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Scholarship Applicant feedback
ICR 202602-1121-002 · OMB 1121-0341 · Object 171505600.
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Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | Scholarship Applicant feedback |
| Author | Field, Michael |
| Last Modified By | Microsoft Word |
| File Modified | 2022-06-16 |
| File Created | 2022-06-16 |
| Conversion State | complete |
Extracted Text
ORGANIZATIONAL SCHOLARSHIP/ CONFERENCE SUPPORT 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 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: _______________________________________________________ OVC Organizational Scholarship/Conference Support 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 conference support? □ Yes □ No If yes, would you have been able to execute the desired conference without conference support? □ Yes □ No □ N/A If no, were you or will you be able to execute the desired conference without conference support? □ Yes 4. □ No □ N/A Would you recommend OVC TTAC 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? ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 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. ORGANIZATIONAL SCHOLARSHIP/ CONFERENCE SUPPORT OMB#: 1121-0341 Date of Expiration: XXXX Applicant Feedback 13. If you were awarded funds, please provide the following information about the event: Event title: ____________________________________________________________________________________________ Date(s): ______________________________ Location: _____________________________________________________ Event Description: _____________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ 14. 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): _________________________ 15. Which of the following best describes the population you serve? (Mark all that apply.) □ National □ State □ Tribal □ International, list country: _________________________________ □ Local □ Urban □ Rural □ Suburban 16. Please provide your city and state (i.e., location of organization or professional address). ___________________________________________________________________________________ 17. Please list any marginalized or underserved populations you serve. ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Thank you for taking the time to complete this form and helping to improve OVC TTAC activities.