Form 1 Community College Day Feedback

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

OITE-OMBFT-CommunityCollegeDay-Feedback-Collection

NIH Office of Intramural Training & Education (OITE) – Community College Day Feedback (OD)

OMB: 0925-0648

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NIH COMMUNITY COLLEGE DAY FEEDBACK
OMB Number: 0925-0648 (Expiration Date: March 2018)
Public reporting burden for this collection of information is estimated to average 3-minutes per submission.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB control number. Send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for reducing this
burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974,
ATTN: PRA 0925-0648. Do not return the completed form to this address.
Are you a faculty member or student?

If you are a student, which school are you attending?

Enter the name of the school if you selected 'other':

If you are a student, indicate your academic major:

Overall, how woudl you rate Community College Day?
(5 = excellent; 3 = neutral; 1 = worst)
5

4

3

2

1

N/A

What did you like best?

What did you like least?

KEYNOTE ADDRESS BY DR. SHARON MILGRAM
I attended the keynote address by Dr. Milgram:
Yes

No

The keynote address lived up to my expectations.

The content of the keynote address was relevant to my position.

Comments about Dr. Milgram's keynote address:

CCSEP PANEL DISCUSSION
The CCSEP panel was helpful to me.

The CCSEP panel was knowledgeable about the material being presented.

What was the most valuable about the CCSEP panel discussion?

What improvements would you recommend for the CCSEP panel discussion?

CONCURRENT PANEL DISCUSSION
I attended the following Concurrent Panel Discussion

The panel was helpful to me.

The panel was knowledgeable about the material being presented.

I would recommend this panel to my colleagues (Concurrent Panel Discussion).

What was most valuable about this panel discussion (Concurrent Panel Discussion)?

What improvements would you recommend for this panel discussion (Concurrent Panel
Discussion)?

HEALTH SEMINARS
Which session of the Health Seminar did you attend?

The Health Seminar lived up to my expectations.

The content of the Health Seminar was relevant to my position.

I would recommend this Health Seminar to my colleagues.

Comments on the Health Seminar presentation.

FACULTY BREAKOUT SESSION #1
The session was helpful to me (FBS#1).

The session leaders were knowledable about the material being presented (FBS#1).

I would recommend this session to my colleagues (FBS#1).

What was most valuable about this session (FBS#1)?

What improvements would you recommend for this session (FBS#1)?

FACULTY BREAKOUT SESSION #2
The session was helpful to me (FBS#2).

The session leaders were knowledgeable about the material being presented (FBS#2).

I would recommend this session to my colleagues (FBS#2).

What was most valuable about this session (FBS#2)?

What improvements would you recommend for this session (FBS#2)?

AFTERNOON SKILLS BLITZ SESSION #1
I attended the following session (ASB#1).

The session was helpful to me (ASB#1).

The presenter(s) was/were knowledgeable about the material being presented (ASB#1).

I would recommend this session to my colleagues (ASB#1).

What was most valuable about this session (ASB#1)?

What improvements would you recommend for this session (ASB#1)?

AFTERNOON SKILLS BLITZ SESSION #2
I attended the following session (ASB#2).

The session was helpful to me (ASB#2).

The presenter(s) was/were knowledgeable about the material being presented (ASB#2).

I would recommend this session to my colleagues (ASB#2).

What was most valuable about this session (ASB#2)?

What improvements would you recommend for this session (ASB#2)?

AFTERNOON SKILLS BLITZ SESSION #3
I attended the following session (ASB#3).

The session was helpful to me (ASB#3).

The presenter(s) was/were knowledgeable about the material being presented (ASB#3).

I would recommend this session to my colleagues (ASB#3).

What was most valuable about this session (ASB#3)?

What improvements would you recommend for this session (ASB#3)?

CLOSING SESSION WITH DR. SHARON MILGRAM
The session was helpful to me (CSDM).

The presenter was knowledgeable about the material being presented (CSDM).

I would recommend this session to my colleagues (CSDM).

What was most valuable (CSDM)?

What improvements would you recommend for this session (CSDM)?

POSSIBLE CHANGES TO COMMUNITY COLLEGE DAY
Are there any career panels you would like to add to the program?

How could we improve the overall program?

Submit Survey

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File Typeapplication/pdf
File Titlefeedback - Office of Intramural Trainin...n at the National Institutes of Health
File Modified2016-07-05
File Created2016-07-05

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