Form FEMA Form 016-0-2 FEMA Form 016-0-2 TPP Level 3 Post Course Assessment

POST COURSE ASSESSMENT
National Training and Education Division (NTED)
Training Partners Program (TPP)
OMB Control Number: 1660-0132

FEMA Form Number: 016-0-02

Expiration Date:

Public reporting burden for FEMA Form 95-56 is estimated to average 15 minutes per response. Burden means the time, effort and financial resources expended to
generate, maintain, retain, disclose, or to provide information to us. You may send comments regarding the burden estimate or any aspect of the form, including
suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C
Street, SW, Washington, DC 20472, Paperwork Reduction Project (1660-0044). You are not required to respond to this collection of information unless it displays a
valid OMB control number. NOTE: Please do not send your completed form to the above address, separate instructions for completing and returning the form are
provided via email to recipients.

Instructions: The National Training and Education Division’s Training Partners Program (TPP) values your expertise and professionalism and asks
for your recommendations to improve the course that you recently attended. Please fill out each of the questions below and return it via email
per the instructions provided. Your responses to these questions will remain anonymous. Thank you for your response and service to the Nation.

COURSE TITLE OR NAME:

A. Please indicate which Training Partner organization provided you the training course identified above.
Name of TPP organization: _____________________________________________________________
B. Please indicate your primary discipline by choosing only one.
O Agricultural Safety (Pre- and Post-Harvest) (AGS)
O Animal Emergency Services (AES)
O Citizen/Community Volunteer (CV)
O Emergency Management (EM)
O Emergency Medical Services (EMS)
O Fire Service (FS)
O Governmental Administrative (GA)
O Hazardous Materials (HM)
O Healthcare (HC)

O Information Technology (IT)
O Law Enforcement (LE)
O Private Sector/Corporate Security and Safety Professionals (PSP)
O Public Health (PH)
O Public Safety Communications (PSC)
O Public Works (PW)
O Search & Rescue (SR)
O Transportation Security (Air, Water, Ground, Port) (TS)
O Other (OTH), please identify: __________________________

C. Please indicate your years of experience in the discipline selected in B. above.
O
0-1

O
2-5

D. Are you a supervisor?

O
6-10

O
11-15

O
16-20

O Yes

O
20-25

O
26 or over

O No

E. Please indicate your level of knowledge and/or experience in the subject prior to attending this course.
O None

O Basic

O Intermediate

O Expert

F. Please Indicate your primary affiliation.
O
O
O
O

Federal
State
County
City/Town

O
O
O
O

Tribal
Private Sector
Special District
Other, please identify: ___________________________

G. If you selected county, city/town, tribal, private sector, or special district above, please indicate the size of your
jurisdiction or tribal population.
O
0-4,999

O
5,000-14,999

O
15,000-24,999

O
25,000-49,999

REPLACES ALL PREVIOUS EDITIONS.

O
50,000-99,999

O
100,000 or over

Please circle the number that most closely represents your
views.

Strongly
Disagree

Disagree

Agree

Strongly
Agree

Not
Applicable

1.

I have used the concepts or skills gained from this training on the
job since returning to my department.
Comments:

1

2

3

4

5

2.

1

2

3

4

5

3.

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

The skills I learned from this course have helped me do my
job more effectively.
Comments:

This training has helped my office or organization
create, modify or improve a plan, policy or procedure.
Comments:

4.

I am better prepared after taking this course in the following
area(s):
a.

performing day-to-day functions

b. training
c.

exercises

d. my operational mission
e.

my response mission

Comments:

5.

I have shared information or skills presented in this course with
other members (employees) of my organization.
Comments:

6.

The training received has proven valuable to me in the following
area(s):
a.

performing day-to-day functions

b. training
c.

exercises

d. my operational mission
e.

my response mission

REPLACES ALL PREVIOUS EDITIONS.