NCSI Post-Workshop Survey: Jackson State University

NCSI Post-Workshop Survey: Jackson State University

University of Illinois

at Urbana-Champaign


I-STEM Education Initiative

704 S. Sixth Street

 Champaign, IL 61820


University of Illinois at Urbana-Champaign Logo 

XSEDE Event Online Survey Consent Form

Dear XSEDE Participant,


The Extreme Science and Engineering Discovery Environment (XSEDE) was created to generate a cyberinfrastructure program to improve the scientific academic and industrial workforce. Because this is a new program, an evaluation team will be examining the quality and effectiveness of this program from the perspectives of participating members.


This evaluation study will be conducted by Dr. Lizanne DeStefano and her team at the University of Illinois at Urbana-Champaign. Evaluation results will be shared with the program leadership in a way that will not identify any participant. We hope that this evaluation will contribute to program improvement and further development of this program. Lessons learned from the evaluation may also be reported in scholarly articles that will not include identifying information about participants.


In this confidential survey, we would like to hear about your experience as a participant in this XSEDE event. This questionnaire should take 10 minutes to complete.


Your participation in this evaluation is completely voluntary and you may stop participation at any time and for any reason without penalty. You are free to skip any question, including background questions. Choosing not to participate will not result in any negative impact on your current or future membership or employment status with XSEDE. The survey is confidential, no names or other identifying information will be reported. Faculty and staff will not know about your decision to participate or not participate in our study. All evaluation data will be kept in a secure location, will only be accessible to members of the evaluation team, and will be coded to remove any identifying information. Please only participate if you are age 18 or older.


If you have any questions about your rights as a participant in this study or any concerns or complaints, please contact the University of Illinois Institutional Review Board at 217-333-2670 (collect calls will be accepted if you identify yourself as a research participant) or via email at


If you have any questions about this study, you may contact Lizanne DeStefano at or at 217-333-9625. You may print this screen for your records.


Thank you for your consideration,


Lizanne DeStefano, Director

Illinois Science Technology Engineering & Mathematics Education Initiative (I-STEM)

The Fox Family Professor of Education

Professor, Educational Psychology