Form PC-2042-A Survey Questions for Correspondence Match

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Survey Questions -CWWS-Correspondence Match

World Wise Schools Teacher Surveys

OMB: 0420-0545

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Paul D. Coverdell World Wise Schools Program Survey:
For participants in World Wise Schools Correspondence Match program
Select the answer that best represents your experience with Correspondence Match – If you are
currently matched with more than one Volunteer, please respond based on the match most
representative of your experiences.
1. How long have you been participating in the Correspondence Match program overall? (Mark one)
a. Less than 1year
b. 1 to 2 years
c. 2 to 5 years
d. 5 to 10 years
e. More than 10 years
2. How long have you been matched with your current Volunteer? (Mark one)
a. Less than 6 months
b. 6 to 12 months
c. 12 to 18 months
d. 2 years
e. More than 2 years
3. Did you know the Peace Corps Volunteer with whom you are matched prior to his or her service?
(i.e., former student, family friends, former colleague)
a. Yes
b. No
4. How often does your current Peace Corps Volunteer match communicate with your classroom?
(Mark one)
a. Never
b. Weekly
c. Biweekly
d. Monthly
e. Bimonthly
f. 2-3 times per year
5. How often do you or your students communicate with your current Peace Corps Volunteer
match? (Mark one)
a. Never
b. Weekly
c. Biweekly
d. Monthly
e. Bimonthly
f. 2-3 times per year

6. How do you communicate with your current Correspondence Match Peace Corps
Volunteer? (Mark all that apply)
a. Email
b. Postal letters

c.
d.
e.
f.
g.
h.

Telephone
Internet telephone (e.g., Skype, Vonage)
Instant messenger
Social media [e.g., Facebook, Twitter, blog]
No longer communicate with Volunteer
Other. Please specify:

7. If you no longer communicate with your Correspondence Match Volunteer, how long was the
total duration of your actual correspondence?
a. 1 to 3 months
b. 3 to 6 months
c. 6 months to 1 year
d. 1 year to 18 months
e. Longer than 18 months
8. What challenges (if any) do you face in actively participating in Correspondence Match? (Mark
all that apply)
a. Difficult to find the time
b. Not easy to align with curriculum standards
c. Volunteer correspondence is sporadic
d. Postal mail delivery delays
e. Cost of postage
f. Volunteer has limited access to Internet
g. None
h. Other. Please specify:
9. How do you use the correspondence with your current Peace Corps Volunteer(s) in your
teaching? (Mark all that apply)
a. As a weekly component of ongoing learning
b. As a monthly component of ongoing learning
c. As part of one learning unit
d. As part of a service-learning component
e. As a writing or literacy exercise
f. As an extracurricular activity
g. As an extension exercise
h. As an individual learning activity
i. Other. Please specify:
10. After corresponding with a Peace Corps Volunteer, my students showed the following:

Student learning
Increased
Understanding of
cultural diversity
Interest in volunteering
in their own
community
Understanding of
global issues

The Same

Decreased

Seeing similarities
between people of
different backgrounds
despite cultural or
economic differences
Understanding of the
correlation between
where people live and
how they live
Exposure to authentic
applications of student
learning

Other. Please specify:
11. In what ways could World Wise Schools improve upon the Correspondence Match program?
Please write your reply here:

OMB No.: 0420-xxxx
Expiration Date:

Burden Statement:
Public reporting burden for this collection of information is estimated to average 10 minutes per
response. This estimate includes the time for reviewing instructions and completing the
collection of information. An agency may not conduct or sponsor, and a person is not required to
respond to, a collection of information unless it displays a currently valid OMB control number.
Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to: FOIA Officer, Peace Corps,
1111 20th Street, NW, Washington, DC 20526 ATTN: PRA (0420-####). Do not return the
completed form to this address.


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Authorlbouchie
File Modified2011-09-21
File Created2011-09-21

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