SCC Implementation Evaluation Participant Questionnaire
Faculty and Staff
APPENDIX E
SCC Implementation Evaluation Faculty and Staff Questionnaire
OMB Control Number: 1290 – 0043
OMB Expiration Date: 10/31/2025
Public reporting burden for this questionnaire is estimated to average 30 minutes to complete per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting the questionnaire. This collection of information is voluntary. You are not required to respond to this collection of information unless it displays a valid OMB control number. Please send comments regarding the burden estimate or any other aspect of this collection of information to the U.S. Department of Labor, Chief Evaluation Office, 200 Constitution Ave NW, Washington, DC 20210, or email [email protected] and reference OMB control number 1290-0043. NOTE: Please do not send your questionnaire to this address.
This questionnaire will gather information about your experience with the implementation of the [grant-funded program]. Please read each question carefully before answering. We have designed these questions to collect information that will improve program quality, and your honest feedback will be very valuable in accomplishing that goal.
Please take your time to answer each question. Your responses will remain confidential and only be used to improve the program. Try to complete the questionnaire in one sitting. The questionnaire should take about 30 minutes to finish.
You can choose to answer any or all of the questions. Please share additional comments or suggestions about the program in the open-ended questions at the end of the questionnaire. We value your feedback and insight. Click "Submit" to submit the questionnaire once all questions are complete.
Thank you for taking the time to work on our questionnaire. Your feedback is essential to help us improve [program name]. Please contact [technical support information] for questions or problems while taking this questionnaire. If you have concerns about how data will inform program improvement, please contact [Dr. Carolyn Sullins at [email protected]].
How long have you been a part of this program?
Less than 12 months
How many months? [open text entry]
One year or more
How many years? [open text entry]
What is your role in [program name]?
Faculty
Staff
Other (please specify) [open text entry]
How did you know about the [program name] program?
How would you rate your overall experience with this program?
Excellent
Good
Fair
Poor
In your opinion, is the program well-organized?
Yes
Please tell us why. [open text entry]
No
Please tell us what could be improved. [open text entry]
I don’t know
How satisfied are you with the resources offered by the program?
How would you rate communication with the [program name] staff?
How effectively do program staff address issues or concerns?
Very effectively
Mostly effectively
Rarely effectively
Never effectively
Have you encountered any significant challenges with the program?
Yes
Can you provide an example? [open text entry]
No
What has worked particularly well for you? [open text entry]
Would you describe opportunities as equal for people with diverse backgrounds in this SCC program?
Many equal opportunities
Please provide an example. [open text entry]
Some equal opportunities
Please give an example. [open text entry]
Limited equal opportunities
Please explain. [open text entry]
I don’t know
In your opinion, does the program promote diversity?
Yes
Please provide an example. [open text entry]
No
Please tell us why not. [open text entry]
I don’t know
Do you believe that the program respects and values its participants?
Always
Often
Sometimes
Rarely
Does the program provide a good mix of classroom instruction and hands-on learning? [open text entry]
How likely are you to continue your involvement with the program in the future?
Very likely
Likely
Unlikely
Very unlikely
Please explain. [open text entry]
What is your age? [open text entry]
What was your biological sex assigned at birth, on your original birth certificate?
Male
Female
Prefer not to answer
How do you currently describe yourself? (Check all that apply)
Male
Female
Transgender
I use a different term [open text entry]
Prefer not to answer
Just to confirm, you were assigned {FILL} at birth and now you describe yourself as {FILL}. Is that correct?
Yes
No <skip back to Q16 and/or Q17 to correct>
What is your race and/or ethnicity? (Please select all that apply).
American Indian or Alaska Native
Navajo Nation
Blackfeet Tribe of the Blackfeet Indian Reservation of Montana
Native Village of Barrow Inupiat Traditional Government
Nome Eskimo Community
Aztec
Maya
Other (please specify) [open text entry]
Asian
Chinese
Asian Indian
Filipino
Vietnamese
Korean
Japanese
Other (please specify) [open text entry]
Black or African American
African American
Jamaican
Haitian
Nigerian
Ethiopian
Somali
Other (please specify) [open text entry]
Hispanic or Latino
Mexican
Puerto Rican
Salvadoran
Cuban
Dominican
Guatemalan
Other (please specify) [open text entry]
Middle Eastern or North African
Lebanese
Iranian
Egyptian
Syrian
Iraqi
Israeli
Other (please specify) [open text entry]
Native Hawaiian or Pacific Islander
Native Hawaiian
Samoan
Chamorro
Tongan
Fijian
Marshallese
Other (please specify) [open text entry]
White
English
German
Irish
Italian
Polish
Scottish
Other (please specify) [open text entry]
What is the highest degree or level of education you have completed?
Less than a high school diploma
High school diploma or equivalent (GED)
Some college, no degree
Associate degree (e.g., AA, AS)/Trade school
Bachelor's degree (e.g. BA, BS)
Master’s Degree (e.g. MA, MS, MBA)
Professional Degree (e.g., MD, DDS)
Doctorate (e.g. PhD, EdD)
We are very interested in your experience with this program and would appreciate your response to the following:
One of the goals of this program is to close the equity gap by providing a pathway for people from traditionally underrepresented groups (i.e., women, people from racial and ethnic groups, persons with disabilities, LGBTQIA+ identifying individuals) to enter critical industries that offer well-paying careers. In your experience with this program, are there opportunities to achieve this goal? [open text entry]
Another
program goal is to increase workforce capacity in industry sectors
that require specialized skills and training and where there is
often a worker shortage. Will this program increase the highly
skilled workers available for industries with a worker shortage?
Why or why not? [open text entry]
Overall, this program seeks to increase the institution’s ability to partner with employers and workforce development agencies to train underserved and underrepresented groups in regionally and locally essential industries while opening a pathway to a well-paying career for students in the program. In your opinion, does this program have the potential to achieve this outcome? Why or why not? [open text entry]
What additional feedback can you provide about this SCC program? [open text entry]
Thank you for your feedback!
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Doherty, Kathryn |
File Modified | 0000-00-00 |
File Created | 2024-07-31 |