Evaluation Form for PAESMEM Recognition Event

National Science Foundation (NSF)

Presidential Awards for Excellence in

Science, Mathematics, and Engineering Mentoring

(PAESMEM)

June 15-18, 2015

EVALUATION FORM

Please return your Evaluation Form to the Registration Booth located in Independence Foyer. Thank You!

PARTICIPANT TYPE:

Check one. (If Other, please list category.)

___ Awardee ____ Sponsored Guest ___ NSF Program Staff ___Congressional Staff

___Speaker ___ Other: ________________

Please circle one of the following ratings in terms of the value of each activity to you. If you did not attend an activity, please circle N/A in the "Not Attended" column.

Event and Activities

Activity	Rating – 1		Rating – 2	Rating – 3	Rating – 4	Not Attended
Monday, June 15
Welcome and Orientation (Awardee Only)	Not Valuable At All		Somewhat Valuable	Mostly Valuable	Very Valuable	N/A
Dinner Event (Awardee and One Guest)	Not Valuable At All		Somewhat Valuable	Mostly Valuable	Very Valuable	N/A
GUEST SPEAKER: TBD	Not Valuable At All		Somewhat Valuable	Mostly Valuable	Very Valuable	N/A
Tuesday, June 16
Working Breakfast	Not Valuable At All		Somewhat Valuable	Mostly Valuable	Very Valuable	N/A
Guest Speaker: TBD	Not Valuable At All		Somewhat Valuable	Mostly Valuable	Very Valuable	N/A
White House Tour	Not Valuable At All		Somewhat Valuable	Mostly Valuable	Very Valuable	N/A
Award Ceremony	Not Valuable At All		Somewhat Valuable	Mostly Valuable	Very Valuable	N/A
Award Ceremony Dinner	Not Valuable At All		Somewhat Valuable	Mostly Valuable	Very Valuable	N/A
Wednesday, June 17
Working Breakfast	Not Valuable At All		Somewhat Valuable	Mostly Valuable	Very Valuable	N/A
Guest Speaker	Not Valuable At All		Somewhat Valuable	Mostly Valuable	Very Valuable	N/A
OSTP Lead Activity	Not Valuable At All		Somewhat Valuable	Mostly Valuable	Very Valuable	N/A
Evening Event	Not Valuable At All		Somewhat Valuable	Mostly Valuable	Very Valuable	N/A
Thursday, June 18
Working Breakfast at NSF
Briefing, Brainstorms, and Discussions
Meet and Greet Awardee’s with Posters

Comments – In particular, if you rated an activity above as Not Valuable At All or Somewhat Valuable, please state your reasons why in the text box below.

(Continued on reverse)

Meeting Materials and Facilities

Please circle one of the following ratings in terms of your level of satisfaction with each aspect of the event. If you did not experience a given aspect, please circle N/A in the "Not Applicable" column:

Aspect	Rating – 1	Rating – 2	Rating – 3	Rating – 4	Not Applicable
Pre-Conference Materials/Website	Not Satisfied At All	Somewhat Satisfied	Mostly Satisfied	Very Satisfied	N/A
Registration and Hospitality Table	Not Satisfied At All	Somewhat Satisfied	Mostly Satisfied	Very Satisfied	N/A
Printed Meeting Materials	Not Satisfied At All	Somewhat Satisfied	Mostly Satisfied	Very Satisfied	N/A
Quality of Hotel Services	Not Satisfied At All	Somewhat Satisfied	Mostly Satisfied	Very Satisfied	N/A
Quality of Facilities (meeting space)	Not Satisfied At All	Somewhat Satisfied	Mostly Satisfied	Very Satisfied	N/A

Comments on Meeting Materials and Facilities – In particular, if you rated an aspect above as Not Satisfied At All or Somewhat Satisfied, please state your reasons why in the text box below.

P

lease list any suggestions you have for next year’s PAESMEM Award Ceremony in the text box below.

Please list any other Comments/Suggestions in the text box below.

THANK YOU FOR YOUR PARTICIPATION

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2015 PAESMEM Award Ceremony