2005 Leadership Clinic
Design Workshop

Participant Input Survey
Submission Deadline: August 24, 2005
To be completed by individuals who have been selected
as part of a team for this workshop.

Instructions:  Please complete each of the questions in the four sections below and provide detail where requested.  Thank you for your input!

Name:

Team: Arkansas Florida Kentucky Oregon Pennsylvania Washington

Section 1:  Planning a Clinic and the Clinic Agenda

Please indicate your level of experience in implementing the planning steps for conducting a clinic.  In the items below we refer to �events� as conference, workshop, clinic or other group learning event.

1.  What is your level of experience in leading the following steps to planning, holding and evaluating an event?

	Very Experienced	Somewhat Experienced	Not Very Experienced
a.  Developing a rubric with measurable goals, objectives, outputs, outcomes to guide your event design and evaluation.
b. Choosing the right people for, and coordinating the clinic planning team.
c. Raising funds to support team involvement and to hold your event.
d. Securing a site and negotiating a good value for your event.
e. Planning logistics for a large event1 (arranging meals, lodging, travel, meeting rooms, A/V equipment, shipping materials, finalizing arrangements with site staff, planning entertainment, etc.)
f. Marketing and communications (getting teams to your event, communicating with multiple audiences, producing attractive and useful materials)
g. Designing a participant-driven agenda for your event.
h. Producing and analyzing surveys to guide agenda design.
i. Designing small group processes2 (up to 12 participants).
j. Designing group processes for medium groups (12-30 participants).
k. Designing large group processes (more than 30 participants).
l. Identifying and securing the best Resource People and Facilitators to support teams at your event.
m. Running the event: providing coordination, conducting formative evaluation and trouble shooting during the event.
n. Providing training for facilitators of small groups.
o. Developing the measurements and tools to evaluate an event.
p. Leading team building activities.
q. Designing effective tools and follow-up strategies for team action planning.
r. Conducting a post-event evaluation report and applying the results to future efforts.
s. Other?
t. Other?

Comments:  Please feel free to elaborate on any of the items you checked in the table above.  Please reference the item letter you are commenting on.

 

Section 2: Clinic Expectations

2.  What are your individual expectations regarding this workshop?

            1.

            2.

            3.

3.  What do you expect your team to gain from this workshop?

            1.

            2.

            3.

 

Section 3: Agenda Session Break-Down

We are all different, and as adult learners we need varying types of learning approaches and down-time to process what we�ve learned.  Please let us know how you best learn and process by answering the following questions.

7. What time of the day do you learn best? (check top two)

Early morning

Late morning                     

Early afternoon   

Late afternoon

Early evening

Late evening

8. When would you prefer down time? (check top two)

Early morning

Late morning                     

Early afternoon   

Late afternoon

Early evening

Late evening

9. How long can you focus before needing down time (more than just a break) to assimilate information? (check one)

� hour

1 hour

2 hours

3 hours

More

10. Rank the following clinic-type settings in your preferred way of learning:  6 = preferred, 1 = least preferred

1-least preferred 2 3 4 5 6-preferred Whole group lectures

1-least preferred 2 3 4 5 6-preferred Whole group interactive sessions

1-least preferred 2 3 4 5 6-preferred Small group professional development sessions

1-least preferred 2 3 4 5 6-preferred Team to team exchanges

1-least preferred 2 3 4 5 6-preferred One-on-one informal exchanges (networking)

1-least preferred 2 3 4 5 6-preferred Other (please describe)
           

 

Section 4: More about YOU!

11.  Please tell us more about who you are by providing a 1-2 paragraph biography.  We will share this information with all who attend the Leadership Clinic Design Workshop.

12.  Is there anything else we should know about you or your team when planning the agenda?

THANK YOU!

 

¹ �Large event� is defined, for the purpose of this survey, as 2 or more days in length and attended by more than 50 participants.  Go back to survey

² Group processes include team building, problem solving or cooperative learning exercises with 3 or more participants.  Go back to survey

The Leadership Clinic Design Workshop is organized by the National EE Advancement Project and is funded by EETAP, the national training program of the U.S. Environmental Protection Agency's (EPA) Office of Environmental Education established through the National EE Act of 1990. The University of Wisconsin-Stevens Point (UWSP) administers EETAP through a cooperative agreement with US Environmental Protection Agency.