Learning Circles Evaluation form

WEBINAR

OMB: ####-####
Date of Expiration:

Pre-Webinar Evaluation

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[email protected].
WEBINAR:

_______________________________________________

DATE(S):

_______________________________________________________________

PRESENTER(S):

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

1.
2.
3.
4.
5.

I [This is a placeholder for one of the customized webinar objectives].
I [This is a placeholder for one of the customized webinar objectives].
I [This is a placeholder for one of the customized webinar objectives].
I [This is a placeholder for one of the customized webinar objectives].
I [This is a placeholder for one of the customized webinar objectives].

6.

Which of the following best describes your organization?

Strongly
Disagree

Disagree

Agree

Strongly
Agree

1
1
1
1
1

2
2
2
2
2

3
3
3
3
3

4
4
4
4
4

Tribal government (e.g., governance, administration, support personnel)
Tribal program
Tribal consortium
Nonprofit organization
Other (please specify): _____________________
7.

8.

What is your organization’s geographical service area?
Reservation
Urban
Suburban

Rural
Frontier

What your role in your organization?
Program
Finance
Grants/contracts
Finance
Other (please specify):
_______________________

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

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additional suggestions, please write to TFMC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.