GK-12 Crosswalk -- Fellows

APPENDIX A2

Crosswalk of GK-12 Data Elements for the Fellow Survey

Data Elements of Graduate Teaching Fellows in K–12 Education (GK–12)

Distance Monitoring System Fellow Survey

Question	Staff and Project Participant Characteristics i	Project Implementation Characteristicsii	Project Outputs iii
Section II. Data Entered by Graduate Fellow
Fellow’s Name Date of Birth (month, day, year) Social Security Number Data will be pre-filled with data entered by PI	X
Fellow’s Current Contact Information: Fellow’s Current Address Fellow’s Current City Fellow’s Current State Fellow’s Current ZIP Fellow’s Phone Fellow’s E-mail Address	X
School Name [Pre-populated dropdown list]	X
Class [Pre-populated dropdown list]	X
Fellow’s Permanent Contact Information Fellow’s Contact Name Fellow’s Permanent Address Fellow’s Permanent City Fellow’s Permanent State Fellow’s Permanent ZIP Fellow’s Phone Fellow’s Personal E-mail Address	X
Fellow’s Demographic Information Ethnicity—please select one Hispanic or Latino Not Hispanic or Latino Not Reported Race—please select all that apply American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Not Reported Gender—please select one Male Female Not Reported Citizenship Disability Status—please select all that apply Hearing Impairment Visual Impairment Mobility or Orthopedic Impairment None Other (please specify) Not Reported	X
Undergraduate degree institution by state Undergraduate degree type BS BA Other (please specify) Undergraduate degree major Undergraduate degree date of completion	X
Previous Graduate Degree(s) Completed Previous graduate degree institution by state Previous graduate degree type MA MS Other (please specify) Previous graduate degree major Previous graduate degree date of completion	X
Current Graduate Work Current Graduate Institution By State Date when you started your graduate program: Fellow’s academic level during fellowship year Master’s 1st year Master’s 2nd year Master’s 3rd year Doctorate 1st year Doctorate 2nd year Doctorate 3rd year Doctorate 4th year Doctorate 5th year Other (specify) Discipline – please select one Astronomy Biological Science Behavioral Science Computer Science Chemistry Economic Science Engineering Environmental Science Geosciences Mathematical Science Physics Social Science Other (please specify) Sub-Discipline	X
Research Advisor Information Research Advisor Full Name Research Advisor’s Academic Discipline Astronomy Biological Science Behavioral Science Computer Science Chemistry Economic Science Engineering Environmental Science Geosciences Mathematical Science Physics Social Science Other (please specify) Research Advisor’s Contact Information: Phone E-mail address	X
Achievements During The Gk-12 Project Participation Honors and Recognition Name Year Society/Granting Organization Fellowship, Scholarship, and Grant Other Than GK-12 Title of the Proposal Year Awarded Awarding Agency Other Scholarly Achievements [Text box will be provided to collect detailed information]			X
On average, how many hours per week do you spend on GK-12 activities?		X
On average, how many hours per week do you spend on the following GK-12 activities? Working Directly with K12 Students in Partner Schools Working/Collaborating with Partner Cooperating teachers Working/Collaborating with Other GK-12 Fellows Planning or Preparing Lessons Participating in Training Activities or Seminars Associated with GK-12 Project Meeting or Speaking With GK-12 PIs, Co-PIs, or Other Project Leaders Other (please specify)		X
On average, how many hours do you spend on your own research?		X
Has participation in GK-12 activities affected your graduate research productivity? (Check all that apply) Because of GK-12 I.... ...am better organized ...find my work time is too fragmented ...am better able to write about my research results ...am more able to focus on my research ...have less time to focus on my research ...am better prepared to present research findings at scientific meetings ...other (please specify)			X
What percentage of seminars and workshops, provided by your GK-12 project, prepared you for your work as a fellow?			X
In what ways have you incorporated your research and/or area of scientific expertise into K12 classroom activities?			X
Fellow’s Fellowship Results
List up to three (3) accomplishments from your participation in GK-12.			X
Check the areas in which your knowledge/skills have improved as a result of your GK-12 participation Professional and Academic Writing Skills Pedagogy/Teaching Skills Professional Speaking or Presentation Skills Team Building/Collaboration Skills Communicating Science or Math Concepts to Diverse Audiences Communicating My Research and/or Area of Expertise Other (please specify)			X
Have K12 students you worked with improved in the following areas as a result of GK-12 participation? [Check areas of improvement] Content Knowledge of Science or Math Enthusiasm about Science or Math Understanding of How To Think Like a Scientist Interest in Pursuing Science or Math in the Future Interest in Pursuing Higher Education Other (please specify)			X
Has your GK-12 participation affected your professional pursuits and career goals as a scientist? (Check all that apply) Because of GK-12 I.... ...have been better able to figure out what I want to pursue as a career …am better prepared for a career in academia …am better prepared to pursue a career that involves research and teaching ...am not adequately prepared to do research ...am not adequately prepared for the additional skills required of scientists besides research ...will now consider a wider array of career paths than before GK-12 ...am overwhelmed by the number of scientific career choices ...am committed to contributing to K-12 STEM education at some point in my career ...other (please specify)			X
Did you visit a foreign country as part of your GK-12 fellowship? If yes: Please select the country or countries you visited (from list) Describe your participation in this international GK-12 component.			X
Please list up to three (3) concerns or areas for improvement about the GK-12 program or your experience in the program.			X

i Elements of these characteristics include: Name, address, date of birth, gender, ethnicity, race, disability status, class, major, grade point average, yearly fellowship or stipend amount, or project role.

ii Elements of these characteristics include: Sources and amount of funds, fellowships, scholarships, traineeships, partnerships, training, research methods.

iii Elements of these characteristics include: research findings, publications, presentations, degrees granted, educational materials.

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