Attachment G1
Robert Noyce Teacher Scholarship Program (Noyce)
Monitoring System
Noyce: Number of Respondents, Frequency of Response, and Annual Hour Burden 53
Noyce: Hour Burden Estimates by Each Form and Aggregate Hour Burdens 54
Noyce: Estimates of Annualized Cost to Respondents for the Hour Burdens 55
Common Collection Categories
Questions |
Staff and Project Participant Characteristics1 |
Project Implementation Characteristics2 |
Project Outputs3 |
Post-Secondary Institution Data |
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Institution name |
X |
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State (Choose a State) |
X |
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Mark the checkbox if this post-secondary institution was not involved in the project during the current reporting period. |
X |
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Academic year system (Choose one): Semesters Trimesters Quarters |
X |
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Programmatic activities conducted by this institution during the current reporting period (Mark all that apply): Mentoring Early field experiences Peer tutoring Other (Please specify) |
|
X |
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BASELINE DATA (DATA FOR YEAR PRIOR TO AWARD) |
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Number of Science, Technology, Engineering, and Mathematics (STEM) majors who graduated and had prepared to become K–12 mathematics and science teachers4 1 year prior to award. Please report each STEM major under only one discipline. Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Total number of baseline majors (read-only) |
X |
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Number of STEM post-baccalaureates who completed the teacher preparation program and had prepared to become K–12 mathematics and science teachers1 1 year prior to award |
X |
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Number of STEM career changers who completed the teacher preparation program and had prepared to become K–12 mathematics and science teachers1 1 year prior to award |
X |
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DATA FOR THE CURRENT REPORTING PERIOD |
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Number of STEM majors who graduated and had prepared to become K–12 mathematics and science teachers5 during the current reporting period. Please report each STEM major under only one discipline. Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Total number of current majors (read-only) |
|
X |
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Number of STEM post-baccalaureates who completed the teacher preparation program and had prepared to become K–12 mathematics and science teachers2 during the current reporting period |
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X |
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Number of STEM career changers who completed the teacher preparation program and had prepared to become K–12 mathematics and science teachers2 during the current reporting period |
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X |
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APPLICANTS FOR NOYCE SCHOLARSHIPS |
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Total number of Noyce scholarship applicants during the current reporting period |
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X |
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Average cumulative grade point average (GPA) for all Noyce scholarship applicants at the time of application during the current reporting period |
X |
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APPLICANTS FOR NOYCE STIPENDS |
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Total number of Noyce stipend applicants during the current reporting period |
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X |
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HIGHER EDUCATION FACULTY MEMBERS |
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Number of faculty members (for each of the disciplines listed below) involved in the project during the current reporting period. Please report each faculty member under only one discipline. Biological Sciences Chemistry Computer Science Education Engineering Geosciences/Environmental Sciences Mathematics Physics Other (Please specify) Total number of faculty members (read only) |
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X |
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Indicate which activities the faculty members reported above were involved in during the current reporting period (Mark all that apply): Serving on the leadership team Recruiting and/or selecting Noyce support recipients Teaching courses in which Noyce support recipients are enrolled Mentoring and/or monitoring Noyce support recipients Other (Please specify) |
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X |
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School District Data |
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District name |
X |
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City |
X |
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State (Choose a State) |
X |
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Was this school district involved in the project during the current reporting period? (Yes/No) |
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X |
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Number of schools in this district that were involved in the project during the current reporting period |
|
X |
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Noyce Scholarship Recipient Data |
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Name: First, Middle Initial, Last |
X |
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Institution (Choose one) |
X |
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Gender (Choose one): Male Female Not reported |
X |
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Ethnicity (Choose one): Not Hispanic or Latino Hispanic or Latino Not reported |
X |
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Race (Choose one or more): American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Not reported |
X |
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Disability (Choose one): Yes (check Yes if any of the following apply):
No Do not wish to provide
|
X |
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Date of birth: (month / day / year) |
X |
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Year (Choose one): Junior Senior Post-baccalaureate |
X |
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Major (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) |
X |
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Did this recipient participate in a Noyce summer internship as a freshman and/or sophomore |
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X |
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Cumulative GPA when selected for the Noyce scholarship |
X |
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Did the Noyce scholarship recipient transfer from a community college? (Yes/No) |
X |
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If so, provide the name of the community college. |
X |
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Activities the recipient participated in during the current reporting period (Mark all that apply): Mentoring Early field experiences Peer tutoring Student teaching Other (Please specify) None |
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X |
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Level of Noyce scholarship support (dollar amount) during the current reporting period |
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X |
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Number of academic terms of Noyce scholarship support during the current reporting period (Choose one): (Summer is counted as a term.) 1 term 2 terms 3 terms 4 terms |
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X |
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Did the Noyce scholarship support end as of the end of the current reporting period?6 (Yes/No) Only answer Yes when you are certain that the recipient will not receive any additional Noyce funding in the future (e.g., the recipient has permanently left the program, the recipient has already received the maximum funding allowed). |
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X |
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During the current reporting period did the Noyce scholarship recipient leave the Noyce program at your institution without completing the teacher preparation program at your institution or obtaining certification/licensure?7 (Yes/No) |
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X |
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If yes, why? (Choose one): Left to pursue other academic interests Failed to meet program requirements Left to pursue non-teaching employment Left due to family and/or economic constraints Left for health reasons Left to complete the teacher preparation program at another institution Left the Noyce program but remaining in this institution’s teacher preparation program Deceased Other Unknown |
|
X |
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Please specify the reason if Other is selected above. |
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X |
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If yes, what amount of the Noyce scholarship funding is the recipient required to repay? |
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X |
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If yes, how much of the Noyce scholarship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
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X |
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Intended level of teaching, if applicable (Choose one): Elementary School Middle School Junior High School High School |
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X |
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Intended subject area(s)/discipline(s) of teaching, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) |
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X |
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Did the Noyce scholarship recipient complete the teacher preparation program during the current reporting period? (Yes/No) Answer Yes if the recipient completed the teacher preparation program at your institution or at another institution. |
X |
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X |
Anticipated or actual month and year of completion of teacher preparation program, if applicable (month / year) |
X |
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Cumulative GPA at completion of teacher preparation program, if applicable |
X |
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Did the Noyce scholarship recipient obtain certification or licensure during the current reporting period? (Yes/No) |
X |
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X |
Anticipated or actual month and year of certification or licensure, if applicable (month / year) |
X |
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Grade level(s) as listed on teaching certificate or license, if applicable (Mark all that apply): Elementary School Middle School Junior High School High School |
X |
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Subject area(s) as listed on teaching certificate or license, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) No subject listed on the certificate or license Unknown |
X |
|
X |
Had the Noyce support recipient begun full-time, full-responsibility teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? (Yes/No) |
X |
|
X |
Which of the following best describes the status for this Noyce support recipient as of the end of the current reporting period?8 Still completing coursework and/or requirements for teacher certification/licensure Has not met teaching requirements but taught in a high-need school district during the current reporting period Has not met teaching requirements and did not teach in a high-need school district during the current reporting period Has met teaching requirements Does not intend to meet the teaching requirements Other (Please specify) |
X |
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If the recipient does not intend to meet the teaching requirements, what amount of the Noyce scholarship funding is the recipient required to repay? |
|
X |
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If the recipient does not intend to meet the teaching requirements, how much of the Noyce scholarship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
|
X |
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School name |
X |
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School district Choose school district OR enter school district data District/local education agency City State (Choose a State) |
X |
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High-need school district criteria (Mark all that apply): Has a high percentage of individuals from families with incomes below the poverty line Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach Has a high teacher turnover rate None of the above. (Please explain) |
X |
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Teaching placement grade level (Choose one): Elementary School Middle School Junior High School High School |
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X |
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Teaching placement subject area of majority of courses taught (Choose one): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other |
|
X |
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Please specify the subject area if Other is selected above. |
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X |
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Teaching placement subject areas of other courses taught, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) |
|
X |
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Total number of years of teaching completed in a high-need school district as of the current reporting period (Choose one): (You should only count complete academic years of teaching.) Less than 1 year 1 year 2 years 3 years 4 years 5 years 6 years More than 6 years Unknown |
X |
|
X |
If More than 6 years of teaching is selected, please provide the total number of years teaching. |
X |
|
X |
Noyce Stipend Recipient Data |
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Name: First, Middle Initial, Last |
X |
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Institution (Choose one) |
X |
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Gender (Choose one): Male Female Not reported |
X |
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Ethnicity (Choose one): Not Hispanic or Latino Hispanic or Latino Not reported |
X |
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Race (Choose one or more): American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Not reported |
X |
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Disability (Choose one): Yes (check Yes if any of the following apply):
No Do not wish to provide |
X |
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Date of birth: (month / day / year) |
X |
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Degree(s) held at the beginning of the Noyce stipend support: Degree (Choose one): Bachelor’s Master’s Doctorate Other (Please specify) Major (Choose one): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Year (Choose one) |
X |
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Did this recipient participate in a Noyce summer internship as a freshman and/or sophomore? (Yes/No) |
|
X |
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If career changer, please enter the requested information below. Previous occupation Number of years in previous occupation |
X |
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Activities the recipient participated in during the current reporting period (Mark all that apply): Mentoring Early field experiences Peer tutoring Student teaching Other (Please specify) None |
|
X |
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Level of Noyce stipend support (dollar amount) during the current reporting period |
|
X |
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Number of academic terms of Noyce stipend support during the current reporting period (Choose one): (Summer is counted as a term.) 1 term 2 terms 3 terms 4 terms |
|
X |
|
Did the Noyce stipend support end as of the end of the current reporting period?9 (Yes/No) Only answer Yes when you are certain that the recipient will not receive any additional Noyce funding in the future (e.g., the recipient has permanently left the program, the recipient has already received the maximum funding allowed). |
|
X |
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During the current reporting period did the Noyce stipend recipient leave the Noyce program at your institution without completing the teacher preparation program at your institution or obtaining certification/licensure?10 (Yes/No) |
|
X |
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If yes, why? (Choose one): Left to pursue other academic interests Failed to meet program requirements Left to pursue non-teaching employment Left due to family and/or economic constraints Left to complete the teacher preparation program at another institution Left the Noyce program but remaining in this institution’s teacher preparation program Deceased Other Unknown |
|
X |
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Please specify the reason if Other is selected above. |
|
X |
|
If yes, what amount of the Noyce stipend funding is the recipient required to repay? |
|
X |
|
If yes, how much of the Noyce stipend funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
|
X |
|
Intended level of teaching, if applicable (Choose one): Elementary School Middle School Junior High School High School |
|
X |
|
Intended subject area(s)/discipline(s) of teaching, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) |
|
X |
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Did the Noyce stipend recipient complete the teacher preparation program during the current reporting period? (Yes/No) Answer Yes if the recipient completed the teacher preparation program at your institution or another institution. |
X |
|
X |
Anticipated or actual month and year of completion of teacher preparation program, if applicable (month / year) |
X |
|
|
Cumulative GPA at completion of teacher preparation program, if applicable: |
X |
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|
Did the Noyce stipend recipient obtain certification or licensure during the current reporting period? (Yes/No) |
X |
|
X |
Anticipated or actual month and year of certification or licensure, if applicable (month / year) |
X |
|
|
Grade level(s) as listed on teaching certificate or license (Mark all that apply): Elementary School Middle School Junior High School High School |
X |
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|
Subject area(s) as listed on teaching certificate or license, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) No subject listed on the certificate or license Unknown |
X |
|
X |
Had the Noyce support recipient begun full-time, full-responsibility teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? (Yes/No) |
X |
|
X |
Which of the following best describes the status for this Noyce support recipient as of the end of the current reporting period?11 Still completing coursework and/or requirement for teacher certification/licensure Has not met teaching requirements but taught in a high-need school district during the current reporting period Has not met teaching requirements and did not teach in a high-need school district during the current reporting period Has met teaching requirements Does not intend to meet the teaching requirements Other (Please specify) |
X |
|
|
If the recipient does not intend to meet the teaching requirements, what amount of the Noyce stipend funding is the recipient required to repay? |
|
X |
|
If the recipient does not intend to meet the teaching requirements, how much of the Noyce stipend funding has the recipient repaid to date? (This should be the cumulative amount repaid through the current reporting period.) |
|
X |
|
School name |
X |
|
|
School district Choose school district: OR enter school district data District/local education agency City State (Choose a State) |
X |
|
|
High-need school district criteria (Mark all that apply) Has a high percentage of individuals from families with incomes below the poverty line Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach Has a high teacher turnover rate None of the above. (Please explain) |
X |
|
|
Teaching placement grade level (Choose one): Elementary School Middle School Junior High School High School |
X |
|
X |
Teaching placement subject area of majority of courses taught (Choose one): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other |
X |
|
X |
Please specify the subject area if Other is selected above. |
X |
|
X |
Teaching placement subject areas of other courses taught, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Science & Mathematics Middle School Science Middle School Mathematics Middle School Science & Mathematics All subjects Other (Please specify) |
X |
|
X |
Total number of years of teaching completed in a high-need school district as of the current reporting period (Choose one): (You should only count complete academic years of teaching.) Less than 1 year 1 year 2 years 3 years 4 years 5 years 6 years More than 6 years Unknown |
X |
|
X |
If More than 6 years of teaching is selected, please provide the total number of years teaching. |
X |
|
X |
Post-Scholarship/Stipend Follow-Up Data |
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Name: First, MI, Last |
X |
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During the current reporting period did the Noyce support recipient leave the Noyce program at your institution without completing the teacher preparation program at your institution or obtaining certification/licensure?12 (Yes/No) |
|
X |
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If yes, why? (Choose one): Left to pursue other academic interests Failed to meet program requirements Left to pursue non-teaching employment Left due to family and/or economic constraints Left to complete the teacher preparation program at another institution Left the Noyce program but remaining in this institution’s teacher preparation program Deceased Other Unknown |
|
X |
|
Please specify the reason if Other is selected above. |
|
X |
|
If yes, what amount of the Noyce support funding is the recipient required to repay? |
|
X |
|
If yes, how much of the Noyce support funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
|
X |
|
Did the Noyce support recipient complete the teacher preparation program during the current reporting period? (Yes/No) Answer Yes if the recipient completed the teacher preparation program at your institution or another institution. |
X |
|
X |
Anticipated or actual month and year of completion of teacher preparation program, if applicable (month / year) |
X |
|
|
Cumulative GPA at completion of teacher preparation program, if applicable |
X |
|
|
Did the Noyce support recipient obtain certification or licensure during the current reporting period? (Yes/No) |
X |
|
X |
Anticipated or actual month and year of certification or licensure, if applicable (month / year) |
X |
|
|
Grade levels as listed on teaching certificate or license, if applicable (Mark all that apply): Elementary School Middle School Junior High School High School |
X |
|
X |
Subject area(s) as listed on teaching certificate or license, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) No subject listed on the certificate or license Unknown |
X |
|
X |
Had the Noyce support recipient begun full-time, full-responsibility teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? ( Yes/No) |
X |
|
X |
If not, why? Still completing coursework and/or requirements for teacher certification/licensure Taught in a school that is not in a high-need school district Still completing coursework Cannot find employment Dropped out before completing the teacher preparation program Unknown Other |
X |
|
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Please specify the reason if Other is selected above. |
|
X |
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Which of the following best describes the status for this Noyce support recipient as of the end of the current reporting period?13 Still completing coursework and/or requirements for teacher certification/licensure Has not met teaching requirements but taught in a high-need school district during the current reporting period Has not met teaching requirements and did not teach in a high-need school district during the current reporting period Has met teaching requirements Does not intend to meet the teaching requirements Other (Please specify) |
X |
|
|
If the recipient does not intend to meet the teaching requirements, what amount of the Noyce funding is the recipient required to repay? |
|
X |
|
If the recipient does not intend to meet the teaching requirements, how much of the Noyce funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
|
X |
|
School name |
X |
|
|
School district Choose school district: OR enter school district data District/local education agency City State (Choose a State) |
X |
|
|
High-need school district criteria (Mark all that apply): Has a high percentage of individuals from families with incomes below the poverty line Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach Has a high teacher turnover rate None of the above. (Please explain) |
X |
|
|
Teaching placement grade level (Choose one): Elementary School Middle School Junior High School High School |
X |
|
X |
Teaching placement subject area of majority of courses taught (Choose one): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other |
X |
|
X |
Please specify the subject area if Other is selected above. |
X |
|
X |
Teaching placement subject areas of other courses taught, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) |
X |
|
X |
Total number of years of teaching completed in a high-need school district as of the current reporting period (Choose one): (You should only count complete academic years of teaching.) Less than 1 year 1 year 2 years 3 years 4 years 5 years 6 years More than 6 years Unknown |
X |
|
X |
If More than 6 years of teaching is selected, please provide the total number of years teaching. |
X |
|
X |
Noyce Summer Intern Data |
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Name: First, Middle Initial, Last |
X |
|
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Institution (Choose one) |
X |
|
|
Gender (Choose one): Male Female Not reported |
X |
|
|
Ethnicity (Choose one): Not Hispanic or Latino Hispanic or Latino Not reported |
X |
|
|
Race (Choose one or more): American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Not reported |
X |
|
|
Disability (Choose one): Yes (check Yes if any of the following apply):
No Do not wish to provide |
X |
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|
Year (Choose one): Freshman Sophomore |
X |
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|
Major (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Undecided |
X |
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Type of internship (Choose one or more): Summer science/mathematics camps Summer school Science museums Nature centers Science research laboratories Other (Please specify) |
|
X |
|
Common Collection Categories
Questions |
Staff and Project Participant Characteristics14 |
Project Implementation Characteristics15 |
Project Outputs16 |
Post-Secondary Institution Data |
|
|
|
Institution name |
X |
|
|
State (Choose a State) |
X |
|
|
Mark the checkbox if this post-secondary institution was not involved in the project during the current reporting period. |
X |
|
|
Academic year system (Choose one): Semesters Trimesters Quarters |
X |
|
|
Programmatic activities conducted by this institution during the current reporting period (Mark all that apply): Mentoring Early field experiences Peer tutoring Clinical experiences Research Professional development Leadership opportunities Other (Please specify) |
|
X |
|
Mark the checkbox if your project does not have a Teaching Fellowship component (pre-service teachers) |
|
X |
|
BASELINE DATA (DATA FOR YEAR PRIOR TO AWARD) |
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|
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For projects with a Teaching Fellowship component (pre-service teachers) please report the number of science, technology, engineering, and mathematics (STEM) professionals (career changers) and STEM post-baccalaureates who completed a master’s degree program and had prepared to become K–12 mathematics and science teachers17 1 year prior to award in each of the disciplines listed. Please report each STEM major under only one discipline. Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Total number of baseline majors (read-only) |
X |
|
|
DATA FOR THE CURRENT REPORTING PERIOD |
|
|
|
For projects with a Teaching Fellowship component (pre-service teachers) please report the number of STEM professionals (career changers) and STEM post-baccalaureates who completed a master’s degree program and had prepared to become K–12 mathematics and science teachers1 during the current reporting period in each of the disciplines listed. Please report each STEM major under only one discipline. Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Total number of current majors (read-only) |
|
X |
|
APPLICANTS FOR NSF TEACHING FELLOWSHIPS |
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|
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Total number of NSF Teaching Fellowship applicants during the current reporting period |
|
X |
|
Average cumulative grade point average (GPA) for all NSF Teaching Fellowship applicants at the time of application during the reporting period |
X |
|
|
APPLICANTS FOR NSF MASTER TEACHING FELLOWSHIPS |
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|
|
Total number of NSF Master Teaching Fellowship applicants during the current reporting period |
|
X |
|
HIGHER EDUCATION FACULTY MEMBERS |
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|
Number of faculty members involved in the project (for each of the disciplines listed) during the current reporting period. Please report each faculty member under only one discipline. This includes any faculty member who participated in the development and implementation of the project through activities such as serving on the leadership team, recruiting and/or selecting Noyce support recipients, teaching courses in which Noyce support recipients are enrolled (STEM courses and any other courses that are required for the teacher preparation program), and mentoring and/or monitoring Noyce support recipients. Biological Sciences Chemistry Computer Science Education Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Total number of faculty members (read-only) |
|
X |
|
Indicate which activities the faculty members reported above were involved in during the current reporting period (Mark all that apply): Serving on the leadership team Recruiting and/or selecting NSF Teaching Fellowship and/or Master Teaching Fellowship recipients Teaching courses in which NSF Teaching Fellowship and/or Master Teaching Fellowship recipients are enrolled Mentoring and/or monitoring NSF Teaching Fellowship and/or Master Teaching Fellowship recipients Other (Please specify) |
|
X |
|
School District Data |
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|
District name |
X |
|
|
City |
X |
|
|
State (Choose a State) |
X |
|
|
Was this school district involved in the project during the current reporting period? (Yes/No) |
|
X |
|
Number of schools in this district that were involved in the project during the current reporting period |
|
X |
|
Nonprofit Organization Data |
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Organization name |
X |
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City |
X |
|
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State (Choose a State) |
X |
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Was this nonprofit organization involved in the project during the current reporting period? (Yes/No) |
|
X |
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Activities this nonprofit organization was involved in during the current reporting period (Mark all that apply): Conducting teacher professional development activities Mentoring NSF Teaching Fellowship and/or Master Teaching Fellowship recipients Cost sharing Other (Please specify) |
|
X |
|
NSF Teaching Fellowship Recipients Data |
|
|
|
Name: First, Middle Initial, Last |
X |
|
|
Institution (Choose one) |
X |
|
|
Gender (Choose one): Male Female Not reported |
X |
|
|
Ethnicity (Choose one): Not Hispanic or Latino Hispanic or Latino Not reported |
X |
|
|
Race (Choose one or more): American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Not reported |
X |
|
|
Disability (Choose one): Yes (check Yes if any of the following apply):
No Do not wish to provide
|
X |
|
|
Date of birth: (month / day / year) |
X |
|
|
Degree(s) held at the beginning of the NSF Teaching Fellowship: Degree (Choose one): Bachelor’s Master’s Doctorate Other (Please specify) Major (Choose one): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Year (Choose one) |
X |
|
|
Cumulative GPA when selected for the NSF Teaching Fellowship |
X |
|
|
Major field(s) of study or discipline(s) for current master’s degree program (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) |
X |
|
|
If career changer, please enter the requested information below. Previous occupation Number of years in previous occupation (for career changers only): 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years 30 years More than 30 |
X |
|
|
If More than 30 year of teaching is selected, please provide the total number of years teaching |
X |
|
|
Activities the recipient participated in during the current reporting period (Mark all that apply): Mentoring new teachers Mentoring pre-service teachers Participating in clinical teaching experiences Participating in a pre-service teacher education program Developing and providing professional development activities for other teachers Attending professional development activities focusing on content knowledge in mathematics and/or science Attending professional development activities focusing on pedagogy Conducting STEM research Conducting educational research Attending regional/local conferences Selecting and adapting instructional material Using research to inform curriculum development and/or learning strategies Working with parents, school boards, or others outside of the school Serving on a curriculum committee Serving on a textbook adoption committee Serving on other school-wide or district-wide committee or task force (Please specify) Participating in peer coaching activities Serving as an officer in a local professional organization for science and/or mathematics Serving as a committee chair/officer/representative for a national professional organization (e.g., NSTA, NCTM) Serving on a business/industry science and/or mathematics task force in the local area Serving as a science/mathematics supervisor Other (Please specify) None |
|
X |
|
Did the NSF Teaching Fellowship recipient receive a stipend toward completing his or her master’s degree program and/or obtaining teacher certification/licensure during the current reporting period? (Yes/No) |
|
X |
|
If yes, what was the dollar amount of the NSF Teaching Fellowship stipend received during the current reporting period? |
|
X |
|
If yes, how many academic terms of NSF Teaching Fellowship stipend support were received during the current reporting period (Choose one): 1 term 2 terms 3 terms 4 terms |
|
X |
|
Did the NSF Teaching Fellowship stipend support end as of the end of the current reporting period? (Yes/No) |
|
X |
|
During the current reporting period did the NSF Teaching Fellowship recipient leave the NSF Teaching Fellowship program at your institution without earning a master’s degree at your institution? (Yes/No) |
|
X |
|
If yes, why? Left to pursue other academic interests Failed to meet program requirements Left to pursue non-teaching employment Left due to family and/or economic constraints Left for health reasons Deceased Other (Please specify) Unknown |
|
X |
|
If yes, what amount of the NSF Teaching Fellowship funding is the recipient required to repay? |
|
X |
|
If yes, how much of the NSF Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
|
X |
|
During the current reporting period did the NSF Teaching Fellowship recipient leave the NSF Teaching Fellowship program at your institution without obtaining teacher certification/licensure? (Yes/No) |
|
X |
|
If yes, why? Left to pursue other academic interests Failed to meet program requirements Left to pursue non-teaching employment Left due to family and/or economic constraints Left for health reasons Left to complete the teacher preparation program at another institution Left the NSF Teaching Fellowship program but remaining in this institution’s teacher preparation program Deceased Other (Please specify) Unknown |
|
X |
|
If yes, what amount of the NSF Teaching Fellowship funding is the recipient required to repay? |
|
X |
|
If yes, how much of the NSF Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
|
X |
|
Intended level of teaching, if applicable (Choose one): Elementary School Middle School Junior High School High School |
|
X |
|
Intended subject area(s)/discipline(s) of teaching, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) |
|
X |
|
Did the NSF Teaching Fellowship recipient complete his or her master’s degree program during the current reporting period? (Yes/No) |
X |
|
X |
Anticipated or actual month and year of completion of the master’s degree program |
X |
|
|
Cumulative GPA at completion of teacher preparation program, if applicable |
X |
|
|
Did the NSF Teaching Fellowship recipient obtain teacher certification or licensure during the current reporting period? (Yes/No) |
X |
|
X |
Anticipated or actual month and year of teacher certification or licensure |
X |
|
|
Grade level(s) as listed on teaching certificate or license, if applicable (Mark all that apply): Elementary School Middle School Junior High School High School |
X |
|
X |
Subject area(s) as listed on teaching certificate or license, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) No subject listed on the certificate or license Unknown |
X |
|
X |
Had the NSF Teaching Fellowship recipient begun full-time, full-responsibility teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? (Yes/No) |
X |
|
X |
If not, why? Taught in a school that is not in a high-need school district Still completing coursework and/or requirements for teacher certification/licensure Cannot find employment Dropped out before completing the teacher preparation program Unknown Other (Please specify) |
X |
|
|
Which of the following best describes the status of this NSF Teaching Fellowship recipient as of the end of the current reporting period? Still completing coursework and/or requirements for teacher certification/licensure Has not met teaching requirements but taught in a high-need school district during the current reporting period Has not met teaching requirements and did not teach in a high-need school district during the current reporting period Has met the teaching requirements Does not intend to meet the teaching requirements Other (Please specify) |
X |
|
|
If the recipient does not intend to meet the teaching requirements, what amount of the NSF Teaching Fellowship funding is the recipient required to repay? |
|
X |
|
If the recipient does not intend to meet the teaching requirements, how much of the NSF Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
|
X |
|
School name |
X |
|
|
School district Choose school district: OR enter school district data District/local education agency City State (Choose a State) |
X |
|
|
High-need school district criteria (Mark all that apply): Has a high percentage of individuals from families with incomes below the poverty line Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach Has a high teacher turnover rate None of the above (Please explain) |
X |
|
|
Teaching placement grade level (Choose one): Elementary School Middle School Junior High School High School |
X |
|
X |
Teaching placement subject area of majority of courses taught (Choose one): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other |
X |
|
X |
Please specify the subject area if Other is selected above. |
X |
|
X |
Teaching placement subject areas of other courses taught, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) |
X |
|
X |
Did the NSF Teaching Fellowship recipient receive a salary supplement during the current reporting period? (Yes/No) |
|
X |
|
If yes, what was the dollar amount of the supplement received during the current reporting period? |
|
X |
|
Did the NSF Teaching Fellowship salary supplement support end as of the end of the current reporting period? (Yes/No) |
|
X |
|
Total number of years of teaching completed in a high-need school district since earning master’s degree and/or teacher certification/licensure as of the end of the current reporting period (Choose one): (You should only count complete academic years of teaching.) Less than 1 year 1 year 2 years 3 years 4 years 5 years 6 years More than 6 years Unknown |
X |
|
X |
If More than 6 years of teaching is selected, please provide the total number of year teaching. |
X |
|
X |
NSF Master Teaching Fellowship Recipients Data |
|
|
|
Name: First, Middle Initial, Last |
X |
|
|
Institution (Choose one) |
X |
|
|
Gender (Choose one): Male Female Not reported |
X |
|
|
Ethnicity (Choose one): Not Hispanic or Latino Hispanic or Latino Not reported |
X |
|
|
Race (Choose one or more): American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Not reported |
X |
|
|
Disability (Choose one): Yes (check Yes if any of the following apply):
No Do not wish to provide
|
X |
|
|
Date of birth: (month / day / year) |
X |
|
|
Was the individual previously supported as a Noyce Scholarship recipient, Noyce Stipend recipient, or NSF Teaching Fellowship recipient under another Noyce award? (Yes/No) |
|
X |
|
Degree(s) held at the beginning of the Noyce stipend support: Degree (Choose one): Bachelor’s Master’s Doctorate Other (Please specify) Major (Choose one): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Year (Choose one) |
X |
|
|
Grade level(s) listed on teaching certificate or license (Mark all that apply): Elementary School Middle School Junior high School High School |
X |
|
|
Subject area(s) as listed on teaching certificate or license (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All Subjects Other (Please specify) No subject listed on the certificate or license Unknown |
X |
|
|
Number of years the individual taught prior to receiving the NSF Master Teaching Fellowship (Choose one): 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years 30 years More than 30 |
X |
|
|
If More than 30 year of teaching is selected, please provide the total number of years teaching |
X |
|
|
Number of years the individual taught in a high-need school district prior to receiving the NSF Master Teaching Fellowship (Choose one): 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years
More than 30 (Please specify) |
X |
|
|
Activities the recipient participated in during the current reporting period (Mark all that apply): Mentoring new teachers Mentoring pre-service teachers Participating in clinical teaching experiences Participating in a pre-service teacher education program Developing and providing professional development activities for other teachers Attending professional development activities focusing on content knowledge in mathematics and/or science Attending professional development activities focusing on pedagogy Conducting STEM research Conducting educational research Attending regional/local conferences Selecting and adapting instructional material Using research to inform curriculum development and/or learning strategies Working with parents, school boards, or others outside of the school Serving on a curriculum committee Serving on a textbook adoption committee Serving on other school-wide or district-wide committee or task force (Please describe) Participating in peer coaching activities Serving as an officer in a local professional organization for science and/or mathematics Serving as a committee chair/officer/representative for a national professional organization (e.g., NSTA, NCTM) Serving on a business/industry science and/or mathematics task force in the local area Serving as a science/mathematics supervisor Other (Please specify) |
|
X |
|
During the current reporting period did the NSF Master Teaching Fellowship recipient leave the NSF Master Teaching Fellowship program at your institution without completing the program requirements? (Yes/No) |
|
X |
|
If yes, why? Left to pursue other academic interests Failed to meet program requirements Left to pursue non-teaching employment Left due to family and/or economic constraints Left for health reasons Deceased Other (Please specify) Unknown |
|
X |
|
If yes, what amount of the NSF Master Teaching Fellowship funding is the recipient required to repay? |
|
X |
|
If yes, how much of the NSF Master Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
|
X |
|
Was the NSF Master Teaching Fellowship recipient recognized as a master teacher during the current reporting period? (Yes/No) |
X |
|
X |
If yes, please describe the nature of this recognition: National board certification Salary increase Promotion Other (Please specify) |
X |
|
|
Has the NSF Master Teaching Fellowship recipient begun teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? (Yes/No) |
X |
|
X |
If not, why? Taught in a school that is not in a high-need school district Cannot find employment Unknown Other (Please specify) |
X |
|
|
Which of the following best describes the status of this NSF Master Teaching Fellowship recipient as of the end of the current reporting period? Has not met teaching requirements but taught in a high-need school district during the current reporting period Has not met teaching requirements and did not teach in a high-need school district during the current reporting period Has met the teaching requirements Does not intend to meet the teaching requirements Does not intend to become a master teacher Other (Please specify) |
X |
|
|
If the recipient does not intend to meet the teaching requirements, what amount of the NSF Master Teaching Fellowship funding is the recipient required to repay? |
|
X |
|
If the recipient does not intend to meet the teaching requirements, how much of the NSF Master Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
|
X |
|
School Name |
X |
|
|
School district Choose school district: OR enter school district data District/local education agency City State (Choose a State) |
X |
|
|
High-need school district criteria (Mark all that apply): Has a high percentage of individuals from families with incomes below the poverty line Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach Has a high teacher turnover rate None of the above (Please explain) |
X |
|
|
Teaching placement grade level (Choose one): Elementary School Middle School Junior High School High School |
X |
|
X |
Teaching placement subject area of majority of courses taught (Choose one): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other |
X |
|
X |
Please specify the subject area if Other is selected above |
X |
|
X |
Teaching placement subject areas of other courses taught, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Science & Mathematics Middle School Science Middle School Mathematics Middle School Science & Mathematics All subjects Other (Please specify) |
X |
|
X |
Did the NSF Master Teaching Fellowship recipient receive a salary supplement during the current reporting period? (Yes/No) |
|
X |
|
If yes, what was the dollar amount of the supplement received during the current reporting period? |
|
X |
|
Did the NSF Master Teaching Fellowship salary supplement support end as of the end of the current reporting period? (Yes/No) |
|
X |
|
Total number of years of teaching completed in a high-need school district since receiving the NSF Master Teaching Fellowship as of the end of the current reporting period (Choose one): Less than 1 year 1 year 2 years 3 years 4 years 5 years 6 years More than 6 years Unknown |
X |
|
X |
If More than 6 year of teaching is selected, please provide the total number of years teaching |
X |
|
X |
The estimated average number of annual respondents is 316, with an estimated average annual response burden of 4,108 hours. The Web-based collection is an annual activity of the Noyce program. Respondents are PIs; one PI per award completes the survey. The estimated average annual hour burden per respondent was determined using the burden information reported by respondents for the last three collection cycles.
The burden estimate is outlined below:
Respondent Type |
Estimated Average No. of Respondents |
Estimated Average Annual Burden Hours Per Respondent |
Estimated Annual Burden Hour Total |
PIs |
316 |
13 |
4,108 |
Total |
316 |
|
4,108 |
The Noyce system consists of one form for Track 1 awards and one form for Track 2 awards. The number of data elements for each is roughly equal and is expected to take the same amount of time to complete. Respondents are project PIs. The estimated total annual response burden is 4,108 hours. The annual burden by form was calculated as follows:
Form Type |
Respondent |
No of Respondents |
Burden Hours Per Respondent |
Total Burden Hours |
Noyce data collection form |
PIs |
316 |
13 |
4,108 |
Total |
|
316 |
|
4,108 |
The overall annualized cost to the respondents is estimated to be $168,428. The following table shows the annualized estimates of costs to PI respondents, who are generally university professors. This estimated hourly rate is based on a report from the American Association of University Professors, “Annual Report on the Economic Status of the Profession, 2011-12,” Academe, March–April 2012, Survey Report Table 4. According to this report, the average salary of an associate professor across all types of doctoral-granting institutions (public, private-independent, religiously affiliated) was $86,319. When divided by the number of standard annual work hours (2,080), this calculates to approximately $41 per hour.
Respondent Type |
No. of Respondents |
Burden Hours Per Respondent |
Average Hourly Rate |
Estimated Annual Cost |
PIs |
316 |
13 |
$41 |
$168,428 |
Total |
316 |
|
|
$168,428 |
Computing the annualized cost to NSF for the Noyce data collection was done by taking the budgets for three years and calculating the costs for each of the following operational activities involved in producing, maintaining, and conducting the Noyce data collection:
Operational Activities |
Cost Over Three Years |
System Development (includes initial development of the database and Web-based application, and later changes requested by the program, e.g., increased reporting tools, additional validations) |
$333,180 |
System Maintenance, Updates, and Technical Support (the system requires updates each year before opening the collection; maintenance is required to keep the system current with technology, e.g., database servers, operating systems) |
$209,573 |
Data Collection Opening and Support (e.g., online and telephone support to respondents and contacting respondents to encourage completion of the questions), Reporting (as defined by DUE), and Followup Activities (e.g., providing data to other consultants) |
$214,996 |
Three-Year Total for All Operational Activities |
$757,749 |
The annualized cost was computed as one-third of the total three-year costs; thus, the annualized cost to NSF for the Noyce data collection is $252,583.
Post-Secondary Institution Data |
Institution name |
State (Choose a State) |
Mark the checkbox if this post-secondary institution was not involved in the project during the current reporting period. |
Academic year system (Choose one): Semesters Trimesters Quarters |
Programmatic activities conducted by this institution during the current reporting period (Mark all that apply): Mentoring Early field experiences Peer tutoring Other (Please specify) |
BASELINE DATA (DATA FOR YEAR PRIOR TO AWARD) |
Number of Science, Technology, Engineering, and Mathematics (STEM) majors who graduated and had prepared to become K–12 mathematics and science teachers18 1 year prior to award. Please report each STEM major under only one discipline. Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Total number of baseline majors (read-only) |
Number of STEM post-baccalaureates who completed the teacher preparation program and had prepared to become K–12 mathematics and science teachers1 1 year prior to award |
Number of STEM career changers who completed the teacher preparation program and had prepared to become K–12 mathematics and science teachers1 1 year prior to award |
DATA FOR THE CURRENT REPORTING PERIOD |
Number of STEM majors who graduated and had prepared to become K–12 mathematics and science teachers19 during the current reporting period. Please report each STEM major under only one discipline. Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Total number of current majors (read-only) |
Number of STEM post-baccalaureates who completed the teacher preparation program and had prepared to become K–12 mathematics and science teachers2 during the current reporting period |
Number of STEM career changers who completed the teacher preparation program and had prepared to become K–12 mathematics and science teachers2 during the current reporting period |
APPLICANTS FOR NOYCE SCHOLARSHIPS |
Total number of Noyce scholarship applicants during the current reporting period |
Average cumulative grade point average (GPA) for all Noyce scholarship applicants at the time of application during the current reporting period |
APPLICANTS FOR NOYCE STIPENDS |
Total number of Noyce stipend applicants during the current reporting period |
HIGHER EDUCATION FACULTY MEMBERS |
Number of faculty members (for each of the disciplines listed below) involved in the project during the current reporting period. Please report each faculty member under only one discipline. Biological Sciences Chemistry Computer Science Education Engineering Geosciences/Environmental Sciences Mathematics Physics Other (Please specify) Total number of faculty members (read only) |
Indicate which activities the faculty members reported above were involved in during the current reporting period (Mark all that apply): Serving on the leadership team Recruiting and/or selecting Noyce support recipients Teaching courses in which Noyce support recipients are enrolled Mentoring and/or monitoring Noyce support recipients Other (Please specify) |
School District Data |
District name |
City |
State (Choose a State) |
Was this school district involved in the project during the current reporting period? (Yes/No) |
Number of schools in this district that were involved in the project during the current reporting period |
Noyce Scholarship Recipient Data |
Name: First, Middle Initial, Last |
Institution (Choose one) |
Gender (Choose one): Male Female Not reported |
Ethnicity (Choose one): Not Hispanic or Latino Hispanic or Latino Not reported |
Race (Choose one or more): American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Not reported |
Disability (Choose one): Yes (check Yes if any of the following apply):
No Do not wish to provide
|
Date of birth: (month / day / year) |
Year (Choose one): Junior Senior Post-baccalaureate |
Major (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) |
Did this recipient participate in a Noyce summer internship as a freshman and/or sophomore |
Cumulative GPA when selected for the Noyce scholarship |
Did the Noyce scholarship recipient transfer from a community college? (Yes/No) |
If so, provide the name of the community college. |
Activities the recipient participated in during the current reporting period (Mark all that apply): Mentoring Early field experiences Peer tutoring Student teaching Other (Please specify) None |
Level of Noyce scholarship support (dollar amount) during the current reporting period |
Number of academic terms of Noyce scholarship support during the current reporting period (Choose one): (Summer is counted as a term.) 1 term 2 terms 3 terms 4 terms |
Did the Noyce scholarship support end as of the end of the current reporting period?20 (Yes/No) Only answer Yes when you are certain that the recipient will not receive any additional Noyce funding in the future (e.g., the recipient has permanently left the program, the recipient has already received the maximum funding allowed). |
During the current reporting period did the Noyce scholarship recipient leave the Noyce program at your institution without completing the teacher preparation program at your institution or obtaining certification/licensure?21 (Yes/No) |
If yes, why? (Choose one): Left to pursue other academic interests Failed to meet program requirements Left to pursue non-teaching employment Left due to family and/or economic constraints Left for health reasons Left to complete the teacher preparation program at another institution Left the Noyce program but remaining in this institution’s teacher preparation program Deceased Other Unknown |
Please specify the reason if Other is selected above. |
If yes, what amount of the Noyce scholarship funding is the recipient required to repay? |
If yes, how much of the Noyce scholarship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
Intended level of teaching, if applicable (Choose one): Elementary School Middle School Junior High School High School |
Intended subject area(s)/discipline(s) of teaching, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) |
Did the Noyce scholarship recipient complete the teacher preparation program during the current reporting period? (Yes/No) Answer Yes if the recipient completed the teacher preparation program at your institution or at another institution. |
Anticipated or actual month and year of completion of teacher preparation program, if applicable (month / year) |
Cumulative GPA at completion of teacher preparation program, if applicable |
Did the Noyce scholarship recipient obtain certification or licensure during the current reporting period? (Yes/No) |
Anticipated or actual month and year of certification or licensure, if applicable (month / year) |
Grade level(s) as listed on teaching certificate or license, if applicable (Mark all that apply): Elementary School Middle School Junior High School High School |
Subject area(s) as listed on teaching certificate or license, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) No subject listed on the certificate or license Unknown |
Had the Noyce support recipient begun full-time, full-responsibility teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? (Yes/No) |
Which of the following best describes the status for this Noyce support recipient as of the end of the current reporting period?22 Still completing coursework and/or requirements for teacher certification/licensure Has not met teaching requirements but taught in a high-need school district during the current reporting period Has not met teaching requirements and did not teach in a high-need school district during the current reporting period Has met teaching requirements Does not intend to meet the teaching requirements Other (Please specify) |
If the recipient does not intend to meet the teaching requirements, what amount of the Noyce scholarship funding is the recipient required to repay? |
If the recipient does not intend to meet the teaching requirements, how much of the Noyce scholarship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
School name |
School district Choose school district OR enter school district data District/local education agency City State (Choose a State) |
High-need school district criteria (Mark all that apply): Has a high percentage of individuals from families with incomes below the poverty line Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach Has a high teacher turnover rate None of the above. (Please explain) |
Teaching placement grade level (Choose one): Elementary School Middle School Junior High School High School |
Teaching placement subject area of majority of courses taught (Choose one): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other |
Please specify the subject area if Other is selected above. |
Teaching placement subject areas of other courses taught, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) |
Total number of years of teaching completed in a high-need school district as of the current reporting period (Choose one): (You should only count complete academic years of teaching.) Less than 1 year 1 year 2 years 3 years 4 years 5 years 6 years More than 6 years Unknown |
If More than 6 years of teaching is selected, please provide the total number of years teaching. |
Noyce Stipend Recipient Data |
Name: First, Middle Initial, Last |
Institution (Choose one) |
Gender (Choose one): Male Female Not reported |
Ethnicity (Choose one): Not Hispanic or Latino Hispanic or Latino Not reported |
Race (Choose one or more): American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Not reported |
Disability (Choose one): Yes (check Yes if any of the following apply):
No Do not wish to provide |
Date of birth: (month / day / year) |
Degree(s) held at the beginning of the Noyce stipend support: Degree (Choose one): Bachelor’s Master’s Doctorate Other (Please specify) Major (Choose one): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Year (Choose one) |
Did this recipient participate in a Noyce summer internship as a freshman and/or sophomore? (Yes/No) |
If career changer, please enter the requested information below. Previous occupation Number of years in previous occupation |
Activities the recipient participated in during the current reporting period (Mark all that apply): Mentoring Early field experiences Peer tutoring Student teaching Other (Please specify) None |
Level of Noyce stipend support (dollar amount) during the current reporting period |
Number of academic terms of Noyce stipend support during the current reporting period (Choose one): (Summer is counted as a term.) 1 term 2 terms 3 terms 4 terms |
Did the Noyce stipend support end as of the end of the current reporting period?23 (Yes/No) Only answer Yes when you are certain that the recipient will not receive any additional Noyce funding in the future (e.g., the recipient has permanently left the program, the recipient has already received the maximum funding allowed). |
During the current reporting period did the Noyce stipend recipient leave the Noyce program at your institution without completing the teacher preparation program at your institution or obtaining certification/licensure?24 (Yes/No) |
If yes, why? (Choose one): Left to pursue other academic interests Failed to meet program requirements Left to pursue non-teaching employment Left due to family and/or economic constraints Left to complete the teacher preparation program at another institution Left the Noyce program but remaining in this institution’s teacher preparation program Deceased Other Unknown |
Please specify the reason if Other is selected above. |
If yes, what amount of the Noyce stipend funding is the recipient required to repay? |
If yes, how much of the Noyce stipend funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
Intended level of teaching, if applicable (Choose one): Elementary School Middle School Junior High School High School |
Intended subject area(s)/discipline(s) of teaching, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) |
Did the Noyce stipend recipient complete the teacher preparation program during the current reporting period? (Yes/No) Answer Yes if the recipient completed the teacher preparation program at your institution or another institution. |
Anticipated or actual month and year of completion of teacher preparation program, if applicable (month / year) |
Cumulative GPA at completion of teacher preparation program, if applicable: |
Did the Noyce stipend recipient obtain certification or licensure during the current reporting period? (Yes/No) |
Anticipated or actual month and year of certification or licensure, if applicable (month / year) |
Grade level(s) as listed on teaching certificate or license (Mark all that apply): Elementary School Middle School Junior High School High School |
Subject area(s) as listed on teaching certificate or license, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) No subject listed on the certificate or license Unknown |
Had the Noyce support recipient begun full-time, full-responsibility teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? (Yes/No) |
Which of the following best describes the status for this Noyce support recipient as of the end of the current reporting period?25 Still completing coursework and/or requirement for teacher certification/licensure Has not met teaching requirements but taught in a high-need school district during the current reporting period Has not met teaching requirements and did not teach in a high-need school district during the current reporting period Has met teaching requirements Does not intend to meet the teaching requirements Other (Please specify) |
If the recipient does not intend to meet the teaching requirements, what amount of the Noyce stipend funding is the recipient required to repay? |
If the recipient does not intend to meet the teaching requirements, how much of the Noyce stipend funding has the recipient repaid to date? (This should be the cumulative amount repaid through the current reporting period.) |
School name |
School district Choose school district: OR enter school district data District/local education agency City State (Choose a State) |
High-need school district criteria (Mark all that apply) Has a high percentage of individuals from families with incomes below the poverty line Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach Has a high teacher turnover rate None of the above. (Please explain) |
Teaching placement grade level (Choose one): Elementary School Middle School Junior High School High School |
Teaching placement subject area of majority of courses taught (Choose one): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other |
Please specify the subject area if Other is selected above. |
Teaching placement subject areas of other courses taught, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Science & Mathematics Middle School Science Middle School Mathematics Middle School Science & Mathematics All subjects Other (Please specify) |
Total number of years of teaching completed in a high-need school district as of the current reporting period (Choose one): (You should only count complete academic years of teaching.) Less than 1 year 1 year 2 years 3 years 4 years 5 years 6 years More than 6 years Unknown |
If More than 6 years of teaching is selected, please provide the total number of years teaching. |
Post-Scholarship/Stipend Follow-Up Data |
Name: First, MI, Last |
During the current reporting period did the Noyce support recipient leave the Noyce program at your institution without completing the teacher preparation program at your institution or obtaining certification/licensure?26 (Yes/No) |
If yes, why? (Choose one): Left to pursue other academic interests Failed to meet program requirements Left to pursue non-teaching employment Left due to family and/or economic constraints Left to complete the teacher preparation program at another institution Left the Noyce program but remaining in this institution’s teacher preparation program Deceased Other Unknown |
Please specify the reason if Other is selected above. |
If yes, what amount of the Noyce support funding is the recipient required to repay? |
If yes, how much of the Noyce support funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
Did the Noyce support recipient complete the teacher preparation program during the current reporting period? (Yes/No) Answer Yes if the recipient completed the teacher preparation program at your institution or another institution. |
Anticipated or actual month and year of completion of teacher preparation program, if applicable (month / year) |
Cumulative GPA at completion of teacher preparation program, if applicable |
Did the Noyce support recipient obtain certification or licensure during the current reporting period? (Yes/No) |
Anticipated or actual month and year of certification or licensure, if applicable (month / year) |
Grade levels as listed on teaching certificate or license, if applicable (Mark all that apply): Elementary School Middle School Junior High School High School |
Subject area(s) as listed on teaching certificate or license, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) No subject listed on the certificate or license Unknown |
Had the Noyce support recipient begun full-time, full-responsibility teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? ( Yes/No) |
If not, why? Still completing coursework and/or requirements for teacher certification/licensure Taught in a school that is not in a high-need school district Still completing coursework Cannot find employment Dropped out before completing the teacher preparation program Unknown Other |
Please specify the reason if Other is selected above. |
Which of the following best describes the status for this Noyce support recipient as of the end of the current reporting period?27 Still completing coursework and/or requirements for teacher certification/licensure Has not met teaching requirements but taught in a high-need school district during the current reporting period Has not met teaching requirements and did not teach in a high-need school district during the current reporting period Has met teaching requirements Does not intend to meet the teaching requirements Other (Please specify) |
If the recipient does not intend to meet the teaching requirements, what amount of the Noyce funding is the recipient required to repay? |
If the recipient does not intend to meet the teaching requirements, how much of the Noyce funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
School name |
School district Choose school district: OR enter school district data District/local education agency City State (Choose a State) |
High-need school district criteria (Mark all that apply): Has a high percentage of individuals from families with incomes below the poverty line Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach Has a high teacher turnover rate None of the above. (Please explain) |
Teaching placement grade level (Choose one): Elementary School Middle School Junior High School High School |
Teaching placement subject area of majority of courses taught (Choose one): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other |
Please specify the subject area if Other is selected above. |
Teaching placement subject areas of other courses taught, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) |
Total number of years of teaching completed in a high-need school district as of the current reporting period (Choose one): (You should only count complete academic years of teaching.) Less than 1 year 1 year 2 years 3 years 4 years 5 years 6 years More than 6 years Unknown |
If More than 6 years of teaching is selected, please provide the total number of years teaching. |
Noyce Summer Intern Data |
Name: First, Middle Initial, Last |
Institution (Choose one) |
Gender (Choose one): Male Female Not reported |
Ethnicity (Choose one): Not Hispanic or Latino Hispanic or Latino Not reported |
Race (Choose one or more): American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Not reported |
Disability (Choose one): Yes (check Yes if any of the following apply):
No Do not wish to provide |
Year (Choose one): Freshman Sophomore |
Major (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Undecided |
Type of internship (Choose one or more): Summer science/mathematics camps Summer school Science museums Nature centers Science research laboratories Other (Please specify) |
Post-Secondary Institution Data |
Institution name |
State (Choose a State) |
Mark the checkbox if this post-secondary institution was not involved in the project during the current reporting period. |
Academic year system (Choose one): Semesters Trimesters Quarters |
Programmatic activities conducted by this institution during the current reporting period (Mark all that apply): Mentoring Early field experiences Peer tutoring Clinical experiences Research Professional development Leadership opportunities Other (Please specify) |
Mark the checkbox if your project does not have a Teaching Fellowship component (pre-service teachers) |
BASELINE DATA (DATA FOR YEAR PRIOR TO AWARD) |
For projects with a Teaching Fellowship component (pre-service teachers) please report the number of science, technology, engineering, and mathematics (STEM) professionals (career changers) and STEM post-baccalaureates who completed a master’s degree program and had prepared to become K–12 mathematics and science teachers28 1 year prior to award in each of the disciplines listed. Please report each STEM major under only one discipline. Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Total number of baseline majors (read-only) |
DATA FOR THE CURRENT REPORTING PERIOD |
For projects with a Teaching Fellowship component (pre-service teachers) please report the number of STEM professionals (career changers) and STEM post-baccalaureates who completed a master’s degree program and had prepared to become K–12 mathematics and science teachers1 during the current reporting period in each of the disciplines listed. Please report each STEM major under only one discipline. Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Total number of current majors (read-only) |
APPLICANTS FOR NSF TEACHING FELLOWSHIPS |
Total number of NSF Teaching Fellowship applicants during the current reporting period |
Average cumulative grade point average (GPA) for all NSF Teaching Fellowship applicants at the time of application during the reporting period |
APPLICANTS FOR NSF MASTER TEACHING FELLOWSHIPS |
Total number of NSF Master Teaching Fellowship applicants during the current reporting period |
HIGHER EDUCATION FACULTY MEMBERS |
Number of faculty members involved in the project (for each of the disciplines listed) during the current reporting period. Please report each faculty member under only one discipline. This includes any faculty member who participated in the development and implementation of the project through activities such as serving on the leadership team, recruiting and/or selecting Noyce support recipients, teaching courses in which Noyce support recipients are enrolled (STEM courses and any other courses that are required for the teacher preparation program), and mentoring and/or monitoring Noyce support recipients. Biological Sciences Chemistry Computer Science Education Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Total number of faculty members (read-only) |
Indicate which activities the faculty members reported above were involved in during the current reporting period (Mark all that apply): Serving on the leadership team Recruiting and/or selecting NSF Teaching Fellowship and/or Master Teaching Fellowship recipients Teaching courses in which NSF Teaching Fellowship and/or Master Teaching Fellowship recipients are enrolled Mentoring and/or monitoring NSF Teaching Fellowship and/or Master Teaching Fellowship recipients Other (Please specify) |
School District Data |
District name |
City |
State (Choose a State) |
Was this school district involved in the project during the current reporting period? (Yes/No) |
Number of schools in this district that were involved in the project during the current reporting period |
Nonprofit Organization Data |
Organization name |
City |
State (Choose a State) |
Was this nonprofit organization involved in the project during the current reporting period? (Yes/No) |
Activities this nonprofit organization was involved in during the current reporting period (Mark all that apply): Conducting teacher professional development activities Mentoring NSF Teaching Fellowship and/or Master Teaching Fellowship recipients Cost sharing Other (Please specify) |
NSF Teaching Fellowship Recipients Data |
Name: First, Middle Initial, Last |
Institution (Choose one) |
Gender (Choose one): Male Female Not reported |
Ethnicity (Choose one): Not Hispanic or Latino Hispanic or Latino Not reported |
Race (Choose one or more): American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Not reported |
Disability (Choose one): Yes (check Yes if any of the following apply):
No Do not wish to provide
|
Date of birth: (month / day / year) |
Degree(s) held at the beginning of the NSF Teaching Fellowship: Degree (Choose one): Bachelor’s Master’s Doctorate Other (Please specify) Major (Choose one): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Year (Choose one) |
Cumulative GPA when selected for the NSF Teaching Fellowship |
Major field(s) of study or discipline(s) for current master’s degree program (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) |
If career changer, please enter the requested information below. Previous occupation Number of years in previous occupation (for career changers only): 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years 30 years More than 30 |
If More than 30 year of teaching is selected, please provide the total number of years teaching |
Activities the recipient participated in during the current reporting period (Mark all that apply): Mentoring new teachers Mentoring pre-service teachers Participating in clinical teaching experiences Participating in a pre-service teacher education program Developing and providing professional development activities for other teachers Attending professional development activities focusing on content knowledge in mathematics and/or science Attending professional development activities focusing on pedagogy Conducting STEM research Conducting educational research Attending regional/local conferences Selecting and adapting instructional material Using research to inform curriculum development and/or learning strategies Working with parents, school boards, or others outside of the school Serving on a curriculum committee Serving on a textbook adoption committee Serving on other school-wide or district-wide committee or task force (Please specify) Participating in peer coaching activities Serving as an officer in a local professional organization for science and/or mathematics Serving as a committee chair/officer/representative for a national professional organization (e.g., NSTA, NCTM) Serving on a business/industry science and/or mathematics task force in the local area Serving as a science/mathematics supervisor Other (Please specify) None |
Did the NSF Teaching Fellowship recipient receive a stipend toward completing his or her master’s degree program and/or obtaining teacher certification/licensure during the current reporting period? (Yes/No) |
If yes, what was the dollar amount of the NSF Teaching Fellowship stipend received during the current reporting period? |
If yes, how many academic terms of NSF Teaching Fellowship stipend support were received during the current reporting period (Choose one): 1 term 2 terms 3 terms 4 terms |
Did the NSF Teaching Fellowship stipend support end as of the end of the current reporting period? (Yes/No) |
During the current reporting period did the NSF Teaching Fellowship recipient leave the NSF Teaching Fellowship program at your institution without earning a master’s degree at your institution? (Yes/No) |
If yes, why? Left to pursue other academic interests Failed to meet program requirements Left to pursue non-teaching employment Left due to family and/or economic constraints Left for health reasons Deceased Other (Please specify) Unknown |
If yes, what amount of the NSF Teaching Fellowship funding is the recipient required to repay? |
If yes, how much of the NSF Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
During the current reporting period did the NSF Teaching Fellowship recipient leave the NSF Teaching Fellowship program at your institution without obtaining teacher certification/licensure? (Yes/No) |
If yes, why? Left to pursue other academic interests Failed to meet program requirements Left to pursue non-teaching employment Left due to family and/or economic constraints Left for health reasons Left to complete the teacher preparation program at another institution Left the NSF Teaching Fellowship program but remaining in this institution’s teacher preparation program Deceased Other (Please specify) Unknown |
If yes, what amount of the NSF Teaching Fellowship funding is the recipient required to repay? |
If yes, how much of the NSF Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
Intended level of teaching, if applicable (Choose one): Elementary School Middle School Junior High School High School |
Intended subject area(s)/discipline(s) of teaching, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) |
Did the NSF Teaching Fellowship recipient complete his or her master’s degree program during the current reporting period? (Yes/No) |
Anticipated or actual month and year of completion of the master’s degree program |
Cumulative GPA at completion of teacher preparation program, if applicable |
Did the NSF Teaching Fellowship recipient obtain teacher certification or licensure during the current reporting period? (Yes/No) |
Anticipated or actual month and year of teacher certification or licensure |
Grade level(s) as listed on teaching certificate or license, if applicable (Mark all that apply): Elementary School Middle School Junior High School High School |
Subject area(s) as listed on teaching certificate or license, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) No subject listed on the certificate or license Unknown |
Had the NSF Teaching Fellowship recipient begun full-time, full-responsibility teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? (Yes/No) |
If not, why? Taught in a school that is not in a high-need school district Still completing coursework and/or requirements for teacher certification/licensure Cannot find employment Dropped out before completing the teacher preparation program Unknown Other (Please specify) |
Which of the following best describes the status of this NSF Teaching Fellowship recipient as of the end of the current reporting period? Still completing coursework and/or requirements for teacher certification/licensure Has not met teaching requirements but taught in a high-need school district during the current reporting period Has not met teaching requirements and did not teach in a high-need school district during the current reporting period Has met the teaching requirements Does not intend to meet the teaching requirements Other (Please specify) |
If the recipient does not intend to meet the teaching requirements, what amount of the NSF Teaching Fellowship funding is the recipient required to repay? |
If the recipient does not intend to meet the teaching requirements, how much of the NSF Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
School name |
School district Choose school district: OR enter school district data District/local education agency City State (Choose a State) |
High-need school district criteria (Mark all that apply): Has a high percentage of individuals from families with incomes below the poverty line Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach Has a high teacher turnover rate None of the above (Please explain) |
Teaching placement grade level (Choose one): Elementary School Middle School Junior High School High School |
Teaching placement subject area of majority of courses taught (Choose one): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other |
Please specify the subject area if Other is selected above. |
Teaching placement subject areas of other courses taught, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other (Please specify) |
Did the NSF Teaching Fellowship recipient receive a salary supplement during the current reporting period? (Yes/No) |
If yes, what was the dollar amount of the supplement received during the current reporting period? |
Did the NSF Teaching Fellowship salary supplement support end as of the end of the current reporting period? (Yes/No) |
Total number of years of teaching completed in a high-need school district since earning master’s degree and/or teacher certification/licensure as of the end of the current reporting period (Choose one): (You should only count complete academic years of teaching.) Less than 1 year 1 year 2 years 3 years 4 years 5 years 6 years More than 6 years Unknown |
If More than 6 years of teaching is selected, please provide the total number of year teaching. |
NSF Master Teaching Fellowship Recipients Data |
Name: First, Middle Initial, Last |
Institution (Choose one) |
Gender (Choose one): Male Female Not reported |
Ethnicity (Choose one): Not Hispanic or Latino Hispanic or Latino Not reported |
Race (Choose one or more): American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Not reported |
Disability (Choose one): Yes (check Yes if any of the following apply):
No Do not wish to provide
|
Date of birth: (month / day / year) |
Was the individual previously supported as a Noyce Scholarship recipient, Noyce Stipend recipient, or NSF Teaching Fellowship recipient under another Noyce award? (Yes/No) |
Degree(s) held at the beginning of the Noyce stipend support: Degree (Choose one): Bachelor’s Master’s Doctorate Other (Please specify) Major (Choose one): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Other (Please specify) Year (Choose one) |
Grade level(s) listed on teaching certificate or license (Mark all that apply): Elementary School Middle School Junior high School High School |
Subject area(s) as listed on teaching certificate or license (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All Subjects Other (Please specify) No subject listed on the certificate or license Unknown |
Number of years the individual taught prior to receiving the NSF Master Teaching Fellowship (Choose one): 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years 30 years More than 30 |
If More than 30 year of teaching is selected, please provide the total number of years teaching |
Number of years the individual taught in a high-need school district prior to receiving the NSF Master Teaching Fellowship (Choose one): 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years
More than 30 (Please specify) |
Activities the recipient participated in during the current reporting period (Mark all that apply): Mentoring new teachers Mentoring pre-service teachers Participating in clinical teaching experiences Participating in a pre-service teacher education program Developing and providing professional development activities for other teachers Attending professional development activities focusing on content knowledge in mathematics and/or science Attending professional development activities focusing on pedagogy Conducting STEM research Conducting educational research Attending regional/local conferences Selecting and adapting instructional material Using research to inform curriculum development and/or learning strategies Working with parents, school boards, or others outside of the school Serving on a curriculum committee Serving on a textbook adoption committee Serving on other school-wide or district-wide committee or task force (Please describe) Participating in peer coaching activities Serving as an officer in a local professional organization for science and/or mathematics Serving as a committee chair/officer/representative for a national professional organization (e.g., NSTA, NCTM) Serving on a business/industry science and/or mathematics task force in the local area Serving as a science/mathematics supervisor Other (Please specify) |
During the current reporting period did the NSF Master Teaching Fellowship recipient leave the NSF Master Teaching Fellowship program at your institution without completing the program requirements? (Yes/No) |
If yes, why? Left to pursue other academic interests Failed to meet program requirements Left to pursue non-teaching employment Left due to family and/or economic constraints Left for health reasons Deceased Other (Please specify) Unknown |
If yes, what amount of the NSF Master Teaching Fellowship funding is the recipient required to repay? |
If yes, how much of the NSF Master Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
Was the NSF Master Teaching Fellowship recipient recognized as a master teacher during the current reporting period? (Yes/No) |
If yes, please describe the nature of this recognition: National board certification Salary increase Promotion Other (Please specify) |
Has the NSF Master Teaching Fellowship recipient begun teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? (Yes/No) |
If not, why? Taught in a school that is not in a high-need school district Cannot find employment Unknown Other (Please specify) |
Which of the following best describes the status of this NSF Master Teaching Fellowship recipient as of the end of the current reporting period? Has not met teaching requirements but taught in a high-need school district during the current reporting period Has not met teaching requirements and did not teach in a high-need school district during the current reporting period Has met the teaching requirements Does not intend to meet the teaching requirements Does not intend to become a master teacher Other (Please specify) |
If the recipient does not intend to meet the teaching requirements, what amount of the NSF Master Teaching Fellowship funding is the recipient required to repay? |
If the recipient does not intend to meet the teaching requirements, how much of the NSF Master Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.) |
School Name |
School district Choose school district: OR enter school district data District/local education agency City State (Choose a State) |
High-need school district criteria (Mark all that apply): Has a high percentage of individuals from families with incomes below the poverty line Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach Has a high teacher turnover rate None of the above (Please explain) |
Teaching placement grade level (Choose one): Elementary School Middle School Junior High School High School |
Teaching placement subject area of majority of courses taught (Choose one): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Mathematics & Science Middle School Science Middle School Mathematics Middle School Mathematics & Science All subjects Other |
Please specify the subject area if Other is selected above |
Teaching placement subject areas of other courses taught, if applicable (Mark all that apply): Biological Sciences Chemistry Computer Science Engineering Geosciences/Environmental Sciences Mathematics Physical Sciences Physics Technology Elementary Science Elementary Mathematics Elementary Science & Mathematics Middle School Science Middle School Mathematics Middle School Science & Mathematics All subjects Other (Please specify) |
Did the NSF Master Teaching Fellowship recipient receive a salary supplement during the current reporting period? (Yes/No) |
If yes, what was the dollar amount of the supplement received during the current reporting period? |
Did the NSF Master Teaching Fellowship salary supplement support end as of the end of the current reporting period? (Yes/No) |
Total number of years of teaching completed in a high-need school district since receiving the NSF Master Teaching Fellowship as of the end of the current reporting period (Choose one): Less than 1 year 1 year 2 years 3 years 4 years 5 years 6 years More than 6 years Unknown |
If More than 6 year of teaching is selected, please provide the total number of years teaching |
1 Elements of these characteristics include: name, address, date of birth, gender, ethnicity, race, disability status, class, major, grade point average, yearly fellowship or stipend amount, and project role.
2 Elements of these characteristics include: sources and amount of funds, fellowships, scholarships, traineeships, partnerships, training, and research methods.
3 Elements of these characteristics include: research findings, publications, presentations, degrees granted, and educational materials.
4 This includes general elementary school teachers with responsibility for teaching mathematics and science.
5 This includes general elementary school teachers with responsibility for teaching mathematics and science.
6 If you answer Yes, the scholarship recipient will be moved to the Post-Scholarship Follow-Up section for the next data collection cycle. You should only answer Yes when you are certain that the recipient will not receive any additional funding in the future.
7 Only answer Yes if the recipient permanently left the program (i.e., dropped out with no intention to return). If the recipient left the program temporarily (e.g., for medical reasons) and intends to return to complete the program, please answer No. If the recipient left the teacher preparation program at your institution but completed/intends to complete the program at another institution, please answer Yes. If the recipient left the Noyce program (e.g., does not want to fulfill the teaching requirements and returned the funding) but remained in your institution's teacher preparation program, please answer Yes.
8 The Noyce program requires that funding recipients complete 2 years of service as a mathematics or science teacher in a high-need school district for every year of funding received.
For pre-2008 awards: Scholarship recipients must complete this service within 6 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 6 years of graduation or completion of the program for which the stipend was awarded.
For 2008 awards onward: Scholarship recipients must complete this service within 8 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 4 years of graduation or completion of the program for which the stipend was awarded.
9 If you answer Yes, the stipend recipient will be moved to the Post-Stipend Follow-Up section for the next data collection cycle. You should only answer Yes when you are certain that the recipient will not receive any additional funding in the future.
10 Only answer Yes if the recipient permanently left the program (i.e., dropped out with no intention to return). If the recipient left the program temporarily (e.g., for medical reasons) and intends to return to complete the program, please answer No. If the recipient left the teacher preparation program at your institution but completed/intends to complete the program at another institution, please answer Yes. If the recipient left the Noyce program (e.g., does not want to fulfill the teaching requirements and returned the funding) but remained in your institution's teacher preparation program, please answer Yes.
11 The Noyce program requires that funding recipients complete 2 years of service as a mathematics or science teacher in a high-need school district for every year of funding received.
For pre-2008 awards: Scholarship recipients must complete this service within 6 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 6 years of graduation or completion of the program for which the stipend was awarded.
For 2008 awards onward: Scholarship recipients must complete this service within 8 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 4 years of graduation or completion of the program for which the stipend was awarded.
12 Only answer Yes if the recipient permanently left the program (i.e., dropped out with no intention to return). If the recipient left the program temporarily (e.g., for medical reasons) and intends to return to complete the program, please answer No. If the recipient left the teacher preparation program at your institution but completed/intends to complete the program at another institution, please answer Yes. If the recipient left the Noyce program (e.g., does not want to fulfill the teaching requirement and returned the funding) but remained in your institution's teacher preparation program, please answer Yes.
13 The Noyce program requires that funding recipients complete 2 years of service as a mathematics or science teacher in a high-need school district for every year of funding received.
For pre-2008 awards: Scholarship recipients must complete this service within 6 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 6 years of graduation or completion of the program for which the stipend was awarded.
For 2008 awards onward: Scholarship recipients must complete this service within 8 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 4 years of graduation or completion of the program for which the stipend was awarded.
14 Elements of these characteristics include: name, address, date of birth, gender, ethnicity, race, disability status, class, major, grade point average, yearly fellowship or stipend amount, and project role.
15 Elements of these characteristics include: sources and amount of funds, fellowships, scholarships, traineeships, partnerships, training, and research methods.
16 Elements of these characteristics include: research findings, publications, presentations, degrees granted, and educational materials.
17 This includes general elementary school teachers with responsibility for teaching mathematics and science.
18 This includes general elementary school teachers with responsibility for teaching mathematics and science.
19 This includes general elementary school teachers with responsibility for teaching mathematics and science.
20 If you answer Yes, the scholarship recipient will be moved to the Post-Scholarship Follow-Up section for the next data collection cycle. You should only answer Yes when you are certain that the recipient will not receive any additional funding in the future.
21 Only answer Yes if the recipient permanently left the program (i.e., dropped out with no intention to return). If the recipient left the program temporarily (e.g., for medical reasons) and intends to return to complete the program, please answer No. If the recipient left the teacher preparation program at your institution but completed/intends to complete the program at another institution, please answer Yes. If the recipient left the Noyce program (e.g., does not want to fulfill the teaching requirements and returned the funding) but remained in your institution's teacher preparation program, please answer Yes.
22 The Noyce program requires that funding recipients complete 2 years of service as a mathematics or science teacher in a high-need school district for every year of funding received.
For pre-2008 awards: Scholarship recipients must complete this service within 6 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 6 years of graduation or completion of the program for which the stipend was awarded.
For 2008 awards onward: Scholarship recipients must complete this service within 8 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 4 years of graduation or completion of the program for which the stipend was awarded.
23 If you answer Yes, the stipend recipient will be moved to the Post-Stipend Follow-Up section for the next data collection cycle. You should only answer Yes when you are certain that the recipient will not receive any additional funding in the future.
24 Only answer Yes if the recipient permanently left the program (i.e., dropped out with no intention to return). If the recipient left the program temporarily (e.g., for medical reasons) and intends to return to complete the program, please answer No. If the recipient left the teacher preparation program at your institution but completed/intends to complete the program at another institution, please answer Yes. If the recipient left the Noyce program (e.g., does not want to fulfill the teaching requirements and returned the funding) but remained in your institution's teacher preparation program, please answer Yes.
25 The Noyce program requires that funding recipients complete 2 years of service as a mathematics or science teacher in a high-need school district for every year of funding received.
For pre-2008 awards: Scholarship recipients must complete this service within 6 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 6 years of graduation or completion of the program for which the stipend was awarded.
For 2008 awards onward: Scholarship recipients must complete this service within 8 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 4 years of graduation or completion of the program for which the stipend was awarded.
26 Only answer Yes if the recipient permanently left the program (i.e., dropped out with no intention to return). If the recipient left the program temporarily (e.g., for medical reasons) and intends to return to complete the program, please answer No. If the recipient left the teacher preparation program at your institution but completed/intends to complete the program at another institution, please answer Yes. If the recipient left the Noyce program (e.g., does not want to fulfill the teaching requirement and returned the funding) but remained in your institution's teacher preparation program, please answer Yes.
27 The Noyce program requires that funding recipients complete 2 years of service as a mathematics or science teacher in a high-need school district for every year of funding received.
For pre-2008 awards: Scholarship recipients must complete this service within 6 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 6 years of graduation or completion of the program for which the stipend was awarded.
For 2008 awards onward: Scholarship recipients must complete this service within 8 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 4 years of graduation or completion of the program for which the stipend was awarded.
28 This includes general elementary school teachers with responsibility for teaching mathematics and science.
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| File Type | application/msword |
| File Title | APPENDIX |
| Author | msanders |
| Last Modified By | 21773 |
| File Modified | 2012-12-20 |
| File Created | 2012-12-19 |