Form 6494/05 Form 6494/05 CRA FOR COMMUNITY-BASED ORGANIZATIONS WORKSHOP EVALUATIO

Occasional Qualitative Surveys - 2011 Money Smart

6494-05 CRA FOR COMMUNITY-BASED ORGANIZATIONS EVALUATION (4-18-2013) (3)

CRA Evaluations

OMB: 3064-0127

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OMB Number: 3064-0127

Expiration Date: 06/30/2013

Federal Deposit Insurance Corporation

COMMUNITY REINVESTMENT ACT FOR COMMUNITY-BASED ORGANIZATIONS

WORKSHOP EVALUATION

INSTRUCTIONS: Please provide your feedback to help us evaluate today’s program and plan future events. If you would like to provide additional comments, please use the COMMENTS section on page 2.


EVENT TITLE: _____________________________________________ DATE: ____________________




LOCATION OF EVENT: _________________________________________________________________________


Please circle the applicable rating. Do not attempt to split a rating.

The session improved my understanding of the Community Reinvestment Act and the examination process…………………

Strongly

Agree

Agree

Somewhat

Agree

Disagree

Strongly

Disagree

The session helped identify opportunities for my organization to collaborate with financial institutions for community development activities……………………………………………….

Strongly

Agree

Agree

Somewhat

Agree

Disagree

Strongly

Disagree

The session helped identify potential partners in the

Community……………………………………………………………

Very

helpful

Helpful

Moderately

helpful

Of little

Help

Not

Helpful

I would recommend this program to others in my position………

Strongly

Agree

Agree

Somewhat

Agree

Disagree

Strongly

Disagree

Follow-Ups

Criteria

Yes

No

Would you be interested in a follow-up session on this topic?



Would you be interested in another meeting like this on another topic?




Please specify the topic of interest: _____________________________________________________________________­­

__________________________________________________________________________________________________________________________________________________________________________________________________


Please check the type of organization you represent

Financial Institution

Non-Profit Organization

Foundation

Academic Institution

Government Agency


Other (Please specify): _______________________________________________________________________________

__________________________________________________________________________________________________


1. What parts of this event did you find most valuable? ______________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________


2. What is the most important thing that could be done to improve this event? ____________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________


3. Please provide examples of how you may apply your knowledge from today’s program: __________________________

________________________________________________________________________________________________

________________________________________________________________________________________________



COMMENTS:




OPTIONAL CONTACT INFORMATION (If you would like to contact us to discuss your suggestions or would like for us to notify you of a follow-up session, provide your contact information below.)


Name: ___________________________________________________________________________________________


Organization: _____________________________________________________________________________________


Telephone Number (Include Area Code): _______________________________________________________________


E-Mail Address: ___________________________________________________________________________________


We thank you for your feedback.




PAPERWORK REDUCTION ACT NOTICE


Public reporting burden for this collection of information is estimated to average 7 minutes per response, including the time for completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the FDIC, Washington, DC 20429; and to the Office of Management and Budget, Paperwork Reduction Project (3064-0127), Washington, DC 20504.

FDIC 6494/05 (4-13) Page 1 (See Reverse for additional information)

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