Fellowship

11. What were your research and training goals during your Fellowship? Were you able to accomplish them? If not, what were the difficulties that you experienced that prevented you from doing so?

12. How do you envision your participation in this program benefiting you in the future?

13. What did you learn from the other fellows in you fellowship cohort?

14. How do you envision your participation in this program benefiting your institution in the future?

15. Please list specific examples of changes or improvements you will make to your organization upon your return.

16. What information did you obtain that will be the most useful in your work in your home country?

17. Has the Scientific Exchanges Program given you new ideas or areas of interest to pursue professionally when you return to your home country? Please list them below.

18. List 1 or 2 of your proudest personal accomplishments during your Scientific Exchange Program

• Please upload any materials related to your fellowship experience, including but not limited to photos with captions (action photos showing your working with your Mentor or conducting research are preferred), detailed descriptions of experiments and subsequent data gathered in tables or other appropriate figures.

• Do you give USDA permission to use your photos on its website and other promotional materials? YES NO

Collaboration Resulting from Your Scientific Exchanges Program Fellowship

19. Do you intend to continue your collaboration with your Mentor If so, in what way will you do this?

20. Do you intend to continue your collaboration with others (e.g., other scientists, faculty, graduate students) you met through the program? If so, please indicate the positions they hold and how you will continue working with them.

21. Do you intend to continue or initiate collaboration with other Fellows you may have met while participating in the Scientific Exchanges Program Fellowship. If so, in what way will you do this?

22. In your opinion, how could future training programs be improved?

Please provide any additional comments and suggestions about the Scientific Exchanges Program and your experience.

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