Form ITA-4143P-3 SABIT Alumni Success Story Report (Feedback Form)

OMB Number: 0625-0225

Expires:

SABIT Alumni Success Story Report (Feedback Form)

Participant Information:

Name:

Program Participation, Year:

Organization and Title:

Work Address, including Postal Code:

Work Telephone:

Mobile Phone:

Misc.:

Type of Success Story (Check all that apply):

• U.S. Exports, Contracts w/ U.S Companies

• Distribution or Representation

• Joint Venture or Licensing

• Business Growth (increased revenues or staffing)

• Opening a New Company/Organization

• Implementation of New Concepts

• Product Registration

• Standards and Certification

• Participation in the Legislative Process

• Election/Appointment to Political Office

• Promotion/New Position of Greater Responsibility

• Association Activity or Expansion

• Conferences or Publications

• Scientific Agreements and Joint Work

• Business Relationships Between Alumni

• Other

Success Story Narrative (complete below):

Guidelines for Success Story Reports:

Required Information for Each Report:

Participant Information must be filled out COMPLETELY, no exceptions.

Required Information for Success Story Types:

U.S. Exports and Contracts with U.S. Companies:

• What was purchased and the dollar amount;

• U.S. Company name and location;

• When were the goods/services were purchased?

Distribution and Representative Offices:

• U.S. and alumni Companies involved;

• Location of office(s);

• Products and services represented and/or distributed;

• Dollar amount of products and services represented and/or distributed;

• When was the agreement was concluded?

Joint Ventures and Licensing Agreements:

• Names of U.S. and alumni companies involved;

• Products and/or services involved;

• Status of agreement (has production started? Offices opened?);

• Dates and timeframes.

Business Growth:

• Increase in staff hired (expressed numerically) AND/OR

• Increase in revenues (expressed numerically or by percentage);

• Timeframe for increased staffing/revenues (year on year? Since Internship?);

• New markets and contracts, domestically and/or foreign, leading to growth.

Opening a New Company:

• Alumni involved, name of company and what it does. Where is it located?

• When was company opened?

• Size of company?

Implementation of New Concepts:

• Should usually be checked in conjunction with another theme – and should usually be a contributing factor in the other part of the success.
  
  

• Must be named. No more vague “concepts”. Could be business plans or strategic plans seen, manufacturing techniques or equipment, but MUST be specific.

Product Registration:

• What product, when it was registered;

• With whom was it registered? Name the registering body.

• What was the result of the registration? Have there been sales as a result?

Standards and Certification:

• Did alumnus develop a new standard, or revise an old standard?

• What is the standard, and which industries and products does it cover?

• Did the standard improve (make easier) the certification process?

• When did it go into effect?

• Have there been U.S. companies that have used the improved standard/certification process to bring their products on to the market?

Participation in the Legislative Process:

• Context – working group, advisory committee, or other;

• What was the law;

• Is the law under consideration, or has it been passed;

• What is the name of the bill or the law? What industries does it affect?

Election/Appointment to Political Office:

• Date of election/appointment

• Full title of position, and full description of executive and/or ministerial body.

• Duties of position

Promotion or New Position with Greater Responsibility:

• Title, Organization

• YOU MUST PROVIDE complete, updated contact information if alumnus has moved to new company.

• Simply moving jobs is not a success story. Alumnus must have attained position of greater responsibility in new company/organization.

Association Activity or Expansion:

• Name of association, what association does.

• Has alumnus taken a leadership position within the association? Must be named, along with date of appointment or election.

• Has alumnus helped organize meetings, conferences, initiatives in association? Full details must be given – names and dates of above, and their results.

Conferences and Publications:

• Publications should include date, name of article, description of article, and the magazine, journal, or newspaper it appeared in. When possible, e-copies of articles should be forwarded to Washington. Hard copies can also be sent to Washington.

• Conference participation, conference presentations, and conference organizers are all acceptable. Full details: When, name of the conference, who attended, and brief description of conference activities and goals are required. If there is a conference website, it should also be forwarded to Washington.

Scientific Agreements and Joint Work:

• Names and organizations of the U.S. and Eurasian parties to the agreement;

• Date of agreement, and what the agreement covers.

Business Relationships Between Alumni:

• Full names, program participation, and nature of relationship;

• Trade volumes, if applicable.