Form SV-2010-0027 International Visitor Leadership Program (IVLP) 2010 - P

International Visitor Leadership Program (IVLP) 2010: Multi-Regional Projects

Post-Program Survey

As you prepare to return home, we would like to ask you a few questions about your exchange experience while it is still fresh in your mind, including your thoughts, opinions, and future plans. The purpose of these questions is to help us better understand the impact of the International Visitor Leadership Program (IVLP), the diversity of our participants, and to help us design better programs in the future.

This survey is not a test and there are no right or wrong answers. However, we do need your feedback in order to make informed decisions regarding program improvements. All responses will be kept confidential and no one else will have access to them. Your answers will not be attributed to you. We will use the data for analytical and evaluative purposes only.

Thank you, in advance, for your participation! We wish you safe and happy travels home.

Privacy Act and Paperwork Reduction Act Statements:

The information solicited on this survey is requested pursuant to the Government Performance and Results Act of 1993 (P.L. 103-62) and the Mutual Educational and Cultural Exchange Act of 1961, as amended, also known as the Fulbright-Hays Act (22 U.S.C. 2451, et seq.). In order to ensure that the U.S. Department of State’s international exchange programs meet statutory program requirements (22 U.S.C. 2460(c)), the Department’s Bureau of Educational and Cultural Affairs (ECA) regularly monitors the programs, gathers data about program accomplishments, and evaluates selected ones. ECA uses the information collected to inform program design, management, and funding. All personal information that is collected through surveys is considered confidential. All responses are coded to ensure the confidentiality of individual responses. Data collected under this study will not be shared, sold, or used for fundraising purposes. Survey data and findings will be used only in an aggregate form for the express purposes of fulfilling the data needs of the outcome assessment. Responses to this survey are voluntary.

Public reporting burden for this collection of information is estimated to average twenty five (25) minutes to respond to this survey, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An Agency may not conduct or sponsor, and respondents are not required to respond to, a collection of information unless it displays a valid OMB control number. Please send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to: A/ISS/DIR, U.S. Department of State, Washington, D.C. 20520.

1. Which IVLP group are you participating in?

[Insert Project Name 1]
[Insert Project Name 2]
[Insert Project Name 3], etc

2. Please rate your satisfaction with the following program components. Please check one box in each row.

	Very Dissatisfied	Dissatisfied	Neutral	Satisfied	Very Satisfied
Administration
Content
Variety of Experiences
Relevance of program to professional or educational development

3. Please rate your satisfaction with the following specific program components. Please check one box in each row.

	Very Dissatisfied	Dissatisfied	Neutral	Satisfied	Very Satisfied	Not Applicable
Pre-departure briefing provided by the U.S. Embassy or Consulate
Management of program logistics (e.g., travel, hotel arrangements)
Meeting and consultations with American professionals in your field
Range of views presented
Geographic and demographic diversity (e.g. regions of U.S. visited, urban/rural)
Speaking opportunities (e.g., for schools, universities, civic groups, etc.)
Opportunities to communicate information about your country to Americans
Home hospitality
Cultural activities
Assistance provided by Interpreters or English Language Officers
Pace of program
Length of program

4. Exchange programs provide participants with many important opportunities for learning and engaging people from other countries. In the table below, please identify the three most important accomplishments of your IVLP program.

Increased my understanding of the United States, American society, the American people, and American culture
Met my counterparts in the United States
Met my counterparts from other countries on the program
Learned about recent trends and practices in my field
Learned new practices in my field
Established relationships with my counterparts from the United States
Established relationships with my counterparts from other countries
Established networks with counterparts in the United States and other countries
Other (Please write in): _________________________________________

	5. Please elaborate on the most important accomplishment that can be linked to your exchange experience. ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________

6. Do you think you will use the knowledge or experience gained in the program to initiate any of these formal or informal changes in your organization or work? Please check one box in each row.

	Yes	No
Increase volunteer activities/community service
Found an NGO or new organization
Introduce new ideas and knowledge
Introduce initiatives, new ways of doing things
Establish new exchanges
Try to influence public opinion about the United States through the media
Establish joint ventures, organizational partnerships, or linkages
Introduce new policies or procedures
Introduce new curricula, pedagogical methods, or educational standards
Become elected or appointed to a local, regional or national government position
Propose, write, and/or pass a new law or treaty

7. Do you think you will share your program experience or the knowledge you gained during your exchange in any of the following ways? Please check one box in each row.

	Yes	No
Participate in media interviews (newspaper, television, radio, Internet)
Give presentations to community, neighborhood, school, or university groups
Write newspaper articles, including editorials and opinion pieces
Write academic books
Write non-academic books
Write academic articles - for journals or academic publications
Other (Please write in): _________________________________________

8. As a direct result of your participation in the exchange program, do you think you will do or receive any of the following at work? Please check one box in each row.

	Yes	No
Higher level of responsibilities or leadership in the same job
Organize or initiate new activities or projects in the same job
New, more responsible job
Increased salary/wages

9. As a direct result of your participation in the exchange program, do you think you will do or receive any of the following in your community? Please check one box in each row.

	Yes	No
Assume a leadership role or position in your community
Organize or initiate new activities or projects in your community
Establish a new organization in your community

10. Do you think you will remain in contact with people you met during your exchange program?

Yes
No

11. Do you think you will establish or continue professional collaborations that grew out of your exchange experience?

Yes
No

12. As a result of your exchange experience, do you think you or your organization will establish a formal, institutional relationship with another organization?

Yes
No

	13. If you answered “yes” to either question(s) 10, 11, or 12 listed above, please comment on any relationships, collaborations, partnerships you intend to develop as a result of your participation in IVLP. ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________

14. Please indicate how valuable each of the following activities was to you, whether professionally or personally, during your IVLP Program? Please check one box in each row.

	Not At All Valuable	Somewhat Valuable	Valuable	Extremely Valuable
Pre-Departure briefing provided by the U.S. Embassy or Consulate
Meetings and consultations with U.S. professional counterparts
Opportunity to meet and consult with fellow participants in my IVLP program
Travel within the United States to different cities and regions
IVLP program theme and subject matter (i.e. U.S. economy, electoral systems, local government, media, etc.)
Cultural/social activities
Speaking opportunities (at schools, universities, civic organizations, etc.)
Home hospitality with American families

	15. Which among these activities were most valuable? ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________

	16. Why did you value these activities in particular? ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________

17. Please rate your knowledge or understanding of the following topics. Please check one box in each row.

	No Knowledge	Less Than Basic	Basic Knowledge	Beyond Basic	Advanced Knowledge
United States democracy
United States economy
United States values and culture
Religious and ethnic diversity in the United States
Freedom of speech and press in the United States
Voluntary community service in the United States
Daily life in the United States

18. How much did participation in the program change your understanding or knowledge of the following topics? Please check one box in each row.

	No Change	Minimal Change	Moderate Change	Substantial Change
United States democracy
United States economy
United States values and culture
Religious and ethnic diversity in the United States
Freedom of speech and the press in the United States
Voluntary community service in the United States
Daily life in the United States

19. How do you view the United States government and its relationship with your home country?

	Strongly Disagree	Disagree	Neither Agree Nor Disagree	Agree	Strongly Agree
The United States government is a trustworthy partner for my country

20. How do you view the United States Government and the American people? Please check one box in each row.

	Strongly Unfavorable	Generally Unfavorable	Neither Favorable Nor Unfavorable	Generally Favorable	Strongly Favorable
United States Government
American people

21. How did your views of the United States Government and the American people change as a result of your program participation? Please check one box in each row.

	Much Less Favorable	Less Favorable	No Change	More Favorable	Much More Favorable
United States Government
American people

22. What is your field of work? Please check all boxes that apply.

Agriculture
Arts and Humanities (history, languages, literature, art, theater)
Athletics
Business Administration, Finance
Computer Science, Information Technology
Education
Engineering
Environment
Government
Humanitarian Affairs, Development Assistance, Conflict Resolution
International Relations
Labor, Trade Unions
Law, Judicial, Law Enforcement
Library and Information Science
Media, Mass Communications, Journalism, Communication Technology, Advertising, Graphics
Medicine
Military Service
Public Administration
Public Health
Religion
Science (physics, math, chemistry, biology, astronomy, geography, agronomy)
Social Sciences (sociology, economics, psychology, political science)
Social Work
Teaching English, English language instructions
Not Sure
Other (Please write in): _________________________________________

23. Which best describes the geographic location where you live? Please check one box.

My country's capital city
Another major city in my country other than the capital
A small city, town, or rural location in my country

	24. Home country: ____________________________________

	25. Age: ____________________________________

26. Gender:

Female
Male

27. Do you know about the State Department Alumni website, https://alumni.state.gov? Please check one box.

Yes
No

28. Have you registered for the State Department Alumni website, https://alumni.state.gov? Please check one box.

I have registered
I have not yet registered
I do not plan to register

	29. How long did it take you to complete this survey?  ________ Minutes

6 SV-2010-0027

OMB No.: 1405-0158

Expiration Date: 04/30/2011

Estimated Burden Time: 25 minutes