Questionnaire for Individual School National Evaluation

D. School Survey: 2006-07

COVER SHEET

QUESTIONNAIRE FOR INDIVIDUAL SCHOOLS

National Evaluation of the Voluntary Public School Choice Program

	Date:
	Respondent:
	Title:
	Phone:
	School Name:
	District:
	State:

FOR NATIONAL EVALUATION USE

ID Number: _________________

Date Received: ______________

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School Survey, 2006-07

QUESTIONNAIRE FOR INDIVIDUAL SCHOOLS

1. School’s Name, Address, and Grade Levels:

Name:
Address:

Grade Levels (circle lowest and highest): pre-K K 1 2 3 4 5 6 7 8 9 10 11 12

2. The following data were calculated based on student enrollment from which school semester?

(check ONE only):

	for Spring 2006
	for Fall 2006
	for Spring 2007
	Other date (specify the date)

Total No. of Students: __________ (no.)

American Indian or Alaska Native:			(%)
Asian:			(%)
Black or African American:			(%)
Hispanic:			(%)
Native Hawaiian or other Pac. Isld.:			(%)
White:			(%)
Other:			(%)
Eligible for Free and Reduced Price Lunch:			(%)
With IEP:			(%)
With Limited English Proficiency:			(%)
Migrant:			(%)

3. Does this School receive Title I assistance? ___Yes (schoolwide) ___Yes (targeted) ___No

If yes, has the school been identified as failing to make Adequate Yearly Progress, based on student achievement scores for the:

	for the 2006-2007 school year
	for the 2005-2006 school year
	for the 2004-2005 school year
	none of the above

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School Survey, 2006-07

4. School Choice Options for Students at this School:

(check ALL that apply):

a.			students within the district may transfer to this school
b.			students outside the district may transfer to this school
c.			students may transfer from this school to other schools within the district
d.			students may transfer from this school to other schools outside the district
e.			Other – e.g., open enrollment (please explain):
f.			there are no school choice options (If you answered “f”, please stop; do not respond to the remaining survey items.)
		(if you checked items a, b, c, or d):
			For 2006-07, about how many students have transferred ?
				g.		(number of students transferring to this school)
				h.		(number of students transferring from this school)
			i. Did teachers receive any extra staff or professional development, in relation to the transfer process? ___Yes ___No
			j. If yes, what were the main topics of the staff or professional development?
							(topic 1)
							(topic 2)

5. Notifying Parents about School Choice Options:

What actions did the school take to notify parents/families of their choice options?

(check ALL that apply)

a.		individual, face-to-face meetings with school officials
b.		group meetings with school officials
c.		enrollment fairs or similar events for parents to learn about choice options
d.		open houses at receiving schools
e.		letter mailed to parents/families
f.		letter sent home with students
g.		announcements in community newspapers or other media
h.		contacts made by the district’s parent information center(s)
i.		other (please explain):
j. How many languages, other than English, have been used in these notification procedures? ___ (no.)

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School Survey, 2006-07

6 . In your opinion, what proportion of the parents/families had a good understanding of their choice options last year? (check ONE only)

a.		all parents/families
b.		most parents/families (e.g., over 50 percent)
c.		some parents/families (e.g., between 20-50 percent)
d.		few parents/families (e.g., less than 20 percent)
If you checked 6b, 6c, or 6d, what is the most important thing you can recommend, to improve parents/families’ understanding of their choice options?

7. Has your school started new programs (e.g., magnets, academies, small learning communities, new academic subjects) to be more attractive, either to reduce the number of students transferring out or to increase the number transferring in? (check ALL that apply)

a.		becoming a charter school
b.		starting new magnets, academies, or small learning communities
c.		starting other new academic programs or subjects
d. e.		making other changes in school administration (e.g., changing school hours)
		other
f.		no new programs
Briefly describe the new programs and the main changes in school operation and administration.

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School Survey, 2006-07

COSMOS Corporation

Phone: 301-215-9100

Fax: 301-215-6969

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