Program Evaluation Form Page 2

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Warehouse Worker Hazards in Structural Steel Fabricating and Supply
Companies-Train the Trainer Session
Program Information:
Insert Date and Location
 
9. Highest Educational Degree
 High School
 Associates Degree
 Bachelors Degree
 Masters Degree
 PhD
 Other
Specify _________________________
 Technical  Non-technical
10. Technical or non-technical degree?
11. Indicate total number of years in Steel Industry? ____________
Secondary Training
12. Are you likely to conduct training of your workers with these program materials?
 Yes  No
13. How many employees will you be able to train in your company? _______
14. Will you be more likely to train employees in a whole day training or in modules spread over
a number of days?
 Whole day  Separate modules spread over several days
15. Will you be willing to work with Michigan State University to report the secondary trainings of
your employees that you conduct for the purpose of grant reporting?
 Yes  No
16. Would you like to be contacted by Michigan State University to learn more about conducting
the secondary trainings and for help with obtaining the program materials?
 Yes  No
17. Please list additional topics you would like to have included in the training.
See next sheet to complete attendee information.
 

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