GK-12 Crosswalk - Teachers

APPENDIX A3

Crosswalk of GK-12 Data Elements for the Teacher Survey

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

Distance Monitoring System Teachers Survey

Question	Staff and Project Participant Characteristics i	Project Implementation Characteristicsii	Project Outputs iii
Section III. Data Entered by Cooperating Teacher
Cooperating Teacher’s Name Data will be pre-filled with data entered by PI	X
Cooperating Teacher’s Current Contact Information Cooperating Teacher’s Current Address: Cooperating Teacher’s Current City: Cooperating Teacher’s Current State– please select one Cooperating Teacher’s Current ZIP/Postal Code: Cooperating Teacher’s Phone Cooperating Teacher’s E-mail Address Data will be pre-filled with data entered by PI	X
School Name Class Data will be pre-filled with data entered by PI	X
Cooperating Teacher’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 Disability Status—please select all that apply Hearing Impairment Visual Impairment Mobility or Orthopedic Impairment None Other (please specify) Not Reported	X
Undergraduate Degree(s) Completed Undergraduate degree institution by state Undergraduate degree type – please select one BS BA Other (please specify) Undergraduate degree major Undergraduate degree date of completion:	X
Graduate Degree(s) Completed Graduate degree institution by state – please select one Graduate degree type – please select one MS MA Ed.D Ph.D Other (please specify) Graduate degree major Graduate degree date of completion:	X
Teaching Experience And Credentials Number of teaching years (at all schools) Grade(s) certified to teach Early childhood Elementary Middle/junior high High school Subject(s) certified to teach Mathematics) Computer/Technology Science—Biology Science—Chemistry Science—Earth Science Science—Elementary Science Science—General Science Science—Integrated Science Science—Physical Science Science—Physics Other (please specify)	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? – Write the number of hours for each activity Working/Collaborating with Other Teachers Working/Collaborating with GK-12 Fellows Planning or Preparing Lessons with GK-12 Fellows 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
Did you attend GK-12 seminars, workshops, regular meetings or conferences? If yes, briefly describe up to three (3) seminars, workshops, regular meetings or conferences related to your GK-12 project that you have attended.		X
Check the activities in which the GK-12 fellow participated. Serving as a Role Model for Students Communicating in the Classroom Setting Adapting Their Scientific Expertise to the Appropriate Grade Level Working Collaboratively with Teachers Working with Students During Class Enhancing Your Lessons or Curriculum Incorporating the Standards into Activities		X
Cooperating Teacher’s Experience
Has your professional practice in the following areas improved as a result of your participation in GK-12? Check all that apply. Content Knowledge of Science or Math Access to Innovative Lesson Plans Capacity for Incorporating Inquiry-Based Lessons in the Future Desire to Continue Your Own Education Involvement in Professional Networks/Partnerships with University Scientists Enthusiasm for Science/Math Teaching			X
Has your involvement in the GK-12 program resulted in any of the following? Indicate each that apply. Opportunities to Attend Conferences Opportunities to Make Presentations at Conferences Awards Received			X
As a result of your participation in GK-12 have you observed improvement in your students in the following areas: Content Knowledge of Science or Math Enthusiasm about Science or Math Understanding How To Think Like a Scientist Interest in Pursuing Science or Math in the Future Interest in Pursuing Higher Education Other (please specify)			X
Please specify up to three activities or highlights that best describe how you benefited from the participation/experience in the GK-12 project.			X
Please indicate up to three concerns from your experience in the GK-12 project.			X
Please briefly describe the ways that you plan to incorporate activities and ideas gained from GK-12 into your classroom?			X
Please briefly describe the ways that you plan to share activities and ideas gained from GK-12 with other educators?			X
Cooperating Teacher’s Achievement During GK-12 Project Participation
Enter the requested information about your achievements during your involvement in the GK-12 project in the space below. Honors and Recognition Name Year Society/Granting Organization			X
Fellowship, Scholarship, and Grant Other Than GK-12 Title of the Proposal Year Awarded Awarding Agency			X
Other Scholarly Achievements			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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