Program Monitoring System for the Robert Noyce Scholarship Program

Appendix A
Noyce Online Data Reporting System Screens

Noyce Annual Survey
September 1, 2006–August 31, 2007

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ORC Macro Test Record - 1 (9999991)
Main Menu > Post-Secondary Institutions Menu >

Post-Secondary Institution Data
Institution name
Atlanta Teachers College
Survey last modified:
September 10, 2007
OMB# 3145-0136
Noyce Program
Expires

State
Georgia
Programmatic activities conducted by this institution (mark all that
apply)
Mentoring
Early field experiences
Peer tutoring
Other (Please specify):
(200 characters)
BASELINE DATA (DATA FOR YEAR PRIOR TO AWARD)

Number of Science, Technology, Engineering, and Mathematics
(STEM) majors who graduated and had prepared to become K–12
teachers one year prior to award
10
Please mark the checkbox if this data is not available
Number of career changers who completed the teacher preparation
program and had prepared to become K–12 teachers one year prior
to award
10
Please mark the checkbox if this data is not available
DATA FOR THE CURRENT REPORTING PERIOD

Number of STEM majors who graduated prepared to teach during
the current reporting period (September 1, 2006–August 31, 2007)

Number of career changers who completed the teacher preparation
program during the current reporting period (September 1,
2006–August 31, 2007)

APPLICANTS FOR NOYCE SCHOLARSHIPS

Total number of Noyce scholarship applicants during the current
reporting period (September 1, 2006–August 31, 2007)

Average cumulative GPA for all Noyce scholarship applicants at the
time of application during the current reporting period (September
1, 2006–August 31, 2007)

Average cumulative GPA for Noyce scholarship recipients at the time
of application during the current reporting period (September 1,
2006–August 31, 2007)

APPLICANTS FOR NOYCE STIPENDS

Total number of Noyce stipend applicants during the current
reporting period (September 1, 2006–August 31, 2007)

HIGHER EDUCATION FACULTY MEMBERS

Number of faculty members (for each of the disciplines listed
below) involved in the project during the current reporting period
(September 1, 2006–August 31, 2007)

This includes any faculty member who participated in the
development and implementation of the project through activities
such as serving on the leadership team, recruiting and/or selecting
Noyce support recipients, teaching courses in which Noyce support
recipients are enrolled (STEM courses and any other courses that are
required for the teacher preparation program), mentoring and/or
monitoring Noyce support recipients.
Biological Sciences
Chemistry
Computer Science
Education
Engineering
Geosciences/Environmental Sciences
Mathematics
Physics
Other (Please specify):
0

Total number of faculty members (read only)

Indicate which activities the faculty members reported above are
involved in (mark all that apply)
Serving on the leadership team
Recruiting and/or selecting Noyce recipients
Teaching courses in which Noyce recipients are enrolled

Mentoring and/or monitoring Noyce recipients
Other (Please specify):

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Noyce Annual Survey
September 1, 2006–August 31, 2007

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Main Menu > School Districts Menu >

School District Data
District name
HDA
Survey last modified:
September 10, 2007
OMB# 3145-0136
Noyce Program
Expires

City
Washington
State
District of Columbia
Was this school district involved in the project during the current
reporting period (September 1, 2006–August 31, 2007)?
Yes

No

Number of schools in this district that are involved in the project

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Noyce Annual Survey
September 1, 2006–August 31, 2007

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ORC Macro Test Record - 1 (9999991)
Main Menu > Scholarship Recipients Menu >

Noyce Scholarship Recipient Data
Name (First, MI, Last)
Bailey
Survey last modified:
September 10, 2007
OMB# 3145-0136
Noyce Program
Expires

Kole

Institution
Science and Technology University
Gender
Male

Female

Not reported

Race (choose one or more)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Not reported
Ethnicity
Not Hispanic or Latino
Disability (choose one or more)
Hearing impairment
Mobility or orthopedic impairment
Visual impairment
Other (Please specify):
None
Not reported
Date of birth
May

/ 14

March / 28 / 1970
Major (mark all that apply)
Biological Sciences
Chemistry
Computer Science

/ 1986

month / day / year , e.g.,

Engineering
Geosciences/Environmental Sciences
Mathematics
Physical Sciences
Physics
Other (Please specify):
Year
Senior
Cumulative GPA when selected for the Noyce Scholarship
3.4
Did the Noyce scholarship recipient transfer from a community
college?
No
If so, provide the name of the community college.

Level of Noyce scholarship support (dollar amount) during the
current reporting period (September 1, 2006–August 31, 2007)
$ 0
Number of semesters of Noyce scholarship support during the
current reporting period (Summer is counted as a semester)
-- Choose One
Has the Noyce scholarship support ended? 1

Only answer "Yes" when you are certain that the recipient will not
receive any Noyce funding in future.
No
Did the Noyce scholarship recipient leave the teacher preparation
program at your institution without completing the teacher
preparation program or obtaining the certification/licensure?
No
If yes, why?
-- Choose One
Please specify the reason if "Other" is selected above.

If yes, was the Noyce scholarship funding returned by the recipient?
-- Choose One
If the recipient has left the teaching preparation program you do not need to
answer any of the other questions on this screen.
Intended level of teaching

Junior High School
Intended subject areas/disciplines of teaching, if applicable (mark
all that apply)
Biological Sciences
Chemistry
Computer Science
Engineering
Geosciences/Environmental Sciences
Mathematics
Physical Sciences
Physics
Technology
Elementary Science
Elementary Mathematics
Elementary Math & Science
Middle School Science
Middle School Mathematics
Middle School Math & Science
All Subjects
Other (Please specify):
Month and year of completion of teacher preparation program
3/2004
Cumulative GPA at completion of teacher preparation program, if
applicable
3.5
Month and year of certification or licensure
4/2004
Grade level as listed on teaching certification or licensure
Middle School
Junior High School
Subject area as listed on teaching certification or licensure
Geosciences/Environmental Sciences
Mathematics

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1 - If you answer "Yes" the scholarship recipient will be moved to the
"Post-scholarship Follow-up Data" for the following data collection.
You should only answer "Yes" when you are certain that the recipient
will not receive any funding in future.

Noyce Annual Survey
September 1, 2006–August 31, 2007

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ORC Macro Test Record - 1 (9999991)
Main Menu > Stipend Recipients Menu >

Noyce Stipend Recipient Data
Name (First, MI, Last)
Dan
Survey last modified:
September 10, 2007
OMB# 3145-0136
Noyce Program
Expires

Rodley

Institution
Science and Technology University
Gender
Male

Female

Not reported

Race (choose one or more)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Not reported
Ethnicity
Not Hispanic or Latino
Disability (choose one or more)
Hearing impairment
Mobility or orthopedic impairment
Visual impairment
Other (Please specify):

test the disability

None
Not reported
Date of birth
September

/ 30

/ 1985

month / day / year , e.g.,

March / 28 / 1970
Major fields of study or disciplines (mark all that apply)
Biological Sciences
Chemistry
Computer Science

Engineering
Geosciences/Environmental Sciences
Mathematics
Physical Sciences
Physics
Other (Please specify):

gym

Highest degree in major field of study or discipline
Bachelor's
Master's
Doctorate
Other (Please specify):
If career changer, please enter the requested information below.
Previous occupation
Service Writer
Number of years in previous occupation

4

Level of Noyce stipend support (dollar amount) during the current
reporting period (September 1, 2006–August 31, 2007)
$ 0
Number of semesters of Noyce stipend support during the current
reporting period (Summer is counted as a semester)
-- Choose One
Has the Noyce stipend support ended? 1

Only answer "Yes" when you are certain that the recipient will not
receive any Noyce funding in future.
No
Did the Noyce stipend recipient leave the teacher preparation
program at your institution without completing the teacher
preparation program or obtaining the certification/licensure?
No
If yes, why?
-- Choose One
Please specify the reason if "Other" is selected above.

If yes, was the Noyce stipend funding returned by the recipient?
-- Choose One
If the recipient has left the teaching preparation program you do not need to
answer any of the other questions on this screen.
Intended level of teaching
Elementary School

Intended subject areas/disciplines of teaching, if applicable (mark
all that apply)
Biological Sciences
Chemistry
Computer Science
Engineering
Geosciences/Environmental Sciences
Mathematics
Physical Sciences
Physics
Technology
Elementary Science
Elementary Mathematics
Elementary Math & Science
Middle School Science
Middle School Mathematics
Middle School Math & Science
All Subjects
Other (Please specify):

test intendes subject areas

Month and year of completion of teacher preparation program
12/2005
Cumulative GPA at completion of teacher preparation program, if
applicable
1.90
Month and year of certification or licensure
9/2004
Grade level as listed on teaching certification or licensure
Middle School
Junior High School
Subject area as listed on teaching certification or licensure
Mathematics
Middle School Science

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1 - If you answer "Yes" the stipend recipient will be moved to the
"Post-stipend Follow-up Data" for the following data collection. You
should only answer "Yes" when you are certain that the recipient will
not receive any funding in future.

Noyce Annual Survey
September 1, 2006–August 31, 2007

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ORC Macro Test Record - 1 (9999991)
Main Menu > Former Noyce Support Recipients >

Post-Scholarship/Stipend Follow-up Data
Name (First, MI, Last)
Craig
Survey last modified:
September 10, 2007
OMB# 3145-0136
Noyce Program
Expires

g

Gaines

Did the Noyce support recipient leave the teacher preparation
program at your institution without completing the teacher
preparation program or obtaining the certification/licensure?
-- Choose One
If yes, why?
-- Choose One
Please specify the reason if "Other" is selected above.

If yes, was the Noyce support funding returned by the recipient?
-- Choose One
Month and year of completion of teacher preparation program
8/2002
Cumulative GPA at completion of teacher preparation program, if
applicable
3.4
Month and year of certification or licensure
7/2002
Grade level as listed on teaching certification or licensure
High School
Subject area as listed on teaching certification or licensure
Biological Sciences
Chemistry
Physical Sciences
Has the Noyce support recipient ever taught in a high needs school
district?
-- Choose One
If not, why?

-- Choose One
If other, please specify?

Which of the following best describes the current status for this
Noyce support recipient?1
Has not met teaching requirements but taught in a high-needs school
district during the current reporting period
Has not met teaching requirements and did not teach in a high-needs
school district during the current reporting period
Has met teaching requirements
Other
If other, please specify?

The questions below refer to teaching in a high-needs school
district. You should answer the rest of the questions on this screen
only if the Noyce support recipient taught in a high-needs school
district during the current reporting period (September 1, 2006 August 31, 2007)
Teaching placement grade level
-- Choose One
Teaching placement subject area of majority of courses taught
--Choose subject area
Please specify the subject area if "Other" is selected above.

Teaching placement subject areas of other courses taught (mark all
that apply)
Biological Sciences
Chemistry
Computer Science
Engineering
Geosciences/Environmental Sciences
Mathematics
Physical Sciences
Physics
Technology
Elementary Science
Elementary Mathematics
Elementary Math & Science
Middle School Science
Middle School Mathematics
Middle School Math & Science
All Subjects

Other (Please specify):
Number of years of teaching completed in a high needs school
district?
(You should only count complete academic years of teaching.)
2 Years
Please specify the year of teaching if "Other" is selected above:

School name

School district
Choose school district
-- Choose school district
OR enter school district data
District/local education agency

City

State
Choose a State

School district criteria (mark all that apply)
Has at least one school in which 50% or more of the enrolled students
are eligible for participation in the free and reduced price lunch
program established by the Richard B. Russell National School Lunch
Act (42 U.S.C. 1751 et seq.).
Has at least one school in which (i) more than 34% of the academic
classroom teachers at the secondary level (across all academic
subjects) do not have an undergraduate degree with a major/minor in,
or graduate degree in, the academic field in which they teach the
largest percentage of their classes; or (ii) more than 34% of the
teachers in two of the academic departments do not have an
undergraduate degree with a major/minor in, or graduate degree in,
the academic field in which they teach the largest percentage of their
classes.
Has at least one school whose teacher attrition rate has been 15% or
more over the last three years.
None of the above. Please explain:

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1 - The Noyce program requires that funding recipients complete 2
years of teaching in a high needs school district for every year of
funding received. This teaching must be completed within 6 years of
graduation.