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National Fire Academy Long-Term Evaluation Form

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National Fire Academy Long‐Term Evaluation Form 
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O.M.B. No. 1660-0039 (Expires March 31, 2009)

Course Evaluation Login
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L58R3047003-00004

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send it to the above address.
FEMA Form 95-58 (SEP 07) and FEMA Form 95-59 (SEP 07)

Last Reviewed: October 27, 2005
U.S. Fire Administration, 16825 S. Seton Ave., Emmitsburg, MD 21727
(301) 447-1000 Fax: (301) 447-1346 Admissions Fax: (301) 447-1441

http://demo100.clutch-inc.com/applications/nfaeval2/lte/login.do

9/5/2007

National Fire Academy Long-Term Evaluation Form for Supervisors

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z National Fire Academy Long-Term Evaluation Form for Supervisors

National Fire Academy Long‐Term Evaluation Form for Supervisors (FEMA 
Form 95‐58) 
Completion Instructions
1.

Begin by checking the course dates and title below to make sure this is the correct course.

2.

Use the buttons at the bottom of each page to navigate through the form.

3.

At any time you may click the Save For Later button to save your form and return to it later.

Course Dates:

08/20/2007 - 08/31/2007

Course Title:

Command and Control of Fire Department Operations at Multi-Alarm Incidents

Course Code:

R304

Part 1 of 2 - Evaluation of Training Impacts
Please indicate your level of agreement or disagreement with each statement.

Strongly
Agree

The NFA training course has improved the job
performance of this attendee.
This course contributed to the attendee's professional
2.
development.
This course has prepared the attendee for the next
3.
level of responsibility in our organization.
Material from this training has been incorporated into
4.
the prevention work of this department.
This training has helped the department address fire5.
related problems in our community's high risk areas.
The information gained in this class is likely to improve
6.
the performance of this department.
This NFA training course has met the expectations we
7.
had in sending our department member to the NFA.
The attendee's participation in this course has led to
8. reductions in the overall fire-related risks in our
community.
This training has helped our department be better
9. prepared for responding to an "all hazards" or terrorist
event(s).
The benefit to the department of having the attendee
10.
go to the training outweighed the costs involved.
The attendee has trained (formally or informally) other
11.
colleagues in the procedures learned at NFA training.
I am likely to recommend NFA training to other
12.
department personnel.
1.

Save For Later

Agree

Neutral

Disagree

Strongly
Disagree

Don't
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Continue

The Save for Later button will allow you to save answers already provided and come back to the form at a later time (provided the
evaluation period hasn't expired) to complete it.
FEMA Form 95-58, SEP 07

http://demo100.clutch-inc.com/applications/nfaeval2/lte/super/part1.do

9/5/2007

National Fire Academy Long-Term Evaluation Form for Supervisors

Page 2 of 2

Last Reviewed: December 28, 2006
U.S. Fire Administration, 16825 S. Seton Ave., Emmitsburg, MD 21727
(301) 447-1000 Fax: (301) 447-1346 Admissions Fax: (301) 447-1441

http://demo100.clutch-inc.com/applications/nfaeval2/lte/super/part1.do

9/5/2007

National Fire Academy Long-Term Evaluation Form for Supervisors

Page 1 of 2

z USFA Home
z National Fire Academy Long-Term Evaluation Form for Supervisors

National Fire Academy Long‐Term Evaluation Form for Supervisors 
Part 2 of 2 - Supervisor and Department Statistics
1. How many years have you been in Fire and Emergency Services?

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Less than one year

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1 - 5 years

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6 - 10 years

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11 - 15 years

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16 - 20 years

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More than 20 years

2. How long have you been this employee's supervisor?

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Less than one year

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1 - 5 years

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More than 5 years

3. Approximately how many members are there in your department?

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1 to 25

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201 to 500

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26 to 50

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501 to 1,000

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51 to 100

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1,001 to 2,000

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101 to 200

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More than 2,000

4. What percent of your department has had NFA training?

5. Please estimate the size of the population served by your department/organization.

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Under 2,500

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2,501 - 4,999

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5,000 - 9,999

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10,000 - 24,999

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25,000 - 49,999

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50,000 - 99,999

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100,000 or more

6. Have you ever attended NFA sponsored courses? (Mark as many as apply.)

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Yes, NFA on-campus courses

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Yes, NFA off-campus two-day courses

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Yes, NFA off-campus six- or ten-day courses

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Yes, NFA Online Distance Learning Courses

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No, I have never attended an NFA course

7. If you have never attended an NFA course, is this because you think the course(s) would... (Mark all that apply.)

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Not be up to your expections?

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g

Have material that is too dated?

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Take too much away from your work time?

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Require too much traveling?

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Be more useful if offered online?

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Conflict with family responsibilities?

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Other
If Other, please specify:

8. What changes, if any, have you seen in your employee as a result of attending the NFA training class?

http://demo100.clutch-inc.com/applications/nfaeval2/lte/super/part2.do

9/5/2007

National Fire Academy Long-Term Evaluation Form for Supervisors

Page 2 of 2

9. Has the attendee proposed any organizational changes since the training? If so, please describe them, and indicate
how these changes have impacted your department.

10. Please tell us what you think are the new, emerging issues, in the fire/emergency services field that should be
topics for future NFA courses.

11. Additional comments?

Save For Later

Back

Continue

The Save for Later button will allow you to save answers already provided and come back to the form at a later time (provided the
evaluation period hasn't expired) to complete it.
FEMA Form 95-58, SEP 07

Last Reviewed: December 28, 2006
U.S. Fire Administration, 16825 S. Seton Ave., Emmitsburg, MD 21727
(301) 447-1000 Fax: (301) 447-1346 Admissions Fax: (301) 447-1441

http://demo100.clutch-inc.com/applications/nfaeval2/lte/super/part2.do

9/5/2007

National Fire Academy Long-Term Evaluation Form for Supervisors

Page 1 of 2

z USFA Home
z National Fire Academy Long-Term Evaluation Form for Supervisors

National Fire Academy Long‐Term Evaluation Form for Supervisors 
(FEMA Form 95‐58) 
Evaluation Review
Please take a moment to reivew the evaluation. To make changes, use the button labeled Back at the bottom of this form. When
you ready to submit the evaluation, press Submit Evaluation.

Part 1 of 2 - Your Background and Place of Work
1. The NFA training course has improved the job
performance of this attendee.
2. This course contributed to the attendee's professional
development.
3. This course has prepared the student for the next
level of responsibility in our organization.
4. Material from this training has been incorporated into
the prevention work of this department.
5. This training has helped the department address firerelated problems in our community's high risk areas.
6. The information gained in this class is likely to
improve the performance of this department.
7. This NFA training course has met the expectations we
had in sending our department member to the NFA.
8. The attendee's participation in this course has led to
reductions in the overall fire-related risks in our
community.
9. This training has helped our department be better
prepared for responding to an "all hazards" or terrorist
event(s).
10. The benefit to the department of having the attendee
go to the training outweighed the costs involved.
11. The attendee has trained (formally or informally)
other colleagues in the procedures learned at NFA
training.
12. I am likely to recommend NFA training to other
department personnel.
I need to make changes to Part 1

Part 2 of 2 - Supervisor and Department Statistics
1. How many years have you been in Fire and Emergency
Services?
2. How long have you been this employee's supervisor?
3. Approximately how many members are there in your
department?
4. What percent of your department has had NFA
training?

http://demo100.clutch-inc.com/applications/nfaeval2/lte/super/review.do

9/5/2007

National Fire Academy Long-Term Evaluation Form for Supervisors

Page 2 of 2

5. Please estimate the size of the population served by
your department/organization.

6. Have you ever attended NFA sponsored courses?

7. If you have never attended an NFA course, is this
because you think the course(s) would...

c
d
e
f
g

Yes, NFA on-campus courses

c
d
e
f
g

Yes, NFA off-campus two-day courses

c
d
e
f
g

Yes, NFA off-campus six- or ten-day courses

c
d
e
f
g

Yes, NFA Online Distance Learning Courses

c
d
e
f
g

No, I have never attended an NFA course

c
d
e
f
g

Not be up to your expections?

c
d
e
f
g

Have material that is too dated?

c
d
e
f
g

Take too much away from your work time?

c
d
e
f
g

Require too much traveling?

c
d
e
f
g

Be more useful if offered online?

c
d
e
f
g

Conflict with family responsibilities?

8. What changes, if any, have you seen in your employee
as a result of attending the NFA training class?
9. Has the attendee proposed any organizational
changes since the training? If so, please describe them,
and indicate how these changes have impacted your
department.
10. Please tell us what you think are the new, emerging
issues, in the fire/emergency services field that should
be topics for future NFA courses.
11. Additional comments?
I need to make changes to Part 2

Save For Later

Back

Submit Evaluation

The Save for Later button will allow you to save answers already provided and come back to the form at a later time (provided the
evaluation period hasn't expired) to complete it.
FEMA Form 95-58, SEP 07

Last Reviewed: December 28, 2006
U.S. Fire Administration, 16825 S. Seton Ave., Emmitsburg, MD 21727
(301) 447-1000 Fax: (301) 447-1346 Admissions Fax: (301) 447-1441

http://demo100.clutch-inc.com/applications/nfaeval2/lte/super/review.do

9/5/2007

National Fire Academy Long-Term Evaluation Form

Page 1 of 1

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z National Fire Academy Long-Term Evaluation Form

Thank you for completing this long‐term evaluation. 
Thank you for completing the NFA Long-Term Evaluation. We appreciate your feedback
Close Evaluation
FEMA Form 95-58, NOV 02 and FEMA Form 95-59 NOV 02

Last Reviewed: December 28, 2006
U.S. Fire Administration, 16825 S. Seton Ave., Emmitsburg, MD 21727
(301) 447-1000 Fax: (301) 447-1346 Admissions Fax: (301) 447-1441

http://demo100.clutch-inc.com/applications/nfaeval2/lte/complete.jhtml

9/5/2007