Form FEMA Form 078-0-2 FEMA Form 078-0-2 NFA Long Term Evaluation Supervisors

National Fire Academy Long‐Term Evaluation Form

O.M.B. No. 1660-0039 (Expires XXXX)

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FEMA Form 078-0-2 (MMM YY, Supervisors)

Paperwork Reduction Act Notice | OMB No. 1660-0130

Paperwork Reduction Act Notice
Public reporting burden for this form is estimated to be an average of 6 minutes per response. The burden includes the time for reviewing instructions, searching existing data sources,
gathering and maintaining the needed data, and completing, reviewing and submitting the form. Although voluntary, you are not required to respond to this collection of information unless a
valid OMB control number appears in the upper right corner of this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to:
Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C St. SW, Washington, DC 20472, Paperwork Reduction Project
(1660-0032) NOTE: Please do not send your completed form to the above address.

U.S. Fire Administration, 16825 S. Seton Ave., Emmitsburg, MD 21727 | USNG: 18SUJ00529652
(301) 447-1000

Fax: (301) 447-1346

Admissions Fax: (301) 447-1441

National Fire Academy Long‐Term Evaluation Form for Supervisors
(FEMA Form 078‐0‐2)
Completion Instructions
1.

Begin by verifying the course dates and title below to make sure this is your employee's course.

2.

Use the buttons at the bottom of each page to navigate through the form.

3.

DO NOT enter your name in any location on the form so that your evaluation may remain anonymous.

4.

At any time you may click the Save and Finish Later button to save your form and return to it later.

Course Title:

Executive Development

Course Code:

R0123

Course Dates:

9/23/2013 - 10/4/2013

Long-Term Supervisor Part I
Please indicate your level of agreement or disagreement with each statement.
Strongly Agree

Agree

Neutral

Disagree

Strongly
Disagree

Not Applicable

The NFA training course has improved the job performance of this attendee.
This course contributed to the attendee's professional development.
Material from this training has been incorporated into the work of this department.
This training has helped the department address all hazard problems in our community's high-risk areas.
The information gained in this class is likely to improve the performance of this department.
The attendee's participation in this course has led to reductions in the overall fire-related risks in our
community.
The benefit to the department of having the attendee go to the training outweighed the costs involved.
The attendee has trained (formally or informally) other colleagues in the procedures learned at NFA
training.
I am likely to recommend that other department personnel attend NFA training courses.

The Save and Finish Later button will allow you to save answers already provided and come back to the form at a later time to complete it (provided the evaluation period hasn't expired).
FEMA Form 078-0-2 (MMM YY)

Paperwork Reduction Act Notice | OMB No. 1660-0130

U.S. Fire Administration, 16825 S. Seton Ave., Emmitsburg, MD 21727 | USNG: 18SUJ00529652
(301) 447-1000

Fax: (301) 447-1346

Admissions Fax: (301) 447-1441

National Fire Academy Long‐Term Evaluation Form for Supervisors
(FEMA Form 078‐0‐2)
Long-Term Supervisor Part II
What changes, if any, have you seen in your employee as a result of attending the NFA training class?

Has the attendee implemented any organizational changes since the training? If so, please describe them, and indicate how these changes have impacted your
department.

Do you see any emerging issues in the fire/emergency services field that are not currently covered in NFA courses?

What skills do you, your co-workers and supervisors need that training would improve?

Additional comments?

The Save and Finish Later button will allow you to save answers already provided and come back to the form at a later time to complete it (provided the evaluation period hasn't expired).
FEMA Form 078-0-2 (MMM YY)

Paperwork Reduction Act Notice | OMB No. 1660-0130

U.S. Fire Administration, 16825 S. Seton Ave., Emmitsburg, MD 21727 | USNG: 18SUJ00529652
(301) 447-1000

Fax: (301) 447-1346

Admissions Fax: (301) 447-1441