justification of parent items

Appendix C: Justification of Parent Survey Items

1. Print Your Child’s First and Last Name: _____ _____ _____ _____ _____ _____ _____ _____

2. What is your birthday? Month: ________ Day:___________

The purpose of the questions 1 & 2 is to collect student identification information to enable national evaluator to connect parent surveys with student surveys.

3. What grade level will your child enter in fall 2011? Please check one only.

4th 5th 6th 7th 8th 9th Other:______________

The purpose of question 4 is to collect covariate information re. student’s grade.

4. What is the name of the school you will be attending in fall 2011: ______________________

The purpose of the above question is to facilitate follow up with the SoI students after the summer program.

5. What is your child’s gender? Please check one only.

Male Female

The purpose of question 6 is to collect covariate information re. student’s gender.

6. Do you consider your child to be Hispanic or Latino? Please check one only.

Yes No

The purpose of question 6 is to collect covariate information re. student’s ethnicity.

7. Is your child eligible for the National School Lunch Program (sometimes called the free or reduced school lunch program)? Please check one only.

Yes No I’m not sure

The purpose of question 7 is to collect covariate information re. student’s socioeconomic status.

8. What is your child’s race? Please check all that apply.

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Other:____________________________

The purpose of question 8 is to collect covariate information re. student’s race.

9. What is the highest level of education you obtained? Please check only one.

Less than 9^th grade

Some high school, but did not graduate

High school degree

Some college, no degree

Associates degree

Bachelors degree

Masters degree

Professional degree or doctorate

The purpose of question 9 is to collect covariate indicator of student’s socioeconomic status.

National Aeronautics and Space Administration - Summer of Innovation Appendix C-3