Class Rosters -Fall and Spring

APPENDIX A
Letter to School Principals Requesting Class Lists

600 Maryland Ave. S.W., Suite 550
Washington, DC 20024-2512
Telephone (202) 484-9220
Fax (202) 863-1763
www.mathematica-mpr.com

Dear Principal,
Thank you for agreeing to participate in the National Evaluation of Mathematics Curricula. Mathematica
Policy Research, Inc. (MPR), along with SRI International, is conducting the study for the U.S.
Department of Education’s Institute of Education Sciences. As part of the study, we develop our student
sample from class rosters containing names of all children enrolled in each sampled teacher’s
mathematics class. Your district has indicated that the most accurate class listings should be obtained
from the school.
Your school will be implementing the __________Curricula in all first and second grade mathematics
classrooms. As you know, each classroom will be observed once during the school year and teachers
will be asked to complete questionnaires in the fall and spring. Additionally, student achievement will be
measured using the Early Childhood Longitudinal Study (ECLS-K) assessment in the fall and again in the
spring.
Enclosed is a list of all teachers who have enrolled in the study. Please check this list to be sure it
includes all the teachers who teach first and second grade mathematics at your school and provide
updates as appropriate.
Also, please provide a list of all students in each teacher’s math classroom. You may use existing class
rosters. For each teacher, please provide a complete list of all students enrolled in his/her math class
including:
First Name
Last Name
Gender
Race
Ethnicity
Free/Reduced Price Lunch Status
Date of Birth
IEP Status or any disability status that should be considered for student testing
NonEnglish Speaker status that should be considered for student testing
All student information will be kept confidential and used for research purposes only. While your schools
participation in this study is voluntary, collecting accurate class lists is essential for building our student
sample. As one of only 45 schools in the study, every response is critical and class lists and updates to
our teacher list can be returned to Mathematica Policy Research in the envelope provided.
If you have any questions about this study please contact survey director Melissa Thomas at 1-866-8693187, or by email at or mthomas@mathematica-mpr.com.

An Affirmative Action/Equal Opportunity Employer

Thank you for your help with this important study.
Sincerely,

Roberto Agodini
Study Director

STUDENT DEMOGRAPHIC FORM - 2008-2009 School Year
Please complete this Student Demographics Form for all students listed below, including those students who may have transferred to another class or out of the school during the school year. PLEASE CIRCLE THE
APPROPRIATE NUMBER(S) IN EACH CATEGORY. Thank you.

SCHOOL

DISTRICT

Last Name

First Name

Gender

DOB

TEACHER

Is student
Hispanic or
Latino(a)?

Hispanic
or Latino/a

No

What is student's race? Circle all that apply.
Native
American
Hawaiian
Indian or
Black or
or other
Alaska
African
Pacific
Native
Asian
American
Islander
White

GRADE

Is this student limited
English proficient
(LEP) or an English
Eligible for Free
language learner
or Reduced
(ELL)?
Price Lunch

Indicate if student has an individual
education plan/(IEP)/receive special
services for disabilities/remediation or if
student has an IEP/receives special
services for gifted/talented.
IEP/services for IEP/services
disabled
for
students/
gifted/talented
remediation
students

No IEP/
special
services

Yes

No

Yes

No

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Male

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This survey is authorized by the U.S. Department of Education (20 U.S.C. 1221e-1) and the Confidential Information Protection and Statistical Efficiency Act of 2002. These laws require that the survey sponsor treat all information you provide as confidential. The
information you provide will be used only for research and statistical purposes by the survey sponsor, its contractors, and collaborating researchers for the purpose of analyzing data and preparing scientific reports and articles. Any information publicly released (such as
statistical summaries) will be in a form that does not personally identify you. Your response is voluntary. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB
number. The OMB control number for this survey is 1850-0813. The time required to complete this survey is estimated to average 1 hour. If you have any comments concerning the accuracy of the time estimate, or suggestions for improving this form, please write to: U.S.
Department of Education, Washington, DC 20202-4651. If you have comments or concerns about the content of this questionnaire, contact Melissa Thomas (phone: 866-869-3187, e-mail: mthomas@mathematica-mpr.com).
OMB NO: 1850-0813
EXPIRATION DATE: XX/XX/XXXX