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for participant minigrants
Congratulations on successfully completing the [project name] project at [location] on [date(s)] that was funded by a minigrant from AccessComputing. To assist us in our reporting to NSF, we would like you to provide the following data in addition to the evaluation described in your approved project proposal. Our hope is to gather information that indicates to what degree our minigrant projects have supported our goal to increase the success of students with disabilities in completing postsecondary degrees and entering careers in computing and IT fields.
Please provide the following basic demographic information about the participants who attended your event:
Student Participants
1a. How many students in the following categories directly benefited from the event?
Precollege:
College:
Graduate School:
1b. How many were ____Females and how many were _____Males?
1c. What Ethnicities were represented (please indicate number for each category)?
___Hispanic or Latino
___Not Hispanic or Latino
1d. What Races were represented (please indicate number for each category)?
___American Indian or Alaska Native
___Asian
___ African American
___Native Hawaiian / Pacific Islander
___White
1e. Did any of the participants have a disability (indicate number for each category)?
___No
___Yes
If yes, what is the nature of the disabilities (indicate number for each category):
___Psychological/psychiatric condition
___Aspergers/autism spectrum
___Learning disorder
___ADD/ADHD
___Blind or visual impairment
___Deaf or hard-of-hearing
___Speech impairment
___Physical/orthopedic/mobility
___Acquired/traumatic brain injury
___Systemic health/medical condition
___Other:
1f. Describe how these student participants benefited from the event:
Staff and Stakeholder Participants
2a. How many staff and other stakeholders directly benefited from the project?
___College/university administrator
___College/university faculty
___College/university staff
___High school teacher
___Middle school teacher
___K-5 teacher
___Pre-K teacher
___Graduate student
___Undergraduate student (4-year school)
___Undergraduate student (2-year school)
___Other:
If administrator/staff/faculty, what were the fields of expertise?____________________
If K-12 teacher, what were the teaching specialties (indicate number for each category)?
___General
___Math
___Science
___Technology
___Other:
2b. How many were ____Females and how many were_____Males?
2c. What Ethnicities were represented (please indicate number for each category)?
___Hispanic or Latino
___Not Hispanic or Latino
2d. What Races were represented (please indicate number for each category)?
___American Indian or Alaska Native
___Asian
___ African American
___Native Hawaiian / Pacific Islander
___White
2e. Did any of the participants have a disability (indicate number for each category)?
___No
___Yes
If yes, what is the nature of the disabilities (indicate number for each category):
___Psychological/psychiatric condition
___Aspergers/autism spectrum
___Learning disorder
___ADD/ADHD
___Blind or visual impairment
___Deaf or hard-of-hearing
___Speech impairment
___Physical/orthopedic/mobility
___Acquired/traumatic brain injury
___Systemic health/medical condition
___Other:
2f. Describe how these staff and other stakeholders participants benefited from the event:
3. Specifically, how did the event promote the interest, participation, and/or success of individuals with disabilities in computing careers, directly or indirectly?
4a. How would you rate the event in terms of participation by the targeted audience:
___Not successful
___Successful
___More successful than anticipated
4b. How would you rate the event in terms of delivery of intended activities or program?
___Not successful
___Successful
___More successful than anticipated
4c. How would you rate the event in terms of reception of activities or program by participants?
___Not successful
___Successful
___More successful than anticipated
4d. How would you rate the event in terms of value of the event as expressed by participants?
___Not successful
___Successful
___More successful than anticipated
5. Short-term outcomes: What were the immediate and anticipated short-term outcomes associated with participation in this event (for individuals, projects, organizations, institutions)?
6a. Long-term outcomes: What long-term outcomes do you anticipate associated with participation in this event?
6b. To what extent do you believe that the anticipated long-term outcomes might materialize___Probably not at all (the event will not affect future behavior of participants)___Slightly (it抯 a start � they have the information) ___Moderate (many participants seemed committed to support project goals) ___Extensive (many participants had specific plans)
7. Did you discover any unexpected outcomes as a result of this event?
___Yes
___No
If yes, please describe:
8. Can you provide any quotations from staff or students that are related to reaching project outcomes?
9a. Is your funded activity something you would want to do again?
___Yes
___No
Please explain:
9b. Is your funded activity something you would recommend others try?
___Yes
___No
Please explain:
9c. What improvements would you make in the future or recommend for others?
10. Do you have feedback or suggestions for AccessComputing staff regarding the mini-grant:
Process:
Application:
Implementation:
Evaluation and reporting:
Other:
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