Form 1 NAVisit week Collection

NIH NATIVE AMERICAN VISIT WEEK FEEDBACK
OMB Number: 0295-0648 (Expiration Date: March 2018)
Public reporting burden for this collection of information is estimated to average -minutes per submission.
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estimate or any other aspect of this collection of information, including suggestions for reducing this
burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974,
ATTN: PRA 0925-0648. Do not return the completed form to this address.

Attending the NIH Native American Visit Week was beneficial to me.
Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Not Applicable

Strongly Disagree

Not Applicable

Disagree

Strongly Disagree

Not Applicable

Disagree

Strongly Disagree

Not Applicable

Overall, I enjoyed the NIH Native American Visit Week.
Strongly Agree

Agree

Neutral

Disagree

The NIH Staff was approachable and friendly.
Strongly Agree

Agree

Neutral

Overall, the program was well organized.
Strongly Agree

Agree

Neutral

The NIH Native American Visit Week met my expectations.
Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Not Applicable

I would recommend my colleagues attend the NIH Native American Visit Week.
Yes

No

Overall, the NIH Native American Visit Week furthered my knowledge of the NIH and
training opportunities that are available to me.
Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

The activity I found most helpful was:

The activity I found least helpful was:

What did you find most valuable about the NIH Native American Visit Week?

Not Applicable

What improvements would you recommend for the NIH Native American Visit Week?

Did this week's activities change your viewpoint on your career and / or educational
goals?

If there was a change, explain here:

As a result of your visit, are you interested and / or plan on applying to any of the
following programs?
(select all that apply)
NIH Summer Internship Program (SIP)
Community College Summer Enrichment Program (CCSEP)
Undergraduate Scholarship Program (UGSP)
NIH Postbaccalaureate Training Program (PBT)
NIH Academy
As a result of your visit, are you interested in seeking and applying for Non-NIH training
opportunities in a biomedical research and / or your area of interests?

Any additional comments or thoughts?

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