Scholarship Applicant Feedback Professional Development

DEVELOPMENT SCHOLARSHIP

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 conference 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: _______________________________________________________

Part I. OVC Scholarship 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 an OVC Professional Development Scholarship?

□ Yes

□ No

If yes, would you have been able to attend the desired training without a scholarship?
□ Yes

□ No

□ N/A

If no, were you or will you be able to attend the desired training without a scholarship?
□ Yes
4.

□ No

□ N/A

Would you recommend the OVC Professional Development Scholarship 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 about the application process?

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

13. How often have you engaged with OVC TTAC in the last 12 months? (Mark one.)
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.

DEVELOPMENT SCHOLARSHIP

OMB#: 1121-XXXX
Date of Expiration: XXXX

Applicant Feedback
□ 1–3 times
□ 4–6 times

□ 7–9 times
□ 10+ times

14. Which of the following best describes your gender identity? (Mark one.)
□ Male
□ Female
□ Transgender Male

□ Transgender Female
□ Genderqueer/NonConforming/
Non-Binary

□ Two-Spirit
□ Not Listed (option to specify):
_________________________

15. Which of the following best describes your race/ethnicity? (Mark all that apply.)
□
□
□
□

American Indian or Alaska Native
Asian
Black/African American
Hispanic/Latino

□ Native Hawaiian or
Pacific Islander
□ White Non-Latino or
Caucasian

□ Not Listed (option to specify):
_________________________

16. 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):
_________________________

17. Which types of victim services do you provide for crime victims in your current position? (Mark all that apply.)
□
□
□
□
□

I do not provide direct services
Child Care
Compensation/Restitution
Counseling
Crisis Intervention

□ Criminal Justice System
Advocacy/Assistance
□ Housing/Shelter
□ Information/Referral
□ Medical/SANE/SART

□
□
□
□

Notification
Transportation
24-Hour Hotline
Other (please specify):
_________________________

18. Which of the following best describes the number of years of experience you have in your current field of work? (Mark one.)
□ Less than 3 years

□ 3 to 5 years

□ 6 to 10 years

□ More than 10 years

19. Which of the following best describes your primary role in your current position? (Mark all that apply.)
□ Direct Delivery/Front Line Staff
□ Management/Administrative Staff

□ Consultant/Trainer
□ Volunteer

□ Other (please specify):
_________________________

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

National
State
Tribal
International, list country:
_________________________________

□ Local
□ Urban
□ Rural
□ Suburban

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

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

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Part II. Event Feedback
Only complete this section if you were awarded a scholarship. Please note this section of the feedback form is NOT confidential in
order to help the OVC TTAC scholarship team make future decisions regarding similar events.
23. Please provide the following information about the event you attended that was funded by scholarships funds:

DEVELOPMENT SCHOLARSHIP

OMB#: 1121-XXXX
Date of Expiration: XXXX

Applicant Feedback

Event title: ____________________________________________________________________________________________
Date(s): ______________________________

Location: _____________________________________________________

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

OVERALL EVENT

Strongly
Disagree

Disagree

Neither
Agree nor
Disagree

Agree

Strongly
Agree

Not
Applicable

1

2

3

4

5

NA

1

2

3

4

5

NA

1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4

5
5
5
5
5
5
5
5

NA
NA
NA
NA
NA
NA
NA
NA

24. The event addressed the critical issues related to the topic(s).
25. The content was appropriate for my level of experience and
knowledge.
26. The event increased my knowledge related to the topic(s).
27. The event increased my practical skills related to the topic(s).
28. I will be able to apply what I learned in my work.
29. The event improved my ability to serve victims.
30. The event improved my ability to reach underserved victims.
31. The event improved my ability to collaborate with others.
32. The event met my professional needs.
33. I am satisfied with the overall quality of the event.
34. At which type of event was the training held? (Mark all that apply.)
□ National conference
□ State/regional conference

□ Local conference
□ Other (please specify): __________________________

As a result of participating in this session, please rate your level of confidence in your likelihood to do any of the following:

35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.

Share material with colleagues
Refer colleagues to other OVC TTAC events/resources
Train/educate others in content/skills learned
Pursue additional professional development
Develop/strengthen use of technology or infrastructure
Develop/strengthen collaborative or strategic relationships
Expand services to new victim populations
Expand types of services offered to victims
Strengthen administrative capacity to better serve victims of crime
(e.g., financial management, develop a board of directors)
Enact policy changes at my organization
Begin a new project or initiative
Change my management, leadership, or interpersonal
communication style
Strengthen evaluation or needs assessment activities
Network with other participants
Identify/pursue new funding resources

50. Implement/change financial procedures
51. Modify outreach/marketing activities
52. Develop/enhance vision, mission, or strategic plan

Very Low

Low

Moderate

High

Very
High

Not
Applicable

1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4

5
5
5
5
5
5
5
5

NA
NA
NA
NA
NA
NA
NA
NA

1

2

3

4

5

NA

1
1

2
2

3
3

4
4

5
5

NA
NA

1

2

3

4

5

NA

1
1
1
1
1
1

2
2
2
2
2
2

3
3
3
3
3
3

4
4
4
4
4
4

5
5
5
5
5
5

NA
NA
NA
NA
NA
NA

Please specify any other actions you plan to take as a result of this session that are not listed in the table above.

____________________________________________________________________________________
53. Please explain in detail any ways this session improved your organization’s capacity to better serve victims of crime:

____________________________________________________________________________________
____________________________________________________________________________________

DEVELOPMENT SCHOLARSHIP
Applicant Feedback

OMB#: 1121-XXXX
Date of Expiration: XXXX

54. What aspects of the event were most helpful and why?

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
55. Do you have any other comments or suggestions about the event?

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

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