Form 1 Survey

2014 ACF Native American Grantee Conference
Customer Satisfaction Survey

The Administration for Children and Families is planning an agency wide conference for its Native American Grantees, to be held in Washington, 
D.C. The tentative dates are June 17­19, 2014 with June 16 open for the ACF Annual Tribal Consultation session and June 20 open for individual 
program office meetings.  

All ACF program offices will be a part of this conference. Other HHS offices including CMS, CDC, SAMHSA, IHS, HRSA and other Federal 
Agencies such as Dept. of Justice, Dept. of Interior, BIA and BIE will also participate.  

The conference theme is ACF: Honoring Our Commitments to Native Families and Communities Today and Tomorrow. ACF is requesting input on 
plenary and workshop sessions. Please take a moment to complete the survey below so ACF can plan this conference around topics of interest to 
you and your community. We look forward to your response and thank you for participating in its planning. 

Please respond by DECEMBER 17, 2013.  

On the following page, please review the individual “Possible Topics of Interest” and make a selection from the drop­down menu to indicate your 
interest in each topic. If you are interested in having that topic presented at the conference, please select appropriate “Learning Objective(s)” from 
the corresponding drop­down boxes. Your selection of Possible Topics of Interest and Learning Objectives will help guide us to better plan the 
content of the conference sessions. Thank you! 

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2014 ACF Native American Grantee Conference

1. Possible Topics of Interest
Interest

My First Learning Objective

My Second Learning Objective

Human Trafficking

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Domestic Violence

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Data Collection Systems

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Early Childhood Education 

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Traditions/Culture

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Native Languages

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Trauma Informed Care

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Toxic Stress

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Tribal TANF

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Elders

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Affordable Care Act (ACA)

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Non­profits/Partnerships

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Capacity Building

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Sustainability

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Grants Administration and 

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Youth Programs

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Homelessness

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Economic Development

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Child Support

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Urban Indian Issues

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Program Collaborations

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Fatherhood

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Engaging parents/families

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Building individual/family 

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& Development

Management

self­sufficiency
Please identify other topics of interest to you and your community as well as what you would to learn from the topic.  

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2014 ACF Native American Grantee Conference
2. Please answer the following questions:
ACF is best at:
ACF can improve:
ACF should consider:
My ACF program/project 
could be better if we could:

3. Would you be interested in sharing information and your experience about your
project's/program’s success or best practices?
j Yes, presentation (within a workshop)
k
l
m
n

j Yes, Workshop with 1 or more presentations
k
l
m
n

j Yes, Either or
k
l
m
n

j No
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l
m
n

If Yes, to one of the above, which topic(s) would you be interested in presenting on? 

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4. If you responded "Yes" to the question above regarding a presentation or workshop, we
will be sending out a "Call for Proposals", so please provide us with your contact
information: Name, Tribe/organization email and/or phone number.
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5. If you attended the meeting in 2012, please tell us what you liked best about it and would
like to see again.

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