OMB Control No. 0960-0788
Questions by Audience
Beneficiary Questionnaire
How did you learn about the Virtual Job Fair?
WISE Webinar
Social Media (i.e. Facebook or Twitter)
Choosework.net
Choosework.net Blog
Ticket to Work Help Line Hold Message
Flyer
Conference I attended
EN or VR Agency referral _________________ (name)
Other (please specify) _____________________
From what location did you participate in the Virtual Job Fair?
My Home
My Employment Network (EN)
My Vocational Rehabilitation (VR) agency
Library
Other (please specify)
Did anyone from your EN or VR agency assist you during the Virtual Job Fair?
Yes
No
Don’t know
Were you contacted for any follow-up interviews (select all that apply)?
Yes, for a full-time job
Yes, for a part-time job
No (SKIP TO QUESTION 7)
How many interviews were you offered?
1
2
3
4
5 or more
Does the job you interviewed for fit your qualifications?
Yes
No
Don’t Know
Were you offered a job?
Yes, a full-time job
Yes, a part-time job
No
Still in the interview process
Overall, how satisfied are you with your Virtual Job Fair experience?
Completely Satisfied
Somewhat Satisfied
Neither Satisfied Nor Dissatisfied
Somewhat Dissatisfied
Completely Dissatisfied
This job fair website was easy to use.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Did you experience any technical problems with the accessibility of this event?
No
Yes, please explain (Text Box)
How likely are you to participate in future Ticket to Work Virtual Job Fairs?
Extremely likely
Likely
Neutral
Unlikely
Extremely Unlikely
How likely are you to recommend this Virtual Job Fair to a friend?
Extremely likely
Likely
Neutral
Unlikely
Extremely Unlikely
What can we do to improve the virtual job fair experience? (Text Box)
Service Provider Questionnaire
What is your role in the Ticket to Work program?
EN
VR agency
WIPA
PABSS
Other (text box)
Did anyone from your organization attend the Virtual Job Fair to support your beneficiaries?
Yes
No
Don’t know
How many beneficiaries did you recommend for participation in the Virtual Job Fair? (a drop box with the option of 0-10+)
0 (SKIP TO QUESTION 6)
1
2
3
4
5
6
7
8
9
10+
Don’t Know
What type of work schedules were the beneficiaries from your organization searching for?
Full-time
Part-time
Either full-time or part-time
Don’t Know
Did any of the beneficiaries from your organization receive interviews or job offers?
Interviews
Yes, ____ full-time positions
Yes, ____ part-time positions
No
Don’t Know
Job Offers
Yes, _____full-time positions
Yes, _____part-time positions
No
Don’t Know
Overall, how satisfied are you with your overall Virtual Job Fair experience?
Completely Satisfied
Somewhat Satisfied
Neither Satisfied Nor Dissatisfied
Somewhat Dissatisfied
Completely Dissatisfied
How likely are you to recommend other beneficiaries for participation in future Ticket to Work Virtual Job Fairs?
Extremely likely
Likely
Neutral
Unlikely
Extremely Unlikely
The Virtual Job Fair website was easy to use.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
What can we do to improve the Virtual Job Fair experience? (Text Box)
Federal Contractors
Were you able to fill any open positions from the Virtual Job Fair?
Yes, ____ full-time positions
Yes, ____ part-time positions
No
Still conducting interviews with VJF participants
How many beneficiaries will you follow-up with for interviews or employment offers? (a drop box with the option of 0-10+)
0 ---- Go to Question 2A
1
2
3
4
5
6
7
8
9
10+
2A. You’ve indicated that no beneficiaries attending the VJF will receive follow-up interviews or employment offers. Please let us know why (check all that apply).
Candidates were not qualified for the jobs we are seeking to fill.
Candidates lacked specific skills for the jobs we are seeking to fill.
Candidates made a poor impression.
Jobs have been filled.
Other (text box)
How likely are you to participate in future Ticket to Work Virtual Job Fairs?
Extremely likely
Likely
Neutral
Unlikely
Extremely Unlikely
Overall, how satisfied are you with your overall Ticket to Work Virtual Job Fair experience?
Completely Satisfied
Somewhat Satisfied
Neither Satisfied Nor Dissatisfied
Somewhat Dissatisfied
Completely Dissatisfied
The Virtual Job Fair website was easy to use.
Strongly agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
What can we do to improve the Virtual Job Fair experience? (Text Box)
Paperwork Reduction Act Statement – This information collection meets the requirements of 44 U.S.C. §3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget control number. We estimate that it will take about 10 minutes to read the instructions, gather the facts, and answer the questions. You may send comments on our time estimate above to: SSA, 6401 Security Blvd., Baltimore, MD 21235-6401. Send only comments relating to our time estimate to this address, not the completed form.”
Approved, OMB Control No. 0960-0788
Tab B-2 – GC Documentation Template
File Type | application/msword |
File Title | SAMPLE CLEARANCE FORMAT – use “Basic Elements Template” for guidance on completing this form |
Author | 666429 |
Last Modified By | 889123 |
File Modified | 2015-05-19 |
File Created | 2015-05-19 |