SVUSD - Intermediate Excel Feb 2010

Please complete the following survey to help CTAP 9 document the use and impact of services and resources in our region. The results will help determine needed revisions of CTAP to improve services to educators. All information will be kept confidential. Your name and email address are needed for follow-up survey with the end of year survey.

Thank you for your cooperation, CTAP 9 External Evaluators

Note: An * denotes a required field

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Event Date

	MM		DD		YYYY
Date:	Event Date Date: Month	/	Day	/	Year

*
Event Title:

Event Title:

First Name

Last Name

*
Email Address:

Email Address:

*
Select Position Title

Select Position Title

*
Select Your County Office

Select Your County Office

Select Your School District

Imperial County School Districts

Orange County School Districts

San Diego County School Districts

School Site Name (if applicable):

Where do you rate your technology skills:

Where do you rate your technology skills: Beginning

Intermediate

Advanced

Overall, this event enhanced my knowledge and/or skills.

	Strongly Disagree	Disagree	Agree	Strongly Agree	N/A
Select One	*Overall, this event enhanced my knowledge and/or skills. Select One Strongly Disagree	Select One Disagree	Select One Agree	Select One Strongly Agree	Select One N/A

I will be able to apply what I have learned in my role in the district, school or classroom.

	Strongly Disagree	Disagree	Agree	Strongly Agree	N/A
Select One	*I will be able to apply what I have learned in my role in the district, school or classroom. Select One Strongly Disagree	Select One Disagree	Select One Agree	Select One Strongly Agree	Select One N/A

The actual activities and strategies in this event facilitated my learning on the topic.

	Strongly Disagree	Disagree	Agree	Strongly Agree	N/A
Select One	*The actual activities and strategies in this event facilitated my learning on the topic. Select One Strongly Disagree	Select One Disagree	Select One Agree	Select One Strongly Agree	Select One N/A

Briefly list the relevant and useful skill(s) and/or knowledge you acquired from this CTAP event:

Do you plan to share through consultation and/or presentation(s) what you learned from participation in this CTAP sponsored event?

Do you plan to share through consultation and/or presentation(s) what you learned from participation in this CTAP sponsored event? Yes

Not Sure

If you answered "yes", please estimate the numbers of persons with whom you are likely to share:

If you answered "yes", please estimate the numbers of persons with whom you are likely to share: 1-5

6-10

11-15

16-20

21 or more persons

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