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pdfDEPARTMENT OF HOMELAND SECURITY
Transportation Security Administration
OMB Control Number
1652-0041 Expiration Date:
09/30/2022
END OF COURSE LEVEL 1 EVALUATION—INSTRUCTOR-LED CLASSROOM TRAINING
FOR STUDENTS WHO ARE NOT TSA EMPLOYEES
INSTRUCTIONS: The purpose of this survey is to determine to what extent you were satisfied with your learning experience. Please
answer each question candidly, as your feedback will help us to better understand your impression of the course. Your responses are
encouraged and will be kept confidential. Using the ratings scale below, submit your completed evaluation as directed.
NOTE: No PII/SSI is allowed on this survey
Course Title:
to:
Course Date(s): from:
SA: Strongly Agree
A: Agree
N: Neither agree nor disagree
D: Disagree
SD: Strongly Disagree
N/A: Not Applicable
For any item(s) rated Strongly Disagree or Disagree, please explain in Section VII, Comments/Suggestions
SECTION I. Course Evaluation
1.
I understood the learning objectives.
2.
Course content aligned with learning objectives.
3.
I was appropriately challenged by the material.
4.
I was satisfied with the course length.
5.
I was comfortable with the pace of the lessons.
6.
The format (classroom, online, reading, etc.) of this training helped me
to apply what I learned on the job.
7.
Overall, I was satisfied with the course.
SECTION II. Training Benefit
1.
2.
3.
4.
SA
A
N
D
SD
N/A
SA
A
N
D
SD
N/A
SA
A
N
D
SD
N/A
This training gave me knowledge or skills that I did not otherwise gain from
on-the-job experience.
Applying the knowledge and skills from this training will make me
more effective in leading TSA/DHS mission execution.
I have the support of my supervisor in applying what I have learned, back on
the job.
I consider this training to have been a worthwhile investment in
my professional development.
SECTION III. Part A.
Instructor 1
OLC ID:
1.
The instructor demonstrated knowledge of course content.
2.
The instructor started and ended class sessions on time.
3.
The instructor encouraged student participation.
4.
The instructor provided constructive feedback.
5.
The instructor refrained from inappropriate behaviors/discussions.
Previous editions of this form are obsolete
TSA Form 1904A (9/19) rev. [File: 1900.1.1-a]
Page 1 of 4
OMB Control Number 1652-0041
Expiration Date: 09/30/2022
END OF COURSE LEVEL 1 EVALUATION—INSTRUCTOR-LED CLASSROOM TRAINING
FOR STUDENTS WHO ARE NOT TSA EMPLOYEES
SECTION III. Part B.
Instructor 2
OLC ID:
1.
The instructor demonstrated knowledge of course content.
2.
The instructor started and ended class sessions on time.
3.
The instructor encouraged student participation.
4.
The instructor provided constructive feedback.
5.
The instructor refrained from inappropriate behaviors/discussions.
SECTION III. Part C.
Instructor 3
OLC ID:
1.
The instructor demonstrated knowledge of course content.
2.
The instructor started and ended class sessions on time.
3.
The instructor encouraged student participation.
4.
The instructor provided constructive feedback.
5.
The instructor refrained from inappropriate behaviors/discussions.
SECTION III. Part D.
Instructor 4
OLC ID:
1.
The instructor demonstrated knowledge of course content.
2.
The instructor started and ended class sessions on time.
3.
The instructor encouraged student participation.
4.
The instructor provided constructive feedback.
5.
The instructor refrained from inappropriate behaviors/discussions.
SECTION III. Part E.
Instructor 5
OLC ID:
1.
The instructor demonstrated knowledge of course content.
2.
The instructor started and ended class sessions on time.
3.
The instructor encouraged student participation.
4.
The instructor provided constructive feedback.
5.
The instructor refrained from inappropriate behaviors/discussions.
SA
A
N
D
SD
N/A
SA
A
N
D
SD
N/A
SA
A
N
D
SD
N/A
SA
A
N
D
SD
N/A
Previous editions of this form are obsolete
TSA Form 1904A (9/19) rev. [File: 1900.1.1-a]
Page 2 of 4
OMB Control Number 1652-0041
Expiration Date: 09/30/2022
END OF COURSE LEVEL 1 EVALUATION—INSTRUCTOR-LED CLASSROOM TRAINING
FOR STUDENTS WHO ARE NOT TSA EMPLOYEES
SECTION III. Part F.
Instructor 6
OLC ID:
1.
The instructor demonstrated knowledge of course content.
2.
The instructor started and ended class sessions on time.
3.
The instructor encouraged student participation.
4.
The instructor provided constructive feedback.
5.
The instructor refrained from inappropriate behaviors/discussions.
SECTION IV. Testing Evaluation
1.
I understood the testing instructions.
2.
Test questions were consistent with course objectives.
3.
Test questions were clearly written and understandable.
SECTION V. Facilities Evaluation
1.
I was satisfied with the classroom (i.e., set up, lighting, comfort).
2.
I experienced minimal distractions during the course.
3.
I was satisfied with the support services (i.e., cafeteria, shuttle service).
SECTION VI. Recommendations
1.
SA
A
N
D
SD
N/A
SA
A
N
D
SD
N/A
SA
A
N
D
SD
N/A
SA
A
N
D
SD
N/A
I would recommend this training to a colleague at my level.
SECTION VII. Comments/Suggestions
1. Please provide feedback on what you liked most about the course and why. If you have no comment, please leave the
section completely blank.
Previous editions of this form are obsolete
TSA Form 1904A (9/19) rev. [File: 1900.1.1-a]
Page 3 of 4
OMB Control Number 1652-0041
Expiration Date: 09/30/2022
END OF COURSE LEVEL 1 EVALUATION—INSTRUCTOR-LED CLASSROOM TRAINING
FOR STUDENTS WHO ARE NOT TSA EMPLOYEES
2. Please provide feedback on what you liked least about the course and why. If you have no comment, please leave the
section completely blank.
3. What changes, if any, would you suggest to improve the learning experience? If you have no comment, please leave the
section completely blank.
Thank you for your participation!
PAPERWORK REDUCTION ACT STATEMENT: Through this voluntary information collection, TSA is gathering information to
improve course curriculum and instruction. The public burden for this collection is estimated to be approximately 30 minutes (0.5
hours). An agency may not conduct or sponsor, and persons are not required to respond to a collection of information, unless it
displays a valid OMB control number. The OMB control number assigned to this collection is 1652-0041, which expires
09/30/2022. Send comments regarding this burden estimate or collection to: TSA-11, Attention: PRA 1652-0041 TSA End of Course
Level 1 Evaluation - Instructor-Led Classroom Training, 6595 Springfield Center Drive, Springfield, VA 20598.
Previous editions of this form are obsolete
TSA Form 1904A (9/19) rev. [File: 1900.1.1-a]
Page 4 of 4
| File Type | application/pdf |
| File Title | TSA Form 1904A End of Course Level 1 Evaluation - Instructor Led Classroom Training |
| Subject | Form to collect student reaction to instructor led training classroom to ensure that training is engaging and valuable. |
| Author | Transportation Security Administration |
| File Modified | 2022-02-14 |
| File Created | 2018-06-05 |