Stronger Economies Together (SET) Pre-Session Participant Information ID Number: ____________

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Stronger Economies Together (SET)
Pre-Session Participant Information
ID Number: ____________
Today’s Date: ____________
1. Region Name:
2. What do you hope to gain from the SET Training? (select all that apply)?
□ I want to network with other people in my region interested in regional approaches.
□ I was asked to come by my board/supervisor.
□ I am new to the concept of “regional economic development” and am curious about how it
could help my efforts.
□ I am considering working on a regional initiative and need additional information.
□ I am already an active participant in a regional team/project and would like additional
information.
□ Other (please specify) ____________________________________________
3. Please rate your level of knowledge or skill in each of the following areas:
Item
Understanding the
demographic profile of the
region.
Building a regional partnership
that includes the right mix of
partners
Establishing a regional vision
and goals
Examining regional
competitive advantage and
related industrial and
workforce data.
Exploring potential strategies
to strengthen the region’s
economic development
opportunities.
Exploring regional assets and
barriers related to the region’s
economic opportunities.
Designing a plan with longterm outcomes in mind.
Using appropriate measures
to help ensure the success of
regional initiative.
Not
Knowledgeable
Slight
Knowledge
Basic
Knowledge
Rather
Knowledgeable
Highly
Knowledgeable
VOLUNTARY DEMOGRAPHIC INFORMATION
Pre-Session Participation Information
ID Number: ____________
Today’s Date: ____________
We want to make sure that we are presenting our programs to a wide range of participants. Please
complete this Voluntary Demographic Information. This information will not be used to identify any
program participants. It will be used only to identify our audiences in general.
I live in __________________________ County
_______________________ State
Years working in economic development or related field:
___under 1
___1-5
___6-10
___11-15
___16-20
___over 20
Work environment:
Which one of the following best describes your regular work responsibilities:
___regional
__ city
___county/parish
___state
___federal
Which one of the following best describes your primary affiliation:
___local government (City, County, Parish)
___state government
___federal government
___educational institution
___private sector
___non-government organization
___ nonprofit organization
___ economic development
___ other (please specify) _________________________________
RACE
 American Indian or Alaskan Native
 Asian
 Black or African American
 Caucasian
 Native Hawaiian or Other Pacific Islander
 Other
 Unknown
Are you of
Hispanic/Latino origin?
□ Yes
□ No
GENDER
 Male
 Female
AGE
 Under 18
 18-24
 25-44
 45-64
 65+
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