Teaching Civics and Citizenship to Immigrants Training Evaluation

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

G-1190A-FRM-01142014

Teaching Civics and Citizenship to Immigrants Training Evaluation

OMB: 1615-0121

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Teaching Civics and Citizenship to Immigrants
Training Evaluation

USCIS
Form G-1190A

Department of Homeland Security
U.S. Citizenship and Immigration Services

OMB No. 1615-0121
Expires 12/31/2014

Participant Information (Optional)
Position

Teacher
(Citizenship)

Program
Administrator

Teacher
(ESL)

Legal Services
Staff

Other (specify below)

DRAFT Not
For Production
01/14/2014

Capacity

Full-time paid

Part-time paid

Volunteer

Years of experience

< 1 year

1- 2 years

3 - 5 years

11 - 30

31 - 50

Approximate number of
students you personally
serve each year

< 10

6 - 9 years

51 +

Does your program receive federal funding?

Yes

No

Unsure

If yes, check all that apply to your program.

AEFLA

EL/Civics

USCIS

Does your program offer immigration legal assistance?

Yes

No

Unsure

Have you attended a USCIS teacher training event in
the past?

Yes

No

Type of services
offered (mark all
that apply)

Citizenship Education

ESL

Family Literacy

Other (specify):

Type of program
(select one)

Community Based Organization

Faith Based Organization

College/University

Other (specify):

EL/Civics

+ 10 years

GED/ABE

N/A

HHS

Resettlement Services

Public School Adult Education

How many other ESL teachers are in your program?

N/A

How many other citizenship teachers are in your program?

N/A

Does your program have a coordinator who oversees the ESL program?

Yes

Other

No

N/A

Neutral

Disagree

City and State of your program:

General Evaluation
Criteria

Strongly
Agree

Agree

Strongly
Disagree

N/A

This training session increased my understanding of the
naturalization process.
I will be able to use the educational techniques I learned when
I return to my program.
I am now more likely to use the teaching tools on the
Citizenship Resource Center.
I would recommend this training session to my colleagues.
Overall, this training session met my professional development
needs.

Form G-1190A 01/14/14

Page 1 of 3

1. Please describe your previous knowledge of the Citizenship Resource Center.
I was aware of the website and frequently used its resources
I was aware of the website and occasionally used its resources
I was aware of the website but never used its resources
I was not aware of the website
2. Please indicate all USCIS materials you have used to teach citizenship preparation. (check all that apply)

DRAFT Not
For Production
01/14/2014

Civics Flash Cards

Vocabulary Flash Cards

Learn About the United States: Quick Civics Lessons

Online videos (e.g., The USCIS Naturalization Interview and Test Video)
Lesson plans

Practice tests

Online audio files (e.g., 100 Civics Questions and Answers with MP3 format)
Preparing for the Oath: U.S. History and Civics for Citizenship
I have not used any USCIS resources

3. What type of educational resources would you like to see USCIS develop in the future?
More printed materials (describe)
More online materials (describe)

More instructional videos (describe)

More professional development tools (describe)
Other (describe)

4. Does your program currently use a nationally normed standardized test of English proficiency?
Yes (specify):
No

Not applicable
5. Does your citizenship education program currently have a written course curriculum?
Yes

No

Not applicable

6. How did you learn about this training session?
USCIS website
USCIS Community Relations Officer
Colleague
Newsletter
Other (please specify)
7. What aspects of this training session could be improved?

Thank you for taking the time to complete this survey.
Form G-1190A 01/14/14

Page 2 of 3

Paperwork Reduction Act
An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information
unless it displays a currently valid OMB control number. The public reporting burden for this collection of information is estimated at
3 minutes per response, including the time for reviewing instructions and completing and submitting the form. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to:
U.S. Citizenship and Immigration Services, Office of Citizenship, 20 Massachusetts Ave NW, Washington, DC 20529-2140; OMB
No. 1615-0121. Do not mail your application to this address.

DRAFT Not
For Production
01/14/2014

Form G-1190A 01/14/14

Page 3 of 3


File Typeapplication/pdf
File TitleTeaching Civics and Citizenship to Immigrants Training Evaluation
AuthorUSCIS
File Modified2014-01-14
File Created2013-12-04

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