NAEP 2011 Wave II (Writing and Math Multi-Stage Computer-based, KASA Math and PR, NIES, NAEP-TIMSS Alignment, SD and ELL worksheets)

National Assessment of Education Progress (NAEP) 2011-13 System Clearance

Part 1e - School Grade 4 KaSA

NAEP 2011 Wave II (Writing and Math Multi-Stage Computer-based, KASA Math and PR, NIES, NAEP-TIMSS Alignment, SD and ELL worksheets)

OMB: 1850-0790

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THE NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS

Wave 2 Submittal for 2011
VOLUME II
Part 1e
BACKGROUND QUESTIONS
FOR 2011 ASSESSMENT
School Grade 4 KaSA Questions
for Puerto Rico

Part 1e contains:
School Grade 4 KaSA Questions for Puerto Rico
The amount of time estimated to complete this form is 30 minutes.

June 2, 2010

SCHOOL 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,
1990 K Street N.W., Washington, D.C. 20006-5651.
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

2011 OMB Wave 2
Grade 4-Part 1 of 4

School Questionnaire – Grade 4
This questionnaire should be completed by the principal or the head of the school.
Some of the questions that follow ask you to fill in specific numbers.
For those questions, please print the appropriate numbers in the boxes
provided. Please PRINT LEGIBLY. Using one number per box, fill in
every box. Keep all printing within the boxes. Do not make any stray
marks. Use only a No. 2 pencil.

Example:
150 would be written as

,
Examples of numerals are:

H1SQKa-SC-S

Page 3

Part I: School Characteristics and Policies
VB337248

1. What grades are taught in your school? Fill in all ovals that apply.

A Pre-kindergarten
B Kindergarten
C 1st grade
D 2nd grade
E 3rd grade
F 4th grade
G 5th grade
H 6th grade
I 7th grade
J 8th grade
K 9th grade
L 10th grade
M 11th grade
N 12th grade

VB337250

2. What is the current enrollment in your school?

,

H1SQKa-SC-S

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VC188938

3. Approximately what percentage of fourth-graders in your school . . .
(Please be sure your answers sum to 100%.)

%

VC188943

b. has been attending your school for 1–2 years?

%

VC188945

c. has been attending your school for 3 or more years?

%

VC188948

a. is new this year?

TOTAL

1 0 0

%

VB337256

4. Of the students currently enrolled in your school, what percentage has been identified as
limited-Spanish proficient?

A 0%
B 1–5%
C 6–10%
D 11–25%
E 26–50%
F 51–75%
G 76–90%
H Over 90%

H1SQKa-SC-S

Page 5

QK070438

5. What type of school is this? Fill in ovals for all that apply.

A Regular elementary school
B A regular school with a magnet program
C A magnet school or a school with a special program emphasis, e.g., science/math school,
performing arts school, talented/gifted school, foreign language immersion school, etc.

D Special education: a school that primarily serves students with disabilities
E Alternative: a school that offers a curriculum designed to provide alternative or
nontraditional education, not clearly categorized as regular or special education

F Private (independent)
G Private (religiously affiliated)
H Charter school
I Privately run public school
J Other

HE000917

6. About what percentage of your students is absent on an average day? (Include excused and
unexcused absences in calculating this rate.)

A 0–2%
B 3–5%
C 6–10%
D More than 10%

H1SQKa-SC-S

Page 6

LC000488

7. About what percentage of your teachers is absent on an average day? (Include all absences
in calculating this rate.)

A 0–2%
B 3–5%
C 6–10%
D More than 10%

HE000918

8. About what percentage of students who are enrolled at the beginning of the school year is
still enrolled at the end of the school year? (Exclude students who transfer into the school
during the school year in figuring this rate.)

A 98–100%
B 95–97%
C 90–94%
D 80–89%
E 70–79%
F 60–69%
G 50–59%
H Less than 50%

H1SQKa-SC-S

Page 7

HE002112

9. About what percentage of this year’s fourth graders was held back and is repeating fourth
grade?

A 0%
B 1–2%
C 3–5%
D 6–10%
E More than 10%

HE002094

10. Does your school participate in the National School Lunch Program?

A Yes ➔ Go to Question 11
B No ➔ Skip to Question 14

VB556173

11. How does the school operate the program?

A Student eligibility is determined individually, and eligible students receive free or
reduced-price lunch. ➔ Skip to Question 13

B All students in school receive free lunch under special provisions
(e.g., Provision 2 or 3). ➔ Go to Question 12

H1SQKa-SC-S

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VE382479

12. If your school distributes free lunch to all students under Provision 2 or 3, what was the
base year during which individual student eligibility was collected?

A This school does not distribute free lunch to all students under Provision 2 or 3—
eligibility is determined annually.

B 2010
C 2009
D 2008
E 2007
F 2006
G 2005 or earlier

VB608487

13. During this school year, about what percentage of students in your school was eligible
to receive a free or reduced-price lunch through the National School Lunch Program?

A 0%
B 1–5%
C 6–10%
D 11–25%
E 26–34%
F 35–50%
G 51–75%
H 76–99%
I 100%

H1SQKa-SC-S

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VB608488

14. Does your school receive Title I funding? (Title I is a federally funded program which
provides educational services, such as remedial reading or remedial math, to children who
live in areas with high concentrations of low-income families.)

A No
B Yes, our school receives funds, which are targeted to eligible students.
C Yes, our school receives funds, which are used for schoolwide purposes.

VB485284

15. Approximately what percentage of students in your school receives the following services?
Fill in one oval on each line. Students who receive more than one service should be
counted for each service they receive. Please report the percentage of students who receive
each of the following services as of the day you respond to this questionnaire.
1-5%

6-10% 11-25% 26-50%

a. Targeted Title I services A

B

C

D

E

F

G

H

b. Gifted and talented
program

A

B

C

D

E

F

G

H

VB485286

c. Instruction provided in
student’s home
language (non-Spanish)

A

B

C

D

E

F

G

H

VB485287

d. An individualized
language plan

A

B

C

D

E

F

G

H

VB485288

e. Special education

A

B

C

D

E

F

G

H

H1SQKa-SC-S

Page 10

51-75% 76-90%

Over
90%

None

VB610145

VB485289

Part II: Mathematics
VB525184

1. Are fourth-grade teachers in your school required to set aside a certain amount of time
each day for mathematics instruction?

A Yes
B No

VB525182

2. Are fourth-grade students from different classes typically grouped for mathematics
instruction by ability and/or achievement levels (so that some instruction groups are
higher in average mathematics ability and/or achievement levels than others)?

A Yes
B No

VB525183

3. How often are fourth-grade students’ mathematics placements evaluated?

A Once a year
B Once a marking period (semester, trimester)
C More than once a marking period
D Students are not grouped by ability.

H1SQKa-M-S

Page 11

VC188706

4. At each of the following grades, how much emphasis does your school’s mathematics
curriculum place on instructing students in algebraic concepts, such as patterns and
writing number sentences? Fill in one oval on each line.
Not
taught

No
emphasis

Little
emphasis

Moderate
emphasis

Heavy
emphasis

Grade not
in school

a. Third grade

A

B

C

D

E

F

VC188711

b. Fourth grade

A

B

C

D

E

F

VC188713

c. Fifth grade

A

B

C

D

E

F

VC188714

d. Sixth grade

A

B

C

D

E

F

VC188715

VC188718

5. Which fourth-grade students receive instruction in algebraic concepts, such as patterns
and writing number sentences?

A None
B Some
C All

VB525175

6. Is there a mathematics specialist available (full- or part-time) to your school?

A Yes, available full-time to my school ➔ Go to Question 7.
B Yes, available part-time to my school ➔ Go to Question 7.
C No ➔ You are finished.

H1SQKa-M-S

Page 12

VB525176

7. Is each of the following a responsibility of the mathematics specialist available to your
school? Fill in one oval on each line.
Yes

No

a. Provide technical assistance/support to
individual teachers about mathematics
content or the teaching of mathematics

A

B

VB525181

b. Conduct in-service training for groups of
teachers about mathematics content or the
teaching of mathematics

A

B

VB517156

c. Provide mathematics instruction to
students on various topics

A

B

VB525177

d. Provide mathematics instruction to
students at various grade levels

A

B

VB525178

e. Provide mathematics remediation/
intervention to some student groups

A

B

VC084850

f. Provide mathematics enrichment to some
student groups

A

B

VB525180

H1SQKa-M-S

Page 13


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