OMB #: 1850-0800 Expiration
Date:
Evaluation of the DC Opportunity Scholarship Program
Follow Up Parent Telephone Survey
Spring 2009
According to the Paperwork
Reduction Act of 1995, no persons are required to respond to a
collection of information unless it displays a valid OMB control
number. The valid OMB control number for this information
collection is 1850-0800 (expiration XX/XX/XX). The time required to
complete this information collection is estimated to average 1/4
hour, including the time to review instructions, search existing
data resources, gather the data needed, and complete the information
collection. If you
have any comments concerning the accuracy of the time estimate or
suggestions for improving this form, please contact:
Marsha Silverberg, U.S. Department of Education, Institute of
Education Sciences, 555 New Jersey Avenue, NW, Washington, DC 20208,
[email protected]. If
you have comments or concerns regarding the status of your
individual submission of this form, e-mail directly to:
[email protected]. 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.
Parent Name: ______________________ Child Name:_______________________
Child ID: ___________
1. Is your child currently enrolled in and regularly attending high school (as of May/June of 2009)?
Yes 0 (Go to Question 1a)
1a. What is the name of the high school your child is currently attending?
_____________________________________________ (Go to Question 5)
2. Why
is your child not currently enrolled in and regularly attending high
school (as of May/
June of 2009)?
Reason |
Yes |
No |
a. Child already graduated from high school |
0 |
1 |
Circle Year child graduated: 2006 2007 2008 |
0 |
1 |
b. Child is graduating this June (2009) |
0 |
1 |
c. Child got a job and left school |
0 |
1 |
d. Child didn’t like school |
0 |
1 |
e. Child did not feel safe at school |
0 |
1 |
f. Child had to care for a member of his/her family |
0 |
1 |
g. Child could not keep up with the school work |
0 |
1 |
h. Child changed school and didn’t like the new school |
0 |
1 |
i. Child thought it would be easier to get a GED |
0 |
1 |
3. Was your child who is no longer attending high school enrolled in any of the following educational/training programs or institutions this year (2008-09) or are they enrolled for this coming fall (2009-10)? CHECK ONE for each year.
|
2008-09 |
2009-10 |
GED program |
1 |
1 |
A job training program or technical school |
2 |
2 |
A 2-year college |
3 |
3 |
A 4-year college |
4 |
4 |
Other (specify __________________________) |
5 |
5 |
Not sure |
8 |
8 |
4. What is the employment status of your child who is no longer attending high school? CHECK ONE.
In the military |
1 |
Working full-time |
2 |
Working part-time |
3 |
Looking for work |
4 |
Other (specify __________________________) |
5 |
Not sure |
8 |
5. Lastly, could you please give us the telephone number(s) where you can be reached?
Home: __________________________
Work: __________________________
Cell: __________________________
Thank you very much for your cooperation.
File Type | application/msword |
File Title | July 8, 2008 |
Author | Sabrina Hardy |
Last Modified By | #Administrator |
File Modified | 2008-10-03 |
File Created | 2008-10-03 |