Download:
pdf |
pdf About USFA
Español
Contact Us
National Fire Academy Long‐Term Evaluation Form
This login is for both students and supervisors. Usernames and passwords are case-sensitive. Please enter them exactly as they appear in the
notification e-mail.
O.M.B. No. 1660-0039 (Expires August 31, 2011)
Course Evaluation Login
Username:
Password:
Login
PAPERWORK BURDEN DISCLOSURE NOTICE
FEMA Form 078-0-2 (Supervisors)
Public reporting burden for this data collection is estimated to average 6.5 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.
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
Español
Contact Us
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.)
Rural
County/district
Institutional
Suburban
Parish
Government
Urban
Statewide
Other
If Other, please specify:
5. How would you describe your service organization?
Career fire service
Career and volunteer fire service
Volunteer fire service
Allied professionals
Private/contract
Other
If Other, please specify:
6. Please estimate the size of your department.
1 to 25 persons
201 to 500 persons
26 to 50 persons
501 to 1,000 persons
51 to 100 persons
1,001 to 2,000 persons
101 to 200 persons
Over 2,000 persons
6a. What percentage are career personnel?
None
1 to 25%
26 to 50%
51 to 75%
76 to 99%
All
Don't Know
6b. What percentage are volunteer personnel?
None
1 to 25%
26 to 50%
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.
Less than 1 year
1 to 5 years
6 to 10 years
11 to 15 years
16 to 20 years
Over 20 years
Not Applicable
Bureau Chief
Assistant Chief
Chief of Department
Other
Not Applicable
8. What is your rank?
Sergeant
Lieutenant
Captain
Battalion Chief
Division Chief
Deputy Chief
If Other, please specify:
9. Please indicate your present primary responsibility.
Command
Fire Prevention
Fire Suppression
Communications
EMS
Data Processing
Hazardous Materials
Public Education
Training/Instructor
Equipment Maintenance
Investigation
Administrative Service
Inspection/Enforcement
Other
If Other, please specify:
10. Please indicate your secondary responsibilities. (Mark all that apply.)
Command
Fire Prevention
Fire Suppression
Communications
EMS
Data Processing
Hazardous Materials
Public Education
Training/Instructor
Equipment Maintenance
Investigation
Administrative Service
Inspection/Enforcement
Other
If Other, please specify:
11. How many years have you held your current responsibilities?
Less than 1 year
11 to 15 years
1 to 5 years
16 to 20 years
6 to 10 years
Over 20 years
12. What is the highest level of education you have achieved?
Less than high school graduation
HS graduation or equivalency
Some college
Associate's degree
Bachelor's degree
76 to 99%
All
Don't Know
Graduate degree
Other
Prefer Not To Answer
If Other, please specify:
13. What is your sex?
Male
Female
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?
Yes
No
Prefer Not To Answer
16. What is your race? (Mark as many as apply, or none if you prefer not to answer.)
White
Black or African American
Asian
Native Hawaiian/Pacific Islander
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
Contact Us
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?
At NFA in Maryland
At a facility in my state
Other
If Other, please specify:
2. Why did you take this course? (Mark all that apply.)
Supervisor recommended it
Attendance was required for my next duty or assignment
For general career advancement
Desire to broaden my perspective by working with personnel from departments across the country
Desire to increase my technical and professional knowledge
Other
If Other, please specify:
3. Did you check whether the course was from a source other than the National Fire Academy?
Yes
No (Skip to question 4)
3a. Did you find it available elsewhere?
Yes
No (Skip to question 4)
3b. Where else was it available?
At a facility in my state
At a facility in this region but not in my state
Other
If Other, please specify:
3c. Why did you choose to attend the NFA course? (Mark all that apply.)
Asked, told to, by my supervisor
Overall quality of the instruction, materials, etc.
Expectation that the content would be 'cutting edge'
Expectation that the teaching methods would be 'cutting edge'
Desire to interact with peers from around the country
No cost to me
Modest cost to my department
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?
Yes
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
Topic #8 Development of an "org chart" for incidents requiring an EOC.
Identification and assessment of resource needs for extended
Topic #9
operations, as based on CRA.
Topic #10 Regularly exercise plans as developed.
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
14. Did you leave this training expecting to develop new policies or procedures for your department?
Yes
No (Skip to question 14d.)
14a. Did you actually develop them?
Yes
No (Skip to question 14d.)
14b. Were these policies or procedures implemented?
Yes
No (Skip to question 14d.)
14c. Have these policies or procedures improved the performance of your
department?
Yes. They definitely have. (Skip to question 15.)
Yes, but only moderately. (Skip to question 15.)
I'm not sure. (Skip to question 15.)
No, they have not.
14d. Why not? (Mark all that apply.)
Too different from current policies & procedures
Budget limitations
Political considerations
Legal, regulatory or union contract considerations
It's no longer part of my responsibilities
Other
If Other, please specify:
15. Have you shared the information you learned at the training with colleagues in the department?
Yes
No (Skip to question 16.)
15a. How did you do it? (Mark all that apply.)
Informally, one-on-one
Informally, but in a group setting
Formally in a training session
Other
If Other, please specify:
15b. Have those colleagues changed their job performance because of this
information?
Yes
No
Don't Know
16. Would you recommend this course to others in your department?
Definitely yes
Probably
Unsure
Probably not
Definitely not
17. Have you attended other (non-NFA) courses for fire service personnel in the last three years?
Yes
No (Skip to question 18.)
17a. Where was the training delivered? (Mark all that apply.)
At a facility in my State
At a regional facility, but not in my State
Other
If Other, please specify:
17b. Who sponsored this training? (Mark all that apply.)
A national professional association
A State fire service agency
A county fire service agency
A State professional association
A technical or community college
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...
The NFA training was more useful
Both training experiences were equally useful
The other training experience was more useful
17d. Regarding the curriculum materials, would you say...
The NFA curriculum was more useful
Both curricula were equally useful
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.
Save For Later
Back
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
Contact Us
Thank you for completing this long‐term evaluation.
Thank you for completing the NFA Long-Term Evaluation. We appreciate your feedback
Close Evaluation
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
File Type | application/pdf |
File Title | http://www.usfa.fema.gov/applications/nfaeval/lte/login.do;jses |
Author | dlong124 |
File Modified | 2011-10-25 |
File Created | 2011-10-24 |