Conference Support Applicant Feedback form

CONFERENCE SUPPORT

OMB# 1121-XXXX
Date of Expiration: XXXX

Applicant Feedback

In order to help OVC TTAC better serve the field, we are reaching out to you and other conference support applicants to obtain
your feedback. We will protect the privacy of your information in accordance with the Federal Privacy Act, and we will protect the
confidentiality of your responses using procedures we have in place. Only members of the Needs Assessment and Evaluation Team
have access to information that could identify respondents. Answers to these questions will only be reported after aggregating all
responses, and the results will never identify you as an individual. Other participants, presenters, OVC staff, OVC TTAC staff, and
your employer will not have access to what you as an individual say. If you have any questions about this survey or the
evaluation, please contact [email protected].
Completing this feedback form is a requirement for support recipients and voluntary for those not awarded support. If you were
awarded conference support, please print your name in the space provided, so that your completion of this requirement can be
noted. The confidentiality of your responses is guaranteed.
Name:

Part I. OVC Conference Support Program
1.

How did you hear about the OVC Conference Support Program? (Mark all that apply.)
□
□
□

□
□
□

OVC TTAC Web site
OVC TTAC event
OVC TTAC Listserv

2.

What month and year did you apply? ________________________

3.

Were you awarded conference support?

□ Yes

Referred by another organization
Referred by a colleague or friend
Other(s): _____________________________

□ No

If yes, would you have been able to execute the desired conference without conference support?
□ Yes

□ No

□ N/A

If no, were you or will you be able to execute the desired conference without conference support?
□ Yes
4.

□ No

□ N/A

Would you recommend the OVC Conference Support Program to others?

□ Yes

□ No

Please indicate the extent to which you agree or disagree with the following statements.
APPLICATION PROCESS
5.
6.
7.
8.

OVC TTAC was responsive to my questions and needs.
The application was easy to complete.
The application clearly explained the eligibility requirements.
The application clearly explained the expenses covered under
the program.
9. I was satisfied with the notification process.
10. I am satisfied with the overall application process by OVC
TTAC.

Strongly
Disagree

Disagree

Neither
Agree nor
Disagree

Agree

Strongly
Agree

Not
Applicable

1
1
1

2
2
2

3
3
3

4
4
4

5
5
5

NA
NA
NA

1

2

3

4

5

NA

1

2

3

4

5

NA

1

2

3

4

5

NA

11. What could have been done differently to improve the application process?

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control
number. The estimated average time to complete this form is 10 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the OVC TTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.

CONFERENCE SUPPORT

OMB# 1121-0277
Date of Expiration: September 30, 2014

Applicant Feedback

12. Do you have any other comments or suggestions about the application process?

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
13. If you were awarded conference support funds, please provide the following information about the event:
Event Title: ___________________________________________________________________________________________
Date(s): ____________________________

Location: _____________________________________________________

Event Description: _____________________________________________________________________________________

______________________________________________________________________________________
______________________________________________________________________________________
14. Which of the following best describes your organization? (Mark all that apply.)





Community-Based/Grassroots
Criminal Justice Agency
Education
Faith-Based






Health Services
Human/Social Services
Legal Services
Legislation/Policymaking





Military
Research
Other (please specify):
__________________________

15. Which of the following best describes the population your organization serves? (Mark all that apply.)





National
State
Tribal
International, list country:
_______________________________



Local
 Urban
 Rural
 Suburban
Culturally specific population(s):__________________

Thank you for taking the time to complete this form and helping to improve OVC TTAC activities.