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TRAINING 7
"Building Better Child Care for MO" Program Evaluation

Target Audience: Child Care Professional

Comment: Program Evaluation of Child Care Training



Participant Name:

Date/Site:


3) I am ___ Years old.

I am (check one): ___Female ___Male


4) I identify with the following race. (check one)
___ African-American
___ Caucasian
___ Native American
___ Asian
___ Hispanic


5) The one best description of my formal child-care-related education and training is (check one):

___ No formal training
___ Child Development Associate (CDA)
___ High School classwork
___ 2-Year college degree
___ 1 to 12 college credit hours
___ 4-Year college degree
___ 13 or more college credit hours
___ Graduate credit and/or degree


6) On average, I work ___ hours per week.


7) I have been working in child care for ___ years.


8) My current job title is:


9) I belong to the following professional organizations: (check all that apply)

___ Missouri Association for the Education of Young Children (MO-AEYC)
___ National Association for the Education of young Children (NAEYC)
___ Missouri School Age Child Care Association (MO-SACC)
___ National and/or Missouri Organization for Family Home Child Care Providers
___ Other (please list):


10) Please look at the income chart on the overhead; indicate the letter which corresponds most closely to your:

a. Annual Personal Income (before taxes) from child care employment:

b. Annual Household Income (before taxes) from all family members' employment:

 Monthly  Yearly
 A. Less than 415  Less than 5,000
 B. 415 - 835  5,000 - 10,000
 C. 835 - 1,250  10,000 - 15,000
 D. 1,250 - 1,665  15,000 - 20,000
 E. 1,665 - 2,085  20,000 - 25,000
 F. 2,085 - 2,500  25,000 - 30,000
 G. 2,500 - 2,915  30,000 - 35,000
 H. 2,915 - 3,335  35,000 - 40,000
 I. 3,335 - 3,750  40,000 - 45-000
 J. 3,750 - 4,165  45,000 - 50,000
 K. 4,165 - 4,580  50,000 - 55,000
 L. 4,580 - 4,995  55,000 - 60,000
 M. 4, 995 - 5,410  60,000 - 65,000
 N. 5,410 - 5,825  65,000 - 70,000
 O. 5,825 - 6,240  70,000 - 75,000



11) I receive these benefits as a part of my employment: (check all that apply)

___ Health Care
___ Dental Coverage
___ Paid Sick Days
___ Paid Personal Days
___ Paid vacation Time
___ Reduced Fee Tuition for Own Children
___ Other (please list):


12) My/our child care program cares for (combine part-time and full-time children)

___ Infants/Toddlers
___ 3 - 5 Year Olds
___ School-Age Children


13) My/our child care program employs ___ staff.


14) My/our program is

(check one):
___ For-profit
___ Not-for-profit

(check one):
___ Licensed
___ License-exempt

(check one):
___ Accredited by NAYEC/MO
___ Not Accredited






Evaluator Name:

Date:

Instructor being evaluated:

Program Location:

Evaluation Relationship to Instructor:

___ Program participant
___ Extension Regional peer
___ Campus peer


To improve this program, we need to hear your thoughts and ideas about what was helpful and what was not so helpful. Please provide brief and honest responses to the questions below. Thank you!


1=strongly disagree 2=disagree 3=neutral 4=agree 5=strongly agree

*Instructor was well organized. 1 2 3 4 5

*Instructor was easy to understand. 1 2 3 4 5

*Instructor was knowledgeable about the topic. 1 2 3 4 5

*The program allowed enough chances for me to participate and ask questions. 1 2 3 4 5

*The learning aides (e.g., overheads, videotapes, small group activities) helped me to better understand the material. 1 2 3 4 5

*Overall, the program was worthwhile to me. 1 2 3 4 5

*Overall, the instructor was effective. 1 2 3 4 5


1) The program inspired me to try something new.... I am going to .....




2) What material was presented that you already knew?





3) What were you expecting to learn about but did not?



Evaluation Tools Page

ENTRY DATE:: May 1998