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pdfAppendix B
School Administrator Questionnaire
Note. This document contains items for the School Administrator Questionnaire, Kindergarten through Grade
Two, for the Early Childhood Longitudinal Study, Kindergarten 2011 Cohort. The current item pool is
comprised of items fielded in the Early Childhood Longitudinal Study, Kindergarten Class of 1998-99 (ECLSK). Items that are “new” (not fielded as part of the ECLS-K) appear last and are marked as “new”.
Many items will need to be updated each round with either the relevant date (year) or grade. The items are
shown here with either “year” or “grade” in parentheses.
B-1
School Administrator Questionnaire
Prepared for the U.S. Department of Education
National Center for Education Statistics by:
Westat
1650 Research Boulevard
Rockville, Maryland 20850
LABEL
Use a #2 pencil to complete this questionnaire.
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 1850-0750.
Approval expires 01/31/2009. The time required to complete this information
collection is estimated to average 60 minutes per response, including the time to
review instruction, search existing data resources, gather the data needed, and
complete and review the information collected. If you have any comments
concerning the accuracy of the time estimate or suggestions for improving the
survey instrument, please write to: U.S. Department of Education, Washington,
D.C. 20202-4700. If you have comments or concerns regarding the status of your
individual response to this survey, write directly to: National Center for Education
Statistics, 1990 K Street, N.W., Washington, D.C. 20006-5650.
The collection of information in this survey is authorized by Public Law 107279 Education Sciences Reform Act of 2002, Title I, Part C, Sec. 151(b) and
Sec. 153(a). Participation is voluntary. You may skip questions you do not
wish to answer; however, we hope that you will answer as many questions
as you can. Your responses are protected from disclosure by federal statute
(PL 107-279, Title I, Part C, Sec. 183). All responses that relate to or describe
identifiable characteristics of individuals may be used only for statistical
purposes and may not be disclosed, or used, in identifiable form for any
other purpose, unless otherwise compelled by law. Data will be combined to
produce statistical reports. No individual data that links your name, address,
telephone number, or identification number with your responses will be
included in the statistical reports.
B-2
A. SCHOOL CHARACTERISTICS
A1.
How many days are children required to attend school this academic year? WRITE IN NUMBER
BELOW.
________ Number of School Days
A2.
What are the start and end dates for this school for the 2010-2011 school year?
START
____ / ____ / (year)
MONTH
END
YEAR
____ / ____ / (year)
MONTH
A3.
DAY
DAY
YEAR
Approximately, what is the Average Daily Attendance for your school this year? WRITE IN
PERCENT OR NUMBER BELOW. TO CALCULATE PERCENT, DIVIDE THE NUMBER OF
STUDENTS ATTENDING ON AN AVERAGE DAY BY THE NUMBER OF STUDENTS ENROLLED
AND THEN MULTIPLY BY 100.
________ % Average Daily Attendance
(i. e.,
number of students attending on an average day
number of students enrolled
OR
________ Average Number Attending Daily
A4.
School enrollment. WRITE IN THE APPROXIMATE NUMBER OF CHILDREN FOR EACH OF THE
FOLLOWING. IF NO CHILDREN HAVE LEFT OR ENROLLED IN YOUR SCHOOL, ENTER “0” ON
THAT LINE.
Number
of Children
a.
b.
c.
Total enrollment in your school around October 1, 2010,
or the date nearest to that for which data are available?....... ______
Number of children who have enrolled in your school since
October 1, 2010?................................................................... ______
Number of children who have left your school since
October 1, 2010, and have not returned?.............................. ______
B-3
The following questions ask about the grade levels and grades taught together in your school.
A5.
A6.
Circle all grade levels included in your school. SEE COVER PAGE B, DEFINITIONS OF
KINDERGARTEN PROGRAMS.
Ungraded ....................................................1
4th ............................................................10
Programs for special needs children...........2
5th ............................................................11
Prekindergarten...........................................3
6th ............................................................12
Transitional (or readiness) kindergarten .....4
7th ............................................................13
Kindergarten................................................5
8th ............................................................14
Transitional first (or prefirst) grade ..............6
9th ............................................................15
1st ...............................................................7
10th ..........................................................16
2nd ..............................................................8
11th ..........................................................17
3rd ...............................................................9
12th ..........................................................18
Which of the following characterizes your school? MARK ALL THAT APPLY.
_____ Comprehensive public school (not including magnet school or school of choice)
_____ Public magnet school
_____ Public school of choice (open enrollment)
_____ Catholic school
_____ Diocesan
_____ Parish
_____ Private order
_____ Other private school, religious affiliation
_____ Private school affiliated by NAIS, no religious affiliation
_____ Other private school, no religious affiliation
_____ Charter school
_____ Special education school – primarily serves children with disabilities
_____ Year-round school
_____ Bureau of Indian Affairs (BIA) or tribal school
A7.
Does this school (or a program within the school) have a particular focus or emphasis (including
magnet programs)?
Yes ................................................................................................
1 (GO TO A8)
No .................................................................................................
2 (SKIP TO A11)
B-4
A8.
What is the emphasis of this school or program? CIRCLE ONLY ONE NUMBER.
The arts ......................................................................................... 01
Mathematics and/or science.......................................................... 02
Foreign language .......................................................................... 03
Special instructional philosophy (e.g., Montessori,
Fundamentals, etc.)....................................................................... 04
Other (Please specify) _________________________________ 05
Students with disabilities (Specify ................................................ 06
disabilities) __________________________________________
A9.
A10.
Please circle all grades that participate in the special program.
Prekindergarten...........................................3
5th ............................................................11
Transitional (or readiness) kindergarten .....4
6th ............................................................12
Kindergarten................................................5
7th ............................................................13
Transitional first (or prefirst) grade ..............6
8th ............................................................14
1st ...............................................................7
9th ............................................................15
2nd ..............................................................8
10th ..........................................................16
3rd ...............................................................9
11th ..........................................................17
4th .............................................................10
12th ..........................................................18
How many children in your school are enrolled in the special program? WRITE IN NUMBER BELOW.
________ Number in Special Program
A11.
Does this school use any of the following requirements for admission? CIRCLE ONE NUMBER ON
EACH LINE.
Yes
No
a.
Admission test? ....................................................................
1
2
b.
Standardized achievement test? ..........................................
1
2
c.
Special student needs? ........................................................
1
2
d.
Special student aptitudes? ...................................................
1
2
e.
Personal interview? ..............................................................
1
2
f.
Recommendations? ..............................................................
1
2
g.
Academic record? .................................................................
1
2
h.
Religious affiliation? ..............................................................
1
2
i.
Lottery? .................................................................................
1
2
B-5
A12.
A13.
Approximately, what percentage of the children in your school belongs to each of the following
racial/ethnic groups? WRITE NUMBER OR PERCENT ON EACH LINE. ENTER “0” ON THE LINE IF
YOUR SCHOOL HAS NO CHILDREN OF THAT RACIAL/ETHNIC GROUP. THE TOTAL ON THE
1
PERCENT COLUMN SHOULD ADD TO 100%.
Number OR Percent
a. Hispanic/Latino of any race........................................................ ______
______ %
b.
American Indian or Alaska Native, not of Hispanic origin .......... ______
______
%
c.
Asian, not of Hispanic origin ...................................................... ______
______
%
d.
Black or African American, not of Hispanic origin ...................... ______
______
%
e.
Native Hawaiian or Other Pacific Islander, not of
Hispanic origin ........................................................................... ______
______
%
f.
White, not of Hispanic origin ...................................................... ______
______
%
g.
Two or more races ..................................................................... ______
______
%
TOTAL........................................................................................ ______
100
%
This set of questions asks you for information about your kindergarten and (if you have them)
transitional first grade classes. Please read through the entire list of types of classes before
answering. SEE COVER PAGE B FOR DEFINITIONS OF KINDERGARTEN PROGRAMS.
a.
b.
c.
d.
In column A, please write the number of kindergarten children currently enrolled in each type
of kindergarten program. (For transitional first grade, record the number of children in the
class.)
In column B, please write the total number of classes of each type that are currently taught in
this school.
In column C, please write the number of days per week classes of each type meet.
In column D, please write the total hours per day classes of each type meet (when school
starts to when school is officially over).
A
Number of
Kindergarten
Children Currently
Enrolled
B
Total Number of
Classes of Each
Type
C
Number of
Days Per
Week
D
Total
Hours
Per Day
Half-day kindergarten
________
________
________
________
Full-day kindergarten
________
________
________
________
Combination kindergarten with other
grades
________
________
________
________
Transitional (or readiness) kindergarten
________
________
________
________
Transitional first (or prefirst) grade
________
________
________
________
1 The revised item meets the requirements of the Department of Education’s “Final Guidance on Maintaining, Collecting, and Reporting Racial and Ethnic
Data to the U.S. Department of Education.”
B-6
A14.
By what date did a child need to turn five to enter kindergarten for this school year, 2010 - 2011?
WRITE IN MONTH AND DAY BELOW. IF NO CUTOFF DATE CIRCLE 22.a BELOW.
Month ________ Day ________ Year ________
22a. No cutoff date ...................................................................................
8
Morning School Schedule
A15.
What time does the first bus usually arrive in the morning? WRITE IN TIME BELOW.
______ AM
A16.
What time does the last bus usually arrive in the morning? WRITE IN TIME BELOW.
______ AM
A17.
What time does school officially start in the morning? WRITE IN TIME BELOW.
______ AM
B-7
SECTION B. SCHOOL-LEVEL BREAKFAST AND LUNCH ELIGIBILITY AND PARTICIPATION
B1.
Does your school participate in USDA’s (U.S. Dept. of Agriculture) school breakfast program? CIRCLE
ONE NUMBER.
a. Yes..........................................................................................
b. No ...........................................................................................
B2.
1 (SKIP TO QB3)
2 (GO TO QB2)
What are the reasons why your school does not participate in USDA’s school breakfast program?
CIRCLE ONE NUMBER ON EACH LINE.
Yes
No
a. Too few eligible students .......................................................
1
2
b. Program too costly.................................................................
1
2
c. School starts too late to serve breakfast ...............................
1
2
d. School lacks facilities to serve breakfast ...............................
1
2
e. School lacks staff to serve breakfast .....................................
1
2
f.
Other (Please specify) _____________________________
1
2
SKIP TO Q_B7
B3.
What time is breakfast served at the school? WRITE IN TIME BELOW.
Start Time _________AM
B4.
End Time _________AM
Where is the breakfast typically served for (kindergartners/___ graders)? CIRCLE ONE NUMBER.
a.
b.
c.
d.
e.
Cafeteria ................................................................................
Classroom .............................................................................
School bus (as a bag breakfast)............................................
In some other common area of school
(as a bag breakfast)...............................................................
Other (Please specify) _____________________________
B-8
1
2
3
4
5
B5.
Are children who are served breakfast in the cafeteria allowed to take it to the classroom? CIRCLE
ONE NUMBER.
a. Yes..........................................................................................
b. No ...........................................................................................
B6.
How many children in your school were (a) eligible for and (b) participating in the school breakfast
program as of October 2010? WRITE IN NUMBERS BELOW.
(a)
Eligible
Children
a. Any school breakfast? .......................................... All Enrolled
b. Free school breakfast? ...........................................................
c. Reduced-price breakfast?.......................................................
B7.
1
2
(b)
Participating
Children
______
How many children in your school were (a) eligible for and (b) participating in the school lunch
program as of October 2010? WRITE IN NUMBERS BELOW. IF SERVICE IS NOT PROVIDED,
WRITE ZERO.
(a)
Eligible
Children
a. Any school lunch?................................................. All Enrolled
b. Free school lunch? .................................................................
c. Reduced-price lunch?.............................................................
(b)
Participating
Children
______
New items from USDA (B8-11)
Source: USDA’s School Nutrition Dietary Assessment Study (SNDA)-III
B8.
What is the price of a USDA-reimbursable breakfast for students who pay the full price? Record the
most common price (standard price) if your cafeteria offers breakfast at different prices (for example, a
higher price for larger portions or a discount for a weekly meal ticket).
$____________
B9.
Standard full price
What is the price of a USDA-reimbursable breakfast for students who pay the reduced price?
$_____________ Reduced Price
B10.
What is the price of a USDA-reimbursable lunch for students who pay the full price? Record the most
common price (standard price) if your cafeteria offers breakfast at different prices (for example, a
higher price for larger portions or a discount for a weekly meal ticket).
$____________
B11.
Standard full price
What is the price of a USDA-reimbursable lunch for students who pay the reduced price?
$_____________ Reduced price
B-9
B12.
Did your school receive Federal Title I funds for this school year? CIRCLE ONE NUMBER.
a. Yes..........................................................................................
b. No ...........................................................................................
c. Not applicable .........................................................................
1 (GO TO QB13)
2 (SKIP TO QC1)
3 (SKIP TO QC1)
PLEASE NOTE THE FOLLOWING DEFINITIONS THAT ARE RELEVANT TO
QUESTIONS B13 - 15 BELOW:
A targeted assistance program uses Title I funds to provide supplemental academic
services (usually in reading and/or math) to specific “Title I students” who have been
identified as low achieving.
A schoolwide program may use Title I funds to improve the quality of educational
programs and services throughout the school. A school may use Title I funds for a
schoolwide program if at least 50 percent of its students are from low-income families,
or if it receives a waiver permitting it to operate a schoolwide program.
B13.
Is your school operating a Title I targeted assistance or schoolwide program? CIRCLE ONE NUMBER.
a. Targeted assistance program .................................................
b. Schoolwide program ...............................................................
1
2
B14.
Does your school use Title I funds for any of the following purposes? CIRCLE ONE NUMBER ON
EACH LINE.
Yes
No
a. To serve targeted children in a pull-out setting......................
1
2
b. To serve targeted children in an in-class setting ...................
1
2
c. To reduce class sizes ............................................................
1
2
d. To provide extended time learning opportunities before
and/or after school for targeted children ...............................
1
2
e. To improve the entire educational program through a
schoolwide program ..............................................................
1
2
f.
To provide professional development activities.....................
1
2
g. To provide family literacy services.........................................
1
2
h. To provide summer learning opportunities ............................
1
2
B15.
If your school is designated a targeted assistance school, how many students are served by the Title 1
program? WRITE IN NUMBER BELOW.
________ Number of Students
B-10
SECTION C. SCHOOL FACILITIES AND RESOURCES
C1.
In addition to basic funding or resources provided by the district or from tuition, do you receive funding
or resources from any of the following sources? CIRCLE ONE NUMBER ON EACH LINE.
a.
a.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
C2.
Title I funds for either targeted or schoolwide services ........
Title III funds to support programs for English Language
Learners ................................................................................
State compensatory funds? ..................................................
Community fund raising? ......................................................
Parent organization (PTA) fund raising? ..............................
Local/National business(es)? ...............................................
Special Education programs or agencies? ...........................
Income from auxiliary services or affiliated enterprises? ......
Medicaid? .............................................................................
Impact aid? ...........................................................................
Bilingual aid? ........................................................................
Migrant aid? ..........................................................................
Other grants? ........................................................................
Yes
1
No
2
1
1
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
2
2
2
2
How many portable classrooms are on the school grounds? WRITE IN NUMBER BELOW. IF NONE,
WRITE ZERO.
________ Number of portable classrooms
C3.
How many children is this school site designed to accommodate? WRITE IN NUMBER BELOW
________ Children
C4.
How many rooms in this school are used for instructional purposes, for examples, classrooms,
computer labs and other labs, library/media centers, etc.? WRITE IN NUMBER BELOW.
________ Number of Rooms
B-11
C5.
C6.
C7.
In general, how adequate are each of the following school facilities for meeting the needs of the
children in your school? CIRCLE ONE NUMBER ON EACH LINE.
Do not
have
Never
adequate
Often not
adequate
Sometimes
not adequate
Always
adequate
a.
Cafeteria? ...............................
1
2
3
4
5
b.
Computer lab? ........................
1
2
3
4
5
c.
Library/media center? .............
1
2
3
4
5
d.
Art room? ................................
1
2
3
4
5
e.
Gymnasium? ..........................
1
2
3
4
5
f.
Music room? ...........................
1
2
3
4
5
g.
Playground? ...........................
1
2
3
4
5
h.
Classrooms?...........................
1
2
3
4
5
i.
Auditorium? ............................
1
2
3
4
5
j.
Multi-purpose room?...............
1
2
3
4
5
How many computers in this school are used by (kindergarten) classes for….WRITE IN NUMBERS
BELOW.
Number of Computers
a.
Instructional purposes only?....................................................................................... ______
b.
Both instructional and administrative purposes? ........................................................ ______
c.
Total number of computers available to kindergarten classes? ................................. ______
Please indicate whether or not each type of equipment or service is available to kindergarten classes
at this school. If the equipment or service is available, please indicate whether it is available for
student use. Then provide the number of instructional rooms including classrooms, computer and
other labs, library/media centers, etc., in which the equipment/service is available.
Equipment
Available at school?
YES
NO
Available for student
use?
YES
NO
Used for online
assessment?
YES
NO
a.
Computers with access to local
area networks (LAN) ...................
1
2
1
2
1
2
c.
Computers with access to the
internet either through direct
connection or wireless
connections ................................
1
2
1
2
1
2
B-12
C8.
About what percentage of the children enrolled in this school are….WRITE IN PERCENTAGES
BELOW.
a.
From the surrounding neighborhood? ...................................................................______ %
b.
Bussed to achieve racial integration.......................................................................______ %
c.
Have special needs (gifted and talented, children with disabilities, etc.)
and attend from outside of the surrounding neighborhood to receive a
specialized program or service? ............................................................................______ %
d.
Attend the school under public school choice as an option required by No
Child Left Behind (not relevant to private schools)? ..............................................______ %
B-13
SECTION D. FOOD CONSUMPTION QUESTIONS
D1.
D2.
D3.
At this school, can students purchase food or beverages from...CIRCLE ONE NUMBER ON EACH
LINE.
Yes
No
a.
One or more vending machines at the school? ....................
1
2
b.
A school store, canteen, or snack bar? ................................
1
2
Does this school offer a la carte lunch or breakfast items to students, that is, items not sold as part of
the NSLP School Lunch or the School Breakfast Program? CIRCLE ONE NUMBER
YES ........................................................
1
NO ..........................................................
2
Can students purchase, either from vending machines, school store, canteen, snack bar or a la carte
items from the cafeteria during school hours… CIRCLE ONE NUMBER ON EACH LINE.
No
Yes
a. 2% or whole milk? .................................................................
1
2
b. 1% or skim milk? ...................................................................
1
2
c. Bottled water?........................................................................
1
2
d. 100% fruit juice? ....................................................................
1
2
e. 100% vegetable juice? ..........................................................
1
2
f.
Carbonated soft drinks (soda pop, colas, etc.) ......................
1
2
g. Sports drinks (such as Gatorade, Powerade, etc).................
1
2
h. Fruit drinks that are not 100% juice?
(such as Hi-C, Fruitopia)........................................................
1
2
i.
Candy? ..................................................................................
1
2
j.
Cookies, cakes, pastries, or other sweet baked goods .........
1
2
k. Salty snacks that are low in fat such as pretzels,
baked potato chips? ..............................................................
1
2
l.
Salty snacks that are not low in fat such as regular
potato chips? .........................................................................
1
2
m. Fruits or vegetables, not juice?..............................................
1
2
n. Ice cream or frozen yogurt that is not low in fat?...................
1
2
o. Low-fat or fat-free ice cream, frozen yogurt, or popsicles
or sherbet? ............................................................................
1
2
p. Low-fat or non-fat yogurt? (not frozen yogurt) .......................
1
2
NEW Question from USDA
Source: School Health Policies and Programs Study (SHPPS) 2006, conducted by Centers for Disease Control, Division of Adolescent
and School Health
D4.
Does this school limit the package or serving size of any of the items listed in Question D3 above (for
example, size of package of chips)?
Yes ......................................................... 1
No........................................................... 2
B-14
D5.
At your peak meal time, how full is the cafeteria compared to the maximum seating capacity? Would
you say it is...CIRCLE ONE
Less than 50% full, .................................
1
50 to 75% full,.........................................
2
76 to 100% full, or .................................
3
Over capacity? .......................................
4
B-15
SECTION E. COMMUNITY CHARACTERISTICS AND SCHOOL SAFETY
E1.
Which of these best describes the community in which this school is located? CIRCLE ONLY ONE.
A rural or farming community? ...................................................... 01
A small city or town of fewer than 50,000 people
that is not a suburb of a larger city? ............................................. 02
A medium-sized city (50,000 to 100,000) people? ........................ 03
A suburb of a medium-sized city? ................................................. 04
A large city (100,001 to 500,000 people)? .................................... 05
A suburb of a large city?................................................................ 06
A very large city (over 500,000 people)?....................................... 07
A suburb of a very large city.......................................................... 08
Military base or station? ................................................................ 09
Indian reservation? ....................................................................... 10
E2.
How much of a problem are the following in the neighborhood where this school is located? CIRCLE
ONE NUMBER ON EACH LINE.
Big
problem
Somewhat
of a
problem
No
problem
Don’t
know
a.
Tensions based on racial, ethnic, or
religious differences? ................................
1
2
3
4
b.
Garbage, litter, or broken glass in the
street or road, on the sidewalks, or in
yards? .......................................................
1
2
3
4
c.
Selling or using drugs or excessive
drinking in public? .....................................
1
2
3
4
d.
Gangs? .....................................................
1
2
3
4
e.
Heavy traffic? ............................................
1
2
3
4
f.
Violent crimes like drive-by shootings? .....
1
2
3
4
g.
Vacant houses and buildings? ..................
1
2
3
4
h.
Crime in the neighborhood?......................
1
2
3
4
B-16
E3.
Have any of the following types of problems happened during this school year at this school?
CIRCLE ONE NUMBER ON EACH LINE.
a.
b.
c.
d.
e.
f.
E4.
Yes
1
No
2
1
2
1
1
1
1
2
2
2
2
Does your school take any of the following measures to ensure the safety of children? CIRCLE ONE
NUMBER ON EACH LINE.
a.
b.
c.
d.
e.
f.
g.
h.
i.
E5.
Children bringing weapons to school?...................................
Things being taken directly from children
or teachers by force or threat of force at
school or on the way to or from school? ...............................
Children or teachers being physically
attacked or involved in fights? ...............................................
Children bringing in or using alcohol at school? ....................
Children bringing in or using illegal drugs at school? ............
Vandalism of school property? ..............................................
Yes
1
1
1
1
1
1
1
1
1
Security guards?....................................................................
Metal detectors? ....................................................................
Locked exterior doors during the day? ..................................
A requirement that visitors sign in? .......................................
A requirement that school staff escort visitors?.....................
Limits on going to the restrooms? .........................................
Teachers assigned to supervise the hallways? .....................
Hall passes required to leave class? .....................................
Intercoms or telephones in classrooms? ...............................
No
2
2
2
2
2
2
2
2
2
To what extent is each of the following matters a problem in this school? Indicate whether each is a
SERIOUS problem, a MODERATE problem, a MINOR problem or NOT a problem in this school.
CIRCLE ONE NUMBER ON EACH LINE.
SERIOUS
problem
MODERATE
problem
MINOR
problem
NOT a
problem
a. Student tardiness?..............................
1
2
3
4
b. Student absenteeism? ........................
1
2
3
4
c. Student aggressive or disruptive
behavior? ............................................
1
2
3
4
B-17
SECTION F. SCHOOL POLICIES AND PRACTICES
F1.
Are (kindergartners) at this school required to wear a school uniform? Do not include required
physical education uniforms.
Yes ................................................................................................
No..................................................................................................
F2.
1
2
Are any children given a readiness or placement test before or shortly after entering kindergarten?
Yes ................................................................................................ (GO to QF3)
No ................................................................................................. (SKIP TO QF4)
F3.
How are the assessments used? CIRCLE ONE NUMBER ON EACH LINE.
Yes
a.
To determine eligibility for enrollment when a child is below the
cut-off age for kindergarten? ................................................
1
2
b.
To determine children's class placements? ..........................
1
2
c.
To identify children who may need additional testing (for example,
for a learning problem)? .......................................................
1
2
d.
To help teachers individualize instruction? ...........................
1
2
e.
To support a recommendation that a child delay entry for an
additional year? ....................................................................
1
2
Other? (Please specify) ____________________________
1
2
f.
F4.
No
What grades in this school are tested with state assessments and/or standardized tests? CIRCLE
ONE NUMBER ON EACH LINE.
IF NO GRADE TESTED, CHECK HERE (SKIP TO QF6)
Grade
a. Pre-kindergarten?..................................................................
b. Kindergarten? ........................................................................
c. Transitional first (or pre-first)? ...............................................
d. 1st?........................................................................................
e. 2nd?.......................................................................................
f.
3rd? .......................................................................................
g. 4th?........................................................................................
h. 5th?........................................................................................
i.
6th?........................................................................................
j.
7th?........................................................................................
k. 8th?........................................................................................
B-18
Yes
1
1
1
1
1
1
1
1
1
1
1
No
2
2
2
2
2
2
2
2
2
2
2
F6.
Can children be retained in grade in your school? CIRCLE ONE NUMBER.
a. Yes..........................................................................................
b. No ...........................................................................................
F7.
1
2 (SKIP TO QF10)
Which of the following statements describe your school’s grade promotion and retention practices or
policies? CIRCLE ONE NUMBER ON EACH LINE.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
Children can be retained at any grade ..................................
Children can be retained for maturational reasons
(e.g., social/emotional immaturity) ........................................
Children can be retained at the request of their parents .......
Children can be retained due to academic deficiencies
(e.g., below grade level) ........................................................
Children can be retained due to failing a school-wide
standardized test ...................................................................
Children can be retained more than once in each grade.......
Children can be retained more than once in elementary
school ....................................................................................
Children can be retained without their parents’ permission...
Children with disabilities can be retained ..............................
This school has a formal retention policy ..............................
Children can be promoted for social reasons
(e.g., physical size) ...............................................................
True
1
False
2
1
1
2
2
1
2
1
1
2
2
1
1
1
1
2
2
2
2
1
2
For children not promoted to the next grade level at year's end, which of the following
interventions/approaches are available/used at your school. (CIRCLE ONE NUMBER ON EACH
ROW)
Yes
No
a. Grade repetition – repeat the whole year, with no
special services or resources................................................
1
2
b. Summer school, with the possibility of promotion to the
next grade if performance warrants ......................................
1
2
c. Double-dosing – grade repetition with extra instruction
in the areas of the curriculum that were most
d. Partial
challenging.
promotion
...........................................................................
- student advances to the next grade
1
2
in most subjects, but repeats the area(s) of the
curriculum that were most challenging..................................
1
2
e. Partial retention – student repeats the year, but
advances to the next grade in the areas of the
curriculum where performance was satisfactory. ..................
1
2
f.
Grade repetition with extra tutoring, coaching or
counseling. ............................................................................
1
2
g. An IEP is developed for repeaters to guide
individualized corrective interventions. .................................
1
2
h. Other, please specify: _____________________________
1
2
B-19
F8.
Are any of the following programs or support services provided by your school or district for children
who are retained or who might be retained if they do not participate? CIRCLE ONE NUMBER ON
EACH LINE.
a.
b.
c.
d.
F9.
Summer program (mandatory attendance) ...........................
Summer program (optional attendance)................................
Extra support during the school year, during school hours ...
Extra support during the school year, before or after school.
Yes
1
1
1
1
No
2
2
2
2
How many (kindergarten) children were retained at their current grade levels last school year?
WRITE IN NUMBER BELOW.
________ Number (kindergartners) retained last year
F10.
During the past three years, did the following changes occur at your school? CIRCLE ONE NUMBER
ON EACH LINE.
Yes
No
a.
Teacher teams were established? ........................................
1
2
b.
Funding levels decreased significantly? ...............................
1
2
c.
Enrollment significantly increased? .....................................
1
2
d.
Students' average family income decreased significantly? .
1
2
e.
Student mobility increased? .................................................
1
2
f.
There has been a reduction in staffing or teacher shortage?
1
2
g.
Other? (Please specify) ____________________________
1
2
B-20
SECTION G. PROVISIONS OF THE NO CHILD LEFT BEHIND ACT
NOTE: New section added to the school questionnaire.
The following items are relevant to public schools only. If yours if a nonpublic school, please check here and
skip to Question H1.
IF NONPUBLIC SCHOOL, CHECK HERE (SKIP TO QH1)
G1.
Do all of the teachers in this school meet the requirements for “highly qualified teacher”? (See box
below)
To be considered a “ highly qualified teacher,” teachers must:
Have a bachelors degree or better in the subject taught
Have full state teacher certification
Demonstrate knowledge in the subject taught
Yes ............................................................................ (SKIP to G3)
No ..............................................................................(GO TO G2)
G2.
How many teachers in this school fail to meet each of these criteria for a “highly qualified teacher”?
WRITE IN A NUMBER ON EACH LINE BELOW.
NUMBER OF
TEACHERS
a.
Number of teachers who do not have a bachelor’s degree or better
in the subject taught? ............................................................
_________
b.
Number of teachers who do not have full state certification?
_________
c.
Number of teachers who do not demonstrate knowledge in the
subject taught? ......................................................................
_________
Total number of teachers in this school? ..............................
_________
d.
G3.
Did this school make Adequate Yearly Progress (AYP) for the prior school year (2009-2010)?
Yes ................................................................................................ (SKIP to (next section))
No ................................................................................................. (GO TO G4)
G4.
If no to G3, has this school been identified for improvement under NCLB provisions?
Yes ................................................................................................ (GO to N5)
No ................................................................................................. (SKIP TO (next section)
B-21
G5.
Which of the following actions has this school taken, in response to the need for improvement?
CIRCLE ONE NUMBER ON EACH LINE.
Yes
No
a.
Developed or revised a two-year school improvement plan?
1
2
b.
Offered students the choice to transfer to another public school?
1
2
c.
Offered supplemental educational services to students from lowincome families? ..................................................................
1
2
d.
Replaced school staff? .........................................................
1
2
e.
Implemented a new curriculum based on scientifically based
research? .............................................................................
1
2
f.
Extended the school day or school year? .............................
1
2
g.
Appointed an outside expert to advise the school on its progress
toward making AYP? ............................................................
1
2
Reorganized the school internally? ......................................
1
2
h.
Based on recent state assessments what percentage of the grade 3 students in your school in the
2010-1011 school year scored “proficient” or above in the subjects in this table; please also indicate
the percentage needed to meet your AYP ?
Percent of students whose
achievement level is
“proficient” or above
Percentage required by
AYP (or AMAO) in 20102011
a. Reading or verbal skills....................................
______%
______%
b. Mathematics or quantitative skills ....................
______%
______%
c. Science
______%
______%
d. English language proficiency for English
Language Learaners
______%
______%
B-22
SECTION H. SCHOOL-FAMILY-COMMUNITY CONNECTIONS
H1.
H2.
Are any of the following programs or services for children available to (kindergarten) children and their
families at your school site? Please include programs run by the school and those run by outside
groups. CIRCLE ONE NUMBER ON EACH LINE.
a.
Before-school child care? .....................................................
Yes
1
No
2
b.
Half-day care for children in half-day kindergarten? .............
1
2
c.
After-school child care? .......................................................
1
2
d.
Infants and toddlers program? ..............................................
1
2
e.
Head Start? ..........................................................................
1
2
f.
Pre-kindergarten? ................................................................
1
2
g.
Summer school or summer child-care programs? ................
1
2
h.
Programs for migrants during the school year? ....................
1
2
i.
Programs for migrants during the summer? .........................
1
2
j.
Hearing or vision screening? ................................................
1
2
k.
Child care so that parents can attend school parent meetings or
events? .................................................................................
1
2
Are any of the following programs or services for parents and families available at your school site?
Please include programs run by the school and those run by outside groups. CIRCLE ONE NUMBER
ON EACH LINE.
Yes
a.
No
Parenting education programs (e.g., classes on child development,
education in being a parent, understanding children with special needs)? 1
2
b.
Adult literacy program (including Adult Basic Education)? ................
1
2
c.
Family literacy program? ..................................................................
1
2
d.
Health or social services offered collaboratively by service agencies such
as hospitals? .....................................................................................
1
2
Orientation to school setting for new families? ..................................
2
e.
B-23
1
H3. Please indicate how often each of the following activities is provided by your school. CIRCLE ONE
NUMBER ON EACH LINE.
a.
b.
c.
d.
e.
f.
g.
h.
H4.
PTA, PTO, or Parent-TeacherStudent organization meetings...
Letters, calendars,
newsletters, etc., sent home to
provide parents with
information about the school ......
Written reports (report cards)
of child’s performance sent
home ..........................................
Information on the child’s
standardized assessment
scores sent home.......................
Teacher-parent conferences ......
Home visits to do one-on-one
parent education ........................
School performances to which
parents are invited......................
Classroom programs like class
plays, book nights, or family
math nights.................................
Never
Once
a year
2 to 3
times
a year
4 to 6
times
a year
7 or more
times
a year
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
Which of the following are used to provide (kindergartners') parents with information about their
children's performance? CIRCLE ONE NUMBER ON EACH LINE.
Yes
No
Standard Report Card (e.g., a letter grade assigned
for each subject)? ..............................................................................
1
2
b.
Progress Report Form (narrative report)? .........................................
1
2
c.
Competency Based Checklists? ........................................................
1
2
d.
Portfolio of Child's Work? ..................................................................
1
2
e.
Assessments/ Standardized Test Scores? ........................................
1
2
a.
B-24
H5. What percent of children in the school have parents who participate in the following activities? CIRCLE
ONE NUMBER ON EACH LINE.
Percent of children in the school whose parents …
None
1-25%
26-50%
51-75%
75% or
more
Not
applicable
Volunteer regularly to help in the
classroom or another part of the
school .................................................
1
2
3
4
5
6
b.
Attend teacher parent conferences ....
1
2
3
4
5
6
c.
Attend open houses or parties............
1
2
3
4
5
6
d.
Attend art/music events or
demonstrations ...................................
1
2
3
4
5
6
Attend PTA, PTO, or ParentTeacher-Student organization
meetings .............................................
1
2
3
4
5
6
Do fund raising and other support
activities for the school .......................
1
2
3
4
5
6
Attend plays, sport or field days, or
science fairs........................................
1
2
3
4
5
6
a.
e.
f.
g.
H6.
Does this school have a school-based management committee or other decision-making body other
than a school board, parent/teacher association (PTA), or parent/teacher organization?
Yes ................................................................................................
1 (GO TO __)
No .................................................................................................
2 (SKIP TO __)
Does the school-based management committee have a dedicated subcommittee or work group that
plans and implements a program to involve all families and the community in ways that help all
students reach important achievement goals?
Yes ................................................................................................
1
No .................................................................................................
2
B-25
H7.
Are the following groups represented on your school-based management committee? CIRCLE ONE
NUMBER ON EACH LINE. FOR EACH "YES" WRITE THE NUMBER OF COMMITTEE MEMBERS
FROM EACH GROUP IN THE SPACE PROVIDED.
Yes
No
Number
a.
Administrators (e.g., principals, deans) .........................................
1
2
______
b.
Teachers .......................................................................................
1
2
______
c.
Personnel from district office or larger administration system .......
1
2
______
d.
School board members .................................................................
1
2
______
e.
Parents ..........................................................................................
1
2
______
f.
Community representatives (from businesses, colleges and universities,
civil rights groups, church groups, etc.) ......................................... 1
2
______
Other (Please specify) _________________________________
2
_____
g.
B-26
1
SECTION I. SCHOOL PROGRAMS FOR SPECIAL POPULATIONS
Language Minority Students
Construct: special services and programs/ non-English languages
Round(s): 2, 4, 5
Source: K2.48
I1.
Are any of the children in this school English language learners (ELL)? SEE COVER PAGE A FOR
DEFINITIONS RELATED TO LANGUAGE.
Yes ................................................................................................
1 (GO TO __)
No..................................................................................................
2 (SKIP TO __)
Note: Change to appropriate grade level in each round
I2.
What percent of children in this school and in (Kindergarten) are English language learners (ELL)?
WRITE IN THE PERCENTS BELOW.
________ % ELL in entire school
________ % ELL in (Kindergarten including transitional kindergarten
and transitional first grade)
Note: Change to appropriate grade level in each round
I3.
What percent of (kindergarten) children receive ESL, bilingual, or Dual-language (also known as twoway immersion)? SEE COVER PAGE A FOR DEFINITIONS RELATED TO LANGUAGE. WRITE THE
PERCENT BELOW. WRITE "0" IF SERVICE NOT PROVIDED.
(Kindergarten (including
transitional kindergarten
and transitional first grade))
% Receiving
ESL
Services
% Receiving
Bilingual
Services
% Receiving DualLanguage Services
_________
_________
_________
Note: Change to appropriate grade level in each round.
I4. On average, how many years will a kindergartner who is an English language learner (ELL) receive the
following services at your school? WRITE NUMBER BELOW.
NUMBER OF YEARS
a.
English as a Second Language (ESL) services ......................................................... ______
b.
Bilingual services ....................................................................................................... ______
c.
Dual-language services .............................................................................................. ______
B-27
I5.
Are any of the following special services provided to families of Language Minority/English language
learner (LM-ELL) children? SEE COVER PAGE A FOR DEFINITIONS RELATED TO LANGUAGE.
CIRCLE ONE NUMBER ON EACH LINE.
Yes
No
Translators are made available to parents for parent/teacher
and parent/school staff meetings and/or meetings are
conducted in the parents' non-English language? .............................
1
2
Translation of written communications are provided to
LM-ELL families? ..............................................................................
1
2
c.
Home visits are made to families of LM-ELL children? .....................
1
2
d.
An outreach worker assists in enrolling children first
entering school? ................................................................................
1
2
The school conducts special parent meetings for
non-English background families? ....................................................
1
2
1
2
a.
b.
e.
f.
Other? (Please specify) __________________________________
_____________________________________________________
Children with Special Needs
Note: Change to appropriate grade level in each round
I6.
Approximately what percentage of your (kindergartners) is in each of the following instructional
programs?
Percent
Not offered
a.
b.
Special education (with Individualized Education Plan (IEP)) .... ____________ ____________
Reading instruction for students performing below grade level
c.
in reading.................................................................................... ____________ ____________
Math instruction for students performing below grade level in
math
f.
........................................................................................ ____________ ____________
Gifted and talented ..................................................................... ____________ ____________
Construct: special services and programs/ students with disabilities
Round(s): 2, 4, 5
Source: K2.53
I7.
Are there any children with disabilities in this school receiving special education on any of the following
plans? CIRCLE ONE NUMBER ON EACH LINE.
Yes
No
a. On Individualized Education Plans (IEP)? .........................................
1
2
b. On 504 plans based on section 504 of the Rehabilitation Act? .........
1
2
c. On both IEP and 504 plans? .............................................................
1
2
B-28
I8.
Where are children with Individual Education Plans (IEPs) typically served in this school? CIRCLE
ONE NUMBER.
a.
b.
c.
I9.
I10.
Children with IEPs are not served in this school ...................
Children with IEPs typically spend most of their
day in separate classes.........................................................
Children with IEPs typically spend most of their
day in the regular classroom .................................................
1
2
3
For about what percent of children with IEP's (Individualized Education Plans) do the following
statements apply? CIRCLE ONE NUMBER ON EACH LINE.
None
25% or
less
26% to
50%
51% to
75%
76% or
more
a.
Children with IEPs are exposed to
the regular curriculum in at least one
subject ........................................................
1
2
3
4
5
b.
Children with IEPs are exposed to the
regular curriculum in mathematics and
language arts ..............................................
1
2
3
4
5
c.
Children with IEPs are evaluated by the
same standards for grading and evaluating
performance as are other children..............
1
2
3
4
5
d.
Children with IEPs are included in schoolwide grade-level standardized testing
programs ....................................................
1
2
3
4
5
Is there a gifted and talented program at this school?
Yes .........................................................
No...........................................................
I11.
Do children participate in a gifted and talented program at this school in…
Yes
No
a. Transitional (or readiness) kindergarten? ..................... 1
2
b. Kindergarten? ............................................................... 1
2
c.
Transitional first (or prefirst) grade? .............................. 1
2
d. 1st? ............................................................................... 1
2
e. 2nd? .............................................................................. 1
2
f.
3rd? ............................................................................... 1
2
g. 4th? ............................................................................... 1
2
h. 5th or higher? ................................................................ 1
2
B-29
1 (GO TO Q__)
2 (SKIP TO Q__)
SECTION L. STAFFING AND TEACHER CHARACTERISTICS
L1.
Approximately how many staff members does your school currently have in the following categories?
PLEASE PROVIDE RESPONSES IN COLUMN (1) FOR STAFF MEMBERS WHO WORK FULL TIME
AT YOUR SCHOOL AND IN COLUMN (2) FOR STAFF WHO WORK PART TIME AT YOUR
SCHOOL. PLACE EACH STAFF MEMBER IN ONLY ONE STAFF CATEGORY. IF THERE ARE NO
STAFF IN YOUR SCHOOL IN A CATEGORY, WRITE ZERO.
Staff category
(1)
(2)
Number who Number who
work full time work part time
in the school in the school
a.
Regular classroom teachers....................................................... ____________ ____________
b.
Gym, drama, music or art teachers ............................................ ____________ ____________
c.
Special education and related service providers ........................ ____________ ____________
d.
ESL/Bilingual education teachers............................................... ____________ ____________
e.
Reading teachers/specialists...................................................... ____________ ____________
f.
Teachers of gifted/talented ......................................................... ____________ ____________
g.
School nurses or health professionals........................................ ____________ ____________
h.
School psychologists or social workers ...................................... ____________ ____________
i.
Paraprofessionals (e.g., classroom aides) ................................. ____________ ____________
j.
Library media specialists/librarians............................................. ____________ ____________
Teacher mobility. WRITE IN THE APPROXIMATE NUMBER OF REGULAR CLASSROOM
TEACHERS FOR EACH OF THE FOLLOWING. IF NO TEACHERS HAVE LEFT OR STARTED AT
YOUR SCHOOL DURING THE SCHOOL YEAR, ENTER “0” ON THAT LINE.
Number
of Teachers
Of your regular classroom teachers,
a. Number of teachers who have begun teaching in your school
since October 1, 2010? .........................................................
______
b.. Number of teachers who have left your school since
October 1, 2010, and have not returned?..............................
______
B-30
L2.
What is the lowest annual base salary currently paid to full-time teachers in your school? CIRCLE
ONLY ONE.
Less than $20,000.........................................................................
$20,000 to $30,000 .......................................................................
$30,001 to $35,000 .......................................................................
$35,001 to $40,000 .......................................................................
More than $40,000 .......................................................................
L3.
01
02
03
04
05
What is the highest annual base salary currently paid to full-time teachers in your school? CIRCLE
ONLY ONE.
Less than $35,000......................................................................... 01
$35,000 to $45,000 ....................................................................... 02
$45,001 to $55,000 ....................................................................... 03
$55,001 to $65,000 ....................................................................... 04
More than $65,000 ....................................................................... 05
What percentage of your part –time and full-time teachers, including regular classroom, ELL/Bilingual,
remedial, special education, art, and physical education teachers, belongs to each of the following
racial/ethnic groups? WRITE NUMBER OR PERCENT ON EACH LINE. ENTER “0” ON THE LINE IF
YOUR SCHOOL HAS NO TEACHERS OF THAT RACIAL/ETHNIC GROUP. THE TOTAL ON THE
PERCENT COLUMN SHOULD ADD TO 100%.2
Number
2
OR
Percent
a.
Hispanic/Latino of any race........................................................ ______
______
%
b.
American Indian or Alaska Native, not of Hispanic origin .......... ______
______
%
c.
Asian, not of Hispanic origin ...................................................... ______
______
%
d.
Black or African American, not of Hispanic origin ...................... ______
______
%
e.
Native Hawaiian or Other Pacific Islander, not of
Hispanic origin ........................................................................... ______
______
%
f.
White, not of Hispanic origin ...................................................... ______
______
%
g.
Two or more races ..................................................................... ______
______
%
TOTAL........................................................................................ ______
100
%
The revised item meets the requirements of the Department of Education’s “Final Guidance on Maintaining,
Collecting, and Reporting Racial and Ethnic Data to the U.S. Department of Education.”
B-31
L6.
If a person other than the school principal has answered Sections I to VII, please provide the following
information: PLEASE PRINT
_______________________________________
Last Name
________________
First Name
_______________
Middle Initial
_______________________________________
Title
How long employed at this school?____________
THE REMAINING QUESTIONS SHOULD BE COMPLETED ONLY BY THE SCHOOL PRINCIPAL.
The school principal or headmaster should complete the remainder of this questionnaire. If a designee is
chosen, please be sure that the background and education characteristics provided are about the school’s
principal or headmaster.
B-32
SECTION M. SCHOOL GOVERNANCE AND CLIMATE
M1.
How many times a year do you conduct classroom observations of individual kindergarten teachers in
your school? CIRCLE ONE NUMBER ON EACH LINE.
Number of
observations per year
M2.
a.
Non-tenured teachers............................
0
1
2
3
4 5+
b.
Tenured teachers ..................................
0
1
2
3
4 5+
Indicate the extent to which you agree or disagree with the following statements about staff
development opportunities at your school. CIRCLE ONE NUMBER ON EACH LINE.
a.
b.
c.
d.
Disagree
Neither
Agree nor
Disagree
Agree
Strongly
Agree
1
2
3
4
5
Teachers are very active in planning
staff development activities in this
school .....................................................
1
2
3
4
5
There is adequate time for teacher
professional development.......................
1
2
3
4
5
This school offers incentives for
teachers to improve their classroom
management and instructional
techniques ..............................................
1
2
3
4
5
Strongly
disagree
We have an active professional
development program for teachers.........
B-33
M3. How much emphasis do you place on the following goals and objectives for your teachers? CIRCLE ONE
NUMBER ON EACH LINE.
No or Minor Moderate
Emphasis Emphasis
a.
b.
c.
d.
e.
f.
g.
h.
i.
M4.
Assisting all children to achieve high standards ...................
Using curricula aligned with high standards .........................
Maintaining a quiet and orderly class environment ...............
Providing challenging tasks for higher-achieving children.....
Using instructional strategies (e.g., hands-on activities,
cooperative learning) aligned with high standards ...............
Communicating well with parents..........................................
Working well with other staff..................................................
Openness to new ideas and methods ...................................
Participation in professional development activities ..............
Major
Emphasis
1
1
1
1
1
2
2
2
2
2
3
3
3
3
3
1
1
1
2
2
2
3
3
3
1
2
3
Indicate how much you agree or disagree with the following statements about the school’s climate.
CIRCLE ONE NUMBER ON EACH LINE.
Neither
Agree nor
Disagree
Strongly
Disagree
Disagree
1
2
1
1
1
a. Parents are actively involved in this school’s
programs ...........................................................
b. Teacher absenteeism is a problem at this
school ................................................................
c. Teacher turnover is a problem at this school ....
d. Child absenteeism is a problem at this school ..
e. The community served by this school is
supportive of its goals and activities..................
f. There is a consensus among administrators
and teachers on goals and expectations...........
g. Order and discipline are maintained
satisfactorily in the building(s) ...........................
h. Overcrowding is a problem at this school .........
i. Parents of children in this school are welcome
to observe classes any time they are in
session ..............................................................
B-34
Agree
Strongly
Agree
3
4
5
2
2
2
3
3
3
4
4
4
5
5
5
1
2
3
4
5
1
2
3
4
5
1
1
2
2
3
3
4
4
5
5
1
2
3
4
5
M5. We are interested in how decisions are made at your school. Decisions that are often made in the course
of running a school are listed in column A. Individuals or groups who often make these decisions are listed in
column B. FOR EACH DECISION, PLEASE CIRCLE ONE NUMBER FOR EACH DECISION MAKER,
INDICATING HOW MUCH INFLUENCE THE DECISION MAKER TYPICALLY HAS. CIRCLE "0" IF THE
DECISION MAKER HAS NO INFLUENCE. CIRCLE "1" IF THE DECISION MAKER HAS SOME INFLUENCE.
CIRCLE "2" IF THE DECISION MAKER HAS MAJOR INFLUENCE. CIRCLE "3" IF THE DECISION IS NOT
APPLICABLE TO YOUR SCHOOL.
A. Decision
B. Influence Of Decision Maker
Principal or
Director
Teacher
Organization
or Individual
Teachers
Parent
Organization
School
Board or
Council
School
District
Office
School-Based
Management
Committee
Establishing criteria
for hiring and firing
teachers
0123
0123
0123
0123
0123
0123
Selecting textbooks
and other instructional materials
0123
0123
0123
0123
0123
0123
Setting curricular
guidelines and
standards
0123
0123
0123
0123
0123
0123
0123
0123
0123
0123
0123
0123
Deciding how school
discretionary funds
will be spent
0123
0123
0123
0123
0123
0123
Planning professional development
0123
0123
0123
0123
0123
0123
Establishing policies
and practices for
grading and student
evaluation
B-35
M6.
How much influence do the following have on how your job performance is evaluated? CIRCLE ONE
NUMBER ON EACH LINE.
No
influence
Some
influence
A great
deal of
influence
a.
State assessment and/or standardized test scores..........
1
2
3
b.
Raising the performance level of lower-achieving
students............................................................................
1
2
3
c.
Attendance .......................................................................
1
2
3
d.
School safety....................................................................
1
2
3
e.
Parent and community support ........................................
1
2
3
f.
Parent involvement in school activities.............................
1
2
3
g.
Teacher and staff support ................................................
1
2
3
h.
Participation in professional development activities .........
1
2
3
i.
Other (Please specify) __________________________
1
2
3
____________________________________________
B-36
SECTION N. PRINCIPAL CHARACTERISTICS
N1.
N2.
What is your gender?
Male ..............................................................................................
1
Female ..........................................................................................
2
In what year were you born? WRITE IN YEAR BELOW.
19 ______
N3.
N4.
N5.
Are you Hispanic/Latino? CIRCLE ONE NUMBER.
Yes ...............................................................................................
1
No..................................................................................................
2
Which best describes your race? CIRCLE ONE OR MORE.
American Indian or Alaska Native .................................................
1
Asian .............................................................................................
2
Black or African American ............................................................
3
Native Hawaiian or Other Pacific Islander.....................................
4
White ............................................................................................
5
How many years experience do you have in each of the following positions? WRITE IN THE
NUMBERS BELOW.
Number of Years
a.
Years as a teacher before becoming a principal ........................................................ ______
b.
Total number of years as a principal .......................................................................... ______
c.
Number of years as principal at this school................................................................ ______
B-37
Through which, if any, of the types of training programs below did you receive preparation for fulfilling
your role as a school administrator? (CIRCLE ONE NUMBER ON EACH ROW) [NOTE, please
create a yes/no response on each row]
a.
b.
c.
d.
d.
e.
f.
g.
I have not participated in a principal preparation
program ...............................................................................
Traditional university-based training and certification
program.................................................................................
District-based training program (e.g., the Boston
Principal Fellowship, New York City......................................
Leadership Academy’s Aspiring Principals Program,
Chicago’s LAUNCH program) ...............................................
City-based training program (e.g., Cleveland’s First
Ring Leadership Academy)...................................................
State-based training program (e.g., New Jersey
Training
EXCEL) and/or
.................................................................................
certification program run by a national
non-profit organization (e.g., KIPP) ......................................
School Leadership Program, New Leaders for New
Schools) ................................................................................
B-38
Yes
No
1
2
1
2
1
2
1
2
1
2
1
1
2
2
1
2
N6.
How many years have you taught each of the following grades and programs? WRITE THE NUMBER
OF YEARS TO THE NEAREST HALF YEAR (FOR EXAMPLE, 2.5, 3.5). PLEASE INCLUDE PARTTIME TEACHING. WRITE "0" IF YOU HAVE NEVER TAUGHT THE GRADE OR PROGRAM LISTED.
Total Years Grade or
Program Taught
a.
Preschool or Head Start ............................................................................... ______
b.
Kindergarten (including Transitional/Readiness Kindergarten and
Transitional/pre-1st grade) ........................................................................... ______
c.
First grade ..................................................................................................... ______
d.
Second through fifth grade ............................................................................ ______
e.
Sixth grade or higher ..................................................................................... ______
f.
English as a Second Language (ESL) program ............................................ ______
g.
Bilingual education program .......................................................................... ______
h.
Special education program ........................................................................... ______
i.
Physical education program .......................................................................... ______
j.
Art or music program ..................................................................................... ______
N7. How many college courses have you completed in the following areas? CIRCLE ONE NUMBER ON
EACH LINE.
Number of Courses
a.
Early childhood education ......................... 0
1
2
3
4
5
6+
b.
Elementary education................................ 0
1
2
3
4
5
6+
c.
Special education ..................................... 0
1
2
3
4
5
6+
d.
English as a Second Language (ESL) ..... 0
1
2
3
4
5
6+
e.
Child development..................................... 0
1
2
3
4
5
6+
f.
Methods of teaching reading ..................... 0
1
2
3
4
5
6+
g.
Methods of teaching mathematics............. 0
1
2
3
4
5
6+
h.
Methods of teaching science ..................... 0
1
2
3
4
5
6+
i.
School administration/management .......... 0
1
2
3
4
5
6+
B-39
N8.
What is the highest level of education you have completed? CIRCLE ONE NUMBER.
a.
b.
c.
d.
e.
f.
g.
N9.
1
2
3
4
5
6
7
What was your major field of study in the highest degree you completed? CIRCLE ONE NUMBER.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
N10.
High school diploma ..............................................................
Associate’s degree ................................................................
Bachelor’s degree..................................................................
At least one year of course work beyond a Bachelor’s
degree but not a graduate degree.........................................
Master’s degree.....................................................................
Education specialist or professional diploma based
on at least one year of course work past a Master’s
degree level...........................................................................
Doctorate ...............................................................................
Early childhood education ..................................................... 1
Elementary education............................................................ 2
Special education .................................................................. 3
English as a Second Language (ESL)................................... 4
Child development................................................................. 5
Methods of teaching reading ................................................. 6
Methods of teaching mathematics......................................... 7
Methods of teaching science ................................................. 8
School administration/management ...................................... 9
Other ..................................................................................... 10
_______________________________________________
Please estimate how many hours you spend on average per week in the following activities. WRITE IN
NUMBER OF HOURS BELOW.
Hours Per Week
a.
Working with teachers on instructional issues............................................... ______
b.
Internal school management (weekly calendars, vendors, office, memos,
etc.) .............................................................................................................. ______
c.
Student discipline/attendance ....................................................................... ______
d.
Monitoring hallways, playground, lunchroom ............................................... ______
e.
Teaching ....................................................................................................... ______
f.
Talking and meeting with parents.................................................................. ______
g.
Meeting with students.................................................................................... ______
h.
Paperwork required by local, state, or federal authorities ............................. ______
B-40
N11. What is your best estimate of the number of children you know by name? CIRCLE ONLY ONE.
Nearly every child.......................................................................... 01
76% or more.................................................................................. 02
51% to 75% ................................................................................... 03
26% to 50% ................................................................................... 04
25% or less ................................................................................... 05
Date Questionnaire Completed:
_______/_____/______
Month
Day Year
Questionnaire completed by:
_______________________________ ________________
(Last Name)
(First Name)
B-41
__________
(MI)
| File Type | application/pdf |
| File Title | Microsoft Word - Appendix B.doc |
| Author | tomasino-rosales_l |
| File Modified | 2009-01-05 |
| File Created | 2009-01-05 |