National Outreach Program Initiative (NOPI)

Name of Program:

Program Date:

Date

Date

MM/DD/YYYY

1. Overall, I am satisfied with my students’ group program experience (161)*.
Strongly Agree
Agree
Disagree
Strongly Disagree

2. Is this your first time for your students to participate in this program (162)?
Yes
No

3. Overall, the program met its stated objective(s) (166).
Strongly Agree
Agree
Disagree
Strongly Disagree

4. Will you recommend this program to other educators (167)?
Yes
No

5. Overall, the facilitator was effective (168).
Strongly Agree
Agree
Disagree
Strongly Disagree

6. The audiovisual technologies were fully functioning (164).
Yes
No

7. How could this program be improved?

8. What topic(s) would you like to see addressed in the future?

How did you hear about the National Archives' distance learning programs (e.g. flyer or
website)?

*Numbers are for internal purposes only*

PAPERWORK REDUCTION ACT PUBLIC BURDEN STATEMENT: You are not required to provide the information
requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control
number. Public burden reporting for this collection of information is estimated to be less than 5 minutes per
response. Send comments regarding the burden estimate or any other aspect of the collection of information,
including suggestions for reducing this burden, to National Archives and Records Administration (MP), 8601
Adelphi Rd, College Park, MD 20740-6001. DO NOT SEND COMPLETED FORMS TO THIS ADDRESS.
OMB Control No. 3095-0070 Expiration date 12/31/2024