Scholarship Applicant feedback

ORGANIZATIONAL SCHOLARSHIP/
CONFERENCE SUPPORT

OMB#: 1121-XXXX
Date of Expiration: XXXX

Applicant Feedback
In order to help OVC TTAC better serve the field, we would like to obtain your feedback. 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. Answers to these questions will be reported after aggregating all responses. Your participation in
this survey is completely voluntary. If you have any questions about this survey or the evaluation, please contact
[email protected].
Completing this feedback form is a requirement for support recipients and voluntary for those not awarded support. If you were
awarded support, please print your name in the space provided so that your completion of this requirement can be noted. The
confidentiality of your responses is guaranteed.
Name: _______________________________________________________

OVC Organizational Scholarship/Conference Support Program
1.

How did you hear about this OVC Scholarship Program? (Mark all that apply.)
□
□
□
□

OVC TTAC website
Exhibit or presentation at a conference
OVC TTAC listserv
OVC program monitor or other OVC staff person

□
□
□
□

Another organization
A colleague or friend
Publication or newsletter
Other (please specify): __________________________

2.

What month and year did you apply? ________________________

3.

Were you awarded conference support?

□ Yes

□ No

If yes, would you have been able to execute the desired conference without conference support?
□ Yes

□ No

□ N/A

If no, were you or will you be able to execute the desired conference without conference support?
□ Yes
4.

□ No

□ N/A

Would you recommend OVC TTAC to others?

□ Yes

□ No

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

APPLICATION PROCESS
5.
6.
7.

OVC TTAC was responsive to my questions and needs.
The application was easy to complete.
The application instructions clearly explained the eligibility
requirements.
8. The application instructions clearly explained the expenses covered
under the program.
9. I am satisfied with the notification process.
10. I am satisfied with the overall application process by OVC TTAC.

Strongly
Disagree

Disagree

Neither
Agree nor
Disagree

Agree

Strongly
Agree

Not
Applicable

1
1

2
2

3
3

4
4

5
5

NA
NA

1

2

3

4

5

NA

1

2

3

4

5

NA

1
1

2
2

3
3

4
4

5
5

NA
NA

11. What could be done differently to improve the application process?

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
12. Do you have any other comments or suggestions?

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
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 10 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the OVC TTAC evaluation team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.

ORGANIZATIONAL SCHOLARSHIP/
CONFERENCE SUPPORT

OMB#: 1121-0341
Date of Expiration: XXXX

Applicant Feedback
13. If you were awarded funds, please provide the following information about the event:
Event title: ____________________________________________________________________________________________
Date(s): ______________________________

Location: _____________________________________________________

Event Description: _____________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
14. Which of the following best describes the organization in which you work? (Mark all that apply.)
□
□
□
□

Community-Based/Grassroots
Criminal Justice Agency
Education
Faith-Based

□
□
□
□

Health/Mental Health Services
Human/Social Services
Legal Services
Legislation/Policymaking

□ Military
□ Research
□ Other (please specify):
_________________________

15. Which of the following best describes the population you serve? (Mark all that apply.)
□
□
□
□

National
State
Tribal
International, list country:
_________________________________

□ Local
□ Urban
□ Rural
□ Suburban

16. Please provide your city and state (i.e., location of organization or professional address).

___________________________________________________________________________________
17. Please list any marginalized or underserved populations you serve.

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

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