PAEMST Alumni Event Evaluation Form

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

PAEMST 2016 Alumni Evaluation Form (002)

PAEMST Alumni Event Evaluation Form

OMB: 3145-0215

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Evaluation of the 2016 PAEMST Virtual Alumni Meeting


1. During what time span did you win the Presidential Award?

1983-1987 ☐ 1988 – 1992 ☐ 1993 – 1997 ☐ 1998-2002 ☐ 2003 – 2007

2008 – 2012 ☐ 2013 - 2017

2. Awards Category: Mathematics Science

3. Award Grade Span: K-6 7-12


4. Your Current Professional Role: SELECT ALL THAT APPLY.

K-12 Teacher Higher Ed. Faculty Curriculum Specialist K-12 Administrator

Federal Employee STEM/STEM Ed Researcher PAEMST State Coordinator Retiree

Other: _______________________________________

5. To what extent do you agree or disagree with each meeting goals statement as it relates to sharing recent developments in teacher leadership pathways and identifying promising practices in STEM teacher mentorship? (Place the number of your choice in the right column.)

1 = Strongly Disagree 2 = Disagree 3 = Neutral 4 = Agree 5 = Strongly Disagree


Goal Statement

Level of Agreement

  1. Overall, the speakers provided me with an in-depth and clear vision of PAEMST alumni engagement in mentoring and teacher leadership.


  1. The Teacher Leadership Panel identified professional opportunities to enable me to become a more transformative teacher leader within my current role.


  1. The PAEMST Team provided me with a comprehensive view of future opportunities to become engaged in future PAEMST application cycles.


  1. The mentoring exemplars were informative of my future plans to become a STEM mentor.


  1. The vision for next steps in PAEMST teacher leadership and mentoring initiatives was clear and consistent with the goals of the PAEMST program.


  1. The PAEMST Alumni event allowed me a chance to engage in conversations with other alumni to identify teacher leadership opportunities and mentoring best practices.


  1. The technology applications used allowed me to capture the key points of valuable conversations for future reference in my professional work to becoming a mentor/teacher leader.


  1. Overall, I feel confident in broadening my teacher leadership development and mentoring involvement.



6. Provide any other comments or feedback that you may have with regards to the Alumni Event.







7. Please feel free to provide any ideas or suggestions for the next Alumni event in 2017.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorRebecca _x0010_Morrison
File Modified0000-00-00
File Created2021-01-28

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