2 STAC Member Survey

AMERICORPS MEMBER SURVEY QUESTIONS

Survey Instructions

The Corporation for National and Community Service (CNCS), with its contractor [TBD] is conducting a study of the School Turnaround AmeriCorps program, a partnership between CNCS and the Department of Education. The purpose of the study is to learn about how AmeriCorps programs are being implemented and how they are helping schools improve.

You have been selected to complete a survey as part of the study. Your perspective is very important, so please answer honestly. Your participation in this study is completely voluntary. Refusing to participate will not involve any penalty or affect your [AmeriCorps status] in any way. It also will have no effect on your relationship with your school. It should take you approximately 30 minutes to complete the survey. Answer the questions based only on your experience [with your AmeriCorps program] [at your school] this year.

All responses are anonymous and your responses will be kept confidential to the extent provided by law. Under no circumstances will anyone from your [AmeriCorps program] [school] have access to any information that can be attributable to you. The information you provide in the survey will be summarized with the information from other respondents and included in a report that will be shared with your AmeriCorps program and with CNCS.

Please contact XXXX of XXXX, at XXX-XXX-XXXX or XXXX, if you have any questions regarding this research.

Note: If you serve at multiple schools, think about the school where you spend most of your time for questions that are specific to a school rather than the program overall.

1. In which school(s) did you serve?

___________________________________________________________________________________________________

1. If you served at multiple schools, where did you spend most of your time?___________________________________

2. If you served anywhere other than a school (ex. afterschool program not on school grounds), where did you serve?

___________________________________________________________________________________________________

3. For how many weeks/months did you serve at your school(s)?______

_____ weeks OR _____ months

4. On average, how many hours per week did you serve at your school(s)?______

5. Did you provide direct services to individual students or to the whole classroom or school? (Check all that apply.)

__ AmeriCorps programming was targeted to individual students

__ AmeriCorps programming supported the whole classroom

__ AmeriCorps programming supported all students in the school

6. Did you work with special populations of students or students with specific needs? (Check all that apply.)

___ ELA (English Language Acquisition) / ELL (English Language Learner) / ESL (English Second Language)

___ Low-performing in math

___ Low-performing in reading

___ At risk for dropping out

___ At risk for socio-emotional problems

___ Students with disabilities

___ Other: ___________________________________________________________________________________________

7. During the first semester, what did you do in your capacity as an AmeriCorps member? (Check all that apply.)

___ Tutored in math

___ Tutored in reading

___ Tutored in other subjects

___ Mentored students individually

___ Provided wraparound services

___ Provided extended learning time

___ Worked with afterschool program

___ Provided graduation coaching

___ Organized family/community events

___ Taught classes

___ Other: ___________________________________________________________________________________________

___ Not Applicable – I did not serve during the first semester

8. During the second semester, what did you do in your capacity as an AmeriCorps member? (Check all that apply.)

___ Tutored in math

___ Tutored in reading

___ Tutored in other subjects

___ Mentored students individually

___ Provided wraparound services

___ Provided extended learning time

___ Worked with afterschool program

___ Provided graduation coaching

___ Organized family/community events

___ Taught classes

___ Other: ___________________________________________________________________________________________

___ Not Applicable – I did not serve during the second semester

9. What do you consider to be the most important school turnaround outcomes over the next two years for the students with whom you worked directly? (Check all that apply.)

___ Enhanced academic achievement

___Improved grades

___Improved completion of assignments

___Increased motivation

___Increased self-esteem

___ Improved attendance

___Improved socio-emotional health

___Improved behavior

___Other. If other, please specify __________________

10. Please fill in the following table about school turnaround outcomes for the students you worked with directly.

	As a group, did the students you worked with directly show improvement in these area this year?	If you marked “Yes,” what were the outcomes with the greatest degree of improvement among the students you worked with? Rank, with 1=Greatest improvement. Do not rank outcomes that you marked “No.”
Enhanced academic achievement, as measured by interim progress or unit assessments	___Yes ___No
Improved grades	___Yes ___No
Improved completion of assignments	___Yes ___No
Increased motivation	___Yes ___No
Increased self-esteem	___Yes ___No
Improved attendance	___Yes ___No
Improved socio-emotional health	___Yes ___No
Improved behavior	___Yes ___No
Other: __________________________	___Yes ___No

11. Please indicate your level of agreement/disagreement with the following statements about your level of integration at the school.

	Strongly Disagree	Disagree	Agree	Strongly Agree	Not Applicable
Teachers in this school share and discuss instructional practices with me.
Teachers in this school share and discuss behavioral management strategies with me.
Teachers in this school discuss their expectations for students with me.
Teachers and I collaborate successfully in supporting students.
I’m integrated into regular staff meetings and communication.
The principal and/or school leadership team communicates a clear vision of turnaround to me.
The principal and/or school leadership team monitors performance and progress of implementation of turnaround activities at this school.

12. For this school year, please indicate how satisfied you are with each of the elements listed below:

	Very Dissatisfied	Dissatisfied	Satisfied	Very Satisfied	Not Applicable
Communication and collaboration between the teachers and myself
Communication and collaboration between the school leadership and myself
Training and support provided by grantee organizations.
Training and support provided by teachers in this school
My placement in meaningful service activities
Referral of students to me for services
Matching me with students in need of academic strengthening and social/emotional supports
Sharing of outcome data by the school/district to review and assess student progress
My overall experience in supporting school turnaround in this school
This service experience in preparing me for my future education and/or career plans

13. In your opinion, how successful were your activities and contributions in the following areas this year? (Mark one response in each row.)

	Very Unsuccessful	Somewhat Unsuccessful	Somewhat Successful	Very Successful	Not Applicable
Overall success of the AmeriCorps program
Improving the academic achievement of students I worked with directly, as measured by interim progress or unit assessments
Improving the socio-emotional health of students I worked with directly
Improving school climate
Improving the school’s capacity to implement its turnaround model

14. Prior to serving in AmeriCorps, to what extent were you interested in pursuing a career as a teacher?

[ ] Not interested [ ] Might be interested [ ] Interested [ ] Strongly interested

15. Prior to serving in AmeriCorps, to what extent were you interested in pursuing a career in another capacity related to education or youth development?

[ ] Not interested [ ] Might be interested [ ] Interested [ ] Strongly interested

Please explain_______________________________________________________________________

16. At this point in time, to what extent are you interested in pursuing a career as a teacher?

[ ] Not interested [ ] Might be interested [ ] Interested [ ] Strongly interested

17. At this point in time, to what extent are you interested in pursuing a career in another capacity related to education or youth development?

[ ] Not interested [ ] Might be interested [ ] Interested [ ] Strongly interested

Please explain_______________________________________________________________________

18. Why did you join this AmeriCorps program?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

19. What did you hope to accomplish this year? Did the experience meet your expectations? Why or why not?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

20. What worked particularly well this year at your school? Why do you think it worked well?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

21. What did not work well this year at your school? Why do you think that was the case? What suggestions do you have for improving the program for next year?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

MEMBER EVALUATION OF IMPROVEMENT

Thinking about the student whose last name is closest to the beginning of the alphabet, and the student whose last name is closest to the end of the alphabet, please complete the following for those two students.

22. Since the beginning of the AmeriCorps program, to what extent has your student changed his or her behavior in terms of:

Student #1:

	Significant Decline	Moderate Decline	No Change	Moderate Improvement	Significant Improvement	Did not Need to Improve
Turning in his/her homework on time.
Completing homework to your satisfaction.
Participating in class.
Volunteering (e.g., for extra credit or more responsibilities).
Attending class regularly.
Being attentive in class.
Coming to school motivated to learn.
Getting along well with other students.

Student #2:

	Significant Decline	Moderate Decline	No Change	Moderate Improvement	Significant Improvement	Did not Need to Improve
Turning in his/her homework on time.
Completing homework to your satisfaction.
Participating in class.
Volunteering (e.g., for extra credit or more responsibilities).
Attending class regularly.
Being attentive in class.
Coming to school motivated to learn.
Getting along well with other students.

11