Learning Circle Evaluation form

LEARNING CIRCLE

OMB Control Number: ####-####

FEEDBACK

Date of Expiration: ##/##/####

The Office for Victims of Crime Tribal Financial Management Center (OVC TFMC) relies on your feedback to better serve you
and the tribal victim services field. 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, including reporting all information in
aggregate to avoid identifying information. If you have any questions about this evaluation, please contact
[email protected]
LEARNING CIRCLE: ________________________________________________________ DATE: ___________________
FACILITATOR(S): ____________________________________________________________________
TFMC COORDINATOR: _______________________________________________________________

Please indicate the extent to which you agree or disagree with each statement.

OUTCOMES
1.
2.
3.
4.
5.
6.

As a result of this learning circle, I had the opportunity to network with
other grantees.
As a result of this learning circle, I learned something new about
financial management.
As a result of this learning circle, [insert specific outcome related to
objective].
As a result of this learning circle, [insert specific outcome related to
objective].
As a result of this learning circle, [insert specific outcome related to
objective].
As a result of this learning circle, [insert specific outcome related to
objective].

Strongly
Disagree

Disagree

Agree

Strongly
Agree

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

Please indicate the extent to which you agree or disagree with the following statements.

FACILITATOR 1: ___________________

Strongly
Disagree

Disagree

Agree

Strongly
Agree

1

2

3

4

7.

The facilitator’s expertise was appropriate for this forum.

8.

The facilitator demonstrated cultural humility.

1

2

3

4

9.

The facilitator demonstrated knowledge of tribal communities.

1

2

3

4

1

2

3

4

Strongly
Disagree

Disagree

Agree

Strongly
Agree

11. The facilitator’s expertise was appropriate for this forum.

1

2

3

4

12. The facilitator demonstrated cultural humility.

1

2

3

4

13. The facilitator demonstrated knowledge of tribal communities.

1

2

3

4

14. The facilitator engaged and interacted with the audience.

1

2

3

4

Strongly
Disagree

Disagree

Agree

Strongly
Agree

1

2

3

4

10. The facilitator engaged and interacted with the audience.

FACILITATOR 2: ___________________

OVERALL FEEDBACK
15. The time allotted was appropriate for discussion.
16. The technology provided a good learning environment.

1

2

3

4

17. The content of the learning circle aligned with the needs of grantees.

1

2

3

4

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 2 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the TFMC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.

LEARNING CIRCLE

OMB Control Number: ####-####

FEEDBACK

Date of Expiration: ##/##/####

22. Please rate the overall quality of the learning circle.
1

2

3

4

Poor

Fair

Good

Excellent

23. How useful was the discussion during the learning circle to your role within your organization?
1

2

3

4

Not Useful

Somewhat Useful

Useful

Very Useful

24. Would you recommend TFMC to others for training or technical assistance?
25. What is your organization’s geographical service area?
□ Reservation
□ Urban
□ Suburban

□
□

□ Yes

□ No

Rural
Frontier

26. What is your role in your organization?

□
□
□
□
□

Program
Finance
Grants/contracts
Tribal leader
Other (please specify): _________________________________

27. How did you hear about TFMC?

□
□
□
□
□
□
□
□

Department of Justice - Office for Victims of Crime
Fellow grant recipient
Colleague
Outreach from TFMC (informational materials, calls, emails)
Contact in my field
Tribal organization (NCAI, TLPI, other)
TFMC website
Other (please specify): _______________________

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

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 2 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the TFMC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.