Teachers Demographics

The Effectiveness of a Program to Accelerate Vocabulary Development in Kindergarten

Att_Part A-App J. Teacher Demographics Q(SC.)

The Effectiveness of a Program to Accelerate Vocabulary Deve. in Kindergarten (Teachers)

OMB: 1850-0846

Document [doc]
Download: doc | pdf

Appendix J

A

OMB Number: xxxx-xxxx

Expiration Date: xx/xx/xx


ppendix J


Teacher Demographics Form


Teacher Name School Name

Teacher Number _________ School Number________

Birth Date (Month, Day, Year): ___/_____/____


1. What is your gender? _____Female _____Male


  1. What is your race? _____African American _____American Indian

(Select one or more) _____White _____Pacific Islander/Hawaiian

_____Asian _____Multiracial

_____Unknown

  1. What is your ethnicity? _____Hispanic

_____Non-Hispanic

_____Unknown


  1. EDUCATIONAL BACKGROUND AND PROFESSIONAL EXPERIENCE

Please check and complete for all that apply.


Education

Major

Year Completed


High School




GED




Non-degree program (e.g. Montessori, CDA)




Some college/university




Bachelor’s degree




Some graduate level classes




Master’s degree




Education Specialist




Doctorate




  1. Please check all areas in which you have a current teaching certificate.


Early Childhood



Gifted/Talented


Middle Childhood



Administration


Secondary



Reading


ESOL



Other


Special Education





  1. Do you have any other special training? _____Yes _____No

Please describe. __________________________________________________________


  1. How many years have you been teaching? ___________

  2. How many years have you been teaching kindergarten? ___________

1

Responses to this data collection will be used only for statistical purposes. The reports prepared for this study will summarize findings across the sample and will not associate responses with a specific district or individual. We will not provide information that identifies you or your district to anyone outside the study team, except as required by law.

File Typeapplication/msword
File TitleChild File Evidence Form
Authorpschwan
Last Modified ByTara.Bell
File Modified2007-09-05
File Created2007-09-05

© 2024 OMB.report | Privacy Policy