Form 1 Parents and Educators Follow-up Survey

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

Partnering with Parents Educators Follow-up Survey

Partnering with Parents and Educators Follow-up Survey

OMB: 3045-0137

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AmeriCorps NCCC: Partnering with Parents & Educators

Webinar Follow-up Survey



  1. Which of the following best describes you?

    1. I am the parent of a young person aged 16-26

    2. I am a high school educator or counselor

    3. I am a college/university faculty or staff member

    4. I am a staff member of a nonprofit or community organization that works closely with 16-26-year-olds

    5. Other


  2. On a scale of 1 to 5, my understanding of AmeriCorps NCCC’s opportunities and benefits prior to the Webinar was... [with 1 being no understanding and 5 being thorough understanding]


  3. On a scale of 1 to 5, my understanding of AmeriCorps NCCC’s opportunities and benefits after the Webinar was... [with 1 being no understanding and 5 being thorough understanding]


  4. My questions about AmeriCorps NCCC were answered. [True/False]


  5. Based on the information presented during the Webinar, AmeriCorps NCCC could be a good fit for at least some of the 16-26-year-olds in my life.

    1. Strongly agree

    2. Agree

    3. Neither agree nor disagree

    4. Disagree

    5. Strongly disagree

    6. Not applicable


  6. The tools and resources shared during the Webinar (web pages, print materials ordering system, application guide, etc.) will help me spread the word about AmeriCorps NCCC’s opportunities to the 16-26-year-olds in my life.

    1. Strongly agree

    2. Agree

    3. Neither agree nor disagree

    4. Disagree

    5. Strongly disagree

    6. Not applicable



  1. Another resource or tool that would make it easier for me to share AmeriCorps NCCC’s opportunities with the 16-26-year-olds in my life is… [Text Box]


  2. (Optional) An area I wish had been covered during the webinar that wasn’t is… [Text Box]


  3. I would like an opportunity to talk to a representative from AmeriCorps NCCC. [Yes/No]

    1. If participant answers Yes: What is your preferred method of contact? [Radio dials with single line of text after each so individual can provide contact info where they prefer to be reached: Email, Phone]

    2. If by phone, what is the best time of day to reach you? [Multiple choice: Morning (8 AM – 11:45 AM EST); Afternoon (12 PM – 5 PM EST)

Shape1

250 E Street SW

Washington, D.C. 20525

202-606-5000/ 800-942-2677


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDulude, Jacqueline
File Modified0000-00-00
File Created2021-01-13

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