SASS 2011-12 School Materials and Questionnaires

14511018
U.S. DEPARTMENT OF EDUCATION

OMB No. 1850-0598: Approval Expires XX/XX/2014

NATIONAL CENTER FOR EDUCATION STATISTICS

Conducted by:

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

TEACHER LISTING FORM FOR
PUBLIC AND PRIVATE SCHOOLS
SCHOOLS AND STAFFING SURVEY
2011-12 SCHOOL YEAR

(Please correct any errors in name, address, and ZIP Code.)

➧

SCHOOL

GRADE
RANGE

➧

▲

Please return this form within 2 weeks in the enclosed envelope.

NOTICE:

This survey is authorized by Title I, Part C, Sections 151(b) and
153(a) of Public Law 107-279, the Education Sciences Reform Act
of 2002. The results will only be produced as statistical summaries.

FORM SASS-16
(1-31-2011) Draft 3

FORM SASS-16

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DEAR PRINCIPAL:
Why does the National Center for Education Statistics (NCES) conduct the
Schools and Staffing Survey (SASS)?
The SASS is designed to measure critical aspects of schooling and teaching, the
composition of the principal and teacher work force, and conditions in schools.
What do you need from my school?
A list of all of the full-time and part-time teachers who teach at this school.
Please see the reference card on page 4 for important information about the listing form.
A removable reference card is printed on the last page of this listing form.
What happens to the information I report?
A sample of teachers will be selected for the Teacher Survey component of SASS. The
selected teachers will receive the Teacher Questionnaire which asks for information on their
educational background, work experience, and attitudes toward teaching.
Why is my school’s participation important?
Only a small number of schools is selected to participate in SASS. Therefore, your school
represents many other schools.
How does NCES protect the confidentiality of the information I provide?
All survey information collected will be presented as aggregated figures only, with no
individually-identifying information.
THANK YOU FOR YOUR COOPERATION.
SINCERELY,

JACK BUCKLEY
COMMISSIONER FOR EDUCATION STATISTICS
OFFICE OF THE COMMISSIONER
NATIONAL CENTER FOR EDUCATION STATISTICS

FORM SASS-16

2

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1.

For this survey, a school:

• Has one or more teachers who provide instruction to students,
• Has students in one or more of grades 1 – 12 (or equivalent),
• Has its own principal/administrator even if it shares a building with another
school or institution,

• Is in operation during the 2011-12 school year, and
• Is NOT primarily a post-secondary or adult basic education institution.
2.

Is the institution named on the cover page a school?
Yes
If you answered "No," or have questions, it is very important
that you call the U.S. Census Bureau toll free at 1-866-208-7437.

No

3.

Is the grade range listed on the cover page correct?
LOW GRADE HIGH GRADE

Yes
No – Enter the correct grade range for your school

4.

In case we have questions about any of your responses, please print your name, title,
and work telephone number on the lines below.
NAME

TITLE

WORK TELEPHONE NUMBER
AREA CODE

TELEPHONE NUMBER

–

5.

–

How much time did it take to complete this form, not counting interruptions?
Minutes

Please see page 4 for important information.
Call 1-866-208-7437 toll free if you need assistance filling out the rest of this form.
The office hours are 7:00 AM – 5:00 PM Eastern Time.

FORM SASS-16

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3

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REFERENCE CARD
Please read this reference card before continuing.
A removable reference card is printed on the last page of this booklet.

▲

INCLUDE ON THE TEACHER LIST
Regular Classroom Teachers

• Chemistry, English, math, physical education, history, etc.
Special Education Teachers

• Teach special education classes to students with disabilities.
General Elementary Teachers

• Teach self-contained classes in any of grades K–8, i.e. teach the same class of students all or

most of the day, unless they teach special education students, in which case see the category
above.
• Team-teaching, i.e., two or more teachers collaborate in teaching multiple subjects to the same
class of students.
• Include kindergarten teachers.

Vocational/Technical Education Teachers

• Teach typing, business, agriculture, life skills, home economics as well as any other vocational
or technical classes.

Teaching principals, teaching guidance counselors, teaching librarians,
teaching school nurses

• Include any staff members who teach at least one regularly scheduled class per week.

For example:
If a librarian teaches a regularly scheduled class in math once a week, include her in the "Math"
category, but if she only teaches groups of students library skills or how to use the library, do
NOT include her on the form.

Teachers of Ungraded Students
Itinerant, Co-op, Traveling, and Satellite Teachers

• Teach at more than one school and may OR may not be supervised by someone at your school.
Current Long-Term Substitute Teachers

• Currently filling the role of a regular teacher for 4 or more continuous weeks.
Other teachers who teach students in any of grades K–12

• If a teacher teaches pre-kindergarten and any other grade between K–12, answer the questions
ONLY for the time the teacher spends teaching any grades K–12.

▲

OMIT FROM THE TEACHER LIST
Prekindergarten teachers who teach ONLY prekindergarten students
Adult Education and Postsecondary Teachers

• If they teach ONLY adult education or students beyond grade 12.
Short-term Substitute Teachers

• Fill the role of a regular teacher for less than 4 continuous weeks.
Student Teachers
Day Care Aides
Teacher Aides
Librarians who teach ONLY library skills or how to use the library
FORM SASS-16

4

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14511059

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the last page of this booklet.)
Line
Number

Teacher’s Name

Subject Matter Taught

Please list all of the full-time and part-time
teachers who TEACH at THIS SCHOOL.
List each teacher only once.

Enter the numeric code that corresponds to
the subject in which the teacher teaches the
most classes. If the teacher teaches two or
more subjects equally, enter each numeric
code that applies.

Enter the numeric
code which
corresponds to each
teacher’s experience
at this and any other
school.

6 - Social studies

Enter the numeric code
which corresponds to
the teacher status of
each teacher at this
school.
Include as part-time:
Itinerant teachers who
teach part-time in this
school, regardless of
other positions held in
this or other districts.
Teachers who
perform other
functions in this
school in addition to
part-time teaching.
For example, a
teaching guidance
counselor should be
counted as a parttime teacher.

7 - Vocational/Technical

1 - Full-time

3 - 4-19 years

2 - Part-time

4 - 20 or more years

List in the following order: First name,
Middle name, Last name, suffix (if applicable). Enter the code for "Other" subject matter for
teachers who teach art, foreign language,
Please see the reference card for important
music, physical education, English as a
information about itinerant teachers,
second language, and any other remaining
substitute teachers, librarians, principals,
subjects.
and other staff that may teach at this school.
*Line Ex. is an example of a full-time art
teacher who is in his first year of teaching.

1 - Special education
2 - General elementary
3 - Math
4 - Science
5 - English/Language arts

FIRST

MIDDLE

LAST

SUFFIX 8 - Other (e.g., art, music, etc.)

*Ex. Andrew Michael Shaffer

Teaching Status at Teaching Experience
the Selected School
at This and
Any Other School

8

1

Please count the
current year as 1 year.

1 - 1st year
2 - 2-3 years

1

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
PLEASE CONTINUE ON NEXT PAGE
FORM SASS-16

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5

14511067

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the last page of this booklet.)
Line
Number

Teacher’s Name

Subject Matter Taught

Please list all of the full-time and part-time
teachers who TEACH at THIS SCHOOL.
List each teacher only once.

Enter the numeric code that corresponds to
the subject in which the teacher teaches the
most classes. If the teacher teaches two or
more subjects equally, enter each numeric
code that applies.

Enter the numeric
code which
corresponds to each
teacher’s experience
at this and any other
school.

6 - Social studies

Enter the numeric code
which corresponds to
the teacher status of
each teacher at this
school.
Include as part-time:
Itinerant teachers who
teach part-time in this
school, regardless of
other positions held in
this or other districts.
Teachers who
perform other
functions in this
school in addition to
part-time teaching.
For example, a
teaching guidance
counselor should be
counted as a parttime teacher.

7 - Vocational/Technical

1 - Full-time

3 - 4-19 years

2 - Part-time

4 - 20 or more years

List in the following order: First name,
Middle name, Last name, suffix (if applicable). Enter the code for "Other" subject matter for
teachers who teach art, foreign language,
Please see the reference card for important
music, physical education, English as a
information about itinerant teachers,
second language, and any other remaining
substitute teachers, librarians, principals,
subjects.
and other staff that may teach at this school.
*Line Ex. is an example of a full-time art
teacher who is in his first year of teaching.

1 - Special education
2 - General elementary
3 - Math
4 - Science
5 - English/Language arts

FIRST

MIDDLE

LAST

Teaching Status at Teaching Experience
the Selected School
at This and
Any Other School

SUFFIX 8 - Other (e.g., art, music, etc.)

Please count the
current year as 1 year.

1 - 1st year
2 - 2-3 years

16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
PLEASE CONTINUE ON NEXT PAGE
FORM SASS-16

6

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14511075

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the last page of this booklet.)
Line
Number

Teacher’s Name

Subject Matter Taught

Please list all of the full-time and part-time
teachers who TEACH at THIS SCHOOL.
List each teacher only once.

Enter the numeric code that corresponds to
the subject in which the teacher teaches the
most classes. If the teacher teaches two or
more subjects equally, enter each numeric
code that applies.

Enter the numeric
code which
corresponds to each
teacher’s experience
at this and any other
school.

6 - Social studies

Enter the numeric code
which corresponds to
the teacher status of
each teacher at this
school.
Include as part-time:
Itinerant teachers who
teach part-time in this
school, regardless of
other positions held in
this or other districts.
Teachers who
perform other
functions in this
school in addition to
part-time teaching.
For example, a
teaching guidance
counselor should be
counted as a parttime teacher.

7 - Vocational/Technical

1 - Full-time

3 - 4-19 years

2 - Part-time

4 - 20 or more years

List in the following order: First name,
Middle name, Last name, suffix (if applicable). Enter the code for "Other" subject matter for
teachers who teach art, foreign language,
Please see the reference card for important
music, physical education, English as a
information about itinerant teachers,
second language, and any other remaining
substitute teachers, librarians, principals,
subjects.
and other staff that may teach at this school.
*Line Ex. is an example of a full-time art
teacher who is in his first year of teaching.

1 - Special education
2 - General elementary
3 - Math
4 - Science
5 - English/Language arts

FIRST

MIDDLE

LAST

Teaching Status at Teaching Experience
the Selected School
at This and
Any Other School

SUFFIX 8 - Other (e.g., art, music, etc.)

Please count the
current year as 1 year.

1 - 1st year
2 - 2-3 years

32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
PLEASE CONTINUE ON NEXT PAGE
FORM SASS-16

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7

14511083

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the last page of this booklet.)
Line
Number

Teacher’s Name

Subject Matter Taught

Please list all of the full-time and part-time
teachers who TEACH at THIS SCHOOL.
List each teacher only once.

Enter the numeric code that corresponds to
the subject in which the teacher teaches the
most classes. If the teacher teaches two or
more subjects equally, enter each numeric
code that applies.

Enter the numeric
code which
corresponds to each
teacher’s experience
at this and any other
school.

6 - Social studies

Enter the numeric code
which corresponds to
the teacher status of
each teacher at this
school.
Include as part-time:
Itinerant teachers who
teach part-time in this
school, regardless of
other positions held in
this or other districts.
Teachers who
perform other
functions in this
school in addition to
part-time teaching.
For example, a
teaching guidance
counselor should be
counted as a parttime teacher.

7 - Vocational/Technical

1 - Full-time

3 - 4-19 years

2 - Part-time

4 - 20 or more years

List in the following order: First name,
Middle name, Last name, suffix (if applicable). Enter the code for "Other" subject matter for
teachers who teach art, foreign language,
Please see the reference card for important
music, physical education, English as a
information about itinerant teachers,
second language, and any other remaining
substitute teachers, librarians, principals,
subjects.
and other staff that may teach at this school.
*Line Ex. is an example of a full-time art
teacher who is in his first year of teaching.

1 - Special education
2 - General elementary
3 - Math
4 - Science
5 - English/Language arts

FIRST

MIDDLE

LAST

Teaching Status at Teaching Experience
the Selected School
at This and
Any Other School

SUFFIX 8 - Other (e.g., art, music, etc.)

Please count the
current year as 1 year.

1 - 1st year
2 - 2-3 years

48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
PLEASE CONTINUE ON NEXT PAGE
FORM SASS-16

8

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14511091

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the last page of this booklet.)
Line
Number

Teacher’s Name

Subject Matter Taught

Please list all of the full-time and part-time
teachers who TEACH at THIS SCHOOL.
List each teacher only once.

Enter the numeric code that corresponds to
the subject in which the teacher teaches the
most classes. If the teacher teaches two or
more subjects equally, enter each numeric
code that applies.

Enter the numeric
code which
corresponds to each
teacher’s experience
at this and any other
school.

6 - Social studies

Enter the numeric code
which corresponds to
the teacher status of
each teacher at this
school.
Include as part-time:
Itinerant teachers who
teach part-time in this
school, regardless of
other positions held in
this or other districts.
Teachers who
perform other
functions in this
school in addition to
part-time teaching.
For example, a
teaching guidance
counselor should be
counted as a parttime teacher.

7 - Vocational/Technical

1 - Full-time

3 - 4-19 years

2 - Part-time

4 - 20 or more years

List in the following order: First name,
Middle name, Last name, suffix (if applicable). Enter the code for "Other" subject matter for
teachers who teach art, foreign language,
Please see the reference card for important
music, physical education, English as a
information about itinerant teachers,
second language, and any other remaining
substitute teachers, librarians, principals,
subjects.
and other staff that may teach at this school.
*Line Ex. is an example of a full-time art
teacher who is in his first year of teaching.

1 - Special education
2 - General elementary
3 - Math
4 - Science
5 - English/Language arts

FIRST

MIDDLE

LAST

Teaching Status at Teaching Experience
the Selected School
at This and
Any Other School

SUFFIX 8 - Other (e.g., art, music, etc.)

Please count the
current year as 1 year.

1 - 1st year
2 - 2-3 years

64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
PLEASE CONTINUE ON NEXT PAGE
FORM SASS-16

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9

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PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the last page of this booklet.)
Line
Number

Teacher’s Name

Subject Matter Taught

Please list all of the full-time and part-time
teachers who TEACH at THIS SCHOOL.
List each teacher only once.

Enter the numeric code that corresponds to
the subject in which the teacher teaches the
most classes. If the teacher teaches two or
more subjects equally, enter each numeric
code that applies.

Enter the numeric
code which
corresponds to each
teacher’s experience
at this and any other
school.

6 - Social studies

Enter the numeric code
which corresponds to
the teacher status of
each teacher at this
school.
Include as part-time:
Itinerant teachers who
teach part-time in this
school, regardless of
other positions held in
this or other districts.
Teachers who
perform other
functions in this
school in addition to
part-time teaching.
For example, a
teaching guidance
counselor should be
counted as a parttime teacher.

7 - Vocational/Technical

1 - Full-time

3 - 4-19 years

2 - Part-time

4 - 20 or more years

List in the following order: First name,
Middle name, Last name, suffix (if applicable). Enter the code for "Other" subject matter for
teachers who teach art, foreign language,
Please see the reference card for important
music, physical education, English as a
information about itinerant teachers,
second language, and any other remaining
substitute teachers, librarians, principals,
subjects.
and other staff that may teach at this school.
*Line Ex. is an example of a full-time art
teacher who is in his first year of teaching.

1 - Special education
2 - General elementary
3 - Math
4 - Science
5 - English/Language arts

FIRST

MIDDLE

LAST

Teaching Status at Teaching Experience
the Selected School
at This and
Any Other School

SUFFIX 8 - Other (e.g., art, music, etc.)

Please count the
current year as 1 year.

1 - 1st year
2 - 2-3 years

80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
PLEASE CONTINUE ON NEXT PAGE
FORM SASS-16

10

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14511117

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the last page of this booklet.)
Line
Number

Teacher’s Name

Subject Matter Taught

Please list all of the full-time and part-time
teachers who TEACH at THIS SCHOOL.
List each teacher only once.

Enter the numeric code that corresponds to
the subject in which the teacher teaches the
most classes. If the teacher teaches two or
more subjects equally, enter each numeric
code that applies.

Enter the numeric
code which
corresponds to each
teacher’s experience
at this and any other
school.

6 - Social studies

Enter the numeric code
which corresponds to
the teacher status of
each teacher at this
school.
Include as part-time:
Itinerant teachers who
teach part-time in this
school, regardless of
other positions held in
this or other districts.
Teachers who
perform other
functions in this
school in addition to
part-time teaching.
For example, a
teaching guidance
counselor should be
counted as a parttime teacher.

7 - Vocational/Technical

1 - Full-time

3 - 4-19 years

2 - Part-time

4 - 20 or more years

List in the following order: First name,
Middle name, Last name, suffix (if applicable). Enter the code for "Other" subject matter for
teachers who teach art, foreign language,
Please see the reference card for important
music, physical education, English as a
information about itinerant teachers,
second language, and any other remaining
substitute teachers, librarians, principals,
subjects.
and other staff that may teach at this school.
*Line Ex. is an example of a full-time art
teacher who is in his first year of teaching.

1 - Special education
2 - General elementary
3 - Math
4 - Science
5 - English/Language arts

FIRST

MIDDLE

LAST

Teaching Status at Teaching Experience
the Selected School
at This and
Any Other School

SUFFIX 8 - Other (e.g., art, music, etc.)

Please count the
current year as 1 year.

1 - 1st year
2 - 2-3 years

96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
PLEASE CONTINUE ON NEXT PAGE
FORM SASS-16

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11

14511125

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the last page of this booklet.)
Line
Number

Teacher’s Name

Subject Matter Taught

Please list all of the full-time and part-time
teachers who TEACH at THIS SCHOOL.
List each teacher only once.

Enter the numeric code that corresponds to
the subject in which the teacher teaches the
most classes. If the teacher teaches two or
more subjects equally, enter each numeric
code that applies.

Enter the numeric
code which
corresponds to each
teacher’s experience
at this and any other
school.

6 - Social studies

Enter the numeric code
which corresponds to
the teacher status of
each teacher at this
school.
Include as part-time:
Itinerant teachers who
teach part-time in this
school, regardless of
other positions held in
this or other districts.
Teachers who
perform other
functions in this
school in addition to
part-time teaching.
For example, a
teaching guidance
counselor should be
counted as a parttime teacher.

7 - Vocational/Technical

1 - Full-time

3 - 4-19 years

2 - Part-time

4 - 20 or more years

List in the following order: First name,
Middle name, Last name, suffix (if applicable). Enter the code for "Other" subject matter for
teachers who teach art, foreign language,
Please see the reference card for important
music, physical education, English as a
information about itinerant teachers,
second language, and any other remaining
substitute teachers, librarians, principals,
subjects.
and other staff that may teach at this school.
*Line Ex. is an example of a full-time art
teacher who is in his first year of teaching.

1 - Special education
2 - General elementary
3 - Math
4 - Science
5 - English/Language arts

FIRST

MIDDLE

LAST

Teaching Status at Teaching Experience
the Selected School
at This and
Any Other School

SUFFIX 8 - Other (e.g., art, music, etc.)

Please count the
current year as 1 year.

1 - 1st year
2 - 2-3 years

112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
PLEASE CONTINUE ON NEXT PAGE
FORM SASS-16

12

§/T,:¤

14511133

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the last page of this booklet.)
Line
Number

Teacher’s Name

Subject Matter Taught

Please list all of the full-time and part-time
teachers who TEACH at THIS SCHOOL.
List each teacher only once.

Enter the numeric code that corresponds to
the subject in which the teacher teaches the
most classes. If the teacher teaches two or
more subjects equally, enter each numeric
code that applies.

Enter the numeric
code which
corresponds to each
teacher’s experience
at this and any other
school.

6 - Social studies

Enter the numeric code
which corresponds to
the teacher status of
each teacher at this
school.
Include as part-time:
Itinerant teachers who
teach part-time in this
school, regardless of
other positions held in
this or other districts.
Teachers who
perform other
functions in this
school in addition to
part-time teaching.
For example, a
teaching guidance
counselor should be
counted as a parttime teacher.

7 - Vocational/Technical

1 - Full-time

3 - 4-19 years

2 - Part-time

4 - 20 or more years

List in the following order: First name,
Middle name, Last name, suffix (if applicable). Enter the code for "Other" subject matter for
teachers who teach art, foreign language,
Please see the reference card for important
music, physical education, English as a
information about itinerant teachers,
second language, and any other remaining
substitute teachers, librarians, principals,
subjects.
and other staff that may teach at this school.
*Line Ex. is an example of a full-time art
teacher who is in his first year of teaching.

1 - Special education
2 - General elementary
3 - Math
4 - Science
5 - English/Language arts

FIRST

MIDDLE

LAST

Teaching Status at Teaching Experience
the Selected School
at This and
Any Other School

SUFFIX 8 - Other (e.g., art, music, etc.)

Please count the
current year as 1 year.

1 - 1st year
2 - 2-3 years

128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
PLEASE CONTINUE ON NEXT PAGE
FORM SASS-16

§/T,B¤

13

14511141

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the last page of this booklet.)
Line
Number

Teacher’s Name

Subject Matter Taught

Please list all of the full-time and part-time
teachers who TEACH at THIS SCHOOL.
List each teacher only once.

Enter the numeric code that corresponds to
the subject in which the teacher teaches the
most classes. If the teacher teaches two or
more subjects equally, enter each numeric
code that applies.

Enter the numeric
code which
corresponds to each
teacher’s experience
at this and any other
school.

6 - Social studies

Enter the numeric code
which corresponds to
the teacher status of
each teacher at this
school.
Include as part-time:
Itinerant teachers who
teach part-time in this
school, regardless of
other positions held in
this or other districts.
Teachers who
perform other
functions in this
school in addition to
part-time teaching.
For example, a
teaching guidance
counselor should be
counted as a parttime teacher.

7 - Vocational/Technical

1 - Full-time

3 - 4-19 years

2 - Part-time

4 - 20 or more years

List in the following order: First name,
Middle name, Last name, suffix (if applicable). Enter the code for "Other" subject matter for
teachers who teach art, foreign language,
Please see the reference card for important
music, physical education, English as a
information about itinerant teachers,
second language, and any other remaining
substitute teachers, librarians, principals,
subjects.
and other staff that may teach at this school.
*Line Ex. is an example of a full-time art
teacher who is in his first year of teaching.

1 - Special education
2 - General elementary
3 - Math
4 - Science
5 - English/Language arts

FIRST

MIDDLE

LAST

Teaching Status at Teaching Experience
the Selected School
at This and
Any Other School

SUFFIX 8 - Other (e.g., art, music, etc.)

Please count the
current year as 1 year.

1 - 1st year
2 - 2-3 years

144
145
146
147
148
149
150
151
152
153
154
155
156
157
156
159
PLEASE CONTINUE ON NEXT PAGE
FORM SASS-16

14

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14511158

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the last page of this booklet.)
Line
Number

Teacher’s Name

Subject Matter Taught

Please list all of the full-time and part-time
teachers who TEACH at THIS SCHOOL.
List each teacher only once.

Enter the numeric code that corresponds to
the subject in which the teacher teaches the
most classes. If the teacher teaches two or
more subjects equally, enter each numeric
code that applies.

Enter the numeric
code which
corresponds to each
teacher’s experience
at this and any other
school.

6 - Social studies

Enter the numeric code
which corresponds to
the teacher status of
each teacher at this
school.
Include as part-time:
Itinerant teachers who
teach part-time in this
school, regardless of
other positions held in
this or other districts.
Teachers who
perform other
functions in this
school in addition to
part-time teaching.
For example, a
teaching guidance
counselor should be
counted as a parttime teacher.

7 - Vocational/Technical

1 - Full-time

3 - 4-19 years

2 - Part-time

4 - 20 or more years

List in the following order: First name,
Middle name, Last name, suffix (if applicable). Enter the code for "Other" subject matter for
teachers who teach art, foreign language,
Please see the reference card for important
music, physical education, English as a
information about itinerant teachers,
second language, and any other remaining
substitute teachers, librarians, principals,
subjects.
and other staff that may teach at this school.
*Line Ex. is an example of a full-time art
teacher who is in his first year of teaching.

1 - Special education
2 - General elementary
3 - Math
4 - Science
5 - English/Language arts

FIRST

MIDDLE

LAST

Teaching Status at Teaching Experience
the Selected School
at This and
Any Other School

SUFFIX 8 - Other (e.g., art, music, etc.)

Please count the
current year as 1 year.

1 - 1st year
2 - 2-3 years

160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
PLEASE CONTINUE ON NEXT PAGE
FORM SASS-16

§/T,[¤

15

14511166

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the last page of this booklet.)
Line
Number

Teacher’s Name

Subject Matter Taught

Please list all of the full-time and part-time
teachers who TEACH at THIS SCHOOL.
List each teacher only once.

Enter the numeric code that corresponds to
the subject in which the teacher teaches the
most classes. If the teacher teaches two or
more subjects equally, enter each numeric
code that applies.

Enter the numeric
code which
corresponds to each
teacher’s experience
at this and any other
school.

6 - Social studies

Enter the numeric code
which corresponds to
the teacher status of
each teacher at this
school.
Include as part-time:
Itinerant teachers who
teach part-time in this
school, regardless of
other positions held in
this or other districts.
Teachers who
perform other
functions in this
school in addition to
part-time teaching.
For example, a
teaching guidance
counselor should be
counted as a parttime teacher.

7 - Vocational/Technical

1 - Full-time

3 - 4-19 years

2 - Part-time

4 - 20 or more years

List in the following order: First name,
Middle name, Last name, suffix (if applicable). Enter the code for "Other" subject matter for
teachers who teach art, foreign language,
Please see the reference card for important
music, physical education, English as a
information about itinerant teachers,
second language, and any other remaining
substitute teachers, librarians, principals,
subjects.
and other staff that may teach at this school.
*Line Ex. is an example of a full-time art
teacher who is in his first year of teaching.

1 - Special education
2 - General elementary
3 - Math
4 - Science
5 - English/Language arts

FIRST

MIDDLE

LAST

Teaching Status at Teaching Experience
the Selected School
at This and
Any Other School

SUFFIX 8 - Other (e.g., art, music, etc.)

Please count the
current year as 1 year.

1 - 1st year
2 - 2-3 years

176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
PLEASE CONTINUE ON NEXT PAGE
FORM SASS-16

16

§/T,c¤

14511174

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the last page of this booklet.)
Line
Number

Teacher’s Name

Subject Matter Taught

Please list all of the full-time and part-time
teachers who TEACH at THIS SCHOOL.
List each teacher only once.

Enter the numeric code that corresponds to
the subject in which the teacher teaches the
most classes. If the teacher teaches two or
more subjects equally, enter each numeric
code that applies.

Enter the numeric
code which
corresponds to each
teacher’s experience
at this and any other
school.

6 - Social studies

Enter the numeric code
which corresponds to
the teacher status of
each teacher at this
school.
Include as part-time:
Itinerant teachers who
teach part-time in this
school, regardless of
other positions held in
this or other districts.
Teachers who
perform other
functions in this
school in addition to
part-time teaching.
For example, a
teaching guidance
counselor should be
counted as a parttime teacher.

7 - Vocational/Technical

1 - Full-time

3 - 4-19 years

2 - Part-time

4 - 20 or more years

List in the following order: First name,
Middle name, Last name, suffix (if applicable). Enter the code for "Other" subject matter for
teachers who teach art, foreign language,
Please see the reference card for important
music, physical education, English as a
information about itinerant teachers,
second language, and any other remaining
substitute teachers, librarians, principals,
subjects.
and other staff that may teach at this school.
*Line Ex. is an example of a full-time art
teacher who is in his first year of teaching.

1 - Special education
2 - General elementary
3 - Math
4 - Science
5 - English/Language arts

FIRST

MIDDLE

LAST

Teaching Status at Teaching Experience
the Selected School
at This and
Any Other School

SUFFIX 8 - Other (e.g., art, music, etc.)

Please count the
current year as 1 year.

1 - 1st year
2 - 2-3 years

192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
PLEASE CONTINUE ON NEXT PAGE
FORM SASS-16

§/T,k¤

17

14511182

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the last page of this booklet.)
Line
Number

Teacher’s Name

Subject Matter Taught

Please list all of the full-time and part-time
teachers who TEACH at THIS SCHOOL.
List each teacher only once.

Enter the numeric code that corresponds to
the subject in which the teacher teaches the
most classes. If the teacher teaches two or
more subjects equally, enter each numeric
code that applies.

Enter the numeric
code which
corresponds to each
teacher’s experience
at this and any other
school.

6 - Social studies

Enter the numeric code
which corresponds to
the teacher status of
each teacher at this
school.
Include as part-time:
Itinerant teachers who
teach part-time in this
school, regardless of
other positions held in
this or other districts.
Teachers who
perform other
functions in this
school in addition to
part-time teaching.
For example, a
teaching guidance
counselor should be
counted as a parttime teacher.

7 - Vocational/Technical

1 - Full-time

3 - 4-19 years

2 - Part-time

4 - 20 or more years

List in the following order: First name,
Middle name, Last name, suffix (if applicable). Enter the code for "Other" subject matter for
teachers who teach art, foreign language,
Please see the reference card for important
music, physical education, English as a
information about itinerant teachers,
second language, and any other remaining
substitute teachers, librarians, principals,
subjects.
and other staff that may teach at this school.
*Line Ex. is an example of a full-time art
teacher who is in his first year of teaching.

1 - Special education
2 - General elementary
3 - Math
4 - Science
5 - English/Language arts

FIRST

MIDDLE

LAST

Teaching Status at Teaching Experience
the Selected School
at This and
Any Other School

SUFFIX 8 - Other (e.g., art, music, etc.)

Please count the
current year as 1 year.

1 - 1st year
2 - 2-3 years

208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
FORM SASS-16

18

§/T,s¤

14511190

REFERENCE CARD
Please use this guide when listing teachers.

▲

INCLUDE ON THE TEACHER LIST
Regular Classroom Teachers

• Chemistry, English, math, physical education, history, etc.
Special Education Teachers

• Teach special education classes to students with disabilities.
General Elementary Teachers

• Teach self-contained classes in any of grades K–8, i.e. teach the same class of students all or

most of the day, unless they teach special education students, in which case see the category
above.
• Team-teaching, i.e., two or more teachers collaborate in teaching multiple subjects to the same
class of students.
• Include kindergarten teachers.

Vocational/Technical Education Teachers

• Teach typing, business, agriculture, life skills, home economics as well as any other vocational
or technical classes.

Teaching principals, teaching guidance counselors, teaching librarians,
teaching school nurses

• Include any staff members who teach at least one regularly scheduled class per week.

For example:
If a librarian teaches a regularly scheduled class in math once a week, include her in the "Math"
category, but if she only teaches groups of students library skills or how to use the library, do
NOT include her on the form.

Teachers of Ungraded Students
Itinerant, Co-op, Traveling, and Satellite Teachers

• Teach at more than one school and may OR may not be supervised by someone at your school.
Current Long-Term Substitute Teachers

• Currently filling the role of a regular teacher for 4 or more continuous weeks.
Other teachers who teach students in any of grades K–12

• If a teacher teaches pre-kindergarten and any other grade between K–12, answer the questions
ONLY for the time the teacher spends teaching any grades K–12.

▲

OMIT FROM THE TEACHER LIST
Prekindergarten teachers who teach ONLY prekindergarten students
Adult Education and Postsecondary Teachers

• If they teach ONLY adult education or students beyond grade 12.
Short-term Substitute Teachers

• Fill the role of a regular teacher for less than 4 continuous weeks.
Student Teachers
Day Care Aides
Teacher Aides
Librarians who teach ONLY library skills or how to use the library
FORM SASS-16

§/T,{¤

19

14511208

REFERENCE CARD
Please use this guide when listing teachers.

▲

INCLUDE ON THE TEACHER LIST
Regular Classroom Teachers

• Chemistry, English, math, physical education, history, etc.
Special Education Teachers

• Teach special education classes to students with disabilities.
General Elementary Teachers

• Teach self-contained classes in any of grades K–8, i.e. teach the same class of students all or

most of the day, unless they teach special education students, in which case see the category
above.
• Team-teaching, i.e., two or more teachers collaborate in teaching multiple subjects to the same
class of students.
• Include kindergarten teachers.

Vocational/Technical Education Teachers

• Teach typing, business, agriculture, life skills, home economics as well as any other vocational
or technical classes.

Teaching principals, teaching guidance counselors, teaching librarians,
teaching school nurses

• Include any staff members who teach at least one regularly scheduled class per week.

For example:
If a librarian teaches a regularly scheduled class in math once a week, include her in the "Math"
category, but if she only teaches groups of students library skills or how to use the library, do
NOT include her on the form.

Teachers of Ungraded Students
Itinerant, Co-op, Traveling, and Satellite Teachers

• Teach at more than one school and may OR may not be supervised by someone at your school.
Current Long-Term Substitute Teachers

• Currently filling the role of a regular teacher for 4 or more continuous weeks.
Other teachers who teach students in any of grades K–12

• If a teacher teaches pre-kindergarten and any other grade between K–12, answer the questions
ONLY for the time the teacher spends teaching any grades K–12.

▲

OMIT FROM THE TEACHER LIST
Prekindergarten teachers who teach ONLY prekindergarten students
Adult Education and Postsecondary Teachers

• If they teach ONLY adult education or students beyond grade 12.
Short-term Substitute Teachers

• Fill the role of a regular teacher for less than 4 continuous weeks.
Student Teachers
Day Care Aides
Teacher Aides
Librarians who teach ONLY library skills or how to use the library
FORM SASS-16

20

§/T-)¤

14511216

According to the Paperwork Reduction Act of 1995, no persons
are required to respond to a collection of information unles such
collection displays a valid OMB control number. The valid OMB
control number for this information collection is 1850-0598. The
time required to complete this information collection is estimated
to average 30 minutes per response, including the time spent 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, DC 20202-4651.
If you have comments or concerns about the contents of this
questionnaire, e-mail: [email protected], or
write directly to: Schools and Staffing Survey, National Center for
Education Statistics, 1990 K Street, N.W., #9018, Washington,
DC 20006.

FORM SASS-16

§/T-1¤

21

14511224

RETURN COMPLETED
FORM TO

U.S. CENSUS BUREAU
ATTN: TLF, SMQAB, BLDG 66, RM 323
1201 East 10 St.
Jeffersonville, IN 47132-0001

FORM SASS-16

22

§/T-9¤