Annual Targeted and Comprehensive MSP IHE Participant Survey

Attachment B
Annual Survey for Targeted IHE Participants

OMB # 3145-0199
Expires: X/XX/XX

Math and Science Partnership Program
Annual IHE Participant Survey for
Comprehensive and Targeted MSPs

Sponsored by the
National Science Foundation
Conducted by
Westat
1650 Research Boulevard
Rockville, Maryland 20850

Privacy Notice
Information from this monitoring system will be retained by the National Science Foundation, a federal agency, and will be an
integral part of its Privacy Act System of Records in accordance with the Privacy Act of 1974 and maintained in the Education
and Training System of Records 63 Fed. Reg. 264, 272 (January 5, 1998). These are confidential files accessible only to
appropriate National Science Foundation (NSF) officials, their staffs, and their contractors responsible for monitoring, assessing,
and evaluating NSF programs. Only data in highly aggregated form, or data explicitly requested as "for general use," will be
made available to anyone outside of the National Science Foundation for research purposes. Data submitted will be used in
accordance with criteria established by NSF for monitoring research and education grants, and in response to Public Law 99-383
and 42 USC 1885c.
Public Burden
Paperwork Reduction Act Notice. The Paperwork Reduction Act of 1995 says we must tell you why we are collecting this
information, how we will use it and whether you have to give it to us. The reasons and purpose of this survey are described in
the introduction and instructions for this survey and your response is voluntary. Failure to provide full and complete information,
however, may reduce the possibility of NSF continuing support for the award or project subject to this monitoring survey. An
agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a
valid OMB control number. The OMB control number for this survey is 3145-0199. The estimated average burden associated
with this collection of information is 0.83 hours per response, depending on individual circumstances. Comments concerning the
accuracy of this burden estimate and suggestions for reducing the burden should be sent to Suzanne Plimpton, Reports Clearance
Officer for OMB 3145-0199, NSF/OGC, 4201Wilson Boulevard, Arlington, VA 22230.

Annual Institution of Higher Education (IHE) Participant Survey
For the [INSERT SCHOOL YEAR] School Year

To be completed and submitted by November XX, 200X.
The National Science Foundation (NSF) is collecting annual information about each of its Math and
Science Partnership (MSP) projects. The purpose is to assess the overall implementation of the MSP
program and to monitor the progress of individual MSP grants.
This form is designed to obtain information from each STEM and education faculty member and
administrator who has participated in the MSP program. For the purposes of this collection, this includes
any faculty member or administrator who was (1) directly supported by the MSP grant, and/or (2) directly
participated in the development or implementation of MSP-related activities.
If you have any questions about the MSP Management Information System, please contact:
Molly Hershey-Arista
1-800-937-8281, ext. 4908
[email protected]
We estimate that it will take approximately 45 minutes of your time to complete this survey.
Thank you in advance for completing this survey.
INSTRUCTIONS FOR COMPLETING THE SURVEY
Faculty support and expertise are at the nucleus of the MSP enterprise as it seeks to improve teacher
quality and to increase student achievement in mathematics and science throughout the United States. We
have constructed this survey to give you the flexibility to respond in general and in detail relative to your
level of involvement.
Neither NSF nor the Federal Government will maintain names or contact information associated with this
survey. However, this information is held by the awardee institution.
Please answer the following questions with the most appropriate response. You may cut and paste text
into this system.
It is recommended that you review the Primer (which can be accessed electronically by clicking on
"Help" in the menu on the top of the page) before beginning the survey. The Primer provides
general instructions and navigation information.
As you are completing the survey, please click the Save & Continue button after you respond to each
item/set of items. Once an item or item set is saved, you may use the Question Guide to return to an item
and revise your response. If you exit the system without saving, you will lose any unsaved data.
When you are ready to submit your data to NSF, please click the Submit button at the end of the form.
You will no longer have access to this survey after a Final Submit has been made.

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1. Identification (ID) Number: pre-filled
2.

Institution of Higher Education (IHE) Name: pre-filled

3. Primary IHE Department: __________________
4. Secondary IHE Department: (if applicable) __________________
5. Gender: (Check one response)

 Male
 Female
6. Which of the following categories describes your ethnicity? (Check one response)

 Hispanic or Latino 1
 Not Hispanic or Latino
7. Which of the following categories describes your race? (Check one or more)







American Indian or Alaska Native 2
Asian 3
Black or African American 4
Native Hawaiian or Other Pacific Islander 5
White 6

1

Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin,
regardless of race.

2

American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America
(including Central America), and who maintains tribal affiliation or community attachment.

3

Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent
including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and
Vietnam.

4

Black or African American: A person having origins in any of the black racial groups of Africa.

5

Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or
other Pacific islands.

6

White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

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8. Use the list below to identify your primary fields of research and instruction during the
[INSERT SCHOOL YEAR] school year:

Fields of Research and Instruction

Primary Field of
Research
(Check one)

Primary Field of
Instruction
(Check one)

Astronomy
Atmospheric Sciences
Biological Sciences
Chemistry
Computer Science
Education (specify area of education - from drop-down menu) 1
Engineering
Geosciences
Mathematical Sciences
Ocean Sciences
Physics
Not Applicable (e.g., IHE administrators with no primary research
or instructional responsibilities)
Other (specify): _____________________________________

1

Drop-down menu will include the following options: Science, Technology, Engineering and Mathematics (STEM) Education,
Early Childhood Education, Elementary Education, Middle Childhood Education, Secondary Education, Special Education,
Distance Learning, Educational/Instructional Media Design, Educational Leadership and Administration, Curriculum and
Instruction, Counseling and Guidance, Educational Assessment, Evaluation, and Research, Educational Psychology, Social and
Philosophical Foundations of Education, and Other.

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9. What is your tenure status? (Check one response)






Tenured
On tenure track
Not on tenure track
Not applicable to my position/at my institution

10. Which of the following best describes your title or faculty rank during the [INSERT
SCHOOL YEAR] school year? (Check one response)













Professor
Associate Professor
Assistant Professor
Instructor
Lecturer
Adjunct Faculty
Administrator with instructional and/or research responsibilities (e.g., deans, department chairs)
Administrator with no instructional or research responsibilities (e.g., director of research center)
Other (specify): ______________________________________________________________
Not applicable at this institution
Not applicable for my position

11. Was the [INSERT SCHOOL YEAR] school year the first time you had been involved in
efforts to reform or enhance K-12 instructional practices? (Check one response)
 Yes
 No
12. Which of the following areas of activities were you involved in during the [INSERT
SCHOOL YEAR] school year? Click on an activity area to preview the definition and list of
example activities. (You must select at least one of the following options. Check all that apply)
 Pre-service
 In-service
 Management and/or Other MSP-related activities
13. Estimate the number of hours you spent on your institution’s MSP during the [INSERT
SCHOOL YEAR] school year? (Check one response)








Less than 20 hours
20-40 hours
41-80 hours
81-160 hours
161-200 hours
More than 200 hours

Note: For each area of activity that is checked for item 12, the respondent will be prompted to
complete a corresponding item set (Q14a-c); however, the system will generate an abbreviated
version of the survey and prompt the respondent to skip Q14a-c if the respondent checks “Less
than 20 hours” or “20-40 hours” for item 13.

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14a.

Using the table below, identify the MSP Pre-service Activities that you participated in
during the [INSERT SCHOOL YEAR] school year:
Did you participate
in this activity
during the
[INSERT
SCHOOL YEAR]
school year?

Pre-service Activities

a) Participate in pre-service recruitment activities (e.g., encourage teaching as
a career by speaking at STEM/minority undergraduate clubs, participating in high
school career fairs, providing teaching assistant positions for STEM
undergraduates)

Yes/No

b) Provide pre-service students with experience in K-12 classroom settings
before formal student teaching (e.g., an internship experience; teaching at a
summer STEM camp; shadowing; tutoring)

Yes/No

c) Provide pre-service students with opportunities to participate in local
school district in-service activities (e.g., in-service summer institutes or ongoing
LEA professional development)

Yes/No

d) Teach or co-teach a pre-service STEM content course

Yes/No

e) Involve K-12 master teachers in pre-service program (e.g., co-teach with a
K-12 master teacher)

Yes/No

Narrative 1

f) Design pre-service STEM courses specifically for elementary/middle/high
school teacher certification programs
Courses were designed for: (check all that apply)
 Elementary school certification
 Middle school certification
 High school certification

Yes/No

g) Develop an innovation as part of a traditional pre-service course

Yes/No

h) Develop/revise pre-service courses to align with national, state and/or local
standards

Yes/No

i) Participate in efforts to link the pre-service process to national teacher
certification activities (e.g., the National Board Certification process)

Yes/No

j) Mentor pre-service students

Yes/No

k) Other (specify):

1

Note: After completing the Yes/No column, the respondent will be prompted to: Provide a brief description (i.e.,
2-3 sentences) of your role in each activity listed below. The primer will provide an example of an appropriate
response.

6

14b.

Using the table below, identify the MSP In-service (K-12) Activities that you participated in
during the [INSERT SCHOOL YEAR] school year:
Did you participate
in this activity
during the
[INSERT
SCHOOL YEAR]
school year?

In-service (K-12) Activities

a) Align K-12 mathematics and science curricula to other courses/standards
(e.g., align to state standards; align to IHE expectations)

Yes/No

b) Conduct a review of K-12 course curricula (e.g., update curricula based on
current research; review curricula for content accuracy)

Yes/No

c) Conduct workshops/institutes/courses with K-12 teachers that increase
general content and/or pedagogical knowledge (e.g., teach at a summer science
institute; conduct a workshop on cognitive science and its impact on instruction)

Yes/No

d) Conduct targeted workshops/institutes/courses with K-12 teachers (e.g.,
teach at a summer science institute that is specifically linked to the curriculum/text
used at partner schools)

Yes/No

Narrative 1

e) Design STEM courses specifically for elementary/middle/high school
teacher certification programs

1

Courses were designed for: (check all that apply)
 Elementary school certification
 Middle school certification
 High school certification

Yes/No

f) Support adjunct positions for K-12 master teachers at your IHE

Yes/No

g) Establish/provide externship opportunities for K-12 teachers

Yes/No

h) Remain “on call” for classroom teachers (e.g., communicate with K-12
teachers via email or telephone to clarify a concept or content issue)

Yes/No

i) Mentor a K-12 teacher in a shared discipline

Yes/No

j) Establish/provide STEM learning communities/study groups (e.g., lesson
study groups; discipline dialogues)

Yes/No

k) Provide traditional STEM courses at alternative venues (e.g., students take
credit bearing courses at a local science museum or university)

Yes/No

l) Develop/re-design traditional STEM units or courses for in-depth
immersion in a single topic (e.g., restructure school schedules and classroom
time to allow for concentration on a single topic)

Yes/No

Note: After completing the Yes/No column, the respondent will be prompted to: Provide a brief description (i.e.,
2-3 sentences) of your role in each activity listed below. The primer will provide an example of an appropriate
response.

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m) Help K-12 schools utilize computer-communications technology for
challenging course delivery (e.g., teach an Advanced Placement (AP) course via
video-conferencing)

Yes/No

n) Help K-12 teachers utilize technology for course content innovation (e.g.,
mathematical modeling; online science experiments; access to digital images on
online libraries)

Yes/No

o) Participate in activities that motivate K-12 student participation in
challenging mathematics and science courses (e.g., present a hands-on event at
a K-12 school; take part in a “Meet the Scientist” night)

Yes/No

p) Work one-on-one with K-12 students (e.g., to encourage students who have
an interest in STEM disciplines)

Yes/No

q) Participate in activities that encourage high school students to enroll in
IHE courses (e.g., create a system that allows students to enroll in an IHE course
and earn both high school and college credits)

Yes/No

r) Other (specify):

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14c.

Using the table below, identify the Management and other MSP-related Activities that you
participated in during the [INSERT SCHOOL YEAR] school year:
Did you participate
in this activity
during the
[INSERT
SCHOOL YEAR]
school year?

Management and Other MSP-related Activities

a) Serve as a member of the partnership management structure (e.g., help
develop a strategic plan, participate in monthly MSP management meetings)

Yes/No

b) Help develop joint databases or facilitate data sharing between K-12 and
IHE partners

Yes/No

c) Help create formal links between all MSP core partners (e.g., establish
connections between high school STEM departments and corresponding
disciplinary fields at your IHE)

Yes/No

d) Help align teacher certification program requirements among partner
IHEs (e.g., adopt a common course numbering or sequencing system)

Yes/No

e) Participate in the development of policies to reward IHE disciplinary
faculty for their involvement in K-12 education (e.g., policies and incentives in
support of promotion or tenure)

Yes/No

f) Conduct research on teaching and learning in math and science (e.g.,
effective practices for pre-service and in-service education programs)

Yes/No

g) Enlist support from STEM industry/business personnel who work in
disciplinary fields related to your own

Yes/No

h) Attend National MSP conferences (e.g., NSF required conferences)

Yes/No

i) Work on project-related evaluation activities or with RETA projects

Yes/No

Narrative 1

j) Other (specify):

1

Note: After completing the Yes/No column, the respondent will be prompted to: Provide a brief description (i.e.,
2-3 sentences) of your role in each activity listed below. The primer will provide an example of an appropriate
response.

9

15. Please briefly describe (i.e., one paragraph) your most significant contribution(s) to your
own MSP project during the [INSERT SCHOOL YEAR] school year.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

16. Please briefly describe (i.e., one paragraph) any knowledge or experience that you have
gained through your participation in MSP—and how this knowledge influenced your
instruction or research during the [INSERT SCHOOL YEAR] school year.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

17. Did you receive any MSP-sponsored professional development during the [INSERT

SCHOOL YEAR] school year to provide you with the skills needed to perform your MSP
responsibilities (e.g., working with K-12 teachers)?

 Yes 1
 No
18. Has your disciplinary research been influenced by your participation in MSP?

 Yes 2
 No

Thank you for your observations and participation in the MSP review process.

1

If respondent says yes, respondent will be asked: Please briefly describe (i.e., one paragraph) these professional development activities,
including (1) who provided these professional development activities, (2) the topics covered by these professional development activities,
and (3) your assessment of whether these professional development activities improved your ability to perform your Institute
responsibilities.

2

If respondent says yes, respondent will be asked: Please briefly describe how your disciplinary research has been influenced by your
participation in MSP.

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