Form FEMA Form 519-0-1 FEMA Form 519-0-1 Post-Course Evaluation Questionnaire

Emergency Management Institute Follow-up Evaluation Survey

FEMA Form 519-0-1 1660-0044

Follow-up Evaluation Survey

OMB: 1660-0044

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DEPARTMENT OF HOMELAND SECURITY

FEDERAL EMERGENCY MANAGEMENT AGENCY

Post -Course Evaluation Questionnaire

EMERGENCY MANAGEMENT

INSTITUTE

O.M.B. No. 1660-0044

Expires August 31, 2011

PAPERWORK BURDEN DISCLOSURE NOTICE

Public reporting burden for FEMA Form FEMA Form 519-0-1 is estimated to average 15 minutes per response. Burden means the time, effort and financial resources expended by persons to generate, maintain, retain, disclose, or to provide information to us. You may send comments regarding the burden estimate or any aspect of the form, including suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork Reduction Project (1660-0044). You are not required to respond to this collection of information unless it displays a valid OMB control number. NOTE: Please do not send your completed form to the above address.

COURSE TITLE AND NUMBER

     

COURSE DATE

     

STATE

     

Are you better prepared to deal with disasters and emergencies as a result of the training received in this EMI course? Check one.

Yes (please go to block 1) No Opportunity (please go to block 2) No (please go to block 3)

Block 1 - If you answered "Yes," how did you use the EMI training? Please describe any direct benefits to your agency or community.


Block 2 – If no opportunity, why not? For example, was there a change in job responsibilities or no disaster assignments?

Block 3 - If no, what difference(s) in the course materials or instruction would have made the course more useful?
     

Please use the enclosed envelope to return this survey by _____________

Thank You.

FEMA Form 519-0-1, JUN 08 REPLACES ALL PREVIOUS EDITIONS.

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