Form FEMA Form 519-0-1 FEMA Form 519-0-1 Emergency Management Institute Follow-up Evaluation Surv

DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY

FOLLOW-UP EVALUATION SURVEY

EMERGENCY MANAGEMENT
INSTITUTE

O.M.B. NO. 1660-0044
Expires December 31, 2014

PAPERWORK BURDEN DISCLOSURE NOTICE

Public reporting burden for this form 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 other 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 DC20472, and 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: Do not send your completed form to the above address.
COURSE TITLE AND NUMBER

COURSE DATE

STATE

Have you been able to apply the training received in this EMI course in your job or work assignment? Check one.
Yes (Please go to block 1)

No (Please go to block 2)

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, Could any difference in the course materials or instruction have made the course more useful?

Please use the enclosed envelope to return this survey by
Thank You.
FEMA Form 519-0-1, OCT 08

REPLACES PREVIOUS EDITION