General Information of Fellows
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Name:
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Home Address, City, State & Zip Code:
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Email Address:
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Gender (M/F):
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Race/Ethnicity:
White/Caucasian
Latino/Hispanic
Asian
African
American
American Indian
and Alaskan Native
Native Hawaiian
and other Pacific Islander
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Age:
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Pilot City
Location:
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Host Institution/Office:
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In light of the first six months of your fellowship
placement, please provide us with feedback by completing the
following survey. The survey is broken down into categories (e.g.
orientation, projects), which include a mix of scaled and
open-ended questions.
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Application and
Orientation:
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How did you learn about the
SC2 Fellowship Program?
Friend/Family
Co-Worker
List-serv
Website
Other, please
specify: ______________
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Overall, rate the
selection process in terms of timing and communication.
1-Very good
2-Good
3-Fair
4-Poor
5-Very Poor
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What do you
suggest for improving or enhancing the selection process in the
future?
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Rate you
satisfaction with the orientation materials/resources you
received at the start of the fellowship program.
Very Satisfied
Satisfied
Somewhat
Satisfied
Dissatisfied
Very
Dissatisfied
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How helpful was
the program orientation webinar (September 5, 2012) to you and
your work in your pilot city?
Very Helpful
Helpful
Somewhat
helpful
Of little help
Not at all
helpful
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Is there anything
specific that can be done to improve the overall orientation?
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Did you
participate in any formal orientation organized by your city
when you arrived?
Yes
No
If yes, what was organized? If no, what would have been helpful?
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How were you
oriented to your host institution/office?
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Who
helped/assisted with informal or a more formal orientation?
(Check all that apply.)
Local Project
Manager (LPM)
Other SC2
Fellows
Others in my
department
CST
NGOs
Others outside
of the city
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How did you get
acclimated to your host city (e.g. finding a place to live,
establishing a network for activities outside of your fellowship
position)
Friend/Relative
LPM
Other SC2
Fellows
CST
Other avenues
or outlets, please specify: ___________________
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Is there anything
specific that you would suggest to improve or facilitate the
transition into a fellowship placement?
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How familiar are
you now with the entirety of the Strong Cities, Strong
Communities Initiative and its primary goals?
1-Very familiar
2-Familiar
3-Somewhat Familiar
4-Little Knowledge
5-No Knowledge
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How connected are
you with other SC2 components (i.e. the federal community
solution teams, the resource network) in your city?
1-Very Connected
2-Connected
3-Somewhat Connected
4-Little Connection Exists
5-No Connection
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Would you like
more connection with the CST located in your placement city? If
yes, do you have any suggestions for how the management team
could better facilitate this?
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How connected are
you with other SC2 Fellows?
1-Very Connected
2-Connected
3-Somewhat Connected
4-Little Connection Exists
5-No Connection
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Would you like
more connection with other SC2 Fellows in and outside of your
placement city? If yes, do you have any suggestions for how the
management team could better facilitate this?
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Professional
Development:
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Now having attended and participated in two Management
Academies:
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How helpful is
the content of the academies’ training sessions to your
primary SC2 project(s)?
1-Very Helpful
2-Helpful
3-Somewhat Helpful
4-Of little help
5-Not at all helpful
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How helpful is
the content to your professional skills and development?
1-Very Helpful
2-Helpful
3-Somewhat Helpful
4-Of little help
5-Not at all helpful
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What other
benefits do you receive from attending the management academies?
Please rank:
Networking and
socializing with other fellows
Learning about
the challenges of other cities similar to your host city
Learning
from/networking with the SC2 Management Team
Other benefits,
please specify: ___________________
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Have you sought
any additional professional development opportunities? Why or why
not? Is there anything the management team can do to assist?
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Are you engaged
in other professional development projects or programs offered by
your host city? If so, please list these projects/programs:
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Are you engaged
in other professional development projects or programs offered by
nonprofits or other entities within your host community? If so,
please list the project/program and the host organization.
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Are you engaged
in other community service/civic projects or programs within your
host community? If so, please list the project/programs.
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Reflecting on the
first six months of your fellowship, how has it measured up to
your personal and professional goals?
1-Very Good
2-Good
3-Somewhat Good
4-Poor
5-Very Poor
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Has it met your
expectations?
Yes
No
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What have you
learned so far that you think will be useful moving forward in
your career (this can be substantive subjects, concrete skills,
or general awareness of local government, etc.)
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Projects:
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Describe the process of working with your LPM in identifying and
selecting the projects included in your Project Plan Agreement
(PPA).
How many meetings did you have
with your LPM on the PPA?
How many weeks/months did the
process of selecting your projects take?
What worked best to hone your
plan to a defined list of realistic projects?
What influenced the selection
of your project(s)—positively and negatively?
Did internal (within host
institution) and/or external (outside of host institution)
influences (outside of your LPM’s control) have an impact
on your PPA? If yes, please explain what influenced and impacted
your PPA.
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Do you think the
projects listed in your PPA match your skills and talent?
1-Strongly Agree
2-Agree
3-Somewhat Agree
4-Disagree
5-Strongly Disagree
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Is it feasible
for your projects (those included in your PPA) to be completed by
the end of your Fellowship appointment? Please provide a
predicted percentage completed for each of the projects listed in
your PPA.
Main Project
Supplemental Project 1
Supplemental Project 2
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Do you believe
your project(s) will help build capacity within the scope of:
(Please check
all that apply.)
The
agency/department where you work
The government
A specific
neighborhood, please specify: ___________________________
A specific
section of the population, please specifiy:______________________
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Describe the
process of working with the SC2 Management Team in the draft,
review and revision of your PPA.
How much time did you spend on
it? (Estimate the time you spent in meetings, phone calls and
writing your PPA.)
How many version of the PPA did
you submit?
In general, how effective do
you think the PPA is/will be in guiding your work
1-Very effective
2-Effective
3-Moderately effective
4-Of little effective
5-No effect
Approximate the date you began
work on the projects outlined in your PPA. (e.g. started in
October 2012, started in the first quarter of 2013.)
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Where in your
work plan are you with respect to your major SC2 project?
(Project used in Management Academies.)
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Were there any
delays in focusing your time/efforts on this major project? If
so, please explain (e.g. internal delays with LPM, delays caused
by other city processes and department; delays caused by external
partners and stakeholders outside of the city) and discuss the
type of delay (e.g. lack of resources, time, focus, etc.)
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Did you have some
early breakthroughs or important milestones in working on your
major project thus far? If so, please describe:
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In general, how
satisfied are you with your progress toward project milestones?
1-Very Satisfied
2-Satisfied
3-Moderately Satisfied
4-Dissatisfied
5-Very Dissatisfied
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Inputs:
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In general, how
satisfied are you with the level of contact and availability of
your mentor?
1-Very Satisfied
2-Satisfied
3-Moderately Satisfied
4-Dissatisfied
5-Very Dissatisfied
Would you like:
More
Less
Neither, level
of contact is acceptable.
If seeking more contact, what
is the best method for mentors to make contact?
Email
Conference call
Google Hangout
Other, please
specifiy: ______________________
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What can the
mentors do to provide more support or guidance?
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What type of
additional assistance would be helpful? (e.g. help navigating
relationships with LPM and others at City Hall? Help with more
strategic dimensions of my project? Help with more technical
dimensions of my project?)
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In general, how
would you rate your relationship with your LPM?
1-Very Good
2-Good
3-Fair
4-Poor
5-Very Poor
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In general, are
you satisfied with the level of communication with your LPM?
1-Very Satisfied
2-Satisfied
3-Moderately Satisfied
4-Dissatisfied
5-Very Dissatisfied
If dissatisfied, please
explain:
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Have there been
any issues with your LPM?
Yes
No
If so, has it been resolved? How was it resolved? If it is
remains unresolved, how can the SC2 Management Team assist?
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How would you
rate your level of contact with your city’s Community
Solutions Team?
1-Very Frequent
2-Frequent
3-Occasional
4-Rare
5-Never
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Are you satisfied
with the level of contact with your CST?
1-Very Satisfied
2-Satisfied
3-Moderately Satisfied
4-Dissatisfied
5-Very Dissatisfied
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Is CST contact
important to the success of your project?
1-Very Important
2-Important
3-Moderately Important
4-Of little importance
5-Not at all important
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Do you believe
CST contact is important to the overall fellowship experience?
1-Very Important
2-Important
3-Moderately Important
4-Of little importance
5-Not at all important
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If contact would
be valuable, do you have ideas on how to expand contact? Is there
anything the SC2 Management Team can do to help?
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In general, how
satisfied are you with the resources provided through your host
institution and other local partners?
1-Very Satisfied
2-Satisfied
3-Moderately Satisfied
4-Dissatisfied
5-Very Dissatisfied
Are there any resources not
currently provided to you that would be useful?
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In general, do
you find your host institution to have an advantageous formal
structure to hosting fellows? Please explain.
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In general, do
you find a supportive organizational culture?
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Placement:
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Do you believe your placement is a good match:
With your current skills?
1-Very good
2-Good
3-Fair
4-Poor
5-Very Poor
Substantive interests? (i.e.
working on topics or issues familiar to you or that you want to
work on)
1-Very good
2-Good
3-Fair
4-Poor
5-Very Poor
Current professional
development and career goals?
1-Very good
2-Good
3-Fair
4-Poor
5-Very Poor
Overall?
1-Very good
2-Good
3-Fair
4-Poor
5-Very Poor
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How would you
rate your placement work’s level of difficulty?
Too difficult
Too easy
Acceptable
level
Don’t
know yet
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How would you
rate your work load?
1-Too light
2-Light
3-Acceptable
4-Heavy
5-Too heavy
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Reflecting back
on the first six months of the fellowship, knowing that you and
your LPM and host agency worked hard to get your fellowship
placement up and running, overall, how would you rate your
satisfaction with your placement?
1-Very satisfied
2-Satisfied
3-Moderately satisfied
4-Dissatisfied
5-Very dissatisfied
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