11 AC member Survey Baseline

EVALUATION OF THE MINNESOTA READING CORPS

Baseline Survey of Member Applicants

1. Have you previously served or are you currently serving

as a Minnesota Reading Corps Member?

 ₁ Yes

 ₂ No

2. Have you previously served as an AmeriCorps Member in another

AmeriCorps program (i.e., not Minnesota Reading Corps)?

 ₁ Yes

 ₂ No

3. Have you ever been employed full- or part-time?

 ₁ Yes

 ₂ No (Skip to question 5)

4. Have you ever been employed as a: (Please check all that apply)

 ₁ Teacher

 ₂ Teacher’s Aide

 ₃ Substitute Teacher

 ₄ Paraprofessional in Teaching/Education

 ₅ Other Education Related Field (Please specify)_____________

 ₆ None of the Above (Skip to question 5)

4a. [For each of the above] How many years of experience do you have (auto-fill)? [Loop question: auto-fill with “as a teacher” if #4=1; auto-fill with “as a teacher’s aide” if #4=2; auto-fill with “as a substitute teacher” if #4=3; auto-fill with “as a paraprofessional in teaching/education” if #4=4; auto-fill with “in another education related field” if #4=5]

___________ years [range 1-50]

4b. [If employed as a teacher or teacher’s aide] What subjects have you taught?

[Loop question: auto-fill with “as a teacher” if #4=1; auto-fill with “as a teacher’s aide” if #4=2; auto-fill with “as a paraprofessional in teaching/education” if #4=4] (Please check all that apply)

 ₁ Reading/Writing

 ₂ Math

 ₃ Social Studies

 ₄ Science

 ₅ Art/Music

 ₆ Pre-kindergarten

 ₇ Other (Please specify)____________________________

5. Do you have any of the following teaching credentials?

 ₁ State teacher license (Skip to Question 6)

 ₂ National board certification (Skip to Question 6)

 ₃ Other (Please specify)________ (Skip to Question 6)

 ₄ None of the above

*5a. Do you plan to obtain a teaching credential?

 ₁ Yes

 ₂ No

6. Have you done any tutoring in the past?

 ₁ Yes

 ₂ No (Skip to Question 7)

6a. How many years of experience do you have tutoring? [If 6=1]

__________________years [range 1-50]

6b. What subjects have you tutored in?

 ₁ Reading/Writing

 ₂ Math

 ₃ Social Studies

 ₄ Science

 ₅ Art/Music

 ₆ Pre-kindergarten

 ₇ Other (Please specify)____________________________

During the past 12 months, what have you been doing? (Please check all that apply)

 ₁ Working

 ₂ Attending school

 ₃ Taking care of my children at home

 ₄ Looking for a job

 ₅ Serving as Minnesota Reading Corps Member

 ₆ Other volunteering/voluntary community service

 ₇ Retired

 ₈ Other (Please specify)____________________________

8.

What is the highest level of education you expect to complete? (Please check one)

 ₁ Some high school (Skip to question 9)

 ₂ High school diploma (Skip to question 9)

 ₃ High school equivalency diploma or certificate (GED) (Skip to question 9)

 ₄ Vocational, trade, or business school after high school (not for a BA or MBA)

 ₅ Less than 2 years of college

 ₆ Two or more years of college (including 2-year degree)

 ₇ College degree (4- or 5-year degree)

 ₈ Master’s degree or equivalent

 ₉ Ph.D., M.D., or other professional degree

*8a.

In what field? (Please check only one)

 ₁ Teaching children/adults

 ₂ Social/community work

 ₃ Law

 ₄ Business

 ₅ Health-related

 ₆ Computer/technical/scientific

 ₇ Environmental

 ₈ Public safety

 ₉ Agriculture

 ₁₀ Other (Please specify) __________

9.

How important is each of the following reasons as to why you are applying to join the Minnesota Reading Corps program?

	Not Important	Somewhat Important	Very Important
To get an education scholarship	 1	 2	 3
To help other people/perform a community service	 1	 2	 3
To learn about or work with children	 1	 2	 3
To gain experience for obtaining a job	 1	 2	 3
To explore future job/education interests	 1	 2	 3
Other (Please specify)______________	 1	 2	 3

10.

What are you planning to do after your Minnesota Reading Corps service? (Please check all that apply)

 ₁ Get a job

 ₂ Go to college (Skip to question 10b)

 ₃ Go to college and work at same time

 ₄ Enroll in the same or another AmeriCorps program

(Skip to question 11)

 ₅ Volunteer (Skip to question 11)

 ₆ Retire (Skip to question 11)

 ₇ Stay home to take care of family member(s) (e.g., children, parents) (Skip to question 11)

 ₈ Other (Please specify) __________(Skip to question 11)

 ₉ Do not know (Skip to question 11)

10a. In what sector would you be working? [If #10=1 or 3] (Please check only one)

 ₁ Public Schools

 ₂ Other Government/public sector

 ₃ Private sector

 ₄ Non-profit sector (tax exempt, charitable organization)

 ₅ Other (Please specify)_______________

*10bi-iii.

In what field? [Loop question: if #10= 1, 2,or 3] (Please check only one)

 ₁ Teaching children/adults

 ₂ Social/community work (Skip to question 11)

 ₃ Law (Skip to question 11)

 ₄ Business (Skip to question 11)

 ₅ Health-related (Skip to question 11)

 ₆ Computer/technical/scientific (Skip to question 11)

 ₇ Environmental (Skip to question 11)

 ₈ Public safety (Skip to question 11)

 ₉ Agriculture (Skip to question 11)

 ₁₀ Self Employed (Skip to question 11)

 ₁₁ Other (Please specify) __________ (Skip to question 11)

*10c.

In what area do you plan to teach? (Please check only one)

 ₁ Pre-kindergarten

 ₂ Elementary school

 ₃ Middle school

 ₄ High school

 ₅ College

11.

Please indicate how strongly you agree or disagree with each of the following statements

	Strongly Disagree	Disagree	Neither Agree Nor Disagree	Agree	Strongly Agree
I am committed to volunteering in schools.	 1	 2	 3	 4	 5
I am committed to ongoing promotion of childhood literacy.	 1	 2	 3	 4	 5
I am committed to community service.	 1	 2	 3	 4	 5
If a job I hold in the future does not have community service as part of its mission, I will encourage the organization to include opportunities for community service.	 1	 2	 3	 4	 5

12. Please indicate how strongly you agree or disagree with each

of the following statements. Community should be defined as you view it.

	Strongly Disagree	Disagree	Neither Agree Nor Disagree	Agree	Strongly Agree
I have a strong attachment to my community.	 1	 2	 3	 4	 5
I often discuss and think about how larger political and social issues affect my community.	 1	 2	 3	 4	 5
I am aware of what can be done to meet the important needs in my community.	 1	 2	 3	 4	 5
I feel I have the ability to make a difference in my community.	 1	 2	 3	 4	 5
I try to find the time or a way to make a positive difference in my community.	 1	 2	 3	 4	 5

13.1

[If #10=1-5, 8, or 9] Please indicate whether you feel each of the following things is very important, somewhat important, or not important to you.

	Not Important	Somewhat Important	Very Important
Working to correct social and economic inequalities.	 1	 2	 3
Working in a job where I am of direct service to people.	 1	 2	 3
Working in a profession involving children.	 1	 2	 3
Working in a teaching or education field.	 1	 2	 3

13.2. [If #10=6 or 7] Please indicate whether you feel the following

is very important, somewhat important, or not important to you.

Not Important	Somewhat Important	Very Important

Working to correct social and economic inequalities.

 1

 2

 3

14.

Below are a few statements about how some people feel about obtaining a job. For each statement, please indicate how true the statement is for you.

	Not at all true	Mostly not true	Neither true nor untrue	Mostly true	Very true
I feel confident in my ability to get a good job.	 1	 2	 3	 4	 5
If I cannot get a good job, it is because people are not fair to people like me.	 1	 2	 3	 4	 5
To get a good job I just have to try hard enough.	 1	 2	 3	 4	 5
Getting a job is a matter of hard work, luck has little or nothing to do with it.	 1	 2	 3	 4	 5
Getting a good job depends mainly on being in the right place at the right time.	 1	 2	 3	 4	 5
The job opportunities I have in life are dependent on circumstances that I cannot control.	 1	 2	 3	 4	 5

15.

Below is a list of activities that you, along with others, might try to accomplish. Think about how hard it would be for you to accomplish each activity. Assume that each of these is an activity you feel is worthwhile to accomplish.

	Would not be able to get this done	Might be able to get done	Would be able to get this done
Getting the local government to fix a pothole in my street.	 1	 2	 3
Getting the local government to build an addition to the community center.	 1	 2	 3
Getting an issue on the ballot for a statewide election. (Assume your state allows this.)	 1	 2	 3
Organizing an event to benefit a charity or religious organization.	 1	 2	 3
Starting an after-school program for children whose parents work.	 1	 2	 3
Organizing an annual cleanup program for the local park.	 1	 2	 3

16. Which of the following describes your ethnicity? (Please check only one)

 ₁ Hispanic or Latina/o

 ₂ Not Hispanic or Latina/o

17. What is your race?

 ₁ American Indian or Alaska Native

 ₂ Asian

 ₃ Black or African American

 ₄ Native Hawaiian or other Pacific Islander

 ₅ White

17. What is your date of birth?

MONTH: _______(99=Don’t Know)

DAY: _________ (99=Don’t Know)

YEAR: _________ (9999=Don’t Know)

17. What is your gender? (Not required)

 ₁ Male

 ₂ Female

17. Is this your first year serving as a MRC tutor?

 ₁ Yes (Skip to Q22)

 ₂ No

17. [if 20=2] Is this your second year serving as a MRC tutor?

 ₁ Yes

 ₂ No

17. Which best represents the total annual income in 2011 for (a) you and (b) your household before taxes. Please include wages, salaries, interest, dividends, social security, and other forms of income. (Please check one box per column)

a. Your own 2011 income (before taxes)

b. Total household 2011 income (before taxes)

 1 Under $5,000  2 $5,000 – less than $10,000  3 $10,000 – less than $15,000  4 $15,000 – less than $20,000  5 $20,000 – less than $25,000  6 $25,000 – less than $30,000  7 $30,000 – less than $40,000  8 $40,000 – less than $50,000  9 $50,000 – less than $60,000  10 $60,000 – less than $70,000  11 $70,000 – less than $80,000  12 $80,000 – less than $90,000  13 $90,000 – less than $100,000  14 $100,000 or more  15 Don’t Know

 1 Under $5,000  2 $5,000 – less than $10,000  3 $10,000 – less than $15,000  4 $15,000 – less than $20,000  5 $20,000 – less than $25,000  6 $25,000 – less than $30,000  7 $30,000 – less than $40,000  8 $40,000 – less than $50,000  9 $50,000 – less than $60,000  10 $60,000 – less than $70,000  11 $70,000 – less than $80,000  12 $80,000 – less than $90,000  13 $90,000 – less than $100,000  14 $100,000 or more  15 Don’t Know  16 Not applicable

17. Do you have any siblings?

 ₁ Yes

 ₂ No (Skip to Question 24)

23a. How many siblings do you have? _____

17. What is your current marital status? (Please check one)

 ₁ Married

 ₂ Single, never married

 ₃ Widowed

 ₄ Divorced

 ₅ Separated

17. Do you have any children?

 ₁ Yes

 ₂ No (Skip to Question 26)

25a. How many children do you have? _______

25b. How many of them currently live with you? ______

25c. Do any of your children attend a Minnesota Reading Corps school?

 ₁ Yes

 ₂ No

 ₃ Don’t know

17. Have you ever served on active duty in the U.S. Armed Forces?

 ₁ Yes

 ₂ No

17. Have you ever served in the U.S. Military Reserves or National Guard?

 ₁ Yes

 ₂ No

[TFA, 107]

17. Which of these categories indicates the kind of place or places where you spent most of your youth?

 ₁ Rural areas

 ₂ Urban areas

 ₃ Suburban areas

17. During your youth, what language did you usually speak at home—English or something else? *

 ₁ English

 ₂ English and a different language

 ₃ A different language

The following information is needed so that we can reach you in the future to complete a follow-up survey. This information will be kept confidential and will not be linked to your responses.

1. Your full name:

2. Your current home address:

_____________________________________ _________ ______

City State ZIP

3. Your current telephone number (_______) ________ - __________

(area code)

4. Your permanent home address:

_____________________________________ __________ ______

City State ZIP

5. Your permanent telephone number (_______) ________ - __________

(area code)

6. E-mail address 1 ______________________________

7. E-mail address 2 ___________________________

Thank you very much for your time and cooperation. We look forward to hearing from you again at the end of your service with Minnesota Reading Corps.

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