OMB # 1121-0277
D ate of Expiration: xx/xx/xx
OJJDP National Training and Technical Assistance Center
Training Feedback Form
Thank you for attending this training supported by the Office of Juvenile Justice and Delinquency Prevention (OJJDP) National Training and Technical Assistance Center (NTTAC). To better serve you, we would like to know how satisfied you are with the quality of the training. Your feedback is indispensable in our ongoing efforts to improve the support that OJJDP provides. Your participation is completely voluntary.
INSTRUCTOR(S): pre-printed information
For Questions 1 –xx, please indicate the extent to which you agree or disagree with the following statements.
1 – I Strongly Disagree with this statement (SD).
2 – I Disagree with this statement (D).
3 – I Neither agree nor disagree with this statement (N).
4 – I Agree with this statement (A).
5 – I Strongly Agree with this statement (SA).
Learning Objectives
<insert Training Module Title 1 as preprinted information> |
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<insert Training Module Title 2 as preprinted information> (continue with additional Training Modules as appropriate for the curriculum) |
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Instructors
Instructor 1 _____________________________________ |
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Instructor 2 _____________________________________ |
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How did you find out about this training?
Personal invitation
Juv Just or other listserv message
NTTAC website
Other website: _______________
Other: ______________________
Was the format of the participant materials (text, PowerPoint slides, resources) helpful to you? Do you have any recommendations for making the materials more user-friendly?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Was/Were <insert title of each activity> and <insert title of each activity> helpful? If so, why, and if not, how can they be improved? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Identify three things you plan to do or change as a result of the training you received. Please be as specific as you can (e.g., actions or changes in policy, practice, procedures, or programming).
What additional assistance do you or your organization need with this topic?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What part of this event would you suggest changing to make it better for future participants?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Additional comments:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Participant Information
Which of the following best describes the field in which you work? (Please choose only one.)
Ancillary youth services (e.g., recreation, prevention, mentoring, after-school)
Child and family services (e.g., child welfare, adoption)
Community-based organization
Compliance monitors
Corrections
Detention
Court services
DMC coordinator
Education/schools
Faith-based organization
Information technology
Juvenile justice specialist
Law enforcement
Legal services –defense
Legal services–prosecution
Mental health
Other advocacy (e.g., GAL, CASA)
Other residential services
Parole/community corrections
Private sector/business
Probation
Problem solving/specialized courts (e.g., drug courts)
Research
SAG representative
Substance abuse
Truant youth/dropout
Youth mentoring
Other
How many years of experience do you have in the field of juvenile justice?
0 – 2 years
3 – 5 years
6 – 8 years
9 – 11 years
12 – 14 years
15 or more years
How would you describe the population with which you primarily work? (Check all that apply.)
At-risk youth
Children of incarcerated parents
Dependent youth
Incarcerated youth
Homeless youth
Mentally ill youth
Pre-adjudicated youth (e.g., youth awaiting a judicial outcome)
Post-adjudicated youth (e.g., youth on parole, probation, or under community supervision)
Substance using or abusing youth
Teen parents
Youth younger than 10 years of age
Youth ages 11–15 years
Youth ages 16–the legal age of adulthood in your community
Youth in the child welfare system (e.g., foster youth, adopted youth, abused/neglected youth)
Youth volunteers
Other: ______________
T
We will be following up with
participants in approximately 3 months to determine the impact of
this training event. If you would be willing to participate in a
brief
follow-up interview, please provide your contact information. The
information will only be used for the purpose of conducting the
follow-up interview. The confidentiality of the information you
provide is guaranteed.Name: _________________________________ Phone:
__________________ E-mail: ______________________
hank you for completing the <insert training
title> Participant Feedback Form.
Please return your completed form to an OJJDP NTTAC representative before leaving the training.
Please visit www.nttac.org for information about future training opportunities.
File Type | application/msword |
File Title | OVC TTAC - USER FEEDBACK FORM |
Author | goellen |
Last Modified By | 15067 |
File Modified | 2011-06-17 |
File Created | 2011-06-17 |