BTE Evaluators Dashboard (Pilot) Independent Evaluator Submissions BTE Site*Please select the relevant site (One site only)Athens, GeorgiaBajos de Haina, Dominican RepublicBound Brook, NJ(3)Bracknell, UKEast London, South Africa (ELSA)Franklin Township, NJHelsingborg, SwedenJacksonville, FloridaLancaster, PALas Piedras, Puerto RicoLimerick, IrelandMexico City, MexioNew Brunswick, NJ (6)Norristown, PAOrange County, CAPuebla, MexicoSingaporeSkillman, NJSydney, AustraliaThailandTrenton, NJ (3)Tswelopele, South AfricaWarsaw, IndianaYokenam, IsraelYumbo, ColombiaName of Evaluator/Organization*Please idenitfy the evaluator or organizationKelley Research AssociatesPoint ResearchJ Solomon Consulting LLCRutgers UniveristyUniversity of DerbyMlenga G JereLund UniversityUniversity of LimerickHenrietta Szolde InstituteUniversity of CapetownSubmitter Name*Please enter the name of submitter (your name)Name of the Deliverable*Please select all that applies Evaluation Agreement Baseline Data Year 1 Annual Report Year 1 Academic/Survey Data (Master File) Year 2 Annual Report Year 2 Academic/Survey Data (Master File) Year 3 Annual Report (Final Report) Year 3 Academic/Survey Data (Master File) Other: Please specify Is this the first evaluation agreement for this site?*Please select Yes or No Yes No Are you making a change to your evaluation agreement?*Please select Yes or No Yes No Summary of Changes to Agreement*Choose oneRevise Focus Group Date(s)Revise Debrief Meeting Date(s)Update Contact InformationRevise Scope (change in evaluation activities or mode of evaluation)Attachment Drop files here or Please upload file(s)Comments/Special Notes (Optional)Date* Date Format: MM slash DD slash YYYY Please enter today's dateConsent I agree to the privacy policy.
