OMB # 3145-0199
Expires: 9/30/2008
Math and Science Partnership Program
Annual Survey for K-12 Institute Participants
Sponsored by the
National Science Foundation
Conducted by
Westat
1650 Research Boulevard
Rockville, Maryland 20850
Privacy Notice
Information from this monitoring system will be retained by the National Science Foundation, a federal agency, and will be an integral part of its Privacy Act System of Records in accordance with the Privacy Act of 1974 and maintained in the Education and Professional development activities System of Records 63 Fed. Reg. 264, 272 (January 5, 1998). These are confidential files accessible only to appropriate National Science Foundation (NSF) officials, their staffs, and their contractors responsible for monitoring, assessing, and evaluating NSF programs. Only data in highly aggregated form, or data explicitly requested as "for general use," will be made available to anyone outside of the National Science Foundation for research purposes. Data submitted will be used in accordance with criteria established by NSF for monitoring research and education grants, and in response to Public Law 99-383 and 42 USC 1885c.
Public Burden
Paperwork Reduction Act Notice. The Paperwork Reduction Act of 1995 says we must tell you why we are collecting this information, how we will use it and whether you have to give it to us. The reasons and purpose of this survey are described in the introduction and instructions for this survey and your response is voluntary. Failure to provide full and complete information, however, may reduce the possibility of NSF continuing support for the award or project subject to this monitoring survey. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The OMB control number for this survey is 3145-0199. The estimated average burden associated with this collection of information is 1.3 hours per respondent, depending on individual circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing the burden should be sent to Suzanne Plimpton, Reports Clearance Officer for OMB 3145-0199, NSF/DAAS, 4201Wilson Boulevard, Arlington, VA 22230.
Annual Survey of K-12 Institute Participants
The National Science Foundation (NSF) is collecting annual information about each of its Math and Science Partnership (MSP) projects. The purpose is to assess the overall implementation of the MSP program and to monitor the progress of individual MSP grants.
This
survey is designed to obtain information from each
K-12 teacher and administrator
who has enrolled in one or more MSP Institute courses or
workshops. The Principal Investigator (PI) of
one of the MSP Institutes has identified you as being an appropriate
respondent. If you have any questions about the MSP Management
Information System, please contact:
Holly Bozeman
1-800-937-8281, ext. 2619
MSPMIS@westat.com
We estimate that it will take approximately 80 minutes of your time to complete this survey. Thank you in advance for completing this survey.
INSTRUCTIONS FOR COMPLETING THE SURVEY
Feed-back from K-12 teachers and administrators participating in the MSP program is crucial for understanding the strengths and weaknesses of the MSP program. We have constructed this survey to give you the flexibility to respond in general and in detail relative to your level of involvement.
Neither
NSF nor the Federal Government will maintain names or contact
information associated with this survey. However, this information is
held by the awardee institution. Your responses to the questions,
however, will not be shared with the PI except in summary form.
Please
answer the following questions with the most appropriate response.
You may cut and paste text into this system.
It
is recommended that you review the Primer (which can be accessed
electronically by clicking on "Help" in the menu on the top
of the page) before beginning the survey. The Primer provides general
instructions and navigation information.
As
you are completing the survey, please click the Save & Continue
button after you respond to each item/set of items. Once an item or
item set is saved, you may use the Question Guide to return to
an item and revise your response. If you exit the system without
saving, you will lose any unsaved data.
When
you are ready to submit your data to NSF, please click the Submit
button at the end of the form. You will no longer have access to this
survey after a Final Submit has been made.
Professional Status |
[INSERT PROJECT NAME] Participation
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Continued Professional Development
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Professional Community Building |
Dissemination of Institute Information |
Professional Status
This section obtains information on your professional status during the [INSERT SCHOOL YEAR] school year.
Please review and update the following item:
What was the name of the K–12 school at which you were working during the [INSERT
SCHOOL YEAR] school year?
School name: (Pre-filled)1
Please review and update the following item:
What was the designation of your K–12 school during the [INSERT SCHOOL YEAR] school
year: (Check one response)2
Elementary school
Middle school/junior high school
K–8 school
High school
K–12 school
Ungraded school
Other (specify): _________________________________________________
Please review and update the following item:
Which of the following best reflects your primary position during the [INSERT SCHOOL YEAR] school year? (Check one response.)3
Elementary school teacher
Middle school/junior high school teacher
High school teacher
Curriculum specialist
School-wide subject-specific specialist4
District-wide subject-specific specialist5
Department head
Principal
Vice Principal or Assistant Principal
Other (specify): ______________________________________________
Did you have any instructional responsibilities with K-12 students at your school during the [INSERT SCHOOL YEAR] school year?
Yes
No6
What grades did you teach or provide other services for a mathematics or science subject during the [INSERT SCHOOL YEAR] school year? (Check all that apply)
Pre-kindergarten
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Ungraded (specify): _______________________________________________
What mathematics or science subject(s) did you teach or provide other services for during the [INSERT SCHOOL YEAR] school year? (Check all that apply)
NOTE – Please refer to the glossary for the definitions of the high school level 1 – 5 Mathematics
courses.
Mathematics
Elementary school mathematics
Middle school Mathematics
Includes Algebra 1
Includes Geometry
Includes Algebra 2
High school Level 1 Mathematics
High school Level 2 Mathematics
High school Level 3 Mathematics
High school Level 4 Mathematics
High school Level 5 Mathematics
AP Calculus (AB)
AP Calculus (BC)
AP Statistics
Other (specify): _____________________________________________
Science
Elementary school science
Middle school science
Non-AP Biology
Non-AP Chemistry
Non-AP Physics
Earth Science Integrated Science
AP Biology
AP Chemistry
AP Physics
Other (specify): _____________________________________________
Computer Science
Non-AP computer science
AP computer science
Please review and update the following item:
What degrees have you earned? (Check all cells that apply)7
NOTE—Degree options do not include certifications, certificates, endorsements, or licensures. If you have earned a degree in Mathematics or Science education, circle both Mathematics or Science and Education.
Type of degree |
Degree field8 |
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Mathematics |
Science |
Education |
Other |
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Bachelor’s degree |
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Master’s degree |
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Ph.D. |
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Ed.D. |
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Professional degree (e.g., M.D., LPN) |
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Specialist degree |
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Other (specify): |
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8a. Are you currently working on a degree?
Yes (Continue with Question 8b.)
No (Go to Question 9.)
8b. What degrees are you currently working on? (Check all cells that apply)
NOTE—Degree options do not include certifications, certificates, endorsements, or licensures. If you have earned a degree in Mathematics or Science education, circle both Mathematic or Science and Education.
Type of degree |
Degree field9 |
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Mathematics |
Science |
Education |
Other |
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Bachelor’s degree |
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Master’s degree |
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Ph.D. |
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Ed.D. |
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Professional degree (e.g., M.D., LPN) |
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Specialist degree |
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Other (specify): |
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Please review and update the following item:
Which of the following state teaching certifications do you currently hold? (Check all
that apply.)10
Elementary school: General
Elementary school: Mathematics
Elementary school: Science
Middle school: General
Middle school: Mathematics
Middle school: Science
High school: Mathematics
High school: Science–General
High school: Biology
High school: Chemistry
High school: Physics
High school: Earth Science
Special Education
ESL/Bilingual
Other subject area within state endorsements (specify): _________________________________
Please review and update the following item:
Which of the following other certifications have you successfully completed? (Check all that
apply)11
National Board Certification©
Praxis12 II™
Praxis III™
Other (specify): ___________________________________________________________
None of the above
Which of the following leadership roles did you hold during the [INSERT SCHOOL YEAR] school year? (Check all that apply)
Served on curriculum committee
Served on textbook adoption committee
Served on other school-wide or district-wide committee or task force
If yes, please describe: ___________________________________________________________
Involved in peer coaching activities
Served as Lesson Study leader/participant
Served as officer in a local professional organization for science and/or mathematics
Served as committee chair/officer/representative for a national professional organization (e.g., NSTA, NCTM)
Served on business/industry mathematics or science task force in local area
Served as mathematics/science supervisor
Served as a department chair or mathematics/science leader for my grade or building
Mentored novice teachers
Supervised an undergraduate or graduate student on practicum
Formed action research community in my school and/or district
Organized a learning community for teachers in my school and/or district
Offered an in-service workshop for other teachers
Offered a professional development workshop in math or science
Made a presentation to my school, administrators, school board, or other organization about
my school’s efforts to improve student achievement in math or science
Other (specify):_________________________________________________________________
None of the above
[INSERT PROJECT NAME] Participation
This section obtains information about your involvement in the [INSERT PROJECT NAME] Institute during the [INSERT SCHOOL YEAR] school year.
How much time did you spend at the [INSERT PROJECT NAME] 2005 Summer Institute? (Check one response)
Less than 2 weeks (Skip to Q2)
2 to 3 weeks (Skip to Q2)
4 to 5 weeks (Skip to Q2)
6 weeks or more (Skip to Q2)
Not applicable – No Summer Institute, entire program was offered online (Continue to Q1a)
1a. What support did you receive for participating in the [INSERT PROJECT NAME]? (Skip
to Q4 after completing this item)
No support provided
Release time, constituting _____% of my daily schedule
Administrative support
Financial support
Additional recognition/rewards
Tuition reimbursement
Other (specify)
What support did you receive for participating in the [INSERT PROJECT NAME] 2005 Summer Institute? (Check all that apply)
No support provided
Release time, constituting _____ % of my daily schedule
Administrative support
Financial support
Additional recognition/rewards
Tuition reimbursement
Other (specify): _____________________________________
What support did you receive from [INSERT PROJECT NAME] during the [INSERT SCHOOL YEAR] academic year to fulfill your teacher leader responsibilities and/or to participate in project related activities? (Check all that apply)
No support provided
Release time, constituting _____ % of my daily schedule
Administrative support
Financial support
Additional recognition/rewards
Tuition reimbursement
Other (specify): ______________________________________________________________
To what extent did each of the following facilitate or hinder your ability to fulfill your teacher leader responsibilities AND/OR participate in [INSERT PROJECT NAME] during the [INSERT SCHOOL YEAR] academic school year? (Check one response for each question)
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Facilitate 1 |
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Neutral 3 |
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Hinder 5 |
Not Applicable |
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other teachers in your school or district |
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Were there any other factors that facilitated or hindered your ability to fulfill your teacher leader responsibilities AND/OR participate in [INSERT PROJECT NAME] during the [INSERT SCHOOL YEAR] academic school year? _________________________________________________________________________________
_________________________________________________________________________________
Briefly describe how your teaching practices changed over the course of your involvement with the [INSERT PROJECT NAME]. Your response may include changes to your approach to planning lessons and/or classroom practices. Your response should also include what aspect of your involvement brought about this change.
_________________________________________________________________________________
_________________________________________________________________________________
What has been your own most significant contribution to your school, district, or state as a result of your involvement with the [INSERT PROJECT NAME]?
_________________________________________________________________________________
_________________________________________________________________________________
8. How has your role within your school and/or district changed over the course of your
involvement with the [INSERT PROJECT NAME]?
_________________________________________________________________________________
_________________________________________________________________________________
Continued Professional Development
Using the table below, identify the [INSERT PROJECT NAME]-related professional development activities you completed during the [INSERT SCHOOL YEAR] academic school year.
Professional Development Activities |
Did you receive or take part in this activity during the [INSERT SCHOOL YEAR] academic school year?13 |
a) Completed a formal course(s) in mathematics, science, teacher education, educational assessment, and/or educational leadership during the [INSERT SCHOOL YEAR] academic school year. |
Yes/No (If yes, see page 14) |
b) Received ongoing support, assistance, or mentoring from one or more [INSERT PROJECT NAME] faculty members (e.g., a faculty member on-call to receive content related questions, worked with Master Teachers on lesson plan development for diverse student populations, discussed content/instructional issues in my classroom, etc) |
Yes/No (If yes, see page 16) |
c) Participated in an externship/internship program (e.g., teachers spend a year or less with a [INSERT PROJECT NAME] business or industry partner related to their field) |
Yes/No (If yes, see page 18) |
d) Attended conferences, workshops, seminars and/or colloquia, gave a talk at a meeting, or authored a publication.
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Yes/No (If yes, see page 19) |
e) Other (specify): ________________________________________________________ |
Yes/No (If yes, see page 21) |
If response is “Yes” to activity a) Completed a formal course(s) in mathematics, science, teacher education, educational assessment, and/or educational leadership during the [INSERT SCHOOL YEAR] academic school year , then complete the following item set:
How many courses did you take during the [INSERT SCHOOL YEAR] academic school year?
__________
Did you receive academic credit for the course(s) you took during the [INSERT SCHOOL YEAR] academic school year?
Yes, I received credits for all courses taken
Yes, I received credit for some but not all courses taken
No, I did not receive credit for the courses I took
What was the focus of the course(s)? (Check all that apply)
Mathematics, science, and/or teacher education pedagogy
Mathematics, science, and/or teacher education content
Educational assessment
Educational leadership
Other (specify): _________________________________________________________________
What was the educational level of the course(s)? (Check all that apply)
Undergraduate
Graduate
Certificate
Other (specify): _______________________________________________________________
How was the course(s) offered? (Check all that apply)
Online
In-class at a university or college campus
In-class at a K-12 school building
In-class at an other location (specify): _______________________________________________
Other (specify): _________________________________________________________________
When was the course(s) offered? (Check all that apply)
Not applicable – my courses are offered online
During teaching hours
Evenings
Weekends
Did you conduct or assist with any research as part of this course(s)? (Check all that apply)
No
Yes, science, technology, engineering, and/or mathematics research
Yes, education research
Yes, action research
Yes, other research (specify): ____________________________________________________
How has completing a formal course(s) in mathematics, science, teacher education, educational assessment, and/or educational leadership contributed to your development as a teacher leader and/or enhanced understanding of your content area?
NOTE - If reporting an enhanced understanding of your content area, please specify the content area.
_________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________
If response is “Yes” to activity b) Received ongoing support, assistance, or mentoring from one or more [INSERT PROJECT NAME] faculty members, then complete the following item set:
Which of the following [INSERT PROJECT NAME] Institute faculty members provided you with ongoing technical support, assistance, or mentoring during the [INSERT SCHOOL YEAR] academic school year? (Check all that apply)
NOTE – If mentored, received support, or received support from more than one faculty member, provide information for the individual who was your primary mentor or the individual from whom you have received the most guidance.
University, college, or community college science, technology, engineering, and/or mathematics faculty
University, college, or community college education faculty
Master teacher
Post-doc
Graduate student
Undergraduate student
Professional development consultant
Other (specify): ____________________________________________________________
How often were you provided support, assistance, or mentoring during the [INSERT SCHOOL YEAR] academic school year? (Check one response for each question)
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Briefly describe the type of technical support, assistance, or mentoring you were provided during the [INSERT SCHOOL YEAR] school year:
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
How has receiving ongoing support, assistance, or mentoring from one or more [INSERT PROJECT NAME] faculty member contributed to your development as a teacher leader and/or enhanced understanding of your content area?
NOTE - If reporting an enhanced understanding of your content area, please specify the content area.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
If response is “Yes” to activity c) Participated in an externship/internship program, then complete the following item set:
Where did you complete the externship/internship? (Check one response)
An institution of higher education (specify):__________________________________________
A private (non-institute of higher education) research institution or laboratory
(specify):__________________________
A business (specify):____________________________________________________________
A government agency/lab (specify):________________________________________________
An informal science institution (e.g., a museum) (specify):______________________________
Other (specify):_________________________________________________________________
How long was the externship/internship program? (Check one response)
Less than a week
1 to 2 weeks
3 to 4 weeks
One to three months
Four to six months
More than six months
Did you conduct or assist with any research as part of this externship/internship? (Check all that apply)
No
Yes, science, technology, engineering, and/or mathematics research
Yes, education research
Yes, action research
Yes, other research (specify): ____________________________________________________
Briefly describe the types of activities that you participated in as part of your externship/internship during the [INSERT SCHOOL YEAR] school year:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
How has participating in an externship/internship program contributed to your development as a teacher leader and/or enhanced understanding of your content area?
NOTE - If reporting an enhanced understanding of your content area, please specify the content area.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
If response is “Yes” to activity d) Attended conferences, workshops, seminars and/or colloquia, gave a talk at a meeting, or authored/co-authored a publication, then complete the following item set:
How many publications did you author/co-author during the [INSERT SCHOOLYEAR] school year?
Specify number: ___________ (Continued with question 1a)
Not applicable (Go to question 2)
Using the table below, list the title of the publication(s) you have authored/co-authored during the [INSERT SCHOOL YEAR] school year and indicate whether or not the publication was published in a refereed journal.
Title of Authored/Co-Authored Publication |
Published in a refereed journal? |
1. ____________________________________________________________ |
Yes/No
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2. ____________________________________________________________ |
Yes/No
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3. ____________________________________________________________ |
Yes/No
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4. _____________________________________________________________ |
Yes/No
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What was the focus of the conference, colloquia, workshop(s), talk, and/or seminar(s)? (Check all that apply)
Not applicable -- Did not attend conference, colloquia, workshop, talk, and/or seminar
Science, technology, engineering, and/or mathematics content
Science, technology, engineering, and/or mathematics research
Instructional strategies
Instructional materials (e.g. technology, curriculum, etc.)
Pedagogy
Assessment
Student diversity
Leadership
Other (specify): ______________________________________________________________
How has attending conferences, workshops, seminars and/or colloquia, giving a talk at a meeting, or authoring/co-authoring a publication contributed to your development as a teacher leader and/or enhanced understanding of your content area?
NOTE - If reporting an enhanced understanding of your content area, please specify the content area.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
If response is “Yes” to activity e) Other (specify), then complete the following item:
1. How has this professional development activity contributed to your development as a teacher
leader and/or enhanced understanding of your content area?
NOTE – If reporting an enhanced understanding of your content area, please specify the content
area.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
MSP Professional Community Building
This section obtains information about the growth and development of a professional community among teacher leaders and other [INSERT STEM] and education professionals.
Using the table below, indicate how often you are in contact with the following mathematics, science, and/or education professionals as a result of your participation in the [INSERT PROJECT NAME] during the [INSERT SCHOOL YEAR] academic school year:
STEM and Education Professionals |
How often were you in contact with the following professionals during the [INSERT SCHOOL YEAR] academic school year?14 |
a) Other Institute teacher leaders/administrators |
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b) University, college, or community college science, technology, engineering, and mathematics faculty |
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c) University, college, or community college education faculty |
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d) Post-docs, graduate students, undergraduates |
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e) Non-academic mathematician/scientist |
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f). Other (specify):__________________________ |
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Complete the following items for each science, technology, engineering, mathematics and/or education professional that you were in contact with daily, once or twice a week, or once or twice a month during the [INSERT SCHOOL YEAR] academic school year:
What was the most frequent means of communication with this professional? (Check one response)
In person
Phone
Other (specify): __________________________________________________________
What was the purpose of your communication with this professional? (Check all that apply)
To discuss successes and/or struggles of implementing knowledge learned at the [INSERT PROJECT NAME] Institute
To develop more challenging curriculum/lesson plans
To plan for future activities (e.g. professional development, conferences, seminars, etc.)
To attend colloquia/workshops/seminars together
To attend professional development activities together
To analyze the results of state assessments
To participate in a learning community/study group
To participate in [INSERT PROJECT NAME] research project
To discuss course work
Other (specify): __________________________________________________________
Dissemination of Institute Information
This section obtains information about the ways in which you, as a teacher leader, during the [INSERT SCHOOL YEAR] have disseminated the information you learned through the [INSERT PROJECT NAME] Institute.
Estimate the number of teachers and administrators that you worked with during the [INSERT SCHOOL YEAR] academic school year:
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Teachers |
Administrators |
In your school |
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In your school district (excluding your school) |
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1a. How often did you work with the other [INSERT TEACHER OR ADMINISTRATOR] in your [INSERT SCHOOL OR DISTRICT] on [INSERT PROJECT NAME] related activities during the [INSERT SCHOOL YEAR] academic school year? (Check one response)
Daily
Once or twice a week
Once or twice a month
Once or twice a year
1b. How have you disseminated [INSERT PROJECT NAME] Institute information to other [INSERT TEACHER OR ADMINISTRATOR] in your [INSERT SCHOOL OR DISTRICT] during the [INSERT SCHOOL YEAR] academic school year? (Check all that apply)
Conducted classroom observations and offered feedback for improvement
Served as a mentor
Performed demonstration teaching for the other mathematics/science teachers
Led study groups or science, technology, engineering, and/or mathematics learning communities with teachers on mathematics/science concepts and/or instructional skills
Collaborated with other teachers to develop challenging mathematics/science curriculum
Collaborated with other teachers to develop ways to promote higher student achievement
Conducted professional development workshops and activities
Other (specify): ______________________________________________________________
Did you work with any teachers or administrators outside of your district or state?
Yes (Continue with Question 2a)
No (Go to Question 3)
2a. How often did you work with the other teachers and/or administrators from outside of your district and/or state on [INSERT PROJECT NAME] related activities during the [INSERT SCHOOL YEAR] academic school year? (Check one response)
Daily
Once or twice a week
Once or twice a month
Once or twice a year
2b. How have you disseminated [INSERT PROJECT NAME] Institute information to teachers and/or administrators from outside of your district and/or state during the [INSERT SCHOOL YEAR] academic school year? (Check all that apply)
Conducted classroom observations and offered feedback for improvement
Served as a mentor
Performed demonstration teaching for the other mathematics/science teachers
Led study groups or science, technology, engineering, and/or mathematics learning communities with teachers on mathematics/science concepts and/or instructional skills
Collaborated with other teachers to develop challenging mathematics/science curriculum
Collaborated with other teachers to develop ways to promote higher student achievement
Conducted professional development workshops and activities
Other (specify): ______________________________________________________________
Did you present at a professional conference or workshop during the [INSERT SCHOOL YEAR] school year to disseminate information that you’ve learned through your participation in the [INSERT PROJECT NAME] Institute? (Check one response)
Yes (Continue with Question 3a)
No (Section complete)
3a. Please list the professional conference(s)/workshop(s) you presented at during the [INSERT SCHOOL YEAR] school year:
___________________________________________________________________________
__________________________________________________________________________
________________________________________________________________________
3b. What was the topic of your presentation(s)? (Check all that apply)
Science, technology, engineering, and/or mathematics content
Science, technology, engineering, and/or mathematics research
Instructional strategies
Instructional materials (e.g. technology, curriculum, etc.)
Pedagogy
Assessment
Student diversity
Leadership
Other (specify): ______________________________________________________________
1 Response is pre-filled (Q4 from Initial). Respondent can alter text.
2 Response is pre-filled (Q5 from Initial).
3 Response is pre-filed (Q6 from Initial).
4 Respondent will be asked to indicate if mathematics or science specialist.
5 Respondent will be asked to indicate if mathematics or science specialist.
6 If checked, skip to Q7, otherwise continue with Q5.
7 Response is pre-filled (Q13 from Initial).
8 NOTE: Additional information will be requested for all degree fields checked, e.g., “Please use this list to specify the discipline of the [TYPE OF DEGREE] you earned in [DEGREE FIELD]”
9 NOTE: Additional information will be requested for all degree fields checked, e.g., “Please use this list to specify the discipline of the [TYPE OF DEGREE] you are working on in [DEGREE FIELD]”
10 Response is pre-filled (Q15 from Initial).
11 Response is pre-filled (Q16 from Initial).
12 The Praxis was formerly called the National Teachers Exam (NTE).
13 NOTE: Additional information will be requested for all activities for which the response was “Yes.”
14 For each type of professional the respondent was in contact with daily, once or twice a week, once or twice a month, or once or twice a year, he/she will be asked to complete two additional items about their interaction.
File Type | application/msword |
File Title | Faculty |
Author | Holly Bozeman |
Last Modified By | nsfuser |
File Modified | 2008-06-09 |
File Created | 2008-06-09 |