Form 1190-0NEW CRS Program Evaluation Forms Training Programs

OMB No. XXXX-XXXX

Expiration Date: XX/XX/XXXX

CRS Program Evaluation Forms
Training Programs

August 2024

Burden Statement

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control Number. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation to respond to this collection is voluntary. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to CRS/DOJ, Contracts & Forms, 145 N. ST NE, Washington, DC 20002 and reference the OMB Control Number XXXX-XXXX.

Training Programs

In what language do you want to complete the survey?

¿En qué idioma desea completar la encuesta?

 English/Inglés 1

 Spanish/Español 2

This survey will help the Community Relations Service (CRS) improve training programs. CRS will not publish or make public any comments or other information collected that could identify any specific person without written consent from that person.

Date of Program:

DATE

1. Program name (select from list):

 Engaging with Transgender and Non-binary Youth 1

 Engaging and Building Partnerships with Muslim Americans 2

 Engaging and Building Partnerships with Sikh Americans 3

 Engaging and Building Relationships with Transgender Communities 4

 Facilitating Meetings Around Community Conflict 5

 Reducing Risk During Public Events: Contingency Planning 6

 Event Marshals: Maintaining Safety During Public Events 7

2. Name of CRS staff administering program

CRS STAFF

 N/A (online program)

3. Location (City, State)

LOCATION

4. Please select one category that best describes your role:

 Community member 1

 Faith leader 2 GO TO 4b

 Law enforcement 3 GO TO 4b

 City or government official 4 GO TO 4b

 School administrator, teacher, or other staff 5 GO TO 4b

 Nonprofit organization leader 6 GO TO 4b

 Advocacy group member 7 GO TO 4b

 Other (please specify) 99 GO TO 4b

4a. [IF Q.3 ROLE = 1] How many years have you lived in your community?

YEARS

(STRING (NUM))

4b. [IF ROLE NE 1] How many years have you been in your current role?

YEARS

(STRING (NUM))

5. Were you involved in planning this program?

 Yes 1

 No 0

 Unsure 2

We greatly appreciate receiving your feedback, and we will use your responses to help improve the program.

6. Please rate how strongly you agree or disagree with each of the following statements.

PROGRAMMER: CODE ONE PER ROW

Select one per row

	Strongly Disagree	Disagree	Neither agree nor disagree	Agree	Strongly Agree
a. The program had clear, understandable goals.	1 	2 	3 	4 	5 
b. The program was interactive.	1 	2 	3 	4 	5 
c. The program was engaging.	1 	2 	3 	4 	5 
d. The program created a safe environment and made it comfortable for me to share my personal experiences, views, and opinions.	1 	2 	3 	4 	5 
e. I feel prepared to apply what I learned from the program to my professional or personal life.	1 	2 	3 	4 	5 
f. The program was culturally responsive, applicable, and appropriately tailored to meet my community’s needs.	1 	2 	3 	4 	5 
g. The program met my expectations.	1 	2 	3 	4 	5 
h. The program was a worthwhile use of my time.	1 	2 	3 	4 	5 

In the next sections, we will first ask you questions about your current level of knowledge on different topics now that you have completed the program. Then, we will ask you about how much you learned as a result of the program.

7. On a scale of 1 to 5, where 1 is you have no understanding at all and 5 is you have a very comprehensive understanding of the topic, please rate your current level of understanding on the following topics.

PROGRAMMER: CODE ONE PER ROW

Select one per row

	No understanding at all	A little	Moderate	Comprehensive	Very comprehensive understanding
a. How to respectfully talk with and about [transgender and non-binary youth / [transgender/ Muslim American/ Sikh American] communities].	1 	2 	3 	4 	5 
b. Strategies I can use to respectfully engage [transgender and non-binary youth / [transgender/ Muslim American/ Sikh American] communities].	1 	2 	3 	4 	5 
c. Civil rights–related issues that affect [transgender and non-binary youth / members from the [transgender/ Muslim American/ Sikh American] communities].	1 	2 	3 	4 	5 
d. The beliefs and daily practices of [Muslim American/ Sikh American] communities.	1 	2 	3 	4 	5 
e. The diversity of [transgender and non-binary youth [transgender/ Muslim American/ Sikh American] communities].	1 	2 	3 	4 	5 
f. How misconceptions and stereotypes can affect responses to hate crimes against [transgender/ Muslim American/ Sikh American] communities].	1 	2 	3 	4 	5 

8. [IF Q1= 1] On a scale of 1 to 5, where 1 is you have no understanding at all and 5 is you have a very comprehensive understanding of the topic, please rate your current level of understanding on the following topics.

PROGRAMMER: CODE ONE PER ROW

Select one per row

	No understanding at all	A little	Moderate	Comprehensive	Very comprehensive understanding
a. Dangers transgender and non-binary youth face.	1 	2 	3 	4 	5 
b. Strategies I can use to create a safe and welcoming environment for transgender and non-binary youth.	1 	2 	3 	4 	5 
c. The legal, societal, and medical barriers that transgender and non-binary youth face.	1 	2 	3 	4 	5 
d. Basics of the legal, societal, and medical processes of transitioning.	1 	2 	3 	4 	5 

9. On a scale of 1 to 5, where 1 is not at all and 5 is a great amount, please indicate how much your understanding or knowledge about the following topics increased as a result of the program.

[INSTRUCTION: The following questions apply to Engaging with Transgender and Non-binary Youth, Engaging and Building Partnerships with Muslim Americans, Sikh Americans, and Transgender Communities]

PROGRAMMER: CODE ONE PER ROW

Select one per row

	Not at all	A little	Some	A good amount	A great amount
a. How to respectfully talk with and about [transgender and non-binary youth / [transgender / Muslim American/ Sikh American] communities]	1 	2 	3 	4 	5 
b. Strategies I can use to respectfully engage [transgender and non-binary youth / members from the [transgender / Muslim American/ Sikh American] communities.	1 	2 	3 	4 	5 
c. Civil rights–related issues that affect [transgender and non-binary youth / members from the [transgender / Muslim American/ Sikh American] communities].	1 	2 	3 	4 	5 
d. The beliefs and daily practices of [Muslim American/ Sikh American] communities.	1 	2 	3 	4 	5 
e. The diversity of [transgender and non-binary youth / members from the [transgender / Muslim American/ Sikh American] communities].	1 	2 	3 	4 	5 
f. How misconceptions and stereotypes can affect responses to hate crimes against [ members from [transgender / Muslim American/ Sikh American] communities].	1 	2 	3 	4 	5 

10. On a scale of 1 to 5, where 1 is not at all and 5 is a great amount, please indicate how much your understanding or knowledge about the following topics increased as a result of the program.

PROGRAMMER: CODE ONE PER ROW

Select one per row

	Not at all	A little	Some	A good amount	A great amount
a. Dangers transgender and non-binary youth face.	1 	2 	3 	4 	5 
b. Strategies I can use to create a safe and welcoming environment for transgender and non-binary youth.	1 	2 	3 	4 	5 
c. The legal, societal, and medical barriers that transgender and non-binary youth face.	1 	2 	3 	4 	5 
d. Basics of the legal, societal, and medical processes of transitioning.	1 	2 	3 	4 	5 

11. On a scale of 1 to 5, where 1 is you have no understanding at all and 5 is you had a very comprehensive understanding of the topic, please rate your current level of understanding on the following topics.

[INSTRUCTION: The following questions apply to Facilitating Meetings Around Community Conflict (FMACC)].

PROGRAMMER: CODE ONE PER ROW

Select one per row

	No understanding at all	A little	Moderate	Comprehensive	Very comprehensive understanding
a. How to facilitate conversations or mediate conflict in my community.	1 	2 	3 	4 	5 
b. Strategies for how to move forward when a disagreement occurs while mediating conflict.	1 	2 	3 	4 	5 

12. On a scale of 1 to 5, where 1 is not at all and 5 is a great amount, please indicate how much your understanding or knowledge about the following topics increased as a result of the program.

[INSTRUCTION: The following questions apply to Facilitating Meetings Around Community Conflict (FMACC)].

PROGRAMMER: CODE ONE PER ROW

Select one per row

	Not at all	A little	Some	A good amount	A great amount
a. How to facilitate conversations or mediate conflict in my community.	1 	2 	3 	4 	5 
b. Strategies for how to move forward when a disagreement occurs while mediating conflict.	1 	2 	3 	4 	5 

13. On a scale of 1 to 5, where 1 is you have no understanding at all and 5 is you had a very comprehensive understanding of the topic, please rate your current level of understanding on the following topics.

[INSTRUCTION: The following questions apply to Reducing Risk During Public Events: Contingency Planning and Event Marshals: Maintaining Safety During Public Events].

PROGRAMMER: CODE ONE PER ROW

Select one per row

	No understanding at all	A little	Moderate	Comprehensive	Very comprehensive understanding
a. How to create a plan, organize an event, and ensure public safety.	1 	2 	3 	4 	5 
b. Strategies I can use to maintain safety during an event.	1 	2 	3 	4 	5 
c. The preparation needed to facilitate conversations or mediate conflict in my community from a nonbiased perspective.	1 	2 	3 	4 	5 
d. Addressing challenges that might arise when facilitating conversations or mediating conflict in my community.	1 	2 	3 	4 	5 
e. [INSTRUCTION: Event Marshal training only] How an event marshal sets the tone, shares information, and monitors the event.	1 	2 	3 	4 	5 

14. On a scale of 1 to 5, where 1 is not at all and 5 is a great amount, please indicate how much your understanding or knowledge about the following topics increased as a result of the program.

[INSTRUCTION: The following questions apply to Reducing Risk During Public Events: Contingency Planning and Event Marshals: Maintaining Safety During Public Events]

PROGRAMMER: CODE ONE PER ROW

Select one per row

	Not at all	A little	Some	A good amount	A great amount
a. How to create a plan, organize an event, and ensure public safety.	1 	2 	3 	4 	5 
b. Strategies I can use to maintain safety during an event.	1 	2 	3 	4 	5 
c. The preparation needed to facilitate conversations or mediate conflict in my community from a nonbiased perspective.	1 	2 	3 	4 	5 
d. Addressing challenges that might arise when facilitating conversations or mediating conflict in my community	1 	2 	3 	4 	5 
e. [INSTRUCTION: Event Marshal training only] How an event marshal sets the tone, shares information, and monitors the event.	1 	2 	3 	4 	5 

15. What did you like best (or find most valuable) about the program?

(FIELD DESCRIPTION)

16. What could improve the program? For example, could the speakers or material have been more engaging in some way? Were there topics you have liked to see included? Please be specific.

(FIELD DESCRIPTION)

17. Do you have additional comments you would like to share?

(FIELD DESCRIPTION)

Thank you for your feedback.