Form 1 Grantee Meeting Pre-Survey

OMB CN: 0970-0401 Expiration Date: 5/31/2021

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13): Public reporting burden for this collection of information is estimated to average .25 hour per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

1. What theme(s) would you like to see for this year’s meeting? (as a reminder ANA has grantees across the contiguous 48, Alaska, Hawaii and the territories of American Samoa, Guam, and The Commonwealth of the Northern Mariana Islands):

2. What resources would you find most beneficial to see at the 2018 ANA Grantee Meeting (for example, general grants management, networking with other funders/agencies, specific topics or speakers, etc.)

3. What breakout session topics are you most interested in?

   1. Are you interested in presenting on any of these topics? Yes/no

4. What elements of the event would you like to see, for example, listening session, cultural activities, networking and collaboration, poster session?

5. What types of networking format would be most helpful (for example, small group sessions, open meet and greet, poster session, etc.)?

   1. How long should these networking opportunities last, for example 1 hour, 2 hours, half day?

6. For workshop set ups, would you prefer classroom style, theater, talking circle, other?