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pdfNATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS
WAVE 2 SUBMITTAL FOR 2012
VOLUME II
Part 3
PILOT TEACHER
QUESTIONNAIRES
FOR 2012 ASSESSMENT
Part 3 contains:
3a) Teacher Grade 4 Questionnaire (Background, Education, and Training + Writing Questions)
3b) Teacher Grade 8 Questionnaire (Background, Education, and Training + Mathematics Questions)
3c) Teacher Grade 8 Questionnaire (Background, Education, and Training + Reading Questions)
June 1, 2011
2012 OMB Wave 2
THE NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS
Wave 2 Submittal for 2012
VOLUME II
Part 3a
BACKGROUND QUESTIONS
FOR 2012 ASSESSMENT
Teacher Grade 4
Part 3a contains:
Teacher Grade 4
Background, Education, and Training
Writing Questions
The amount of time estimated to complete this form is 30 minutes.
TEACHER QUESTIONNAIRES
OMB Information on School Questionnaire Cover Page
Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to
respond to a collection of information unless such collection displays a valid
OMB control number. The valid OMB control number for this information
collection is 1850-0790. The time required to complete this information collection
is estimated to average 30 minutes including the time to review instructions,
search existing data resources, gather the data needed, and complete and review
the information collection. If you have any comments concerning the accuracy
of the time estimate(s) or suggestions for improving this form, please write
to: U.S. Department of Education, Washington, D.C. 20202-4537. If you have
comments or concerns regarding the status of your individual submission of
this form, write directly to: NAEP/NCES, U.S. Department of Education, 400
Maryland Avenue, S.W., Washington, DC 20202.
A project of the National Center for Education Statistics (NCES), Institute of
Education Sciences, U.S. Department of Education.
The information you provide will be used for statistical purposes only. In
accordance with the Confidential Information Protection provisions of Title V,
Subtitle A, Public Law 107-347 and other applicable Federal laws, your responses
will be kept confidential and will not be disclosed in identifiable form to anyone
other than employees or agents. By law, every NCES employee as well as every
agent, such as contractors and NAEP coordinators, has taken an oath and is
subject to a jail term of up to 5 years, a fine of up to $250,000, or both if he or she
willfully discloses ANY identifiable information about you.
OMB No. 1850-0790 Approval Expires 04/30/2013
Teacher Questionnaire – Grade 4
Part I: Background, Education, and Training
VB331330
1. Are you Hispanic or Latino? Fill in one or more ovals.
A No, I am not Hispanic or Latino.
B Yes, I am Mexican, Mexican American, or Chicano.
C Yes, I am Puerto Rican or Puerto Rican American.
D Yes, I am Cuban or Cuban American.
E Yes, I am from some other Hispanic or Latino background.
VB331331
2. Which of the following best describes you? Fill in one or more ovals.
A White
B Black or African American
C Asian
D American Indian or Alaska Native
E Native Hawaiian or other Pacific Islander
VE577729
3. Excluding student teaching, how many years have you worked as an elementary or
secondary teacher, counting this year?
A Less than 1 year
B 1–2 years
C 3–5 years
D 6–10 years
E 11–20 years
F 21 or more years
I1TQWX-BET
Page 3
VE577841
4. Have you been awarded tenure by the school where you currently teach?
A Yes
B No
C My school does not award tenure.
VE577753
5. Do you hold a regular or standard certificate that is valid in the state in which you are
currently teaching?
A Yes, I hold a permanent certificate. ➔ Go to Question 6.
B Yes, I hold a temporary certificate. (This type of certificate may require additional
coursework, student teaching, etc.) ➔ Go to Question 6.
C No, but I am currently working toward certification. ➔ Skip to Question 9.
D No, and I am not planning to obtain certification. ➔ Skip to Question 9.
VE577758
6. Are you certified to teach in the subjects you are currently teaching?
A I am certified to teach all subjects that I am currently teaching.
B I am certified to teach at least one subject that I am currently teaching.
C I am not certified to teach the subjects that I am currently teaching.
VE592138
7. Are you certified to teach at the grade levels that you are currently teaching?
A I am certified to teach at all grade levels that I am currently teaching.
B I am certified to teach at one or more of the grade levels that I am currently teaching.
C I am not certified to teach at the grade levels that I am currently teaching.
I1TQWX-BET
Page 4
VE577760
8. Did you enter teaching through an alternative route to certification program? (An
alternative route to certification program is a program that was designed to expedite the
transition of nonteachers to a teaching career, for example, a state, district, or university
alternative route to certification program.)
A Yes ➔ Go to Question 9.
B No ➔ Skip to Question 10.
VE577783
9. Which of the following best describes your occupation immediately prior to becoming a
teacher? Fill in only one oval.
A College/university student
B College/university faculty
C Business/industry
D Military
E Health care professional
F Government
G Nongovernment, nonprofit organization
H Homemaker/caregiver
I Retired
J Unemployed
K Other (specify):
I1TQWX-BET
Page 5
VE577800
10. Are you certified by the National Board for Professional Teaching Standards?
(The National Board for Professional Teaching Standards is a nongovernmental
organization that administers National Board certification, a voluntary national
assessment program that certifies teachers who meet high professional standards.)
A Yes, and I am certified in a specific content and/or developmental area. ➔ Go to
Question 11.
B Yes, and I have generalist certification. ➔ Skip to Question 12.
C No ➔ Skip to Question 14.
D I don’t know. ➔ Skip to Question 14.
I1TQWX-BET
Page 6
VE592142
11. In which of the following content areas are you certified by the National Board for
Professional Teaching Standards? Fill in ovals for all that apply.
A Art
B Career and Technical Education
C English as a New Language
D English Language Arts
E Exceptional Needs Specialist
F Generalist
G Health Education
H Library Media
I Literacy: Reading-Language Arts
J Mathematics
K Music
L Physical Education
M School Counseling
N Science
O Social Studies-History
P World Languages other than English
VE577837
12. Are you certified in the content areas that you are currently teaching by the National
Board for Professional Teaching Standards?
A I am certified in all content areas that I am currently teaching.
B I am certified in at least one content area that I am currently teaching.
C I am not certified in the content areas that I am currently teaching.
I1TQWX-BET
Page 7
VE592146
13. Are you certified in the developmental areas that you are currently teaching by the
National Board for Professional Teaching Standards?
A I am certified in all developmental areas that I am currently teaching.
B I am certified in at least one developmental area that I am currently teaching.
C I am not certified in the developmental areas that I am currently teaching.
VE577839
14. Since completing your undergraduate degree, have you taken any graduate courses?
A Yes
B No
I1TQWX-BET
Page 8
THE NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS
Wave 2 Submittal for 2012
VOLUME II
Part 3b
BACKGROUND QUESTIONS
FOR 2012 ASSESSMENT
Teacher Grade 8 - Mathematics
Part 3b contains:
Teacher Grade 8
Background, Education, and Training (Mathematics) Questions
The amount of time estimated to complete this form is 20 minutes.
TEACHER QUESTIONNAIRES
OMB Information on School Questionnaire Cover Page
Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to
respond to a collection of information unless such collection displays a valid
OMB control number. The valid OMB control number for this information
collection is 1850-0790. The time required to complete this information collection
is estimated to average 20 minutes including the time to review instructions,
search existing data resources, gather the data needed, and complete and review
the information collection. If you have any comments concerning the accuracy
of the time estimate(s) or suggestions for improving this form, please write
to: U.S. Department of Education, Washington, D.C. 20202-4537. If you have
comments or concerns regarding the status of your individual submission of
this form, write directly to: NAEP/NCES, U.S. Department of Education, 400
Maryland Avenue, S.W., Washington, DC 20202.
A project of the National Center for Education Statistics (NCES), Institute of
Education Sciences, U.S. Department of Education.
The information you provide will be used for statistical purposes only. In
accordance with the Confidential Information Protection provisions of Title V,
Subtitle A, Public Law 107-347 and other applicable Federal laws, your responses
will be kept confidential and will not be disclosed in identifiable form to anyone
other than employees or agents. By law, every NCES employee as well as every
agent, such as contractors and NAEP coordinators, has taken an oath and is
subject to a jail term of up to 5 years, a fine of up to $250,000, or both if he or she
willfully discloses ANY identifiable information about you.
OMB No. 1850-0790 Approval Expires 04/30/2013
Mathematics Questionnaire – Grade 8
Part I: Background, Education, and Training
VB331330
1. Are you Hispanic or Latino? Fill in one or more ovals.
A No, I am not Hispanic or Latino.
B Yes, I am Mexican, Mexican American, or Chicano.
C Yes, I am Puerto Rican or Puerto Rican American.
D Yes, I am Cuban or Cuban American.
E Yes, I am from some other Hispanic or Latino background.
VB331331
2. Which of the following best describes you? Fill in one or more ovals.
A White
B Black or African American
C Asian
D American Indian or Alaska Native
E Native Hawaiian or other Pacific Islander
VE577729
3. Excluding student teaching, how many years have you worked as an elementary or
secondary teacher, counting this year?
A Less than 1 year
B 1–2 years
C 3–5 years
D 6–10 years
E 11–20 years
F 21 or more years
I2TQMX-BET
Page 3
VE654882
4. Excluding student teaching, how many years have you taught mathematics in grades 6
through 12, counting this year?
A Less than 1 year
B 1–2 years
C 3–5 years
D 6–10 years
E 11–20 years
F 21 or more years
VE577841
5. Have you been awarded tenure by the school where you currently teach?
A Yes
B No
C My school does not award tenure.
VE577753
6. Do you hold a regular or standard certificate that is valid in the state in which you are
currently teaching?
A Yes, I hold a permanent certificate. ➔ Go to Question 7.
B Yes, I hold a temporary certificate. (This type of certificate may require additional
coursework, student teaching, etc.) ➔ Go to Question 7.
C No, but I am currently working toward certification. ➔ Skip to Question 10.
D No, and I am not planning to obtain certification. ➔ Skip to Question 10.
I2TQMX-BET
Page 4
VE577758
7. Are you certified to teach in the subjects you are currently teaching?
A I am certified to teach all subjects that I am currently teaching.
B I am certified to teach at least one subject that I am currently teaching.
C I am not certified to teach the subjects that I am currently teaching.
VE592138
8. Are you certified to teach at the grade levels that you are currently teaching?
A I am certified to teach at all grade levels that I am currently teaching.
B I am certified to teach at one or more of the grade levels that I am currently teaching.
C I am not certified to teach at the grade levels that I am currently teaching.
VE577760
9. Did you enter teaching through an alternative route to certification program? (An
alternative route to certification program is a program that was designed to expedite the
transition of nonteachers to a teaching career, for example, a state, district, or university
alternative route to certification program.)
A Yes ➔ Go to Question 10.
B No ➔ Skip to Question 11.
I2TQMX-BET
Page 5
VE577783
10. Which of the following best describes your occupation immediately prior to becoming a
teacher? Fill in only one oval.
A College/university student
B College/university faculty
C Business/industry
D Military
E Health care professional
F Government
G Nongovernment, nonprofit organization
H Homemaker/caregiver
I Retired
J Unemployed
K Other (specify):
VE577800
11. Are you certified by the National Board for Professional Teaching Standards?
(The National Board for Professional Teaching Standards is a nongovernmental
organization that administers National Board certification, a voluntary national
assessment program that certifies teachers who meet high professional standards.)
A Yes, and I am certified in a specific content and/or developmental area. ➔ Go to
Question 12.
B Yes, and I have generalist certification. ➔ Skip to Question 13.
C No ➔ Skip to Question 15.
D I don’t know. ➔ Skip to Question 15.
I2TQMX-BET
Page 6
VE592142
12. In which of the following content areas are you certified by the National Board for
Professional Teaching Standards? Fill in ovals for all that apply.
A Art
B Career and Technical Education
C English as a New Language
D English Language Arts
E Exceptional Needs Specialist
F Generalist
G Health Education
H Library Media
I Literacy: Reading-Language Arts
J Mathematics
K Music
L Physical Education
M School Counseling
N Science
O Social Studies-History
P World Languages other than English
VE577837
13. Are you certified in the content areas that you are currently teaching by the National
Board for Professional Teaching Standards?
A I am certified in all content areas that I am currently teaching.
B I am certified in at least one content area that I am currently teaching.
C I am not certified in the content areas that I am currently teaching.
I2TQMX-BET
Page 7
VE592146
14. Are you certified in the developmental areas that you are currently teaching by the
National Board for Professional Teaching Standards?
A I am certified in all developmental areas that I am currently teaching.
B I am certified in at least one developmental area that I am currently teaching.
C I am not certified in the developmental areas that I am currently teaching.
VE577839
15. Since completing your undergraduate degree, have you taken any graduate courses?
A Yes
B No
I2TQMX-BET
Page 8
THE NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS
Wave 2 Submittal for 2012
VOLUME II
Part 3c
BACKGROUND QUESTIONS
FOR 2012 ASSESSMENT
Teacher Grade 8 - Reading
Part 3c contains:
Teacher Grade 8
Background, Education, and Training (Reading) Questions
The amount of time estimated to complete this form is 20 minutes.
TEACHER QUESTIONNAIRES
OMB Information on School Questionnaire Cover Page
Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to
respond to a collection of information unless such collection displays a valid
OMB control number. The valid OMB control number for this information
collection is 1850-0790. The time required to complete this information collection
is estimated to average 20 minutes including the time to review instructions,
search existing data resources, gather the data needed, and complete and review
the information collection. If you have any comments concerning the accuracy
of the time estimate(s) or suggestions for improving this form, please write
to: U.S. Department of Education, Washington, D.C. 20202-4537. If you have
comments or concerns regarding the status of your individual submission of
this form, write directly to: NAEP/NCES, U.S. Department of Education, 400
Maryland Avenue, S.W., Washington, DC 20202.
A project of the National Center for Education Statistics (NCES), Institute of
Education Sciences, U.S. Department of Education.
The information you provide will be used for statistical purposes only. In
accordance with the Confidential Information Protection provisions of Title V,
Subtitle A, Public Law 107-347 and other applicable Federal laws, your responses
will be kept confidential and will not be disclosed in identifiable form to anyone
other than employees or agents. By law, every NCES employee as well as every
agent, such as contractors and NAEP coordinators, has taken an oath and is
subject to a jail term of up to 5 years, a fine of up to $250,000, or both if he or she
willfully discloses ANY identifiable information about you.
OMB No. 1850-0790 Approval Expires 04/30/2013
Reading Questionnaire – Grade 8
Part I: Background, Education, and Training
VB331330
1. Are you Hispanic or Latino? Fill in one or more ovals.
A No, I am not Hispanic or Latino.
B Yes, I am Mexican, Mexican American, or Chicano.
C Yes, I am Puerto Rican or Puerto Rican American.
D Yes, I am Cuban or Cuban American.
E Yes, I am from some other Hispanic or Latino background.
VB331331
2. Which of the following best describes you? Fill in one or more ovals.
A White
B Black or African American
C Asian
D American Indian or Alaska Native
E Native Hawaiian or other Pacific Islander
VE577729
3. Excluding student teaching, how many years have you worked as an elementary or
secondary teacher, counting this year?
A Less than 1 year
B 1–2 years
C 3–5 years
D 6–10 years
E 11–20 years
F 21 or more years
I2TQRX-BET
Page 3
VE588202
4. Excluding student teaching, how many years have you taught reading in grades 6 through
12, counting this year?
A Less than 1 year
B 1–2 years
C 3–5 years
D 6–10 years
E 11–20 years
F 21 or more years
VE577841
5. Have you been awarded tenure by the school where you currently teach?
A Yes
B No
C My school does not award tenure.
VE577753
6. Do you hold a regular or standard certificate that is valid in the state in which you are
currently teaching?
A Yes, I hold a permanent certificate. ➔ Go to Question 7.
B Yes, I hold a temporary certificate. (This type of certificate may require additional
coursework, student teaching, etc.) ➔ Go to Question 7.
C No, but I am currently working toward certification. ➔ Skip to Question 10.
D No, and I am not planning to obtain certification. ➔ Skip to Question 10.
I2TQRX-BET
Page 4
VE577758
7. Are you certified to teach in the subjects you are currently teaching?
A I am certified to teach all subjects that I am currently teaching.
B I am certified to teach at least one subject that I am currently teaching.
C I am not certified to teach the subjects that I am currently teaching.
VE592138
8. Are you certified to teach at the grade levels that you are currently teaching?
A I am certified to teach at all grade levels that I am currently teaching.
B I am certified to teach at one or more of the grade levels that I am currently teaching.
C I am not certified to teach at the grade levels that I am currently teaching.
VE577760
9. Did you enter teaching through an alternative route to certification program? (An
alternative route to certification program is a program that was designed to expedite the
transition of nonteachers to a teaching career, for example, a state, district, or university
alternative route to certification program.)
A Yes ➔ Go to Question 10.
B No ➔ Skip to Question 11.
I2TQRX-BET
Page 5
VE577783
10. Which of the following best describes your occupation immediately prior to becoming a
teacher? Fill in only one oval.
A College/university student
B College/university faculty
C Business/industry
D Military
E Health care professional
F Government
G Nongovernment, nonprofit organization
H Homemaker/caregiver
I Retired
J Unemployed
K Other (specify):
VE577800
11. Are you certified by the National Board for Professional Teaching Standards?
(The National Board for Professional Teaching Standards is a nongovernmental
organization that administers National Board certification, a voluntary national
assessment program that certifies teachers who meet high professional standards.)
A Yes, and I am certified in a specific content and/or developmental area. ➔ Go to
Question 12.
B Yes, and I have generalist certification. ➔ Skip to Question 13.
C No ➔ Skip to Question 15.
D I don’t know. ➔ Skip to Question 15.
I2TQRX-BET
Page 6
VE592142
12. In which of the following content areas are you certified by the National Board for
Professional Teaching Standards? Fill in ovals for all that apply.
A Art
B Career and Technical Education
C English as a New Language
D English Language Arts
E Exceptional Needs Specialist
F Generalist
G Health Education
H Library Media
I Literacy: Reading-Language Arts
J Mathematics
K Music
L Physical Education
M School Counseling
N Science
O Social Studies-History
P World Languages other than English
VE577837
13. Are you certified in the content areas that you are currently teaching by the National
Board for Professional Teaching Standards?
A I am certified in all content areas that I am currently teaching.
B I am certified in at least one content area that I am currently teaching.
C I am not certified in the content areas that I am currently teaching.
I2TQRX-BET
Page 7
VE592146
14. Are you certified in the developmental areas that you are currently teaching by the
National Board for Professional Teaching Standards?
A I am certified in all developmental areas that I am currently teaching.
B I am certified in at least one developmental area that I am currently teaching.
C I am not certified in the developmental areas that I am currently teaching.
VE577839
15. Since completing your undergraduate degree, have you taken any graduate courses?
A Yes
B No
I2TQRX-BET
Page 8
| File Type | application/pdf |
| File Title | Microsoft Word - Part 3 Cover-Pilot Teacher Questionnaires.doc |
| Author | JOConnell |
| File Modified | 2011-07-29 |
| File Created | 2011-07-29 |