0990-0372_Attachment B_ Survey of Community College Faculty 022211

Form Approved

OMB No. 0990-

Exp. Date XX/XX/20XX

Attachment B

Faculty Survey and Supporting Materials

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990- . The time required to complete this information collection is estimated to average (0 hours)(10 minutes) per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer

Survey of Community College Faculty Affiliated with the Workforce Program

Name of Community College Consortium________________________[Pre-fill info if possible]

Name of Community College__________________________________[Pre-fill info if possible]

Question Number	Questions	Response Options
1.	Are you currently a…?	Part-time instructor Full-time instructor
2.	Which of the following best describes your experience teaching courses to college-level or professional students prior to teaching as part of the Workforce program:	1. This is my first teaching experience. 2. I have taught for less than 2 years. 3. I have taught for 2-5 years. 4. I have taught for more than 5 years.
3.	How many years, if any, have you worked in the following fields: Health IT Health (but not IT-related) IT (but not health-related)	FOR EACH: Never Less than 2 years 2-5 years More than 5 years
4.	Please list the name/s of the course/s you taught.	OPEN-ENDED
5.	Please indicate if you used the curriculum materials developed by the Curriculum Development Centers for any of the following components. If you used materials for more than one component, please select all that apply.	CHECK BOX OF THE 20 COMPONENTS WITH ADDITIONAL OPTIONS FOR “DID NOT USE ANY OF THE CURRICULUM DEVELOPMENT CENTER MATERIALS” OR “DO NOT KNOW THE NAME OF THE COMPONENT.” IF SELECT “DID NOT USE,” THEN SKIP TO QUESTION 11.
6.	[THIS QUESTION WILL BE ASKED FOR EACH COMPONENT SELECTED IN Q. 5] Thinking about the course materials developed by the Curriculum Development Centers for this component, approximately what percentage of your course was based directly on these materials?	None (0%) 25% or less 26-50% 51-75% 76-99% All of the course (100%)
7.	[THIS QUESTION WILL BE ASKED FOR EACH COMPONENT SELECTED IN Q. 5] Based on the course materials that you did use, please describe the degree to which you modified the materials.	1. Used without modification 2. Modified minimally 3. Modified moderately 4. Modified extensively 5. Modified almost completely
8.	Overall, how would you describe the usefulness of the materials developed by the Curriculum Development Centers?	1. Extremely useful 2. Somewhat useful 3. Not very useful 4. Not at all useful
9.	Please rate the degree to which you think the students were satisfied with the materials developed by the Curriculum Development Centers.	1.Extremely satisfied 2. Somewhat satisfied 3. Neither satisfied nor dissatisfied 4. Somewhat dissatisfied 5. Extremely dissatisfied 6. Not able to say
10.	Thinking about the ways in which the Curriculum Development Centers could improve these materials, what specific comments/suggestions do you have?	Open-ended
11.	Have you asked for any assistance or support from the Curriculum Development Centers?	1. No, I did not seek any support. 2. Yes, I asked for support, but did not receive any. 3. Yes, I asked for and received a response from the Curriculum Development Centers. IF REPLY 1 OR 2, SKIP TO 13.
12.	Overall, how would you describe the usefulness of the assistance or support you received from the Curriculum Development Centers?	1. Poor 2. Fair 3. Average 4. Good 5. Excellent
13.	Did you ask for any assistance or support from the National Training and Dissemination Center (OHSU)?	1. No, I did not seek any support. 2. Yes, I asked for support, but did not receive any. 3. Yes, I asked for and received a response from the National Training and Dissemination Center. IF REPLY 1 OR 2, SKIP TO 15.
14.	Overall, how would you describe the usefulness of the assistance or support you received from the National Training and Dissemination Center (OHSU)?	1. Poor 2. Fair 3. Average 4. Good 5. Excellent
15.	In your opinion, in general, to what extent were your students adequately prepared for the courses you taught in terms of their prior background?	Extremely well-prepared Somewhat prepared Somewhat unprepared Very unprepared