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\begin{document}

\centerline{\large \bf CRA-W Distinguished Lecture Series and Panel}

\vspace{10pt}

\centerline{\bf \bf Organizer Evaluation}


\vspace{10pt}

Thank you for organizing a CRA-W Distinguished Lecture Event and
Panel.  We are always trying to improve the program and would very
much value your input.  Please feel free to attach any additional
information you feel would be beneficial.  
\vspace{10pt}

\noindent
Your name \anslong and affiliation \anslong.
\begin{enumerate}
\item
Number of people at the lecture:  \ansline
\item
Number of people at the panel:  \ansline
\item
What events were held in addition to the lecture and panel?  Include
social events and meals. 
\vspace{20pt}

\begin{itemize}
\item
 How many people attended these additional events?  \ansline
\end{itemize}
\item
Who are these people?   Please try to estimate the make-up of the
audience aggregated over all events (lecture, panel, and other events).  
\begin{itemize}
\item Percentage Women \ansline  Men \ansline
\item Percentage Faculty \ansline Graduate Students \ansline
Undergraduates \ansline Other \ansline
\item
Percentage from Schools \ansline  Companies \ansline
\item
If your event included several schools, please list the institutions
and estimate the overall percentage coming from institutions other
than the host school.
\vspace{20pt}
\end{itemize}
\item
Which of the following seemed to you to be the most effective way in
which this event was advertised?
\begin{dashlist}
\item  Email to an established  mailing list or a newsgroup.              
\item  Flyers or posters
\item  Word of mouth
\item  Email to an ad hoc group
\item  Class announcement
\item  There was no effective advertising
\item  Other (specify)
\end{dashlist}
\item
Who would you have liked to attend who didn't?
\vspace{40pt}
\item
What feedback have you received from students?  What impact did the
lecture and panel have?
\vspace{40pt}
\item
How would you rate the distinguished lecture and lecturer?  

\begin{tabular}{|l|c|c|c|c|}
\hline
{\bf Topic} & {\bf Not Valuable} & {\bf Somewhat Useful} & {\bf
  Valuable} & {\bf Essential}\\
\hline
Talk accessible to general audience & & & & \\
\hline
Substantial time for questions & & & & \\
\hline
Meeting the lecturer & & & & \\
before/after talk & & & & \\
\hline
Talk content includes broad & & & & \\
perspective of field & & & & \\
\hline
Talk content includes new & & & & \\
exciting results & & & & \\
\hline
\end{tabular}

\item
Were there additional activities you wish had been included in the
event to help make the most of the lecturer's visit?
\vspace{40pt}
\item
Who were your panelists (name, affiliation, and level)?
\vspace{40pt}
\item
How would you rate the panelists and panel?

\begin{tabular}{|l|c|c|c|c|}
\hline
{\bf Topic} & {\bf Not Interesting} & {\bf Somewhat Useful} & {\bf
  Valuable} & {\bf Essential}\\
\hline
Insight into what the & & & & \\
experience of attending  	& & & & \\
grad school is like		& & & & \\
(joys and frustrations)    & & & & \\
\hline
Insight into why a 	    & & & & \\
research career is exciting & & & & \\
\hline
Range of careers open to & & & & \\
those with Ph.D. degrees & & & & \\
\hline
Advice on the process of & & & & \\
how to apply to grad school & & & & \\
\hline
Information on what Admissions & & & & \\
 Committees are looking for & & & & \\
\hline
Information on financing a & & & & \\
graduate school education         & & & & \\
\hline
\end{tabular}

\item
What activities in your program were most effective and why?
\vspace{40pt}
\item
Other comments on what worked well and what didn't work well?
\vspace{40pt}
\item
Would you consider organizing a similar event in a future year?  Would 
your insitution provide funding?  
\vspace{40pt}

\item
Any additional comments or suggestions for improving the program?



\vspace{3in}
\hfill {\em Thanks for your input! }


\end{enumerate}



\end{document}