Robert Noyce Teacher Scholarship Program (Noyce) Monitoring System

Education and Human Resources Program Monitoring Data Collections

AttachmentG1_2012 Noyce _updated 20121219

Robert Noyce Teacher Scholarship Program (Noyce) Monitoring System

OMB: 3145-0226

Document [doc]
Download: doc | pdf






















Attachment G1


Robert Noyce Teacher Scholarship Program (Noyce)

Monitoring System


Table of Contents



Noyce: Crosswalk – Track 1


Common

Collection

Categories



Questions

Staff and Project Participant Characteristics1

Project Implementation Characteristics2

Project Outputs3

Post-Secondary Institution Data




Institution name

X



State (Choose a State)

X



Mark the checkbox if this post-secondary institution was not involved in the project during the current reporting period.

X



Academic year system (Choose one):

Semesters

Trimesters

Quarters

X



Programmatic activities conducted by this institution during the current reporting period (Mark all that apply):

Mentoring

Early field experiences

Peer tutoring

Other (Please specify)


X


BASELINE DATA (DATA FOR YEAR PRIOR TO AWARD)




Number of Science, Technology, Engineering, and Mathematics (STEM) majors who graduated and had prepared to become K–12 mathematics and science teachers4 1 year prior to award. Please report each STEM major under only one discipline.

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Total number of baseline majors (read-only)

X



Number of STEM post-baccalaureates who completed the teacher preparation program and had prepared to become K–12 mathematics and science teachers1 1 year prior to award

X



Number of STEM career changers who completed the teacher preparation program and had prepared to become K–12 mathematics and science teachers1 1 year prior to award

X



DATA FOR THE CURRENT REPORTING PERIOD




Number of STEM majors who graduated and had prepared to become K–12 mathematics and science teachers5 during the current reporting period. Please report each STEM major under only one discipline.

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Total number of current majors (read-only)


X


Number of STEM post-baccalaureates who completed the teacher preparation program and had prepared to become K–12 mathematics and science teachers2 during the current reporting period


X


Number of STEM career changers who completed the teacher preparation program and had prepared to become K–12 mathematics and science teachers2 during the current reporting period


X


APPLICANTS FOR NOYCE SCHOLARSHIPS




Total number of Noyce scholarship applicants during the current reporting period


X


Average cumulative grade point average (GPA) for all Noyce scholarship applicants at the time of application during the current reporting period

X



APPLICANTS FOR NOYCE STIPENDS




Total number of Noyce stipend applicants during the current reporting period


X


HIGHER EDUCATION FACULTY MEMBERS




Number of faculty members (for each of the disciplines listed below) involved in the project during the current reporting period. Please report each faculty member under only one discipline.

Biological Sciences

Chemistry

Computer Science

Education

Engineering

Geosciences/Environmental Sciences

Mathematics

Physics

Other (Please specify)

Total number of faculty members (read only)


X


Indicate which activities the faculty members reported above were involved in during the current reporting period (Mark all that apply):

Serving on the leadership team

Recruiting and/or selecting Noyce support recipients

Teaching courses in which Noyce support recipients are enrolled

Mentoring and/or monitoring Noyce support recipients

Other (Please specify)


X


School District Data




District name

X



City

X



State (Choose a State)

X



Was this school district involved in the project during the current reporting period? (Yes/No)


X


Number of schools in this district that were involved in the project during the current reporting period


X


Noyce Scholarship Recipient Data




Name: First, Middle Initial, Last

X



Institution (Choose one)

X



Gender (Choose one):

Male

Female

Not reported

X



Ethnicity (Choose one):

Not Hispanic or Latino

Hispanic or Latino

Not reported

X



Race (Choose one or more):

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Not reported

X



Disability (Choose one):

Yes (check Yes if any of the following apply):

  • Deaf or serious difficulty hearing

  • Blind or serious difficulty seeing even when wearing glasses

  • Serious difficulty walking or climbing stairs

  • Other serious disability related to a physical, mental, or emotional condition

No

Do not wish to provide


X



Date of birth: (month / day / year)

X



Year (Choose one):

Junior

Senior

Post-baccalaureate

X



Major (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

X



Did this recipient participate in a Noyce summer internship as a freshman and/or sophomore


X


Cumulative GPA when selected for the Noyce scholarship

X



Did the Noyce scholarship recipient transfer from a community college? (Yes/No)

X



If so, provide the name of the community college.

X



Activities the recipient participated in during the current reporting period (Mark all that apply):

Mentoring

Early field experiences

Peer tutoring

Student teaching

Other (Please specify)

None


X


Level of Noyce scholarship support (dollar amount) during the current reporting period


X


Number of academic terms of Noyce scholarship support during the current reporting period (Choose one): (Summer is counted as a term.)

1 term

2 terms

3 terms

4 terms


X


Did the Noyce scholarship support end as of the end of the current reporting period?6 (Yes/No)

Only answer Yes when you are certain that the recipient will not receive any additional Noyce funding in the future (e.g., the recipient has permanently left the program, the recipient has already received the maximum funding allowed).


X


During the current reporting period did the Noyce scholarship recipient leave the Noyce program at your institution without completing the teacher preparation program at your institution or obtaining certification/licensure?7 (Yes/No)


X


If yes, why? (Choose one):

Left to pursue other academic interests

Failed to meet program requirements

Left to pursue non-teaching employment

Left due to family and/or economic constraints

Left for health reasons

Left to complete the teacher preparation program at another institution

Left the Noyce program but remaining in this institution’s teacher preparation program

Deceased

Other

Unknown


X


Please specify the reason if Other is selected above.


X


If yes, what amount of the Noyce scholarship funding is the recipient required to repay?


X


If yes, how much of the Noyce scholarship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)


X


Intended level of teaching, if applicable (Choose one):

Elementary School

Middle School

Junior High School

High School


X


Intended subject area(s)/discipline(s) of teaching, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)


X


Did the Noyce scholarship recipient complete the teacher preparation program during the current reporting period? (Yes/No)

Answer Yes if the recipient completed the teacher preparation program at your institution or at another institution.

X


X

Anticipated or actual month and year of completion of teacher preparation program, if applicable (month / year)

X



Cumulative GPA at completion of teacher preparation program, if applicable

X



Did the Noyce scholarship recipient obtain certification or licensure during the current reporting period? (Yes/No)

X


X

Anticipated or actual month and year of certification or licensure, if applicable (month / year)

X



Grade level(s) as listed on teaching certificate or license, if applicable (Mark all that apply):

Elementary School

Middle School

Junior High School

High School

X



Subject area(s) as listed on teaching certificate or license, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)

No subject listed on the certificate or license

Unknown

X


X

Had the Noyce support recipient begun full-time, full-responsibility teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? (Yes/No)

X


X

Which of the following best describes the status for this Noyce support recipient as of the end of the current reporting period?8

Still completing coursework and/or requirements for teacher certification/licensure

Has not met teaching requirements but taught in a high-need school district during the current reporting period

Has not met teaching requirements and did not teach in a high-need school district during the current reporting period

Has met teaching requirements

Does not intend to meet the teaching requirements

Other (Please specify)

X



If the recipient does not intend to meet the teaching requirements, what amount of the Noyce scholarship funding is the recipient required to repay?


X


If the recipient does not intend to meet the teaching requirements, how much of the Noyce scholarship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)


X


School name

X



School district

Choose school district

OR enter school district data

District/local education agency

City

State (Choose a State)

X



High-need school district criteria (Mark all that apply):

Has a high percentage of individuals from families with incomes below the poverty line

Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach

Has a high teacher turnover rate

None of the above. (Please explain)

X



Teaching placement grade level (Choose one):

Elementary School

Middle School

Junior High School

High School


X


Teaching placement subject area of majority of courses taught (Choose one):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other


X


Please specify the subject area if Other is selected above.


X


Teaching placement subject areas of other courses taught, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)


X


Total number of years of teaching completed in a high-need school district as of the current reporting period (Choose one):

(You should only count complete academic years of teaching.)

Less than 1 year

1 year

2 years

3 years

4 years

5 years

6 years

More than 6 years

Unknown

X


X

If More than 6 years of teaching is selected, please provide the total number of years teaching.

X


X

Noyce Stipend Recipient Data




Name: First, Middle Initial, Last

X



Institution (Choose one)

X



Gender (Choose one):

Male

Female

Not reported

X



Ethnicity (Choose one):

Not Hispanic or Latino

Hispanic or Latino

Not reported

X



Race (Choose one or more):

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Not reported

X



Disability (Choose one):

Yes (check Yes if any of the following apply):

  • Deaf or serious difficulty hearing

  • Blind or serious difficulty seeing even when wearing glasses

  • Serious difficulty walking or climbing stairs

  • Other serious disability related to a physical, mental, or emotional condition

No

Do not wish to provide

X



Date of birth: (month / day / year)

X



Degree(s) held at the beginning of the Noyce stipend support:

Degree (Choose one):

Bachelor’s

Master’s

Doctorate

Other (Please specify)

Major (Choose one):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Year (Choose one)

X



Did this recipient participate in a Noyce summer internship as a freshman and/or sophomore? (Yes/No)


X


If career changer, please enter the requested information below.

Previous occupation

Number of years in previous occupation

X



Activities the recipient participated in during the current reporting period (Mark all that apply):

Mentoring

Early field experiences

Peer tutoring

Student teaching

Other (Please specify)

None


X


Level of Noyce stipend support (dollar amount) during the current reporting period


X


Number of academic terms of Noyce stipend support during the current reporting period (Choose one): (Summer is counted as a term.)

1 term

2 terms

3 terms

4 terms


X


Did the Noyce stipend support end as of the end of the current reporting period?9 (Yes/No)

Only answer Yes when you are certain that the recipient will not receive any additional Noyce funding in the future (e.g., the recipient has permanently left the program, the recipient has already received the maximum funding allowed).


X


During the current reporting period did the Noyce stipend recipient leave the Noyce program at your institution without completing the teacher preparation program at your institution or obtaining certification/licensure?10 (Yes/No)


X


If yes, why? (Choose one):

Left to pursue other academic interests

Failed to meet program requirements

Left to pursue non-teaching employment

Left due to family and/or economic constraints

Left to complete the teacher preparation program at another institution

Left the Noyce program but remaining in this institution’s teacher preparation program

Deceased

Other

Unknown


X


Please specify the reason if Other is selected above.


X


If yes, what amount of the Noyce stipend funding is the recipient required to repay?


X


If yes, how much of the Noyce stipend funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)


X


Intended level of teaching, if applicable (Choose one):

Elementary School

Middle School

Junior High School

High School


X


Intended subject area(s)/discipline(s) of teaching, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)


X


Did the Noyce stipend recipient complete the teacher preparation program during the current reporting period? (Yes/No)

Answer Yes if the recipient completed the teacher preparation program at your institution or another institution.

X


X

Anticipated or actual month and year of completion of teacher preparation program, if applicable (month / year)

X



Cumulative GPA at completion of teacher preparation program, if applicable:

X



Did the Noyce stipend recipient obtain certification or licensure during the current reporting period? (Yes/No)

X


X

Anticipated or actual month and year of certification or licensure, if applicable (month / year)

X



Grade level(s) as listed on teaching certificate or license (Mark all that apply):

Elementary School

Middle School

Junior High School

High School

X



Subject area(s) as listed on teaching certificate or license, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)

No subject listed on the certificate or license

Unknown

X


X

Had the Noyce support recipient begun full-time, full-responsibility teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? (Yes/No)

X


X

Which of the following best describes the status for this Noyce support recipient as of the end of the current reporting period?11

Still completing coursework and/or requirement for teacher certification/licensure

Has not met teaching requirements but taught in a high-need school district during the current reporting period

Has not met teaching requirements and did not teach in a high-need school district during the current reporting period

Has met teaching requirements

Does not intend to meet the teaching requirements

Other (Please specify)

X



If the recipient does not intend to meet the teaching requirements, what amount of the Noyce stipend funding is the recipient required to repay?


X


If the recipient does not intend to meet the teaching requirements, how much of the Noyce stipend funding has the recipient repaid to date? (This should be the cumulative amount repaid through the current reporting period.)


X


School name

X



School district

Choose school district:

OR enter school district data

District/local education agency

City

State (Choose a State)

X



High-need school district criteria (Mark all that apply)

Has a high percentage of individuals from families with incomes below the poverty line

Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach

Has a high teacher turnover rate

None of the above. (Please explain)

X



Teaching placement grade level (Choose one):

Elementary School

Middle School

Junior High School

High School

X


X

Teaching placement subject area of majority of courses taught (Choose one):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other

X


X

Please specify the subject area if Other is selected above.

X


X

Teaching placement subject areas of other courses taught, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Science & Mathematics

Middle School Science

Middle School Mathematics

Middle School Science & Mathematics

All subjects

Other (Please specify)

X


X

Total number of years of teaching completed in a high-need school district as of the current reporting period (Choose one):

(You should only count complete academic years of teaching.)

Less than 1 year

1 year

2 years

3 years

4 years

5 years

6 years

More than 6 years

Unknown

X


X

If More than 6 years of teaching is selected, please provide the total number of years teaching.

X


X

Post-Scholarship/Stipend Follow-Up Data




Name: First, MI, Last

X



During the current reporting period did the Noyce support recipient leave the Noyce program at your institution without completing the teacher preparation program at your institution or obtaining certification/licensure?12 (Yes/No)


X


If yes, why? (Choose one):

Left to pursue other academic interests

Failed to meet program requirements

Left to pursue non-teaching employment

Left due to family and/or economic constraints

Left to complete the teacher preparation program at another institution

Left the Noyce program but remaining in this institution’s teacher preparation program

Deceased

Other

Unknown


X


Please specify the reason if Other is selected above.


X


If yes, what amount of the Noyce support funding is the recipient required to repay?


X


If yes, how much of the Noyce support funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)


X


Did the Noyce support recipient complete the teacher preparation program during the current reporting period? (Yes/No)

Answer Yes if the recipient completed the teacher preparation program at your institution or another institution.

X


X

Anticipated or actual month and year of completion of teacher preparation program, if applicable (month / year)

X



Cumulative GPA at completion of teacher preparation program, if applicable

X



Did the Noyce support recipient obtain certification or licensure during the current reporting period? (Yes/No)

X


X

Anticipated or actual month and year of certification or licensure, if applicable (month / year)

X



Grade levels as listed on teaching certificate or license, if applicable (Mark all that apply):

Elementary School

Middle School

Junior High School

High School

X


X

Subject area(s) as listed on teaching certificate or license, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)

No subject listed on the certificate or license

Unknown

X


X

Had the Noyce support recipient begun full-time, full-responsibility teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? ( Yes/No)

X


X

If not, why?

Still completing coursework and/or requirements for teacher certification/licensure

Taught in a school that is not in a high-need school district

Still completing coursework

Cannot find employment

Dropped out before completing the teacher preparation program

Unknown

Other

X



Please specify the reason if Other is selected above.


X


Which of the following best describes the status for this Noyce support recipient as of the end of the current reporting period?13

Still completing coursework and/or requirements for teacher certification/licensure

Has not met teaching requirements but taught in a high-need school district during the current reporting period

Has not met teaching requirements and did not teach in a high-need school district during the current reporting period

Has met teaching requirements

Does not intend to meet the teaching requirements

Other (Please specify)

X



If the recipient does not intend to meet the teaching requirements, what amount of the Noyce funding is the recipient required to repay?


X


If the recipient does not intend to meet the teaching requirements, how much of the Noyce funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)


X


School name

X



School district

Choose school district:

OR enter school district data

District/local education agency

City

State (Choose a State)

X



High-need school district criteria (Mark all that apply):

Has a high percentage of individuals from families with incomes below the poverty line

Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach

Has a high teacher turnover rate

None of the above. (Please explain)

X



Teaching placement grade level (Choose one):

Elementary School

Middle School

Junior High School

High School

X


X

Teaching placement subject area of majority of courses taught (Choose one):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other

X


X

Please specify the subject area if Other is selected above.

X


X

Teaching placement subject areas of other courses taught, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)

X


X

Total number of years of teaching completed in a high-need school district as of the current reporting period (Choose one):

(You should only count complete academic years of teaching.)

Less than 1 year

1 year

2 years

3 years

4 years

5 years

6 years

More than 6 years

Unknown

X


X

If More than 6 years of teaching is selected, please provide the total number of years teaching.

X


X

Noyce Summer Intern Data




Name: First, Middle Initial, Last

X



Institution (Choose one)

X



Gender (Choose one):

Male

Female

Not reported

X



Ethnicity (Choose one):

Not Hispanic or Latino

Hispanic or Latino

Not reported

X



Race (Choose one or more):

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Not reported

X



Disability (Choose one):

Yes (check Yes if any of the following apply):

  • Deaf or serious difficulty hearing

  • Blind or serious difficulty seeing even when wearing glasses

  • Serious difficulty walking or climbing stairs

  • Other serious disability related to a physical, mental, or emotional condition

No

Do not wish to provide

X



Year (Choose one):

Freshman

Sophomore

X



Major (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Undecided

X



Type of internship (Choose one or more):

Summer science/mathematics camps

Summer school

Science museums

Nature centers

Science research laboratories

Other (Please specify)


X



Noyce: Crosswalk – Track 2


Common

Collection

Categories



Questions

Staff and Project Participant Characteristics14

Project Implementation Characteristics15

Project Outputs16

Post-Secondary Institution Data




Institution name

X



State (Choose a State)

X



Mark the checkbox if this post-secondary institution was not involved in the project during the current reporting period.

X



Academic year system (Choose one):

Semesters

Trimesters

Quarters

X



Programmatic activities conducted by this institution during the current reporting period (Mark all that apply):

Mentoring

Early field experiences

Peer tutoring

Clinical experiences

Research

Professional development

Leadership opportunities

Other (Please specify)


X


Mark the checkbox if your project does not have a Teaching Fellowship component (pre-service teachers)


X


BASELINE DATA (DATA FOR YEAR PRIOR TO AWARD)




For projects with a Teaching Fellowship component (pre-service teachers) please report the number of science, technology, engineering, and mathematics (STEM) professionals (career changers) and STEM post-baccalaureates who completed a master’s degree program and had prepared to become K–12 mathematics and science teachers17 1 year prior to award in each of the disciplines listed. Please report each STEM major under only one discipline.

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Total number of baseline majors (read-only)

X



DATA FOR THE CURRENT REPORTING PERIOD




For projects with a Teaching Fellowship component (pre-service teachers) please report the number of STEM professionals (career changers) and STEM post-baccalaureates who completed a master’s degree program and had prepared to become K–12 mathematics and science teachers1 during the current reporting period in each of the disciplines listed. Please report each STEM major under only one discipline.

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Total number of current majors (read-only)


X


APPLICANTS FOR NSF TEACHING FELLOWSHIPS




Total number of NSF Teaching Fellowship applicants during the current reporting period


X


Average cumulative grade point average (GPA) for all NSF Teaching Fellowship applicants at the time of application during the reporting period

X



APPLICANTS FOR NSF MASTER TEACHING FELLOWSHIPS




Total number of NSF Master Teaching Fellowship applicants during the current reporting period


X


HIGHER EDUCATION FACULTY MEMBERS




Number of faculty members involved in the project (for each of the disciplines listed) during the current reporting period. Please report each faculty member under only one discipline.

This includes any faculty member who participated in the development and implementation of the project through activities such as serving on the leadership team, recruiting and/or selecting Noyce support recipients, teaching courses in which Noyce support recipients are enrolled (STEM courses and any other courses that are required for the teacher preparation program), and mentoring and/or monitoring Noyce support recipients.

Biological Sciences

Chemistry

Computer Science

Education

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Total number of faculty members (read-only)


X


Indicate which activities the faculty members reported above were involved in during the current reporting period (Mark all that apply):

Serving on the leadership team

Recruiting and/or selecting NSF Teaching Fellowship and/or Master Teaching Fellowship recipients

Teaching courses in which NSF Teaching Fellowship and/or Master Teaching Fellowship recipients are enrolled

Mentoring and/or monitoring NSF Teaching Fellowship and/or Master Teaching Fellowship recipients

Other (Please specify)


X


School District Data




District name

X



City

X



State (Choose a State)

X



Was this school district involved in the project during the current reporting period? (Yes/No)


X


Number of schools in this district that were involved in the project during the current reporting period


X


Nonprofit Organization Data




Organization name

X



City

X



State (Choose a State)

X



Was this nonprofit organization involved in the project during the current reporting period? (Yes/No)


X


Activities this nonprofit organization was involved in during the current reporting period (Mark all that apply):

Conducting teacher professional development activities

Mentoring NSF Teaching Fellowship and/or Master Teaching Fellowship recipients

Cost sharing

Other (Please specify)


X


NSF Teaching Fellowship Recipients Data




Name: First, Middle Initial, Last

X



Institution (Choose one)

X



Gender (Choose one):

Male

Female

Not reported

X



Ethnicity (Choose one):

Not Hispanic or Latino

Hispanic or Latino

Not reported

X



Race (Choose one or more):

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Not reported

X



Disability (Choose one):

Yes (check Yes if any of the following apply):

  • Deaf or serious difficulty hearing

  • Blind or serious difficulty seeing even when wearing glasses

  • Serious difficulty walking or climbing stairs

  • Other serious disability related to a physical, mental, or emotional condition

No

Do not wish to provide


X



Date of birth: (month / day / year)

X



Degree(s) held at the beginning of the NSF Teaching Fellowship:

Degree (Choose one):

Bachelor’s

Master’s

Doctorate

Other (Please specify)

Major (Choose one):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Year (Choose one)

X



Cumulative GPA when selected for the NSF Teaching Fellowship

X



Major field(s) of study or discipline(s) for current master’s degree program (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

X



If career changer, please enter the requested information below.

Previous occupation

Number of years in previous occupation (for career changers only):

1 year

2 years

3 years

4 years

5 years

6 years

7 years

8 years

9 years

10 years

11 years

12 years

13 years

14 years

15 years

16 years

17 years

18 years

19 years

20 years

21 years

22 years

23 years

24 years

25 years

26 years

27 years

28 years

29 years

30 years

More than 30

X



If More than 30 year of teaching is selected, please provide the total number of years teaching

X



Activities the recipient participated in during the current reporting period (Mark all that apply):

Mentoring new teachers

Mentoring pre-service teachers

Participating in clinical teaching experiences

Participating in a pre-service teacher education program

Developing and providing professional development activities for other teachers

Attending professional development activities focusing on content knowledge in mathematics and/or science

Attending professional development activities focusing on pedagogy

Conducting STEM research

Conducting educational research

Attending regional/local conferences

Selecting and adapting instructional material

Using research to inform curriculum development and/or learning strategies

Working with parents, school boards, or others outside of the school

Serving on a curriculum committee

Serving on a textbook adoption committee

Serving on other school-wide or district-wide committee or task force (Please specify)

Participating in peer coaching activities

Serving as an officer in a local professional organization for science and/or mathematics

Serving as a committee chair/officer/representative for a national professional organization (e.g., NSTA, NCTM)

Serving on a business/industry science and/or mathematics task force in the local area

Serving as a science/mathematics supervisor

Other (Please specify)

None


X


Did the NSF Teaching Fellowship recipient receive a stipend toward completing his or her master’s degree program and/or obtaining teacher certification/licensure during the current reporting period? (Yes/No)


X


If yes, what was the dollar amount of the NSF Teaching Fellowship stipend received during the current reporting period?


X


If yes, how many academic terms of NSF Teaching Fellowship stipend support were received during the current reporting period (Choose one):

1 term

2 terms

3 terms

4 terms


X


Did the NSF Teaching Fellowship stipend support end as of the end of the current reporting period? (Yes/No)


X


During the current reporting period did the NSF Teaching Fellowship recipient leave the NSF Teaching Fellowship program at your institution without earning a master’s degree at your institution? (Yes/No)


X


If yes, why?

Left to pursue other academic interests

Failed to meet program requirements

Left to pursue non-teaching employment

Left due to family and/or economic constraints

Left for health reasons

Deceased

Other (Please specify)

Unknown


X


If yes, what amount of the NSF Teaching Fellowship funding is the recipient required to repay?


X


If yes, how much of the NSF Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)


X


During the current reporting period did the NSF Teaching Fellowship recipient leave the NSF Teaching Fellowship program at your institution without obtaining teacher certification/licensure? (Yes/No)


X


If yes, why?

Left to pursue other academic interests

Failed to meet program requirements

Left to pursue non-teaching employment

Left due to family and/or economic constraints

Left for health reasons

Left to complete the teacher preparation program at another institution

Left the NSF Teaching Fellowship program but remaining in this institution’s teacher preparation program

Deceased

Other (Please specify)

Unknown


X


If yes, what amount of the NSF Teaching Fellowship funding is the recipient required to repay?


X


If yes, how much of the NSF Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)


X


Intended level of teaching, if applicable (Choose one):

Elementary School

Middle School

Junior High School

High School


X


Intended subject area(s)/discipline(s) of teaching, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)


X


Did the NSF Teaching Fellowship recipient complete his or her master’s degree program during the current reporting period? (Yes/No)

X


X

Anticipated or actual month and year of completion of the master’s degree program

X



Cumulative GPA at completion of teacher preparation program, if applicable

X



Did the NSF Teaching Fellowship recipient obtain teacher certification or licensure during the current reporting period? (Yes/No)

X


X

Anticipated or actual month and year of teacher certification or licensure

X



Grade level(s) as listed on teaching certificate or license, if applicable (Mark all that apply):

Elementary School

Middle School

Junior High School

High School

X


X

Subject area(s) as listed on teaching certificate or license, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)

No subject listed on the certificate or license

Unknown

X


X

Had the NSF Teaching Fellowship recipient begun full-time, full-responsibility teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? (Yes/No)

X


X

If not, why?

Taught in a school that is not in a high-need school district

Still completing coursework and/or requirements for teacher certification/licensure

Cannot find employment

Dropped out before completing the teacher preparation program

Unknown

Other (Please specify)

X



Which of the following best describes the status of this NSF Teaching Fellowship recipient as of the end of the current reporting period?

Still completing coursework and/or requirements for teacher certification/licensure

Has not met teaching requirements but taught in a high-need school district during the current reporting period

Has not met teaching requirements and did not teach in a high-need school district during the current reporting period

Has met the teaching requirements

Does not intend to meet the teaching requirements

Other (Please specify)

X



If the recipient does not intend to meet the teaching requirements, what amount of the NSF Teaching Fellowship funding is the recipient required to repay?


X


If the recipient does not intend to meet the teaching requirements, how much of the NSF Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)


X


School name

X



School district

Choose school district:

OR enter school district data

District/local education agency

City

State (Choose a State)

X



High-need school district criteria (Mark all that apply):

Has a high percentage of individuals from families with incomes below the poverty line

Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach

Has a high teacher turnover rate

None of the above (Please explain)

X



Teaching placement grade level (Choose one):

Elementary School

Middle School

Junior High School

High School

X


X

Teaching placement subject area of majority of courses taught (Choose one):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other

X


X

Please specify the subject area if Other is selected above.

X


X

Teaching placement subject areas of other courses taught, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)

X


X

Did the NSF Teaching Fellowship recipient receive a salary supplement during the current reporting period? (Yes/No)


X


If yes, what was the dollar amount of the supplement received during the current reporting period?


X


Did the NSF Teaching Fellowship salary supplement support end as of the end of the current reporting period? (Yes/No)


X


Total number of years of teaching completed in a high-need school district since earning master’s degree and/or teacher certification/licensure as of the end of the current reporting period (Choose one):

(You should only count complete academic years of teaching.)

Less than 1 year

1 year

2 years

3 years

4 years

5 years

6 years

More than 6 years

Unknown

X


X

If More than 6 years of teaching is selected, please provide the total number of year teaching.

X


X

NSF Master Teaching Fellowship Recipients Data




Name: First, Middle Initial, Last

X



Institution (Choose one)

X



Gender (Choose one):

Male

Female

Not reported

X



Ethnicity (Choose one):

Not Hispanic or Latino

Hispanic or Latino

Not reported

X



Race (Choose one or more):

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Not reported

X



Disability (Choose one):

Yes (check Yes if any of the following apply):

  • Deaf or serious difficulty hearing

  • Blind or serious difficulty seeing even when wearing glasses

  • Serious difficulty walking or climbing stairs

  • Other serious disability related to a physical, mental, or emotional condition

No

Do not wish to provide


X



Date of birth: (month / day / year)

X



Was the individual previously supported as a Noyce Scholarship recipient, Noyce Stipend recipient, or NSF Teaching Fellowship recipient under another Noyce award? (Yes/No)


X


Degree(s) held at the beginning of the Noyce stipend support:

Degree (Choose one):

Bachelor’s

Master’s

Doctorate

Other (Please specify)

Major (Choose one):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Year (Choose one)

X



Grade level(s) listed on teaching certificate or license (Mark all that apply):

Elementary School

Middle School

Junior high School

High School

X



Subject area(s) as listed on teaching certificate or license (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All Subjects

Other (Please specify)

No subject listed on the certificate or license

Unknown

X



Number of years the individual taught prior to receiving the NSF Master Teaching Fellowship (Choose one):

1 year

2 years

3 years

4 years

5 years

6 years

7 years

8 years

9 years

10 years

11 years

12 years

13 years

14 years

15 years

16 years

17 years

18 years

19 years

20 years

21 years

22 years

23 years

24 years

25 years

26 years

27 years

28 years

29 years

30 years

More than 30

X



If More than 30 year of teaching is selected, please provide the total number of years teaching

X



Number of years the individual taught in a high-need school district prior to receiving the NSF Master Teaching Fellowship (Choose one):

1 year

2 years

3 years

4 years

5 years

6 years

7 years

8 years

9 years

10 years

11 years

12 years

13 years

14 years

15 years

16 years

17 years

18 years

19 years

20 years

21 years

22 years

23 years

24 years

25 years

26 years

27 years

28 years

29 years

  1. ears

More than 30 (Please specify)

X



Activities the recipient participated in during the current reporting period (Mark all that apply):

Mentoring new teachers

Mentoring pre-service teachers

Participating in clinical teaching experiences

Participating in a pre-service teacher education program

Developing and providing professional development activities for other teachers

Attending professional development activities focusing on content knowledge in mathematics and/or science

Attending professional development activities focusing on pedagogy

Conducting STEM research

Conducting educational research

Attending regional/local conferences

Selecting and adapting instructional material

Using research to inform curriculum development and/or learning strategies

Working with parents, school boards, or others outside of the school

Serving on a curriculum committee

Serving on a textbook adoption committee

Serving on other school-wide or district-wide committee or task force (Please describe)

Participating in peer coaching activities

Serving as an officer in a local professional organization for science and/or mathematics

Serving as a committee chair/officer/representative for a national professional organization (e.g., NSTA, NCTM)

Serving on a business/industry science and/or mathematics task force in the local area

Serving as a science/mathematics supervisor

Other (Please specify)


X


During the current reporting period did the NSF Master Teaching Fellowship recipient leave the NSF Master Teaching Fellowship program at your institution without completing the program requirements? (Yes/No)


X


If yes, why?

Left to pursue other academic interests

Failed to meet program requirements

Left to pursue non-teaching employment

Left due to family and/or economic constraints

Left for health reasons

Deceased

Other (Please specify)

Unknown


X


If yes, what amount of the NSF Master Teaching Fellowship funding is the recipient required to repay?


X


If yes, how much of the NSF Master Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)


X


Was the NSF Master Teaching Fellowship recipient recognized as a master teacher during the current reporting period? (Yes/No)

X


X

If yes, please describe the nature of this recognition:

National board certification

Salary increase

Promotion

Other (Please specify)

X



Has the NSF Master Teaching Fellowship recipient begun teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? (Yes/No)

X


X

If not, why?

Taught in a school that is not in a high-need school district

Cannot find employment

Unknown

Other (Please specify)

X



Which of the following best describes the status of this NSF Master Teaching Fellowship recipient as of the end of the current reporting period?

Has not met teaching requirements but taught in a high-need school district during the current reporting period

Has not met teaching requirements and did not teach in a high-need school district during the current reporting period

Has met the teaching requirements

Does not intend to meet the teaching requirements

Does not intend to become a master teacher

Other (Please specify)

X



If the recipient does not intend to meet the teaching requirements, what amount of the NSF Master Teaching Fellowship funding is the recipient required to repay?


X


If the recipient does not intend to meet the teaching requirements, how much of the NSF Master Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)


X


School Name

X



School district

Choose school district:

OR enter school district data

District/local education agency

City

State (Choose a State)

X



High-need school district criteria (Mark all that apply):

Has a high percentage of individuals from families with incomes below the poverty line

Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach

Has a high teacher turnover rate

None of the above (Please explain)

X



Teaching placement grade level (Choose one):

Elementary School

Middle School

Junior High School

High School

X


X

Teaching placement subject area of majority of courses taught (Choose one):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other

X


X

Please specify the subject area if Other is selected above

X


X

Teaching placement subject areas of other courses taught, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Science & Mathematics

Middle School Science

Middle School Mathematics

Middle School Science & Mathematics

All subjects

Other (Please specify)

X


X

Did the NSF Master Teaching Fellowship recipient receive a salary supplement during the current reporting period? (Yes/No)


X


If yes, what was the dollar amount of the supplement received during the current reporting period?


X


Did the NSF Master Teaching Fellowship salary supplement support end as of the end of the current reporting period? (Yes/No)


X


Total number of years of teaching completed in a high-need school district since receiving the NSF Master Teaching Fellowship as of the end of the current reporting period (Choose one):

Less than 1 year

1 year

2 years

3 years

4 years

5 years

6 years

More than 6 years

Unknown

X


X

If More than 6 year of teaching is selected, please provide the total number of years teaching

X


X


Noyce: Number of Respondents, Frequency of Response, and Annual Hour Burden


The estimated average number of annual respondents is 316, with an estimated average annual response burden of 4,108 hours. The Web-based collection is an annual activity of the Noyce program. Respondents are PIs; one PI per award completes the survey. The estimated average annual hour burden per respondent was determined using the burden information reported by respondents for the last three collection cycles.


The burden estimate is outlined below:


Respondent Type

Estimated Average No. of Respondents

Estimated Average Annual Burden Hours Per Respondent

Estimated Annual Burden Hour Total

PIs

316

13

4,108

 Total

316

 

4,108


Noyce: Hour Burden Estimates by Each Form and Aggregate Hour Burdens


The Noyce system consists of one form for Track 1 awards and one form for Track 2 awards. The number of data elements for each is roughly equal and is expected to take the same amount of time to complete. Respondents are project PIs. The estimated total annual response burden is 4,108 hours. The annual burden by form was calculated as follows:


Form Type

Respondent
Type

No of Respondents

Burden Hours Per Respondent

Total Burden Hours

Noyce data collection form

PIs

316

13

4,108

Total


316

 

4,108


Noyce: Estimates of Annualized Cost to Respondents for the Hour Burdens


The overall annualized cost to the respondents is estimated to be $168,428. The following table shows the annualized estimates of costs to PI respondents, who are generally university professors. This estimated hourly rate is based on a report from the American Association of University Professors, “Annual Report on the Economic Status of the Profession, 2011-12,” Academe, March–April 2012, Survey Report Table 4. According to this report, the average salary of an associate professor across all types of doctoral-granting institutions (public, private-independent, religiously affiliated) was $86,319. When divided by the number of standard annual work hours (2,080), this calculates to approximately $41 per hour.


Respondent Type

No. of Respondents

Burden Hours Per Respondent

Average Hourly Rate

Estimated Annual Cost

PIs

316

13

$41

$168,428

Total

316

 

 

$168,428


Noyce: Estimates for Costs to the Federal Government


Computing the annualized cost to NSF for the Noyce data collection was done by taking the budgets for three years and calculating the costs for each of the following operational activities involved in producing, maintaining, and conducting the Noyce data collection:


Operational Activities

Cost Over Three Years

System Development (includes initial development of the database and Web-based application, and later changes requested by the program, e.g., increased reporting tools, additional validations)

$333,180

System Maintenance, Updates, and Technical Support (the system requires updates each year before opening the collection; maintenance is required to keep the system current with technology, e.g., database servers, operating systems)

$209,573

Data Collection Opening and Support (e.g., online and telephone support to respondents and contacting respondents to encourage completion of the questions), Reporting (as defined by DUE), and Followup Activities (e.g., providing data to other consultants)

$214,996

Three-Year Total for All Operational Activities

$757,749


The annualized cost was computed as one-third of the total three-year costs; thus, the annualized cost to NSF for the Noyce data collection is $252,583.


Noyce: Questions – Track 1


Post-Secondary Institution Data

Institution name

State (Choose a State)

Mark the checkbox if this post-secondary institution was not involved in the project during the current reporting period.

Academic year system (Choose one):

Semesters

Trimesters

Quarters

Programmatic activities conducted by this institution during the current reporting period (Mark all that apply):

Mentoring

Early field experiences

Peer tutoring

Other (Please specify)

BASELINE DATA (DATA FOR YEAR PRIOR TO AWARD)

Number of Science, Technology, Engineering, and Mathematics (STEM) majors who graduated and had prepared to become K–12 mathematics and science teachers18 1 year prior to award. Please report each STEM major under only one discipline.

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Total number of baseline majors (read-only)

Number of STEM post-baccalaureates who completed the teacher preparation program and had prepared to become K–12 mathematics and science teachers1 1 year prior to award

Number of STEM career changers who completed the teacher preparation program and had prepared to become K–12 mathematics and science teachers1 1 year prior to award

DATA FOR THE CURRENT REPORTING PERIOD

Number of STEM majors who graduated and had prepared to become K–12 mathematics and science teachers19 during the current reporting period. Please report each STEM major under only one discipline.

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Total number of current majors (read-only)

Number of STEM post-baccalaureates who completed the teacher preparation program and had prepared to become K–12 mathematics and science teachers2 during the current reporting period

Number of STEM career changers who completed the teacher preparation program and had prepared to become K–12 mathematics and science teachers2 during the current reporting period

APPLICANTS FOR NOYCE SCHOLARSHIPS

Total number of Noyce scholarship applicants during the current reporting period

Average cumulative grade point average (GPA) for all Noyce scholarship applicants at the time of application during the current reporting period

APPLICANTS FOR NOYCE STIPENDS

Total number of Noyce stipend applicants during the current reporting period

HIGHER EDUCATION FACULTY MEMBERS

Number of faculty members (for each of the disciplines listed below) involved in the project during the current reporting period. Please report each faculty member under only one discipline.

Biological Sciences

Chemistry

Computer Science

Education

Engineering

Geosciences/Environmental Sciences

Mathematics

Physics

Other (Please specify)

Total number of faculty members (read only)

Indicate which activities the faculty members reported above were involved in during the current reporting period (Mark all that apply):

Serving on the leadership team

Recruiting and/or selecting Noyce support recipients

Teaching courses in which Noyce support recipients are enrolled

Mentoring and/or monitoring Noyce support recipients

Other (Please specify)

School District Data

District name

City

State (Choose a State)

Was this school district involved in the project during the current reporting period? (Yes/No)

Number of schools in this district that were involved in the project during the current reporting period

Noyce Scholarship Recipient Data

Name: First, Middle Initial, Last

Institution (Choose one)

Gender (Choose one):

Male

Female

Not reported

Ethnicity (Choose one):

Not Hispanic or Latino

Hispanic or Latino

Not reported

Race (Choose one or more):

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Not reported

Disability (Choose one):

Yes (check Yes if any of the following apply):

  • Deaf or serious difficulty hearing

  • Blind or serious difficulty seeing even when wearing glasses

  • Serious difficulty walking or climbing stairs

  • Other serious disability related to a physical, mental, or emotional condition

No

Do not wish to provide


Date of birth: (month / day / year)

Year (Choose one):

Junior

Senior

Post-baccalaureate

Major (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Did this recipient participate in a Noyce summer internship as a freshman and/or sophomore

Cumulative GPA when selected for the Noyce scholarship

Did the Noyce scholarship recipient transfer from a community college? (Yes/No)

If so, provide the name of the community college.

Activities the recipient participated in during the current reporting period (Mark all that apply):

Mentoring

Early field experiences

Peer tutoring

Student teaching

Other (Please specify)

None

Level of Noyce scholarship support (dollar amount) during the current reporting period

Number of academic terms of Noyce scholarship support during the current reporting period (Choose one): (Summer is counted as a term.)

1 term

2 terms

3 terms

4 terms

Did the Noyce scholarship support end as of the end of the current reporting period?20 (Yes/No)

Only answer Yes when you are certain that the recipient will not receive any additional Noyce funding in the future (e.g., the recipient has permanently left the program, the recipient has already received the maximum funding allowed).

During the current reporting period did the Noyce scholarship recipient leave the Noyce program at your institution without completing the teacher preparation program at your institution or obtaining certification/licensure?21 (Yes/No)

If yes, why? (Choose one):

Left to pursue other academic interests

Failed to meet program requirements

Left to pursue non-teaching employment

Left due to family and/or economic constraints

Left for health reasons

Left to complete the teacher preparation program at another institution

Left the Noyce program but remaining in this institution’s teacher preparation program

Deceased

Other

Unknown

Please specify the reason if Other is selected above.

If yes, what amount of the Noyce scholarship funding is the recipient required to repay?

If yes, how much of the Noyce scholarship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)

Intended level of teaching, if applicable (Choose one):

Elementary School

Middle School

Junior High School

High School

Intended subject area(s)/discipline(s) of teaching, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)

Did the Noyce scholarship recipient complete the teacher preparation program during the current reporting period? (Yes/No)

Answer Yes if the recipient completed the teacher preparation program at your institution or at another institution.

Anticipated or actual month and year of completion of teacher preparation program, if applicable (month / year)

Cumulative GPA at completion of teacher preparation program, if applicable

Did the Noyce scholarship recipient obtain certification or licensure during the current reporting period? (Yes/No)

Anticipated or actual month and year of certification or licensure, if applicable (month / year)

Grade level(s) as listed on teaching certificate or license, if applicable (Mark all that apply):

Elementary School

Middle School

Junior High School

High School

Subject area(s) as listed on teaching certificate or license, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)

No subject listed on the certificate or license

Unknown

Had the Noyce support recipient begun full-time, full-responsibility teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? (Yes/No)

Which of the following best describes the status for this Noyce support recipient as of the end of the current reporting period?22

Still completing coursework and/or requirements for teacher certification/licensure

Has not met teaching requirements but taught in a high-need school district during the current reporting period

Has not met teaching requirements and did not teach in a high-need school district during the current reporting period

Has met teaching requirements

Does not intend to meet the teaching requirements

Other (Please specify)

If the recipient does not intend to meet the teaching requirements, what amount of the Noyce scholarship funding is the recipient required to repay?

If the recipient does not intend to meet the teaching requirements, how much of the Noyce scholarship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)

School name

School district

Choose school district

OR enter school district data

District/local education agency

City

State (Choose a State)

High-need school district criteria (Mark all that apply):

Has a high percentage of individuals from families with incomes below the poverty line

Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach

Has a high teacher turnover rate

None of the above. (Please explain)

Teaching placement grade level (Choose one):

Elementary School

Middle School

Junior High School

High School

Teaching placement subject area of majority of courses taught (Choose one):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other

Please specify the subject area if Other is selected above.

Teaching placement subject areas of other courses taught, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)

Total number of years of teaching completed in a high-need school district as of the current reporting period (Choose one):

(You should only count complete academic years of teaching.)

Less than 1 year

1 year

2 years

3 years

4 years

5 years

6 years

More than 6 years

Unknown

If More than 6 years of teaching is selected, please provide the total number of years teaching.

Noyce Stipend Recipient Data

Name: First, Middle Initial, Last

Institution (Choose one)

Gender (Choose one):

Male

Female

Not reported

Ethnicity (Choose one):

Not Hispanic or Latino

Hispanic or Latino

Not reported

Race (Choose one or more):

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Not reported

Disability (Choose one):

Yes (check Yes if any of the following apply):

  • Deaf or serious difficulty hearing

  • Blind or serious difficulty seeing even when wearing glasses

  • Serious difficulty walking or climbing stairs

  • Other serious disability related to a physical, mental, or emotional condition

No

Do not wish to provide

Date of birth: (month / day / year)

Degree(s) held at the beginning of the Noyce stipend support:

Degree (Choose one):

Bachelor’s

Master’s

Doctorate

Other (Please specify)

Major (Choose one):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Year (Choose one)

Did this recipient participate in a Noyce summer internship as a freshman and/or sophomore? (Yes/No)

If career changer, please enter the requested information below.

Previous occupation

Number of years in previous occupation

Activities the recipient participated in during the current reporting period (Mark all that apply):

Mentoring

Early field experiences

Peer tutoring

Student teaching

Other (Please specify)

None

Level of Noyce stipend support (dollar amount) during the current reporting period

Number of academic terms of Noyce stipend support during the current reporting period (Choose one): (Summer is counted as a term.)

1 term

2 terms

3 terms

4 terms

Did the Noyce stipend support end as of the end of the current reporting period?23 (Yes/No)

Only answer Yes when you are certain that the recipient will not receive any additional Noyce funding in the future (e.g., the recipient has permanently left the program, the recipient has already received the maximum funding allowed).

During the current reporting period did the Noyce stipend recipient leave the Noyce program at your institution without completing the teacher preparation program at your institution or obtaining certification/licensure?24 (Yes/No)

If yes, why? (Choose one):

Left to pursue other academic interests

Failed to meet program requirements

Left to pursue non-teaching employment

Left due to family and/or economic constraints

Left to complete the teacher preparation program at another institution

Left the Noyce program but remaining in this institution’s teacher preparation program

Deceased

Other

Unknown

Please specify the reason if Other is selected above.

If yes, what amount of the Noyce stipend funding is the recipient required to repay?

If yes, how much of the Noyce stipend funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)

Intended level of teaching, if applicable (Choose one):

Elementary School

Middle School

Junior High School

High School

Intended subject area(s)/discipline(s) of teaching, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)

Did the Noyce stipend recipient complete the teacher preparation program during the current reporting period? (Yes/No)

Answer Yes if the recipient completed the teacher preparation program at your institution or another institution.

Anticipated or actual month and year of completion of teacher preparation program, if applicable (month / year)

Cumulative GPA at completion of teacher preparation program, if applicable:

Did the Noyce stipend recipient obtain certification or licensure during the current reporting period? (Yes/No)

Anticipated or actual month and year of certification or licensure, if applicable (month / year)

Grade level(s) as listed on teaching certificate or license (Mark all that apply):

Elementary School

Middle School

Junior High School

High School

Subject area(s) as listed on teaching certificate or license, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)

No subject listed on the certificate or license

Unknown

Had the Noyce support recipient begun full-time, full-responsibility teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? (Yes/No)

Which of the following best describes the status for this Noyce support recipient as of the end of the current reporting period?25

Still completing coursework and/or requirement for teacher certification/licensure

Has not met teaching requirements but taught in a high-need school district during the current reporting period

Has not met teaching requirements and did not teach in a high-need school district during the current reporting period

Has met teaching requirements

Does not intend to meet the teaching requirements

Other (Please specify)

If the recipient does not intend to meet the teaching requirements, what amount of the Noyce stipend funding is the recipient required to repay?

If the recipient does not intend to meet the teaching requirements, how much of the Noyce stipend funding has the recipient repaid to date? (This should be the cumulative amount repaid through the current reporting period.)

School name

School district

Choose school district:

OR enter school district data

District/local education agency

City

State (Choose a State)

High-need school district criteria (Mark all that apply)

Has a high percentage of individuals from families with incomes below the poverty line

Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach

Has a high teacher turnover rate

None of the above. (Please explain)

Teaching placement grade level (Choose one):

Elementary School

Middle School

Junior High School

High School

Teaching placement subject area of majority of courses taught (Choose one):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other

Please specify the subject area if Other is selected above.

Teaching placement subject areas of other courses taught, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Science & Mathematics

Middle School Science

Middle School Mathematics

Middle School Science & Mathematics

All subjects

Other (Please specify)

Total number of years of teaching completed in a high-need school district as of the current reporting period (Choose one):

(You should only count complete academic years of teaching.)

Less than 1 year

1 year

2 years

3 years

4 years

5 years

6 years

More than 6 years

Unknown

If More than 6 years of teaching is selected, please provide the total number of years teaching.

Post-Scholarship/Stipend Follow-Up Data

Name: First, MI, Last

During the current reporting period did the Noyce support recipient leave the Noyce program at your institution without completing the teacher preparation program at your institution or obtaining certification/licensure?26 (Yes/No)

If yes, why? (Choose one):

Left to pursue other academic interests

Failed to meet program requirements

Left to pursue non-teaching employment

Left due to family and/or economic constraints

Left to complete the teacher preparation program at another institution

Left the Noyce program but remaining in this institution’s teacher preparation program

Deceased

Other

Unknown

Please specify the reason if Other is selected above.

If yes, what amount of the Noyce support funding is the recipient required to repay?

If yes, how much of the Noyce support funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)

Did the Noyce support recipient complete the teacher preparation program during the current reporting period? (Yes/No)

Answer Yes if the recipient completed the teacher preparation program at your institution or another institution.

Anticipated or actual month and year of completion of teacher preparation program, if applicable (month / year)

Cumulative GPA at completion of teacher preparation program, if applicable

Did the Noyce support recipient obtain certification or licensure during the current reporting period? (Yes/No)

Anticipated or actual month and year of certification or licensure, if applicable (month / year)

Grade levels as listed on teaching certificate or license, if applicable (Mark all that apply):

Elementary School

Middle School

Junior High School

High School

Subject area(s) as listed on teaching certificate or license, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)

No subject listed on the certificate or license

Unknown

Had the Noyce support recipient begun full-time, full-responsibility teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? ( Yes/No)

If not, why?

Still completing coursework and/or requirements for teacher certification/licensure

Taught in a school that is not in a high-need school district

Still completing coursework

Cannot find employment

Dropped out before completing the teacher preparation program

Unknown

Other

Please specify the reason if Other is selected above.

Which of the following best describes the status for this Noyce support recipient as of the end of the current reporting period?27

Still completing coursework and/or requirements for teacher certification/licensure

Has not met teaching requirements but taught in a high-need school district during the current reporting period

Has not met teaching requirements and did not teach in a high-need school district during the current reporting period

Has met teaching requirements

Does not intend to meet the teaching requirements

Other (Please specify)

If the recipient does not intend to meet the teaching requirements, what amount of the Noyce funding is the recipient required to repay?

If the recipient does not intend to meet the teaching requirements, how much of the Noyce funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)

School name

School district

Choose school district:

OR enter school district data

District/local education agency

City

State (Choose a State)

High-need school district criteria (Mark all that apply):

Has a high percentage of individuals from families with incomes below the poverty line

Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach

Has a high teacher turnover rate

None of the above. (Please explain)

Teaching placement grade level (Choose one):

Elementary School

Middle School

Junior High School

High School

Teaching placement subject area of majority of courses taught (Choose one):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other

Please specify the subject area if Other is selected above.

Teaching placement subject areas of other courses taught, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)

Total number of years of teaching completed in a high-need school district as of the current reporting period (Choose one):

(You should only count complete academic years of teaching.)

Less than 1 year

1 year

2 years

3 years

4 years

5 years

6 years

More than 6 years

Unknown

If More than 6 years of teaching is selected, please provide the total number of years teaching.

Noyce Summer Intern Data

Name: First, Middle Initial, Last

Institution (Choose one)

Gender (Choose one):

Male

Female

Not reported

Ethnicity (Choose one):

Not Hispanic or Latino

Hispanic or Latino

Not reported

Race (Choose one or more):

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Not reported

Disability (Choose one):

Yes (check Yes if any of the following apply):

  • Deaf or serious difficulty hearing

  • Blind or serious difficulty seeing even when wearing glasses

  • Serious difficulty walking or climbing stairs

  • Other serious disability related to a physical, mental, or emotional condition

No

Do not wish to provide

Year (Choose one):

Freshman

Sophomore

Major (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Undecided

Type of internship (Choose one or more):

Summer science/mathematics camps

Summer school

Science museums

Nature centers

Science research laboratories

Other (Please specify)



Noyce: Questions – Track 2


Post-Secondary Institution Data

Institution name

State (Choose a State)

Mark the checkbox if this post-secondary institution was not involved in the project during the current reporting period.

Academic year system (Choose one):

Semesters

Trimesters

Quarters

Programmatic activities conducted by this institution during the current reporting period (Mark all that apply):

Mentoring

Early field experiences

Peer tutoring

Clinical experiences

Research

Professional development

Leadership opportunities

Other (Please specify)

Mark the checkbox if your project does not have a Teaching Fellowship component (pre-service teachers)

BASELINE DATA (DATA FOR YEAR PRIOR TO AWARD)

For projects with a Teaching Fellowship component (pre-service teachers) please report the number of science, technology, engineering, and mathematics (STEM) professionals (career changers) and STEM post-baccalaureates who completed a master’s degree program and had prepared to become K–12 mathematics and science teachers28 1 year prior to award in each of the disciplines listed. Please report each STEM major under only one discipline.

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Total number of baseline majors (read-only)

DATA FOR THE CURRENT REPORTING PERIOD

For projects with a Teaching Fellowship component (pre-service teachers) please report the number of STEM professionals (career changers) and STEM post-baccalaureates who completed a master’s degree program and had prepared to become K–12 mathematics and science teachers1 during the current reporting period in each of the disciplines listed. Please report each STEM major under only one discipline.

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Total number of current majors (read-only)

APPLICANTS FOR NSF TEACHING FELLOWSHIPS

Total number of NSF Teaching Fellowship applicants during the current reporting period

Average cumulative grade point average (GPA) for all NSF Teaching Fellowship applicants at the time of application during the reporting period

APPLICANTS FOR NSF MASTER TEACHING FELLOWSHIPS

Total number of NSF Master Teaching Fellowship applicants during the current reporting period

HIGHER EDUCATION FACULTY MEMBERS

Number of faculty members involved in the project (for each of the disciplines listed) during the current reporting period. Please report each faculty member under only one discipline.

This includes any faculty member who participated in the development and implementation of the project through activities such as serving on the leadership team, recruiting and/or selecting Noyce support recipients, teaching courses in which Noyce support recipients are enrolled (STEM courses and any other courses that are required for the teacher preparation program), and mentoring and/or monitoring Noyce support recipients.

Biological Sciences

Chemistry

Computer Science

Education

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Total number of faculty members (read-only)

Indicate which activities the faculty members reported above were involved in during the current reporting period (Mark all that apply):

Serving on the leadership team

Recruiting and/or selecting NSF Teaching Fellowship and/or Master Teaching Fellowship recipients

Teaching courses in which NSF Teaching Fellowship and/or Master Teaching Fellowship recipients are enrolled

Mentoring and/or monitoring NSF Teaching Fellowship and/or Master Teaching Fellowship recipients

Other (Please specify)

School District Data

District name

City

State (Choose a State)

Was this school district involved in the project during the current reporting period? (Yes/No)

Number of schools in this district that were involved in the project during the current reporting period

Nonprofit Organization Data

Organization name

City

State (Choose a State)

Was this nonprofit organization involved in the project during the current reporting period? (Yes/No)

Activities this nonprofit organization was involved in during the current reporting period (Mark all that apply):

Conducting teacher professional development activities

Mentoring NSF Teaching Fellowship and/or Master Teaching Fellowship recipients

Cost sharing

Other (Please specify)

NSF Teaching Fellowship Recipients Data

Name: First, Middle Initial, Last

Institution (Choose one)

Gender (Choose one):

Male

Female

Not reported

Ethnicity (Choose one):

Not Hispanic or Latino

Hispanic or Latino

Not reported

Race (Choose one or more):

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Not reported

Disability (Choose one):

Yes (check Yes if any of the following apply):

  • Deaf or serious difficulty hearing

  • Blind or serious difficulty seeing even when wearing glasses

  • Serious difficulty walking or climbing stairs

  • Other serious disability related to a physical, mental, or emotional condition

No

Do not wish to provide


Date of birth: (month / day / year)

Degree(s) held at the beginning of the NSF Teaching Fellowship:

Degree (Choose one):

Bachelor’s

Master’s

Doctorate

Other (Please specify)

Major (Choose one):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Year (Choose one)

Cumulative GPA when selected for the NSF Teaching Fellowship

Major field(s) of study or discipline(s) for current master’s degree program (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

If career changer, please enter the requested information below.

Previous occupation

Number of years in previous occupation (for career changers only):

1 year

2 years

3 years

4 years

5 years

6 years

7 years

8 years

9 years

10 years

11 years

12 years

13 years

14 years

15 years

16 years

17 years

18 years

19 years

20 years

21 years

22 years

23 years

24 years

25 years

26 years

27 years

28 years

29 years

30 years

More than 30

If More than 30 year of teaching is selected, please provide the total number of years teaching

Activities the recipient participated in during the current reporting period (Mark all that apply):

Mentoring new teachers

Mentoring pre-service teachers

Participating in clinical teaching experiences

Participating in a pre-service teacher education program

Developing and providing professional development activities for other teachers

Attending professional development activities focusing on content knowledge in mathematics and/or science

Attending professional development activities focusing on pedagogy

Conducting STEM research

Conducting educational research

Attending regional/local conferences

Selecting and adapting instructional material

Using research to inform curriculum development and/or learning strategies

Working with parents, school boards, or others outside of the school

Serving on a curriculum committee

Serving on a textbook adoption committee

Serving on other school-wide or district-wide committee or task force (Please specify)

Participating in peer coaching activities

Serving as an officer in a local professional organization for science and/or mathematics

Serving as a committee chair/officer/representative for a national professional organization (e.g., NSTA, NCTM)

Serving on a business/industry science and/or mathematics task force in the local area

Serving as a science/mathematics supervisor

Other (Please specify)

None

Did the NSF Teaching Fellowship recipient receive a stipend toward completing his or her master’s degree program and/or obtaining teacher certification/licensure during the current reporting period? (Yes/No)

If yes, what was the dollar amount of the NSF Teaching Fellowship stipend received during the current reporting period?

If yes, how many academic terms of NSF Teaching Fellowship stipend support were received during the current reporting period (Choose one):

1 term

2 terms

3 terms

4 terms

Did the NSF Teaching Fellowship stipend support end as of the end of the current reporting period? (Yes/No)

During the current reporting period did the NSF Teaching Fellowship recipient leave the NSF Teaching Fellowship program at your institution without earning a master’s degree at your institution? (Yes/No)

If yes, why?

Left to pursue other academic interests

Failed to meet program requirements

Left to pursue non-teaching employment

Left due to family and/or economic constraints

Left for health reasons

Deceased

Other (Please specify)

Unknown

If yes, what amount of the NSF Teaching Fellowship funding is the recipient required to repay?

If yes, how much of the NSF Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)

During the current reporting period did the NSF Teaching Fellowship recipient leave the NSF Teaching Fellowship program at your institution without obtaining teacher certification/licensure? (Yes/No)

If yes, why?

Left to pursue other academic interests

Failed to meet program requirements

Left to pursue non-teaching employment

Left due to family and/or economic constraints

Left for health reasons

Left to complete the teacher preparation program at another institution

Left the NSF Teaching Fellowship program but remaining in this institution’s teacher preparation program

Deceased

Other (Please specify)

Unknown

If yes, what amount of the NSF Teaching Fellowship funding is the recipient required to repay?

If yes, how much of the NSF Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)

Intended level of teaching, if applicable (Choose one):

Elementary School

Middle School

Junior High School

High School

Intended subject area(s)/discipline(s) of teaching, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)

Did the NSF Teaching Fellowship recipient complete his or her master’s degree program during the current reporting period? (Yes/No)

Anticipated or actual month and year of completion of the master’s degree program

Cumulative GPA at completion of teacher preparation program, if applicable

Did the NSF Teaching Fellowship recipient obtain teacher certification or licensure during the current reporting period? (Yes/No)

Anticipated or actual month and year of teacher certification or licensure

Grade level(s) as listed on teaching certificate or license, if applicable (Mark all that apply):

Elementary School

Middle School

Junior High School

High School

Subject area(s) as listed on teaching certificate or license, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)

No subject listed on the certificate or license

Unknown

Had the NSF Teaching Fellowship recipient begun full-time, full-responsibility teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? (Yes/No)

If not, why?

Taught in a school that is not in a high-need school district

Still completing coursework and/or requirements for teacher certification/licensure

Cannot find employment

Dropped out before completing the teacher preparation program

Unknown

Other (Please specify)

Which of the following best describes the status of this NSF Teaching Fellowship recipient as of the end of the current reporting period?

Still completing coursework and/or requirements for teacher certification/licensure

Has not met teaching requirements but taught in a high-need school district during the current reporting period

Has not met teaching requirements and did not teach in a high-need school district during the current reporting period

Has met the teaching requirements

Does not intend to meet the teaching requirements

Other (Please specify)

If the recipient does not intend to meet the teaching requirements, what amount of the NSF Teaching Fellowship funding is the recipient required to repay?

If the recipient does not intend to meet the teaching requirements, how much of the NSF Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)

School name

School district

Choose school district:

OR enter school district data

District/local education agency

City

State (Choose a State)

High-need school district criteria (Mark all that apply):

Has a high percentage of individuals from families with incomes below the poverty line

Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach

Has a high teacher turnover rate

None of the above (Please explain)

Teaching placement grade level (Choose one):

Elementary School

Middle School

Junior High School

High School

Teaching placement subject area of majority of courses taught (Choose one):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other

Please specify the subject area if Other is selected above.

Teaching placement subject areas of other courses taught, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other (Please specify)

Did the NSF Teaching Fellowship recipient receive a salary supplement during the current reporting period? (Yes/No)

If yes, what was the dollar amount of the supplement received during the current reporting period?

Did the NSF Teaching Fellowship salary supplement support end as of the end of the current reporting period? (Yes/No)

Total number of years of teaching completed in a high-need school district since earning master’s degree and/or teacher certification/licensure as of the end of the current reporting period (Choose one):

(You should only count complete academic years of teaching.)

Less than 1 year

1 year

2 years

3 years

4 years

5 years

6 years

More than 6 years

Unknown

If More than 6 years of teaching is selected, please provide the total number of year teaching.

NSF Master Teaching Fellowship Recipients Data

Name: First, Middle Initial, Last

Institution (Choose one)

Gender (Choose one):

Male

Female

Not reported

Ethnicity (Choose one):

Not Hispanic or Latino

Hispanic or Latino

Not reported

Race (Choose one or more):

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Not reported

Disability (Choose one):

Yes (check Yes if any of the following apply):

  • Deaf or serious difficulty hearing

  • Blind or serious difficulty seeing even when wearing glasses

  • Serious difficulty walking or climbing stairs

  • Other serious disability related to a physical, mental, or emotional condition

No

Do not wish to provide


Date of birth: (month / day / year)

Was the individual previously supported as a Noyce Scholarship recipient, Noyce Stipend recipient, or NSF Teaching Fellowship recipient under another Noyce award? (Yes/No)

Degree(s) held at the beginning of the Noyce stipend support:

Degree (Choose one):

Bachelor’s

Master’s

Doctorate

Other (Please specify)

Major (Choose one):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Other (Please specify)

Year (Choose one)

Grade level(s) listed on teaching certificate or license (Mark all that apply):

Elementary School

Middle School

Junior high School

High School

Subject area(s) as listed on teaching certificate or license (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All Subjects

Other (Please specify)

No subject listed on the certificate or license

Unknown

Number of years the individual taught prior to receiving the NSF Master Teaching Fellowship (Choose one):

1 year

2 years

3 years

4 years

5 years

6 years

7 years

8 years

9 years

10 years

11 years

12 years

13 years

14 years

15 years

16 years

17 years

18 years

19 years

20 years

21 years

22 years

23 years

24 years

25 years

26 years

27 years

28 years

29 years

30 years

More than 30

If More than 30 year of teaching is selected, please provide the total number of years teaching

Number of years the individual taught in a high-need school district prior to receiving the NSF Master Teaching Fellowship (Choose one):

1 year

2 years

3 years

4 years

5 years

6 years

7 years

8 years

9 years

10 years

11 years

12 years

13 years

14 years

15 years

16 years

17 years

18 years

19 years

20 years

21 years

22 years

23 years

24 years

25 years

26 years

27 years

28 years

29 years

  1. ears

More than 30 (Please specify)

Activities the recipient participated in during the current reporting period (Mark all that apply):

Mentoring new teachers

Mentoring pre-service teachers

Participating in clinical teaching experiences

Participating in a pre-service teacher education program

Developing and providing professional development activities for other teachers

Attending professional development activities focusing on content knowledge in mathematics and/or science

Attending professional development activities focusing on pedagogy

Conducting STEM research

Conducting educational research

Attending regional/local conferences

Selecting and adapting instructional material

Using research to inform curriculum development and/or learning strategies

Working with parents, school boards, or others outside of the school

Serving on a curriculum committee

Serving on a textbook adoption committee

Serving on other school-wide or district-wide committee or task force (Please describe)

Participating in peer coaching activities

Serving as an officer in a local professional organization for science and/or mathematics

Serving as a committee chair/officer/representative for a national professional organization (e.g., NSTA, NCTM)

Serving on a business/industry science and/or mathematics task force in the local area

Serving as a science/mathematics supervisor

Other (Please specify)

During the current reporting period did the NSF Master Teaching Fellowship recipient leave the NSF Master Teaching Fellowship program at your institution without completing the program requirements? (Yes/No)

If yes, why?

Left to pursue other academic interests

Failed to meet program requirements

Left to pursue non-teaching employment

Left due to family and/or economic constraints

Left for health reasons

Deceased

Other (Please specify)

Unknown

If yes, what amount of the NSF Master Teaching Fellowship funding is the recipient required to repay?

If yes, how much of the NSF Master Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)

Was the NSF Master Teaching Fellowship recipient recognized as a master teacher during the current reporting period? (Yes/No)

If yes, please describe the nature of this recognition:

National board certification

Salary increase

Promotion

Other (Please specify)

Has the NSF Master Teaching Fellowship recipient begun teaching in a high-need school district in fulfillment of the teaching requirements as of the current reporting period? (Yes/No)

If not, why?

Taught in a school that is not in a high-need school district

Cannot find employment

Unknown

Other (Please specify)

Which of the following best describes the status of this NSF Master Teaching Fellowship recipient as of the end of the current reporting period?

Has not met teaching requirements but taught in a high-need school district during the current reporting period

Has not met teaching requirements and did not teach in a high-need school district during the current reporting period

Has met the teaching requirements

Does not intend to meet the teaching requirements

Does not intend to become a master teacher

Other (Please specify)

If the recipient does not intend to meet the teaching requirements, what amount of the NSF Master Teaching Fellowship funding is the recipient required to repay?

If the recipient does not intend to meet the teaching requirements, how much of the NSF Master Teaching Fellowship funding has the recipient repaid to date? (This should be the cumulative amount repaid through the end of the current reporting period.)

School Name

School district

Choose school district:

OR enter school district data

District/local education agency

City

State (Choose a State)

High-need school district criteria (Mark all that apply):

Has a high percentage of individuals from families with incomes below the poverty line

Has a high percentage of secondary school teachers not teaching in the content area in which the teachers were trained to teach

Has a high teacher turnover rate

None of the above (Please explain)

Teaching placement grade level (Choose one):

Elementary School

Middle School

Junior High School

High School

Teaching placement subject area of majority of courses taught (Choose one):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Mathematics & Science

Middle School Science

Middle School Mathematics

Middle School Mathematics & Science

All subjects

Other

Please specify the subject area if Other is selected above

Teaching placement subject areas of other courses taught, if applicable (Mark all that apply):

Biological Sciences

Chemistry

Computer Science

Engineering

Geosciences/Environmental Sciences

Mathematics

Physical Sciences

Physics

Technology

Elementary Science

Elementary Mathematics

Elementary Science & Mathematics

Middle School Science

Middle School Mathematics

Middle School Science & Mathematics

All subjects

Other (Please specify)

Did the NSF Master Teaching Fellowship recipient receive a salary supplement during the current reporting period? (Yes/No)

If yes, what was the dollar amount of the supplement received during the current reporting period?

Did the NSF Master Teaching Fellowship salary supplement support end as of the end of the current reporting period? (Yes/No)

Total number of years of teaching completed in a high-need school district since receiving the NSF Master Teaching Fellowship as of the end of the current reporting period (Choose one):

Less than 1 year

1 year

2 years

3 years

4 years

5 years

6 years

More than 6 years

Unknown

If More than 6 year of teaching is selected, please provide the total number of years teaching



1 Elements of these characteristics include: name, address, date of birth, gender, ethnicity, race, disability status, class, major, grade point average, yearly fellowship or stipend amount, and project role.

2 Elements of these characteristics include: sources and amount of funds, fellowships, scholarships, traineeships, partnerships, training, and research methods.

3 Elements of these characteristics include: research findings, publications, presentations, degrees granted, and educational materials.

4 This includes general elementary school teachers with responsibility for teaching mathematics and science.

5 This includes general elementary school teachers with responsibility for teaching mathematics and science.

6 If you answer Yes, the scholarship recipient will be moved to the Post-Scholarship Follow-Up section for the next data collection cycle. You should only answer Yes when you are certain that the recipient will not receive any additional funding in the future.

7 Only answer Yes if the recipient permanently left the program (i.e., dropped out with no intention to return). If the recipient left the program temporarily (e.g., for medical reasons) and intends to return to complete the program, please answer No. If the recipient left the teacher preparation program at your institution but completed/intends to complete the program at another institution, please answer Yes. If the recipient left the Noyce program (e.g., does not want to fulfill the teaching requirements and returned the funding) but remained in your institution's teacher preparation program, please answer Yes.

8 The Noyce program requires that funding recipients complete 2 years of service as a mathematics or science teacher in a high-need school district for every year of funding received.


For pre-2008 awards: Scholarship recipients must complete this service within 6 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 6 years of graduation or completion of the program for which the stipend was awarded.


For 2008 awards onward: Scholarship recipients must complete this service within 8 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 4 years of graduation or completion of the program for which the stipend was awarded.

9 If you answer Yes, the stipend recipient will be moved to the Post-Stipend Follow-Up section for the next data collection cycle. You should only answer Yes when you are certain that the recipient will not receive any additional funding in the future.

10 Only answer Yes if the recipient permanently left the program (i.e., dropped out with no intention to return). If the recipient left the program temporarily (e.g., for medical reasons) and intends to return to complete the program, please answer No. If the recipient left the teacher preparation program at your institution but completed/intends to complete the program at another institution, please answer Yes. If the recipient left the Noyce program (e.g., does not want to fulfill the teaching requirements and returned the funding) but remained in your institution's teacher preparation program, please answer Yes.

11 The Noyce program requires that funding recipients complete 2 years of service as a mathematics or science teacher in a high-need school district for every year of funding received.


For pre-2008 awards: Scholarship recipients must complete this service within 6 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 6 years of graduation or completion of the program for which the stipend was awarded.


For 2008 awards onward: Scholarship recipients must complete this service within 8 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 4 years of graduation or completion of the program for which the stipend was awarded.

12 Only answer Yes if the recipient permanently left the program (i.e., dropped out with no intention to return). If the recipient left the program temporarily (e.g., for medical reasons) and intends to return to complete the program, please answer No. If the recipient left the teacher preparation program at your institution but completed/intends to complete the program at another institution, please answer Yes. If the recipient left the Noyce program (e.g., does not want to fulfill the teaching requirement and returned the funding) but remained in your institution's teacher preparation program, please answer Yes.

13 The Noyce program requires that funding recipients complete 2 years of service as a mathematics or science teacher in a high-need school district for every year of funding received.


For pre-2008 awards: Scholarship recipients must complete this service within 6 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 6 years of graduation or completion of the program for which the stipend was awarded.


For 2008 awards onward: Scholarship recipients must complete this service within 8 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 4 years of graduation or completion of the program for which the stipend was awarded.

14 Elements of these characteristics include: name, address, date of birth, gender, ethnicity, race, disability status, class, major, grade point average, yearly fellowship or stipend amount, and project role.

15 Elements of these characteristics include: sources and amount of funds, fellowships, scholarships, traineeships, partnerships, training, and research methods.

16 Elements of these characteristics include: research findings, publications, presentations, degrees granted, and educational materials.

17 This includes general elementary school teachers with responsibility for teaching mathematics and science.

18 This includes general elementary school teachers with responsibility for teaching mathematics and science.

19 This includes general elementary school teachers with responsibility for teaching mathematics and science.

20 If you answer Yes, the scholarship recipient will be moved to the Post-Scholarship Follow-Up section for the next data collection cycle. You should only answer Yes when you are certain that the recipient will not receive any additional funding in the future.

21 Only answer Yes if the recipient permanently left the program (i.e., dropped out with no intention to return). If the recipient left the program temporarily (e.g., for medical reasons) and intends to return to complete the program, please answer No. If the recipient left the teacher preparation program at your institution but completed/intends to complete the program at another institution, please answer Yes. If the recipient left the Noyce program (e.g., does not want to fulfill the teaching requirements and returned the funding) but remained in your institution's teacher preparation program, please answer Yes.

22 The Noyce program requires that funding recipients complete 2 years of service as a mathematics or science teacher in a high-need school district for every year of funding received.


For pre-2008 awards: Scholarship recipients must complete this service within 6 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 6 years of graduation or completion of the program for which the stipend was awarded.


For 2008 awards onward: Scholarship recipients must complete this service within 8 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 4 years of graduation or completion of the program for which the stipend was awarded.

23 If you answer Yes, the stipend recipient will be moved to the Post-Stipend Follow-Up section for the next data collection cycle. You should only answer Yes when you are certain that the recipient will not receive any additional funding in the future.

24 Only answer Yes if the recipient permanently left the program (i.e., dropped out with no intention to return). If the recipient left the program temporarily (e.g., for medical reasons) and intends to return to complete the program, please answer No. If the recipient left the teacher preparation program at your institution but completed/intends to complete the program at another institution, please answer Yes. If the recipient left the Noyce program (e.g., does not want to fulfill the teaching requirements and returned the funding) but remained in your institution's teacher preparation program, please answer Yes.

25 The Noyce program requires that funding recipients complete 2 years of service as a mathematics or science teacher in a high-need school district for every year of funding received.


For pre-2008 awards: Scholarship recipients must complete this service within 6 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 6 years of graduation or completion of the program for which the stipend was awarded.


For 2008 awards onward: Scholarship recipients must complete this service within 8 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 4 years of graduation or completion of the program for which the stipend was awarded.

26 Only answer Yes if the recipient permanently left the program (i.e., dropped out with no intention to return). If the recipient left the program temporarily (e.g., for medical reasons) and intends to return to complete the program, please answer No. If the recipient left the teacher preparation program at your institution but completed/intends to complete the program at another institution, please answer Yes. If the recipient left the Noyce program (e.g., does not want to fulfill the teaching requirement and returned the funding) but remained in your institution's teacher preparation program, please answer Yes.

27 The Noyce program requires that funding recipients complete 2 years of service as a mathematics or science teacher in a high-need school district for every year of funding received.


For pre-2008 awards: Scholarship recipients must complete this service within 6 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 6 years of graduation or completion of the program for which the stipend was awarded.


For 2008 awards onward: Scholarship recipients must complete this service within 8 years of graduation from the program for which the scholarship was awarded. Stipend recipients must complete this service within 4 years of graduation or completion of the program for which the stipend was awarded.

28 This includes general elementary school teachers with responsibility for teaching mathematics and science.

Page 95 of 95


File Typeapplication/msword
File TitleAPPENDIX
Authormsanders
Last Modified By21773
File Modified2012-12-20
File Created2012-12-19

© 2024 OMB.report | Privacy Policy