Employer/Institution Re-Verification

OMB Control No. 1205-0426
Expiration Date 5/31/16

Persons are not required to respond to this collection of information unless it displays a current valid
Office of Management and Budget (OMB) control number. Responding to this questionnaire is
voluntary. The collection of this information has been approved under OMB control number 1205-0426,
expiration date 5/31/16. On average, it takes about 10 minutes to complete this survey, including time for
reviewing instructions, searching data sources, and completing and reviewing the information.

Appendix D - 1: Employer Verification/Satisfaction Questionnaire
May I speak with ? My name is (INTERVIEWER’S NAME) with IMPAQ
International. We work with Job Corps, a national training program for youth and Job Corps is interested in
learning about how well the program serves the employment needs of employers. I am calling to verify the
employment of at your institution
The collection of this information has been approved under OMB approval number 1205- XXXX, Expiration
Date xx/xx/xx. On average, it takes about 10 minutes to complete this survey.
Q1. Our records indicate you hired former Job Corps students last year. It that correct?
1
2

Yes>>Go to Q3
No >>Go to Q2
8
9

Don’t know>> Go to Q2
Refused>>Go to Q2

Q2. For example, our records show was employed at as . Is that
correct?
1
2

Yes >> Go to Q3
No >>Go to ALT
8 Don’t know>>Go to ALT
9 Refused>>Go to ALT

ALT. Is there anyone else who could answer questions about how well Job Corps has served this employer’s needs?
1
2

Yes >> Request transfer or record contact information for alternate person if call back is needed
No>>Go to THANKS
8 Don’t know>>Go to THANKS
9 Refused >> Go to THANKS

Q3. Please rate your satisfaction with your Job Corps hires. Would you say you are….
1
2
3

Appendix D

Very satisfied,
Satisfied
Neither satisfied or dissatisfied

1

Employer/School/Training Verification/Satisfaction

OMB Control No. 1205-0426
Expiration Date 5/31/16

4
5

Dissatisfied,
Or, Very dissatisfied with your Job Corps hires?

8
9

Don’t know>>Go to THANKS
Refused>>Go to THANKS

Q4. On a scale of 0 to 10, where 0 is the least satisfied and 10 is the most satisfied, how would you rate your
satisfaction with the quality of staff provided by Job Corps?
Interviewer: Record number ___________

Q5. On a scale of 0 to 10, where 0 is the least prepared, and 10 is the most prepared, how well do you think Job
Corps prepared the student for the position?
Interviewer: Record number ___________

Q6. How would you rate the student’s problem solving skills? Would you say they …
1
Do not meet expectations,
2
Meet expectations
3
Or, Exceed expectations?
8 Don’t know
9 Refused
Q7. Would you consider hiring Job Corps students in the future?
1 Yes
2 No
8 Don’t know
9 Refused

Q8. Do you have additional comments or suggestions for Job Corps?
1
2

Yes>>Go to Q8a
No>>Go To THANKS

Q8a. Record comments: ____________________________________________

Appendix D

2

Employer/School/Training Verification/Satisfaction

OMB Control No. 1205-0426
Expiration Date 5/31/16

THANKS

Appendix D

That is all the information I need. Thank you for your help.

3

Employer/School/Training Verification/Satisfaction

OMB Control No. 1205-0426
Expiration Date 5/31/16

Appendix D - 2: School/Training Verification/Satisfaction Questionnaire
May I speak with ? My name is (INTERVIEWER’S NAME) with IMPAQ
International. We work with Job Corps, a national training program for youth. I am calling to verify the
participation of at your institution
The collection of this information has been approved under OMB approval number 1205- XXXX, Expiration
Date xx/xx/xx. On average, it takes about 10 minutes to complete this survey, including time for reviewing
instructions, searching data sources, and completing and reviewing the information.
INTERVIEWER: SOME SCHOOLS HAVE A POLICY NOT TO VERIFY ENROLLMENT. OTHERS
WILL ONLY VERIFY THAT A PERSON WAS ENROLLED AND WILL GIVE NO OTHER
INFORMATION. IF YOU FIND THAT THIS IS THE CASE, MARK APPROPRIATE ANSWER IN
SV1 AND GO TO THE END.
SV1.

Our records show that (he/she/ ) enrolled in around . Is that
correct?

1
2
3
4

Yes
No
Will Not Verify
Will Verify Enrollment Only, No Other information
Don’t know
Refused

8
9

SET SCHOOL TO YES AND GO TO SV2
GO TO PROGRAM CHECK 1
GO TO END OF INTERVIEW SCRIPT
GO TO END OF INTERVIEW SCRIPT
GO TO END OF INTERVIEW SCRIPT
GO TO END OF INTERVIEW SCRIPT

PROGRAM CHECK1: SET QP REASON CODE TO QP_ SCH = 1 GO TO END OF INTERVIEW SCRIPT

SV2.

And did (he/she) enroll around ?

INTERVIEWER: IF RESPONDENT ALREADY TOLD YOU STUDENT WAS ENROLLED AROUND THIS
DATE, MARK “YES.”
1
2

Yes
No
8

Appendix D

SET SCHOOL TO YES AND GO PROGRAM CHECK 2

Don’t know

4

Employer/School/Training Verification/Satisfaction

OMB Control No. 1205-0426
Expiration Date 5/31/16

SV3.

On what date did (he/she) enroll there? Your best estimate is fine here.
ENTER DATE [DATE]
8

Don’t know

PROGRAM CHECK 2: IF PLACE_ST IN (08, 09, 12) ASK Q. SV4, ELSE GO TO SV5.

SV4. And was (he/she) expected to attend school/this program at least 20 hours per week?
1
2

Yes
No
8
9

GO TO SCHOOL SAT
GO TO PROGRAM CHECK 3
Don’t know
Refused

PROGRAM CHECK 3: SET QUESTIONABLE PLACEMENT REASON CODE. QP_SCH = 4. DISPLAY QP
MSG SCREEN AND THEN GO TO END OF INTERVIEW SCRIPT.

PROGRAMMING NOTE: THIS QUESTION FOR PLACE_ST CODE = 06, 07 COLLEGE COMBINATION
OR 10 COLLEGE ONLY.

SV5. And our records show (he/she) registered at least (6/9) credit hours around . Is that
correct?
1
2

Yes
No
8

SV6.

GO TO SCHOOL SAT
ASK Q. SV6
Don’t know

ASK Q. SV6

Was there any time when (he/she) was registered for at least (6/9) credit hours?
1
2

Yes
No
8

Appendix D

GO TO SCHOOL SAT
GO TO PROGRAM CHECK
Don’t know

GO TO PROGRAM CHECK
5

Employer/School/Training Verification/Satisfaction

OMB Control No. 1205-0426
Expiration Date 5/31/16

SCHOOL SAT
SV7. How would you rate the students' academic preparation for this education/training program? Would you say they …
1
2
3
8

Do not meet expectations,
Meet expectations
Or, Exceed expectations?
Don’t know

9 Refused

SV8. How would you rate the students' employability and professionalism in the school/training setting? Would you say they
…
1
2
3
8
9

Do not meet expectations,
Meet expectations
Or, Exceed expectations?
Don’t know
Refused

PROGRAM CHECK: IF PLACED_ST = 10 SET QP REASON CODE TO QP_SCH = 5. IF PLACED_ST =
06 OR 07 SET QP REASON CODE TO QP_SCH = 7. SHOW QP MSG SCREEN THEN DISPLAY END OF
INTERVIEW SCRIPT.

END OF INTERVIEW:

That’s all the information I need. Thank you for your time today.

Appendix D

6

Employer/School/Training Verification/Satisfaction

OMB Control No. 1205-0426
Expiration Date 5/31/16

Appendix D

7

Employer/School/Training Verification/Satisfaction