Form FF 95-59 FF 95-59 National Fire Academy Long-Term Evaluation Form for Stud

National Fire Academy Long-Term Evaluation Form

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National Fire Academy Long‐Term Evaluation Form 
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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

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National Fire Academy Long-Term Evaluation Form for Students

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z National Fire Academy Long-Term Evaluation Form for Students

National Fire Academy Long‐Term Evaluation Form for Students 
(FEMA Form 95‐59) 
Completion Instructions
1.

Begin by checking the course dates and title below to make sure this is your 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 - Please Tell Us About Your Background and Place of Work
1. If you know it, please tell us your FDID# (Fire Departments Only).

Search for FDID
2. How many NFA on-campus resident courses have you taken in the course of your career?

3. How many NFA off-campus courses have you taken in the course of your career?

4. How would you describe the primary population served by your department or organization?
(Mark all that apply.)

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d
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f
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Rural

c
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f
g

County/district

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f
g

Insitutional

c
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e
f
g

Suburban

c
d
e
f
g

Parish

c
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e
f
g

Government

c
d
e
f
g

Urban

c
d
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f
g

Statewide

c
d
e
f
g

Other

If Other, please specify:
5. How would you describe your service organization?

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Career fire service

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Career and volunteer fire service

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n

Volunteer fire service

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Allied professionals

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Private/contract

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Other

If Other, please specify:
6. Please estimate the size of your department.

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1 to 25 persons

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201 to 500 persons

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26 to 50 persons

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501 to 1,000 persons

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51 to 100 persons

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1,001 to 2,000 persons

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101 to 200 persons

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Over 2,000 persons

6a. What percentage are career personnel?

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None

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51 to 75%

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National Fire Academy Long-Term Evaluation Form for Students

Page 2 of 3

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1 to 25%

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76 to 99%

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26 to 50%

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All

6b. What percentage are volunteer personnel?

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None

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51 to 75%

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1 to 25%

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76 to 99%

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26 to 50%

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All

7. How many years have you been in the fire service?
(If you are currently retired, indicate the years of service prior to your retirement.)

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Less than 1 year

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11 to 15 years

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1 to 5 years

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16 to 20 years

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6 to 10 years

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Over 20 years

8. What is your rank?

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Sergeant

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Deputy Chief

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Lieutenant

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Bureau Chief

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Captain

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Assistant Chief

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Battalion Chief

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Chief of Department

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Division Chief

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Other

If Other, please specify:
9. Please indicate your present primary responsibility.

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Command

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Fire Prevention

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Fire Suppression

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Communications

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n

EMS

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Data Processing

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Hazardous Materials

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n

Public Education

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n

Training/Instructor

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n

Equipment Maintenance

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n

Investigation

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n

Administrative Service

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n

Inspection/Enforcement

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n

Other

If Other, please specify:
10. Please indicate your secondary responsibilities. (Mark all that apply.)

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Command

c
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Fire Prevention

c
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Fire Suppression

c
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f
g

Communications

c
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f
g

EMS

c
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f
g

Data Processing

c
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f
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Hazardous Materials

c
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e
f
g

Public Education

c
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e
f
g

Training/Instructor

c
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e
f
g

Equipment Maintenance

c
d
e
f
g

Investigation

c
d
e
f
g

Administrative Service

c
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f
g

Inspection/Enforcement

c
d
e
f
g

Other

If Other, please specify:
11. How many years have you held your current responsibilities?

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Less than 1 year

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1 to 5 years

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6 to 10 years

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11 to 15 years

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16 to 20 years

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Over 20 years

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Not applicable

12. What is the highest level of education you have achieved?

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Less than high school graduation

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HS graduation or equivalency

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Some college

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Associate's degree

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Bachelor's degree

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Graduate degree

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Other

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National Fire Academy Long-Term Evaluation Form for Students

Page 3 of 3

If Other, please specify:
13. What is your sex?

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Male

Female

14. How old were you on your last birthday?

15. Do you consider yourself of Hispanic or Latino/Latina ethnicity?

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n

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Yes

No

16. What is your race? (Mark as many as apply.)

c
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f
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White

c
d
e
f
g

Black or African American

c
d
e
f
g

Asian

c
d
e
f
g

Native Hawaiian/Pacific Islander

c
d
e
f
g

American Indian or Alaskan Native

Save For Later

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 95-59, 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/student/part1.do

9/5/2007

National Fire Academy Long-Term Evaluation Form for Students

Page 1 of 4

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National Fire Academy Long‐Term Evaluation Form for Students 
Part 2 of 2 - Course Feedback
1. Where did you take this course?

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At NFA in Maryland

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At a facility in my state

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Other

If Other, please specify:
2. Why did you take this course? (Mark all that apply.)

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Supervisor recommended it

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f
g

Attendence was required for my next duty or assignment

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For general career advancement

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Desire to broaden my perspective by working with personnel from departments across the country

c
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e
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g

Desire to increase my technical and professional knowledge

c
d
e
f
g

Other

If Other, please specify:
3. Did you check whether the course was from a source other than the National Fire Academy?

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Yes

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No (Skip to question 4)
3a. Did you find it available elsewhere?

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Yes

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No (Skip to question 4)

3b. Where else was it available?

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At a facility in my state

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At a facility in this region but not in my state

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Other

If Other, please specify:
3c. Why did you choose to attend the NFA course?
(Mark all that apply.)

c
d
e
f
g

Asked, told to, by my supervisor

c
d
e
f
g

Overall quality of the instruction, materials, etc.

c
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e
f
g

Expectation that the content would be 'cutting edge'

c
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e
f
g

Expectation that the teaching methods would be 'cutting edge'

c
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e
f
g

Desire to interact with peers from around the country

c
d
e
f
g

No cost to me

c
d
e
f
g

Modest cost to my department

c
d
e
f
g

Other

If Other, please specify:
4. Have you used any of the training or information from this course on the job since returning to your department?

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Yes

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No (Skip to question 5)

To what extent have you used information from the topics covered in your training?
Used a

Used

Not Used

No

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National Fire Academy Long-Term Evaluation Form for Students
Great
Deal

Somewhat

at All

Page 2 of 4

Opportunity
to Use

Now indicate your level of agreement or disagreement with each statement by selecting the appropriate value.
Strongly
Agree
What I learned from this course helped me do my job
better.
This course has contributed to my professional
6.
development.
My supervisor is aware of how this course has improved
7.
my job performance.
This training has helped the department address fire8.
related problems in our community's high risk areas.
This NFA training has led to reductions in the fire-related
9.
risks in the community.
This course has made me more safety conscious in my
10.
work.
Prevention ideas from the course have been incorporated
11.
into the public education efforts of my department.
This NFA training has improved the performance of my
12.
department.
This training has helped my department be better
13. prepared to respond to an "all hazards" or terrorist event
(s).

5.

Agree

Neutral

Diagree

Don't
Strongly Know/Does
Disagree Not
Apply

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14. Did you leave this training expecting to develop new policies or procedures for your department?

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Yes

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No (Skip to part "d" below)
14a. Did you actually develop them?

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Yes

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No (Skip to part "d" below)

14b. Were these policies or procedures implemented?

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Yes

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No (Skip to part "d" below)

14c. Have these policies or procedures improved the performance of your
department?

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n

Yes. They definitely have. (Go to item 14.)

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n

Yes, but only moderately. (Go to item 14.)

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n

I'm not sure. (Go to item 14.)

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n

No, they have not.

14d. Why not? (Mark all that apply.)

c
d
e
f
g

Too different from current policies & procedures

c
d
e
f
g

Budget limitations

c
d
e
f
g

Political considerations

c
d
e
f
g

Legal, regulatory or union contract considerations

c
d
e
f
g

It's no longer part of my responsibilities

c
d
e
f
g

Other

If Other, please specify:
15. Have you shared the information you learned at the training with colleagues in the department?

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n

Yes

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No (Skip to question 15)
15a. How did you do it? (Mark all that apply.)

c
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e
f
g

Informally, one-on-one

c
d
e
f
g

Informally, but in a group setting

c
d
e
f
g

Formally in a training session

c
d
e
f
g

Other

If Other, please specify:
15b. Have those colleagues changed their job performance because of this

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National Fire Academy Long-Term Evaluation Form for Students

Page 3 of 4

information?

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Yes

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No

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Don't Know

16. Would you recommend this course to others in your department?

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Definitely yes

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Probably

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n

Unsure

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Probably not

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Definitely not

17. Have you attended other (non-NFA) courses for fire service personnel in the last three years?

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Yes

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n

No (Skip to item 17)
17a. Where was the training delivered? (Mark all that apply.)

c
d
e
f
g

At a facility in my State

c
d
e
f
g

At a regional facility, but not in my State

c
d
e
f
g

Other

If Other, please specify:
17b. Who sponsored this training? (Mark all that apply.)

c
d
e
f
g

A national professional association

c
d
e
f
g

A State fire service agency

c
d
e
f
g

A county fire service agency

c
d
e
f
g

A State professional assocation

c
d
e
f
g

A technical or community college

c
d
e
f
g

Other

If Other, please specify:
17c. Overall, how would you compare your NFA training with the other
training you noted above? Regarding the training, would you say...

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The NFA training was more useful

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Both training experiences were equally useful

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The other training experience was more useful

17d. Regarding the curriculum materials, would you say...

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The NFA curriculum was more useful

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n

Both curricula were equally useful

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The other curriculum materials were more useful

18. Please describe an incident or circumstance in which you applied your training from this NFA offering.

19. If you could change one thing to improve this training course, what would it be?

20. What do you think are the new, emerging issues in the fire service field that should be the topics for future NFA
training classes?

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National Fire Academy Long-Term Evaluation Form for Students

Page 4 of 4

21. Finally, please add any comments you may have.

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 95-59, 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/student/part2.do

9/5/2007

National Fire Academy Long-Term Evaluation Form for Students

Page 1 of 4

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

National Fire Academy Long‐Term Evaluation Form for Students 
(FEMA Form 95‐59) 
Evaluation Review
Please take a moment to reivew the evaluation. To make changes to a particular section, click Back at the bottom of this form or
use one of the links provided. When you ready to submit the evaluation, press Submit Evaluation.

Part 1 of 2 - Your Background and Place of Work
1. If you know it, please tell us your FDID# (Fire
Departments Only).
2. How many NFA on-campus resident courses have you
taken in the course of your career?
3. How many NFA off-campus courses have you taken in
the course of your career?

4. How would you describe the primary population
served by your department or organization?

c
d
e
f
g

Rural

c
d
e
f
g

Suburban

c
d
e
f
g

Urban

c
d
e
f
g

County/district

c
d
e
f
g

Parish

c
d
e
f
g

Statewide

c
d
e
f
g

Insitutional

c
d
e
f
g

Government

c
d
e
f
g

Command

c
d
e
f
g

Fire Suppression

c
d
e
f
g

EMS

c
d
e
f
g

Hazardous Materials

c
d
e
f
g

Training/Instructor

c
d
e
f
g

Investigation

c
d
e
f
g

Inspection/Enforcement

c
d
e
f
g

Fire Prevention

c
d
e
f
g

Communications

5. How would you describe your service organization?
6. Please estimate the size of your department.
6a. What percentage are career personnel?
6b. What percentage are volunteer personnel?
7. How many years have you been in the fire service?
(If you are currently retired, indicate the years of service
prior to your retirement.)
8. What is your rank?
9. Please indicate your present primary responsibility.

10. Please indicate your secondary responsibilities.

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9/5/2007

National Fire Academy Long-Term Evaluation Form for Students

c
d
e
f
g

Data Processing

c
d
e
f
g

Public Education

c
d
e
f
g

Equipment Maintenance

c
d
e
f
g

Administrative Service

c
d
e
f
g

White

c
d
e
f
g

Black or African American

c
d
e
f
g

Asian

c
d
e
f
g

Native Hawaiian/Pacific Islander

c
d
e
f
g

American Indian or Alaskan Native

c
d
e
f
g

Supervisor recommended it

c
d
e
f
g

Attendence was required for my next duty or assignment

c
d
e
f
g

For general career advancement

Page 2 of 4

11. How many years have you held your current
responsibilities?
12. What is the highest level of education you have
achieved?
13. What is your sex?
14. How old were you on your last birthday?
15. Do you consider yourself of Hispanic or Latino/Latina
ethnicity?

16. What is your race?

I need to make changes to Part 1

Part 2 of 2 - Course Feedback
1. Where did you take this course?

2. Why did you take this course?

c Desire to broaden my perspective by working with
d
e
f
g
personnel from departments across the country
c Desire to increase my technical and professional
d
e
f
g
knowledge
c
d
e
f
g

Other

c
d
e
f
g

Asked, told to, by my supervisor

c
d
e
f
g

Overall quality of the instruction, materials, etc.

c
d
e
f
g

Expectation that the content would be 'cutting edge'

3. Did you check whether the course was from a source
other than the National Fire Academy?
3a. Did you find it available elsewhere?
3b. Where else was it available?

3c. Why did you choose to attend the NFA course?

c Expectation that the teaching methods would be 'cutting
d
e
f
g
edge'

c
d
e
f
g

Desire to interact with peers from around the country

c
d
e
f
g

No cost to me

c
d
e
f
g

Modest cost to my department

4. Have you used any of the training or information from
this course on the job since returning to your
department?

To what extent have you used information from the topics covered in your training?

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National Fire Academy Long-Term Evaluation Form for Students

Page 3 of 4

Now indicate your level of agreement or disagreement with each statement by selecting
the appropriate value.
5. What I learned from this course helped me do my job
better.
6. This course has contributed to my professional
development.
7. My supervisor is aware of how this course has
improved my job performance.
8. This training has helped the department address firerelated problems in our community's high risk areas.
9. This NFA training has led to reductions in the firerelated risks in the community.
10. This course has made me more safety conscious in
my work.
11. Prevention ideas from the course have been
incorporated into the public education efforts of my
department.
12. This NFA training has improved the performance of
my department.
13. This training has helped my department be better
prepared to respond to an "all hazards" or terrorist
event(s).

14. Did you leave this training expecting to develop new
policies or procedures for your department?
14a. Did you actually develop them?
14b. Were these policies or procedures implemented?
14c. Have these policies or procedures improved the
performance of your department?

14d. Why not?

c
d
e
f
g

Too different from current policies & procedures

c
d
e
f
g

Budget limitations

c
d
e
f
g

Political considerations

c
d
e
f
g

Legal, regulartory or union contract considerations

c
d
e
f
g

It's no longer part of my responsibilities

c
d
e
f
g

Informally, one-on-one

c
d
e
f
g

Informally, but in a gruop setting

c
d
e
f
g

Formally in a training session

c
d
e
f
g

At a facility in my State

c
d
e
f
g

At a regional facility, but not in my State

c
d
e
f
g

A national professional association

15. Have you shared the information you learned at the
training with colleagues in the department?

15a. How did you do it?

15b. Have those colleagues changed their job
performance because of this information?
16. Would you recommend this course to others in your
department?
17. Have you attended other (non-NFA) courses for fire
service personnel in the last three years?
17a. Where was the training delivered?

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National Fire Academy Long-Term Evaluation Form for Students

17b. Who sponsored this training?

c
d
e
f
g

A State fire service agency

c
d
e
f
g

A county fire service agency

c
d
e
f
g

A State professional assocation

c
d
e
f
g

A technical or community college

Page 4 of 4

17c. Overall, how would you compare your NFA training
with the other training you noted above? Regarding the
training, would you say...
17d. Regarding the curriculum materials, would you
say...
18. Please describe an incident or cicumstance in which
you applied your training from this NFA offering.
19. If you could change one thing to improve this
training course, what would it be?
20. What do you think are the new, emerging issues in
the fire service field that should be the topics for future
NFA training classes?
21. Finally, please add any comments you may have.
I need to make changes to Part 2

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FEMA Form 95-59, 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

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National Fire Academy Long-Term Evaluation Form

Page 1 of 1

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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