Form FEMA Form 078-0-2A FEMA Form 078-0-2A NFA Long Term Evaluation Students/Trainees

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National Fire Academy Long-Term Evaluation Form for Students
(FEMA Form 078-0-2A)
Completion Instructions
1. Begin by checking the course dates and title below to make sure this is your 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 confidential.
4. At any time you may click the Save and Finish Later button to save your form and return to it later.

Course Title:

Incident Safety Officer

Course Code:

F0729

Course Dates:

8/22/2020 - 8/23/2020

Long-Term Student Part I
If you know it, please tell us your FDID#.

How many NFA resident courses have you taken in the course of your career?

How many NFA field courses have you taken in the course of your career?

How would you describe the primary population served by your department or organization? (Mark all that apply.)
Rural

State-wide

Suburban

Institutional

Urban

Government

County/District

Other (please specify)

Parish

How would you describe your service organization?
Career Fire Service
Career and Volunteer Fire Service
Volunteer Fire Service
Allied Professionals
Private/Contract
Other (please specify)

Please estimate the size of your department.
1 to 25 persons

201 to 500 persons

26 to 50 persons

501 to 1,000 persons

51 to 100 persons

1,001 to 2,000 persons

101 to 200 persons

Over 2,000 persons

What percentage are career personnel?
None
1 to 25%
26 to 50%
51 to 75%
76 to 99%
All
Don't Know

What percentage are volunteer personnel?
None
1 to 25%
26 to 50%
51 to 75%
76 to 99%
All
Don't Know

How many years have you been in the fire service?
Less than 1 year

16 to 20 years

1 to 5 years

Over 20 years

6 to 10 years

Not Applicable

11 to 15 years

What is your rank?
Sergeant

Bureau Chief

Lieutenant

Assistant Chief

Captain

Chief of Department

Battalion Chief

Other (please specify)

Division Chief
Deputy Chief
Not Applicable

Please indicate your present primary responsibility.
Command

Fire Prevention

Fire Suppression

Communications

EMS

Data Processing

Hazardous Materials

Public Education

Training/Instructor

Equipment Maintenance

Investigation

Administrative Services

Inspection/Enforcement

Other (please specify)

Please indicate your secondary responsibilities. (Mark all that apply.)
Command

Fire Prevention

Fire Suppression

Communications

EMS

Data Processing

Hazardous Materials

Public Education

Training/Instructor

Equipment Maintenance

Investigation

Administrative Services

Inspection/Enforcement

Other (please specify)

How many years have you held your current responsibilities?
Less than 1 year

11 to 15 years

1 to 5 years

16 to 20 years

6 to 10 years

Over 20 years

What is the highest level of education you have achieved?
Less than high school graduation

Bachelor's degree

High school graduation or equivalency

Graduate degree

Some college

Other (please specify)

Associate's degree
Prefer not to answer

What is your sex?
Male
Female
Prefer not to answer
How old were you on your last birthday? (If you prefer not to answer, just leave blank.)

Do you consider yourself of Hispanic or Latino/Latina ethnicity?
Yes
No
Prefer not to answer

What is your race? (Mark as many as apply, or none if you prefer not to answer.)
White
Black or African-American
Asian
Native Hawaiian or Pacific Islander
American Indian or Alaska Native
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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 078-0-2A (FEB 19, Students) OMB (Office of Management and Budget No. 1660-0039), Expiration: Feb. 28, 2022

Paperwork Burden Disclosure Notice
Public reporting burden for this form is estimated to be an average of 10 minutes per response. The
burden estimate includes the time for reviewing instructions, searching existing data sources, gathering
and maintaining the needed data, and completing, and submitting this form. This collection of information
is 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 (1660-0039) NOTE: Please do not send your completed form to
the above address.

An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official,
secure websites.

National Fire Academy Long-Term Evaluation Form for Students
(FEMA Form 078-0-2A)
Long-Term Student Part II

Where did you take this course?
At NFA in maryland
At a facility in my state
Other (please specify)

Why did you take this course? (Mark all that apply.)
Supervisor recommended it
Attendance was required for for my next duty or assignment
For general career advancement
Desire to broaden my perspective by working with personnel from across the country
Desire to increase my technical and professional knowledge
Other (please specify)

Did you check whether the course was from a source other than the National Fire Academy?
Yes
No (Skip to question 4)

Did you find it available elsewhere?
Yes
No

Where else was it available?
At a facility in my state
At a facility in this region but not in my state

Other (please specify)

Why did you choose to attend the NFA course? (Mark all that apply.)
Asked, told to, by my supervisor
Overall quality of the instruction, materials, etc.
Expectation that the content would be 'cutting edge'
Expectation that the teaching methods would be 'cutting edge'
Desire to interact with peers from around the country
No cost to me
Modest cost to my department
Other (please specify)

Have you used any of the training or information from this course on the job since returning to your department?
Yes
No
Now indicate your level of agreement or disagreement with each statement by selecting the appropriate value.

Strongly
Agree

Agree

Neutral

Disagree

What I learned from this course helped me do my job better.
This course has contributed to my professional development.
My supervisor is aware of how this course has improved my job
performance.
This training has helped the department address fire-related
problems in our community's high risk areas.
This NFA training has led to reductions in the fire-related risks in
the community.
This course has made me more safety conscious in my work.
Prevention ideas from the course have been incorporated into
the public education efforts of my department.
This NFA training has improved the performance of my
department.
This training has helped my department be better prepared to
respond to an "all hazards" or terrorist event(s).

Did you leave this training expecting to develop new policies or procedures for your department?

Strongly
Disagree

Not
Applicable

Yes
No

Did you actually develop them?
Yes
No

Were these policies or procedures implemented?
Yes
No

Have these policies or procedures improved the performance of your department?
Yes, they definitely have.
Yes, but only moderately
I'm not sure.
No, they have not.

Why Not? (Mark all that apply.)
Too different from current policies and procedures
Budget limitations
Political considerations
Legal, regulatory or union contract considerations
It's no longer part of my responsibilities
Other (please specify)

Have you shared the information you learned at the training with colleagues in the department?
Yes
No

How did you do it? (Mark all that apply.)
Informally, one-on-one
Informally, but in a group setting
Formally in a training session
Other (please specify)

Have those colleagues changed their job performance because of this information?

Yes
No
Don't Know

Would you recommend this course to others in your department?
Definitely yes
Probably
Unsure
Probably not
Definitely not

Have you attended other (non-NFA) courses for fire service personnel in the last three years?
Yes
No

Where was the training delivered? (Mark all that apply.)
At a facility in my state
At a regional facility, but not in my state
Other (please specify)

Who sponsored this training? (Mark all that apply.)
A national professional association
A state fire service agency
A county fire service agency
A state professional association
A technical or community college
Other (please specify)

Overall, how would you compare your NFA training with the other training you noted above? Regarding the training, would you say..
The NFA training was more useful
Both training experiences were equally useful
The other training experience was more useful

Regarding the curriculum materials, would you say...
The NFA curriculum was more useful
Both curricula were equally useful

The other curriculum materials were more useful
Please describe an incident or circumstance in which you applied your training from this NFA offering.

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Please do not enter more than 5000 characters.
If you could change one thing to improve this training course, what would it be?



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Please do not enter more than 5000 characters.
What do you think are the new, emerging issues in the fire service field that should be the topics for future NFA training classes?

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Please do not enter more than 5000 characters.
Finally, please add any comments you may have.

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Please do not enter more than 5000 characters.
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Review Evaluation

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 078-0-2A (FEB 19, Students) OMB (Office of Management and Budget) No. 1660-0039), Expiration: Feb. 28, 2022

Paperwork Burden Disclosure Notice
Public reporting burden for this form is estimated to be an average of 10 minutes per response. The
burden estimate includes the time for reviewing instructions, searching existing data sources, gathering
and maintaining the needed data, and completing, and submitting this form. This collection of information
is 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 (1660-0039) NOTE: Please do not send your completed form to
the above address.