Form FEMA Form 078-02 A FEMA Form 078-02 A National Fire Academy Long-Term Evaluation Form for Stud

The National Fire Academy (NFA) Long-Term Evaluation Forms for Supervisors and for Students

LTE Student form Oct 2011

National Fire Academy Long-Term Evaluation Form for Students

OMB: 1660-0039

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National Fire Academy Long‐Term Evaluation Form 
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FEMA Form 078-0-2 (Supervisors)
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PAPERWORK BURDEN DISCLOSURE NOTICE
FEMA Form 078-0-2A (Students)
Public reporting burden for this data collection is estimated to average 12 minutes per response. The burden estimate includes the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form.
Although voluntary, you are not required to respond to this collection of information unless a valid OMB control number appears in the upper
right corner of this form. Send comments regarding the accuracy of the burden estimate and any 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 (1660-0039) NOTE: Do not send your completed form to this address.
FEMA Form 078-0-2 (AUG 11) and FEMA Form 078-0-2A (AUG 11)

v

Last Reviewed: August 21, 2008
Employment Opportunities U.S. Fire Administration,
16825 S. Seton Avenue
Emmitsburg, MD 21727 Call Us at (301) 447-1000 View Desktop Version

 About USFA
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National Fire Academy Long‐Term Evaluation Form for Students 
(FEMA Form 078‐0‐2A) 
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:

05/02/2011 - 05/13/2011

Course Title:

Command and Control of Fire Department Operations at Natural and Man-Made Disasters

Course Code:

R308

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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Rural

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County/district

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Institutional

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Suburban

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Parish

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Government

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Urban

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Statewide

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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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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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1 to 25%

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26 to 50%

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51 to 75%

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76 to 99%

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All

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Don't Know

6b. What percentage are volunteer personnel?

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None

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1 to 25%

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26 to 50%

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51 to 75%

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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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

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Bureau Chief

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Assistant Chief

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Chief of Department

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Other

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Not Applicable

8. What is your rank?

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Sergeant

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Lieutenant

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Captain

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Battalion Chief

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Division Chief

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Deputy Chief

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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EMS

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Data Processing

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Hazardous Materials

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Public Education

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Training/Instructor

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Equipment Maintenance

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Investigation

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Administrative Service

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Inspection/Enforcement

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Other

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

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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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EMS

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Data Processing

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Hazardous Materials

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Public Education

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Training/Instructor

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Equipment Maintenance

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Investigation

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Administrative Service

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Inspection/Enforcement

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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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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

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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76 to 99%

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All

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Don't Know

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Graduate degree

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Other

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Prefer Not To Answer

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

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Male

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Female

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Prefer Not To Answer

14. How old were you on your last birthday? (If you prefer not to answer, just leave blank.)

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

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Yes

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No

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Prefer Not To Answer

16. What is your race? (Mark as many as apply, or none if you prefer not to answer.)

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White

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Black or African American

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Asian

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Native Hawaiian/Pacific Islander

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American Indian or Alaska 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 078-0-2A (AUG 11)
Paperwork Reduction Act Notice | OMB No. 1212-0065

Last Reviewed: December 28, 2006
U.S. Fire Administration, 16825 S. Seton Ave., Emmitsburg, MD 21727 | USNG: 18SUJ00529652
(301) 447-1000

Fax: (301) 447-1346

Admissions Fax: (301) 447-1441

Employment Opportunities U.S. Fire Administration,
16825 S. Seton Avenue
Emmitsburg, MD 21727 Call Us at (301) 447-1000 View Desktop Version

 About USFA
 Español
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National Fire Academy Long‐Term Evaluation Form for Students 
(FEMA Form 078‐0‐2A) 
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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Attendance 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

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Desire to increase my technical and professional knowledge

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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.)

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Asked, told to, by my supervisor

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Overall quality of the instruction, materials, etc.

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Expectation that the content would be 'cutting edge'

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Expectation that the teaching methods would be 'cutting edge'

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Desire to interact with peers from around the country

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No cost to me

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Modest cost to my department

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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
Great
Deal
Topic #1

Assistance in setting up of EOC and/or assume major role in EOC
operation during a disaster.

Used
Somewhat

Not Used
at All

No
Opportunity
to Use

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Topic #8 Development of an "org chart" for incidents requiring an EOC.

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Identification and assessment of resource needs for extended
Topic #9
operations, as based on CRA.

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Topic #10 Regularly exercise plans as developed.

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Topic #2 Development of an "Incident Action Plan" (IAP).
Topic #3
Topic #4
Topic #5
Topic #6
Topic #7

Conducting a "Community Risk Assessment" (CRA) for
natural/manmade disasters
Development and/or dissemination of a hazard-specific operational
plan.
Development and/or dissemination of a resource list with method(s)
to access local, State, and Federal resources.
Identification of resource shortfalls and/or special needs, as based
on CRA.
Development of plan(s) for evacuation, relocation or sheltering in
place.

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
7.
improved my job performance.
This training has helped the department address
8. fire-related problems in our community's high
risk areas.
This NFA training has led to reductions in the
9.
fire-related risks in the community.
This course has made me more safety conscious
10.
in my work.
Prevention ideas from the course have been
11. incorporated into the public education efforts of
my department.
This NFA training has improved the performance
12.
of my department.
This training has helped my department be
13. better prepared to respond to an "all hazards" or
terrorist event(s).
5.

Agree

Neutral

Strongly
Disagree

Disagree

Not
Applicable

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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 question 14d.)
14a. Did you actually develop them?

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Yes

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No (Skip to question 14d.)

14b. Were these policies or procedures implemented?

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Yes

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No (Skip to question 14d.)

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

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Yes. They definitely have. (Skip to question 15.)

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Yes, but only moderately. (Skip to question 15.)

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I'm not sure. (Skip to question 15.)

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No, they have not.

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

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

Too different from current policies & procedures

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Budget limitations


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Political considerations

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Legal, regulatory or union contract considerations

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It's no longer part of my responsibilities

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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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Yes

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

No (Skip to question 16.)
15a. How did you do it? (Mark all that apply.)

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Informally, one-on-one

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Informally, but in a group setting

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Formally in a training session

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Other

If Other, please specify:
15b. Have those colleagues changed their job performance because of this
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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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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No (Skip to question 18.)
17a. Where was the training delivered? (Mark all that apply.)

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At a facility in my State

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

At a regional facility, but not in my State


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
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Other

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

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A national professional association

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A State fire service agency

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A county fire service agency

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A State professional association

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A technical or community college

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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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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?

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

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FEMA Form 078-0-2A (AUG 11)
Paperwork Reduction Act Notice | OMB No. 1212-0065

Last Reviewed: December 28, 2006
U.S. Fire Administration, 16825 S. Seton Ave., Emmitsburg, MD 21727 | USNG: 18SUJ00529652
(301) 447-1000

Fax: (301) 447-1346

Admissions Fax: (301) 447-1441

Employment Opportunities U.S. Fire Administration,
16825 S. Seton Avenue
Emmitsburg, MD 21727 Call Us at (301) 447-1000 View Desktop Version

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FEMA Form 078-0-2 (AUG 11) and FEMA Form 078-0-2A (AUG 11)

Last Reviewed: December 28, 2006
U.S. Fire Administration, 16825 S. Seton Ave., Emmitsburg, MD 21727 | USNG: 18SUJ00529652
(301) 447-1000

Fax: (301) 447-1346

Admissions Fax: (301) 447-1441

Employment Opportunities U.S. Fire Administration,
16825 S. Seton Avenue
Emmitsburg, MD 21727 Call Us at (301) 447-1000 View Desktop Version


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