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GK-12 ONLINE SURVEY 2006–2007 FORMS
ICR 200908-3145-001 · OMB 3145-0164 · Object 14242001.
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| File Title | GK-12 ONLINE SURVEY 2006–2007 FORMS |
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| Last Modified By | Writer |
| File Modified | 2009-10-27 |
| File Created | 2026-08-28 |
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Appendix A: RDE Project Data Management System Indicators RDE Project Data Management System (PDMS) Indicators October 22, 2009 CONTENTS Login 4 Award 6 Institutions 8 Academic Institution (college, university, or other institute of higher education) 8 K-12 Academic Organization 11 Non-Academic Organizations 13 Project Personnel 14 Contact Information 15 Project Roles 16 Demographic Information 17 Mentoring 19 Tutoring 20 Learning Communities 21 Project Experiences - International 21 Universal Design for Learning (UDL) Experiences 22 Project Participant 23 Contact Information 23 Participation Information 23 Student Demographics (only asked about students) 24 Student’s Permanent Contact Information (only asked about students) 25 Demographic Information 25 Mentoring 27 Tutoring 28 Stipends 28 Learning Communities 29 Internship/Fieldwork Experiences (only asked for students) 29 Project Experiences - International 30 Transition Support (only asked for students) 31 Universal Design for Learning (UDL) Experiences 31 Academic Achievement (only asked for students) 31 ALLIANCE DATA 33 Institutional Data (Collected for Each Institution of Higher Education Submitted Earlier) 33 Institutional Data (Collected for Each High School Submitted Earlier) 37 Enrichment Track and Demonstration TRACK 38 Research 38 Research Design 38 Subject Group Data 39 Dissemination 42 Professional Publications 42 Professional Presentations 42 New Tools, Measurement Methods, and Other Materials 43 Online Resources Provided 44 NSF Highlights 45 Login page * UserID ___________________________________ * Password ___________________________________ Survey Privacy The Federal Government has a continuing commitment to monitor its awards to identify and address any inequities based on gender, race, ethnicity, or disability of the principal investigators, co-principal investigators, trainees, or other participants. Submission of the requested information is not mandatory. If you do not wish to submit the information, please mark the checkboxes provided for this purpose on the Web pages that follow. Information from this data collection system will be retained by the National Science Foundation (NSF), a Federal agency, and will be an integral part of its Privacy Act System of Records in accordance with the Privacy Act of 1974 and maintained in the Education and Training System of Records 63 Fed. Reg. 264, 272 (January 5, 1998). These are confidential files accessible only to appropriate NSF officials, their staffs, and their contractors responsible for monitoring, assessing, and evaluating NSF programs. Only data in highly aggregated form, or data explicitly requested as "for general use," will be made available to anyone outside of NSF for research purposes. Data submitted will be used in accordance with criteria established by NSF for monitoring research and education grants, and in response to Public Law 99-383 and 42 USC 1885c. [Link to] NSF Privacy Policy Public Burden Submission of the requested information is voluntary. Failure to provide full and complete information, however, may reduce the possibility for continuing support through the award/project subject to this survey. Pursuant to 5 CFR 1320.5(b), an agency may not conduct or sponsor, and a person is not required to respond to an information collection unless it displays a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 3145-0164. The public reporting burden for the entire collection of information is estimated to average 80 hours per award for Alliance awards and 12 hours per award for other RDE awards, including the time for reviewing instructions. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Suzanne Plimpton, Reports Clearance Officer for OMB Collection 3145-0164, Facilities and Operations Branch, Division of Administrative Services, National Science Foundation, 4201 Wilson Blvd., Suite 295, Arlington, VA 22230. OMB# 3145-0164 Expires XXXXX Instructions for Project PIs/Coordinators The Research in Disabilities Education (RDE) Project Data Management System is an on-line system that collects information required for effective administration, communication, program and project monitoring and evaluation, and for measuring attainment of NSF's program, project and strategic goals, as required by the President's Management agenda as represented by the Office of Management and Budget's (OMB) Program Assessment Rating Tool (PART), by the Government Performance and Results Act (GPRA) of 1993, and by the NSF’s Strategic Plan. Data collected will also be used when responding to queries from Committees of Visitors, Congress, and scientific experts. The data can also be used as a preliminary step in more detailed future evaluation efforts, such as the sort of rigorous evaluations described in the May 2007 Report of the Academic Competitiveness Council (ACC), which was established by the Deficit Reduction Act of 2005 (P.L. 109-171) to serve as a multi-agency effort to identify Federal STEM education programs and establish their effectiveness. All information, including project participant data, that you submit to this system comes from existing project data sources that are maintained by your project and/or institution. The reporting period for this collection is September 1, 20XX to August 31, 20XX, and the PDMS will be open for data collection from January 10 to March 10, 20XX. You can complete the required sections in any order. Icons beside each link will help you track your progress and alert you to potential problems as you move through the sections. Some questions will be marked as required, and the other questions are optional. NSF has contracted ICF Macro to conduct this data collection. If you have any questions about the system or need any technical assistance, you can email ICF Macro staff at [email protected], or you can speak to an ICF Macro staffer by calling 877-492-5913. Award Please review the following data for your award. This section was prepopulated.1 If you need to make changes, please contact ICF Macro to make the necessary adjustments. Asterisks indicate required fields; you must complete such fields in order to submit your data. For help with unfamiliar terms, please consult the glossary. ^ Award Status ___________________________________ ^ Program Track2 ___________________________________ ^ NSF Award Number ___________________________________ ^ Award Title ______________________________________________________________________ ______________________________________________________________________ _____________________________________________________________________ ^ Award Institution ___________________________________ ^Award Start Date Month _____ Day _____ Year _____ ^Award End Date Month _____ Day _____ Year _____ ^Collaborative Award(s) NSF Award Number Institution Award Title Award PI _______________ ___________ ____________ ____________ _______________ ___________ ____________ ____________ … _______________ ___________ ____________ ____________ All data above will be prepopulated. If respondents have questions, they can contact ICF Macro. In the past year, did this project receive any funding in addition to the NSF RDE funding? If yes, Funding Agency: Funding Program: Amount of Funding: Type of Funding Federal State Local Business/Industry University Other (provide text box) If this award was preceded by an NSF RDE award, what was the: NSF Award Number: ____________________ Award Title: ___________________________ What was its RDE award track? __ Alliance award __ Research award __ Enrichment award __ Demonstration award __ Dissemination award __ Other Institutions Please provide information about your project’s primary, partnering, and associate institutions and organizations for the current reporting period. There are three types: academic institutions of higher education, K-12 education organizations, and non-academic institutions. Only submit data for those institutions that do not have collaborating awards and are not supported by a collaborating award. Academic Institution (college, university, or other institute of higher education) 3 * Institution Name ___________________________________________ Postal Address ___________________________________________ ___________________________________________ ___________________________________________ * Institution Type (select one) ___Public ___Private What is this institution’s Carnegie classification? • Research Universities (RU/VH) (very high research activity) • Research Universities (RU/H) (high research activity) • Doctoral/Research Universities (DRU) • Master’s Colleges and Universities (Master’s/L) (larger programs) • Master’s Colleges and Universities (Master’s/M) (medium programs) • Master’s Colleges and Universities (Master’s/S) (smaller programs) • Baccalaureate Colleges—Arts & Sciences (Bac/A&S) • Baccalaureate Colleges—Diverse Fields (Bac/Diverse) • Baccalaureate/Associate’s Colleges (Bac/Assoc) • Associate’s—Public Rural-serving Small (Assoc/PubRS) • Associate’s—Public Rural-serving Medium (Assoc/PubRM) • Associate’s—Public Rural-serving Large (Assoc/PubRL) • Associate’s—Public Suburban-serving Single Campus (Assoc/PubSSC) • Associate’s—Public Suburban-serving Multicampus (Assoc/PubSMC) • Associate’s—Public Urban-serving Single Campus (Assoc/PubUSC) • Associate’s—Public Urban-serving Multicampus (Assoc/PubUMC) • Associate’s—Public Special Use (Assoc/PubSpec) • Associate’s—Private Not-for-profit (Assoc/PrivNFP) • Associate’s—Private For-profit (Assoc/PrivFP) • Associate’s—Public 2-year Colleges under Universities (Assoc/Pub2in4) • Associate’s—Public 4-year, Primarily Associate’s (Assoc/Pub4) • Associate’s—Private Not-for-profit 4-year, Primarily Associate’s (Assoc/PrivNFP4) • Associate’s—Private For-profit 4-year, Primarily Associate’s (Assoc/PrivFP4) • Theological seminaries, Bible colleges, and other faith-related institutions (Spec/Faith) • Medical schools and medical centers (Spec/Medical) • Other health profession schools (Spec/Health) • Schools of engineering (Spec/Engg) • Other technology-related schools (Spec/Tech) • Schools of business and management (Spec/Bus) • Schools of art, music, and design (Spec/Arts) • Schools of law (Spec/Law) • Other special-focus institutions (Spec/Oth) • Tribal colleges and universities * Institutional Ethnicity Characteristics (select all that apply) ___Historically Black College or University (HBCU) ___Tribal College or University (TCU) ___Hispanic Serving Institution (HSI) ___Minority Serving Institution (MSI) * Institutional Gender Characteristics (select one) ___Single Gender – Male ___Single Gender – Female ___Coed * Institutional Campus Characteristics (select one) ___Virtual Campus ___Traditional Campus ___Virtual and Traditional * Project Role (select one) ___Primary Awardee4 ___Subawardee (as defined by NSF on the award budget) ___Non-award partner ___Consultant (as defined by NSF on the award budget) ___Other, please specify ___________________________________________ Has this project affected policies at this institution regarding educating students with disabilities during the current reporting period? ___Yes ___ No If yes, what changed? ________________________________________ Has this project affected practices at this institution regarding educating students with disabilities during the current reporting period? ___Yes ___ No If yes, what changed? ________________________________________ Has this project affected services provided by this institution’s office for students with disabilities during the current reporting period? ___Yes ___ No If yes, what changed? ________________________________________ Were any courses at this institution retrofitted for Universal Design for Learning (UDL) during the current reporting period? ___Yes ___ No If yes, how many? Were any new courses created using Universal Design for Learning (UDL) during the current reporting period? ___Yes ___ No If yes, how many? Were any student labs retrofitted for Universal Design for Learning (UDL) during the current reporting period? ___Yes ___ No If yes, how many? Were any new student labs created using Universal Design for Learning (UDL) during the current reporting period? ___Yes ___ No If yes, how many? Were any fieldwork experiences at this institution changed because of Universal Design for Learning (UDL) during the current reporting period? ___Yes ___ No If yes, how many? Were any new fieldwork experiences created at this institution using Universal Design for Learning (UDL) during the current reporting period? ___Yes ___ No If yes, how many? K-12 Academic Organization5 * School Name___________________________________________ District ___________________________________________ *Postal Address ___________________________________________ ___________________________________________ ___________________________________________ * Institution Type (select one) ___Public ___Private * Institutional Characteristics (select one) ___High School ___Middle School/Junior High ___Elementary School ___Other, please specify ___________________________________________ * Project Role (select one) ___ Primary Awardee ___ Subawardee (as defined by NSF on the award budget) ___Non-award partner ___Consultant (as defined by NSF on the award budget) ___Other, please specify ___________________________________________ Has this project affected policies at this institution regarding educating students with disabilities during the current reporting period? ___Yes ___ No If yes, what changed? ________________________________________ Has this project affected services and/or practices at this institution regarding educating students with disabilities during the current reporting period? ___Yes ___ No If yes, what changed? ________________________________________ Were any courses at this institution retrofitted for Universal Design for Learning (UDL) during the current reporting period? ___Yes ___ No If yes, how many? Were any new courses created using Universal Design for Learning (UDL) during the current reporting period? ___Yes ___ No If yes, how many? Were any student labs retrofitted for Universal Design for Learning (UDL) during the current reporting period? ___Yes ___ No If yes, how many? Were any new student labs created using Universal Design for Learning (UDL) during the current reporting period? ___Yes ___ No If yes, how many? Were any fieldwork experiences at this institution changed because of Universal Design for Learning (UDL) during the current reporting period? ___Yes ___ No If yes, how many? Were any new fieldwork experiences created at this institution using Universal Design for Learning (UDL) during the current reporting period? ___Yes ___ No If yes, how many? Non-Academic Organizations6 * Institution Name ___________________________________________ Postal Address ___________________________________________ ___________________________________________ ___________________________________________ * Institutional Characteristics (select one) ___Industry Partner ___Non-Profit Organization ___Local Government Organization ___State Government Organization ___Federal Government Organization ___Non-university/non-industry Lab ___Other, please specify ___________________________________________ * Project Role (select one) ___Primary Awardee ___Subawardee (as defined by NSF on the award budget) ___Non-award partner ___Consultant (as defined by NSF on the award budget) ___Other, please specify ___________________________________________ Has this project affected policies at this organization regarding people with disabilities during the current reporting period? ___Yes ___ No If yes, what changed? ________________________________________ Has this project affected practices at this organization regarding people with disabilities during the current reporting period? ___Yes ___ No If yes, what changed? ________________________________________ Were any labs/offices/workspaces retrofitted for Universal Design for Learning (UDL) during the current reporting period? ___Yes ___ No If yes, how many? Were any new labs/offices/workspaces created using Universal Design for Learning (UDL) during the current reporting period? ___Yes ___ No If yes, how many? Project Personnel7 Enter the information about your project personnel in the spaces below. Asterisks indicate required fields; you must complete them in order to submit your data. For help with unfamiliar terms, please consult the glossary. Contact Information Name Title ___________________________________________ *First Name ___________________________________________ Middle Name ___________________________________________ *Last Name ___________________________________________ Suffix ___________________________________________ Office Mailing Address *Street ___________________________________________ ___________________________________________ *City _________________ *State _____ *Zip/Postal Code__________ Country __________ * Institutional Affiliation Name: ___________________________________________ State: _____ * E-mail Address: _______________@______________ Office Phone Number ____________________ ext. ____ Office Fax Number ____________________ ext. ____ Cell Phone Number ____________________ *Academic Field [Drop down list of fields] [Include Does Not Apply option] Project Roles * Employment Title ___________________________________________ * Project Administration Position (select all that apply) ___Primary Investigator (PI) ___ Co-Primary Investigator (Co-PI) ___Project Director ___Associate/Assistant Project Director ___Project Manager ___ Associate/Assistant Project Manager ___Coordinator, please specify area of coordination ____________________ ___Other, please specify ___________________________________________ * Internal Project Evaluation Position (select all that apply) ___Evaluation Team – Lead ___Evaluation Team – Data Collector ___Evaluation Team – Statistician/Analyst ___Other, please specify ___________________________________________ * External Project Evaluation Position (select all that apply) ___Evaluation Team – Lead ___Evaluation Team – Data Collector ___Evaluation Team – Statistician/Analyst ___Other, please specify ___________________________________________ * Project Research Position (select all that apply) ___Primary Investigator (PI) ___ Co-Primary Investigator (Co-PI) ___Staff – Full Professor ___Staff – Associate Professor ___Staff – Assistant Professor ___Staff – Instructor ___Staff – Senior Researcher ___Staff – Associate Researcher ___Staff – Assistant Researcher ___Staff – Research Assistant ___Post-Doctoral Fellow ___Student – Doctoral ___Student – Masters ___Student – Baccalaureate ___Student – Associate ___Student – High School ___Other, please specify ___________________________________________ Demographic Information Year of birth8 __________ (Enter “9999” for “not reported.) * Gender (select one) ___Male ___Female ___Not reported * Ethnicity (select one) ___Hispanic or Latino ___Not Hispanic or Latino * Race (mark one or more) ___American Indian or Alaska Native ___Asian ___Black or African American ___Native Hawaiian or Other Pacific Islander ___White * Condition (select all that apply) ___None ___Asperger’s Syndrome/Autism Spectrum Disorder ___Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD) ___Deaf or Hard-of-Hearing (D/HoH) ___Physical Impairment/Orthopedic/Mobility Impairment ___Systemic Health/Medical Condition ___Psychological/Psychiatric Condition ___ Learning Disorder ___Blind or Visual Impairment ___Speech Impairment ___Acquired/Traumatic Brain Injury ___Other Condition, please specify: ___________________________________________ ___Not reported *If more than one disability is reported, offer respondents an opportunity to rank their selections as primary, secondary, etc. Was this person registered with the campus disability services office? Yes/No Did this person receive services? Yes/No * Citizenship (select one) ___U.S. Citizen ___Permanent Resident ___U.S. National (Born in American Samoa or Swains Island, or descendent of U.S. National) ___Non-U.S. Citizen * United States Military Service Status (select one) ___Active Duty ___Active Reserve ___Veteran ___No Military Service ___Not Reported Mentoring Did this person serve as a mentor? ___Yes ___ No If yes, who did they mentor? __ High School Students __ Community College Student __ Undergraduate students __ Graduate Students __ Faculty/Staff __ Industry/Business __ Other, please explain (provide text box) Approximately how mentoring sessions did they have during the last year? ___ Of those, how many were ___ Face to Face ___ Phone ___ Virtual Was this person a mentee? ___Yes ___ No If yes, what kind of mentor did they have? __ High School Student __ Community College Student __ Undergraduate Student __ Graduate Student __ Faculty/Staff Member __ Industry/Business Partner __ Other, please explain (provide text box) Approximately how mentoring sessions did they have during the last year? ___ Of those, how many were ___ Face to Face ___ Phone ___ Virtual Tutoring Did this person receive tutoring during this year as a part of this project? ___Yes ___ No If yes, who did they receive tutoring from? __ High School Student __ Community College Student __ Undergraduate Student __ Graduate Student __ Faculty/Staff __ Industry/Business __ Other, please explain (provide text box) Did this person serve as a tutor? ___Yes ___ No If yes, who did they tutor? __ High School Student __ Community College Student __ Undergraduate Student __ Graduate Student __ Faculty/Staff __ Industry/Business __ Other, please explain (provide text box) Approximately how tutoring sessions did this person participate in? ___ As a tutor ___ Receiving tutoring Learning Communities Did this person participate in a student learning community sponsored by this project? Yes/No If yes, was this community (select all that apply) __ related to a course __ a virtual community __ a living/learning community Did this person participate in a faculty learning community sponsored by this project? Yes/No If yes, was this community (select all that apply) __ related to a course __ a virtual community __ a living/learning community Project Experiences - International *Did this project personnel member have any international experiences as a result of this project during the current reporting period? ___Yes ___No If yes, where was this experience? Country __________________ City _______________ Organization ___________________ Program Name ________________________ What kind of activity was this experience? (select all that apply) __ Teaching students ___ Elementary School ___ High School ___ Undergraduate Students ___ Graduate Students ___ Doing research ___ Data gathering ___ Data analysis ___ Other, please specify _____________________________ How many weeks did the experience last? ____________ What was the average number of hours worked each week? __________ Universal Design for Learning (UDL) Experiences Did this person provide Universal Design for Learning (UDL) trainings? ___Yes ___ No If yes, how many? Did this person receive Universal Design for Learning (UDL) trainings? ___Yes ___ No If yes, how many? Project Participant9 Enter the information about your project participant in the spaces below. Asterisks indicate required fields; you must complete them in order to submit your data. For help with unfamiliar terms, please consult the glossary.10 [Instructions for how to enter number instead of names for privacy reasons will be provided.] Contact Information Name Title ___________________________________________ *First Name ___________________________________________ Middle Name ___________________________________________ *Last Name ___________________________________________ Suffix ___________________________________________ Other ID (if applicable) __________________ Current Mailing Address *Street ___________________________________________ ___________________________________________ *City _________________ *State _____ *Zip/Postal Code__________ Country __________ * Institutional Affiliation Name: ___________________________________________ State: _____ * Current Phone Number ____________________ ext. ____ * E-mail Address: _______________@______________ Participation Information * Participant Type ___College/University Administrator ___ College/University Faculty ___ College/University Staff ___High School Teacher ___Middle School Teacher ___K-5 Teacher___Pre-K Teacher ___Graduate Student ___Undergraduate Student (4-Year) ___Undergraduate Student (2-Year) ___High School Student (Freshman) ___High School Student (Sophomore) ___High School Student (Junior) ___High School Student (Senior) ___Other, please specify ___________________________________________ If Administrator/Staff/Faculty: Academic Field (IPDES drop-down menu) If K-12 Teacher: Teaching Specialty (select one) ___General ___Math ___Science ___Technology ___Other, please specify ___________________________________________ If Graduate/Undergraduate Student: Major (IPDES drop-down menu) Student Demographics (only asked about students) What degree is this student pursuing? ___ High School ___ Associates ___ Undergraduate ___ Masters ___ Doctorate ___ Other, please specific ___________________ What year of school is this student currently in? [Enter numerical value] _____ During the currect reporting period, did this sudent receive any of the following types of degree/certifications? ___ Certficate of Completion ___ High school diploma ___ Associates degree ___ Undergraduate degree ___ Masters degree ___ Ph.D. ___ Other, please specific ___________________ If the student received a degree or certificate during the reporting period, what did the student plan to do during the next academic year? ___ Pursue associates degree ___ Pursue undergraduate degree in a STEM field ___ Pursue graduate degree in a STEM field ___ Pursue non-STEM degree ___ Enter the workforce ___ Unknown Student’s Permanent Contact Information (only asked about students) Permanent Mailing Address *Street ___________________________________________ ___________________________________________ *City _________________ State _____ *Zip/Postal Code__________ Country __________ *Permanent E-mail Address: _______________@______________ Permanent Home Phone Number ____________________ ext. ____ Cell Phone Number ____________________ Demographic Information * Year of birth11 __________ * Gender (select one) ___Male ___Female ___Not reported * Ethnicity (select one) ___Hispanic or Latino ___Not Hispanic or Latino * Race (mark one or more) ___American Indian or Alaska Native ___Asian ___Black or African American ___Native Hawaiian or Other Pacific Islander ___White * Condition (select all that apply) ___None ___Asperger’s Syndrome/Autism Spectrum Disorder ___Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD) ___Deaf or Hard-of-Hearing (D/HoH) ___Physical Impairment/Orthopedic/Mobility Impairment ___Systemic Health/Medical Condition ___Psychological/Psychiatric Condition ___ Learning Disorder ___Blind or Visual Impairment ___Speech Impairment ___Acquired/Traumatic Brain Injury ___Other Condition, please specify: ___________________________________________ ___Not reported Was this person registered with the campus disability services office? Yes/No Did this person receive services? Yes/No * Citizenship (select one) ___U.S. Citizen ___Permanent Resident (“Green Card”) ___U.S. National (Born in American Samoa or Swains Island or descendent of U.S. National)12 ___Non-U.S. Citizen * Veteran Status re US Military Service (select one) ___Active Duty ___Active Reserve ___Veteran ___No Military Service ___Not Reported Mentoring Did this person serve as a mentor? ___Yes ___ No If yes, who did they mentor? __ High School Students __ Community College Student __ Undergraduate students __ Graduate Students __ Faculty/Staff __ Industry/Business __ Other, please explain (provide text box) Approximately how mentoring sessions did they have during the last year? ___ Of those, how many were ___ Face to Face ___ Phone ___ Virtual Was this person a mentee? ___Yes ___ No If yes, who was their mentor? __ High School Student __ Community College Student __ Undergraduate Student __ Graduate Student __ Faculty/Staff Member __ Industry/Business Partner __ Other, please explain (provide text box) Approximately how mentoring sessions did they have during the last year? ___ Of those, how many were ___ Face to Face ___ Phone ___ Virtual Tutoring Did this person receive tutoring during this year as a part of this project? ___Yes ___ No If yes, who did they receive tutoring from? __ High School Student __ Community College Student __ Undergraduate Student __ Graduate Student __ Faculty/Staff __ Industry/Business __ Other, please explain (provide text box) Did this person serve as a tutor? ___Yes ___ No If yes, who did they tutor? __ High School Student __ Community College Student __ Undergraduate Student __ Graduate Student __ Faculty/Staff __ Industry/Business __ Other, please explain (provide text box) Approximately how tutoring sessions did this person participate in? ___ As a tutor ___ Receiving tutoring Stipends Did this person receive one of the following types of stipends? ___None ___No Performance or Participation Restrictions ___Restricted to Students Participating in Project Activities ___Restricted to Students Providing Mentoring and/or Tutoring to Post-Secondary Students ___Restricted to Students Providing Mentoring and/or Tutoring to Secondary Students ___Restricted to Student Academic Performance ___Other Restrictions, please specify ________________________________ RDE Stipend Amount13 provided to this person from NSF-RDE funding during the current reporting period $ ______ Non-RDE Stipend Amount14 provided to this person during the current reporting period (includes stipends, scholarships, and funding from sources other than the NSF RDE program) $ ______ Please list the stipend sources _______________________________________________ Learning Communities Did this person participate in a student learning community sponsored by this project? ___Yes ___ No If yes, was this community (select all that apply) __ related to a course __ a virtual community __ a living/learning community Did this person participate in a faculty learning community sponsored by this project? ___Yes ___ No If yes, was this community (select all that apply) __ related to a course __ a virtual community __ a living/learning community Internship/Fieldwork Experiences (only asked for students) Did this person participate in a university research internship? ___Yes ___ No If yes, Program/Lab Name ____________________ Did this person participate in a research externship? ___Yes ___ No If yes, Institution/Business Name _________________ City ______________ State _____________ Did this person participate in a fieldwork experience? ___Yes ___ No If yes, Program Name ____________________ City ______________ State _____________ Project Experiences - International *Did this project participant have any international experiences as a result of this project during the current reporting period? ___Yes ___No If yes, where was this experience? Country __________________ City _______________ Organization ___________________ Program Name ________________________ What kind of activity was this experience? (select all that apply) __ Teaching students ___ Elementary School ___ High School ___ Undergraduate Students ___ Graduate Students ___ Doing research ___ Data gathering ___ Data analysis ___ Other, please specify _____________________________ How many weeks did the experience last? ____________ What was the average number of hours worked each week? __________ Transition Support (only asked for students) Did this person participate in any of the following transition actives? ___ IEP ___ Individual transition counseling services ___ Group transition counseling services ___ For-credit course dealing with transition ___ Single transition workshop ___ Transition workshop series __How many sessions were there in the series? Universal Design for Learning (UDL) Experiences Did this person provide Universal Design for Learning (UDL) trainings? ___Yes ___ No If yes, how many? Did this person receive Universal Design for Learning (UDL) trainings? ___Yes ___ No If yes, how many? Academic Achievement (only asked for students) Participant’s GPA as of mm/dd/yy15 ___.___ out of ___.___. Did this participant receive and Honors/Awards during the current reporting period? ___Yes __No Student Award/Honor16 Title ___________________________________________ Type (select all that apply) ___Monetary Award ___Non-monetary Award ___Other, please describe___________________________________________ Organization _________________________________________ ALLIANCE DATA Institutional Data (Collected for Each Institution of Higher Education Submitted Earlier) What is the source of your institutional data? (select all that apply) ___Disability Services ___Registrar ___Other, please describe___________________________________________ General Institutional Data--In this table, enter overall data for this institution17 This Year Last Year18 (read only) Baseline19 (enter year) Total Students Students Enrolled Full Time Students Enrolled Part Time Enrolled Degree Candidates Enrolled Certificate Candidates Students taking classes (not for degree or certificate) Students receiving disability services via this institution Academic Level Freshman Sophomores Juniors Seniors Masters Students Doctoral Students Other Gender Total Female Students Total Male Students Not reported Ethnicity Hispanic or Latino Not Hispanic or Latino Race American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Condition Asperger’s Syndrome/Autism Spectrum Disorder Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD) Deaf or Hard-of-Hearing (D/HoH) Physical Impairment/Orthopedic/Mobility Impairment Systemic Health/Medical Condition Psychological/Psychiatric Condition Learning Disorder Blind or Visual Impairment Speech Impairment Acquired/Traumatic Brain Injury Other Conditions Not reported U.S. Military Service Status Active Duty Active Reserve Veteran Not reported Data on Students Enrolled in STEM Majors—In this table enter data only for students at this organization that are currently enrolled as STEM Majors This Year Last Year (read only) Baseline (enter year) Enrolled in STEM majors Students with disabilities in STEM majors - AA Students with disabilities in STEM majors – BA/BS Students with disabilities in STEM majors – MA/MS Students with disabilities in STEM majors – PhD Gender Total Female Students Total Male Students Not reported Ethnicity Hispanic or Latino Not Hispanic or Latino Race American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Condition Asperger’s Syndrome/Autism Spectrum Disorder Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD) Deaf or Hard-of-Hearing (D/HoH) Physical Impairment/Orthopedic/Mobility Impairment Systemic Health/Medical Condition Psychological/Psychiatric Condition Learning Disorder Blind or Visual Impairment Speech Impairment Acquired/Traumatic Brain Injury Other Conditions Not reported U.S. Military Service Status Active Duty Active Reserve Veteran Not reported Data on Students Who Graduated from STEM Majors—In this table, enter only data on STEM Majors that graduated during the reporting period. This Year Last Year (read only) Baseline (enter year) Graduated STEM majors - AA Graduated STEM majors – BA/BS Graduated STEM majors – MA/MS Graduated STEM majors - PhD Students with disabilities who graduated in STEM majors - AA Students with disabilities who graduated in STEM majors – BA/BS Students with disabilities who graduated in STEM majors – MA/MS Students with disabilities who graduated in STEM majors - PhD Gender Total Female Graduates Total Male Graduates Not reported Ethnicity Hispanic or Latino Not Hispanic or Latino Race American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Condition Asperger’s Syndrome/Autism Spectrum Disorder Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD) Deaf or Hard-of-Hearing (D/HoH) Physical Impairment/Orthopedic/Mobility Impairment Systemic Health/Medical Condition Psychological/Psychiatric Condition Learning Disorder Blind or Visual Impairment Speech Impairment Acquired/Traumatic Brain Injury Other Conditions Not reported U.S. Military Service Status Active Duty Active Reserve Veteran Not reported Institutional Data (Collected for Each High School Submitted Earlier) General Institutional Data--In this table, enter overall data for this institution This Year Last Year Baseline Total Students Freshman Sophomores Juniors Seniors Gender Total Female Students Total Male Students Not reported Ethnicity Hispanic or Latino Not Hispanic or Latino Race American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Condition Asperger’s Syndrome/Autism Spectrum Disorder Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD) Deaf or Hard-of-Hearing (D/HoH) Physical Impairment/Orthopedic/Mobility Impairment Systemic Health/Medical Condition Psychological/Psychiatric Condition Learning Disorder Blind or Visual Impairment Speech Impairment Acquired/Traumatic Brain Injury Other Conditions Not reported *Field in the tables cannot be left blank—an “Unknown” option should be included. Additional proposal data Did your work on this award lead to you writing any proposals? If so, list all the proposals that you submitted this year as a result of the award: Funding Agency: Program: Proposal Title: Proposal Number: Research How many research studies were conducted under this award during the current collection period?20 Research Study Data21 * List the hypotheses that this study tests: (500 character limit) 1) ____________________________________________________________ 2) ____________________________________________________________ 3)___________________________________________________________ 4)____________________________________________________________ Research Study Design What were the research methodologies used in this research study? [Provide text box for data entry] Subject Group Data Enter subject group data for the research study. If your project did not have an experimental group, enter data only in the Control Group row. Subject Gender and Ethnicity Data Total Subjects Gender Ethnicity Male Female Not reported Hispanic/Latino Not Hispanic /Latino Control Group22 Experimental Group23 Subject Race Data Control Group24 American Indian/Alaska Native Asian Black or African American Native Hawaiian or other Pacific Islander White Experimental Group25 Subject Age Level Data Ages 0-5 6-12 13-16 17-18 19-21 22-25 26-35 36-45 46 and Over Not reported Control Group Experimental Group Subject Academic Level Data Academic Level Pre-K K-6 7-8 High School Associate Degree Candidate Baccalaureate Candidate Masters Candidate PhD candidate Not Applicable Not reported Control Group Experimental Group Subject Military Service Status US Military Service Status Active Duty Active Reserve Veteran Control Group Experimental Group Subject Condition Condition None Asperger’s Syndrome/Autism Spectrum Disorder Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD) Deaf or Hard-of-Hearing (D/HoH) Physical Impairment/Orthopedic/Mobility Impairment Systemic Health/Medical Condition Psychological/Psychiatric Condition Learning Disorder Blind or Visual Impairment Speech Impairment Acquired/Traumatic Brain Injury Other Conditions Not reported Control Group Experimental Group * Did your study produce a replication manual? (select one) ___Yes ___No * If yes, provide the URL to access the manual ____________________________________________________________ * Did your study disseminate findings directly to NSF-RDE Alliance projects? ___Yes ___No * If yes, provide the NSF award numbers of the RDE Alliance projects. ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ * Did your study use data from any NSF-RDE Alliance projects? ___Yes ___No * If yes, provide the NSF award numbers of the RDE Alliance projects. ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Dissemination Professional Publications26 Did any project personnel or participants contribute to any professional publications during this reporting year as a result of the project? If so, provide citation: URL, if available on-line ________________________________ *Type (select all that apply) ___Peer Reviewed ___Invited ___Non-Peer Reviewed Professional Presentations27 Did any project personnel or participants give any professional presentations during this reporting year as a result of the project? *Title ___________________________________________ *Type (select all that apply) ___Conference Presentation ___Media Presentation ___Class Presentation ___Other, please describe___________________________________________ *Professional Organization _________________________________________ URL of presentation, if available ______________________________________ Estimate the number of people in the audience _____ New Tools, Measurement Methods, and Other Materials28 Did the project develop any new tools, measurement methods, or other materials not already submitted for individual participants and personnel? * Name ___________________________________________ * Type (select all that apply) ___Survey ___Questionnaire ___Assessment Tool ___Instructional Material ___Replication Manual ___Other Guides/Manuals ___Brochures ___Other, please describe___________________________________________ How many people was this distributed to this year? _________ Who were the primary users of this material? ___ STEM Faculty ___ Educators, General ___ Educators, Special Education ___ STEM Careers ___ General Public ___ Other, please describe ________________ Online Resources Provided29 * Name ___________________________________________ * Type (select all that apply) ___Website ___Wiki ___Blog ___E-mail List ___Virtual Environment, please describe___________________________________________ ___Other, please describe___________________________________________ Current URL or other location _________________________________________ Usage Record * Number of “hits” This Year _____ Last year _____ Baseline_____ % Change ______ * If you have a unique login system, number of unique logins This year _____ Last year _____ Baseline_____ % Change ______ If the project has a unique login system, please indicate how many users of each type the system had this year: ___ Students ___ University faculty/staff/administrators ___ K-12 Teachers ___ Parents ___ Industry/Business users ___ General Public ___ Other NSF Highlights (Highlights are optional) Each year, NSF program officers are asked to write "Highlights" (formerly known as "Nuggets") on the results of NSF research and education awards. These Highlights are used to help assess the Foundation's performance in attaining the strategic outcome goals outlined in the NSF 2006-2011 Strategic Plan and to share successes with various groups. Do you have a highlight to submit for the currect reporting period? Yes/No If yes, a template for the NSF highlight will be provided. When writing your highlight, please: • Provide a descriptive title for this Highlight • Describe the achievement/result that is the Highlight • Provide photo and phote release form [Examples of past highlights with be provided, and users will upload text, photo, and photo release into the system.]