Annual K-12 District Survey

NSF Math and Science Partnership Program Monitoring System

Attachment D - Annual K-12 District Survey (10-14-15)

Annual K-12 District Survey

OMB: 3145-0199

Document [pdf]
Download: pdf | pdf
Attachment D
Annual K–12 District Survey

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

Math and Science Partnership Program
Annual K-12 District 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 50 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 K-12 District Survey
The National Science Foundation (NSF) is conducting a survey 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 survey has been designed to collect information about each K-12 school district that is serving as a
lead, core or supporting partner in the Math and Science Partnership (MSP) Program. It may be
completed by the PI or someone designated by the PI to complete individual sections (e.g., K-12 school
district representatives, a project evaluator).
Instructions for Completing the Survey
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. Once an item or section is saved, you may use the menu below or the Question Guides to return to
an item and revise your response. If you exit the system without saving, you will lose any unsaved data.
Do not leave any cell in a table blank. There are two ways to indicate that some or all of the information
on a given table is currently not available:


For some tables in this survey, there is a checkbox to indicate that your project is unable to provide
ANY of the requested information for the ENTIRE table. Checking this box will allow you to skip
the entire item.



On all tables, enter an “X” in each cell where information is not currently available (e.g., the number
of students taking an assessment cannot be disaggregated by race). Use an “X” when some, but not
all information on a table is obtainable. Only enter “0” when it is the actual number that you wish to
report for a given cell (e.g., to report that there are no Asian math teachers at the school).

Please complete and submit each of the following sections as they pertain to the following K-12
school district by November XX, 20XX: [Insert Name of School District]
Contact Information

District-level Information for the
[INSERT SCHOOL YEAR] School Year

School-level Information

Report Status: Not Complete
If you have any questions about how to respond to a particular item you should contact your principal investigator.
Questions about how to navigate the system should be referred to:
Molly Hershey-Arista
1-800-937-8281, ext. 4908
[email protected]
Westat
1550 Research Boulevard
Rockville, Maryland 20850
2

Contact Information
This section obtains information on the individual who should be contacted for any follow-up
questions about this submission.
1. Provide the following contact information for the individual primarily responsible for
completing this survey:
Name:

_________________________________________________________________

Title:

_________________________________________________________________

Street address:

_________________________________________________________________

City:

_________________________________________________________________

State:

_________________________________________________________________

Zip code:

_________________________________________________________________

Phone number:

_________________________________________________________________

Fax number:

_________________________________________________________________

E-mail:

_________________________________________________________________

3

District-level Information
This section obtains information on the number of individuals in each K-12 school district that
participated in your MSP during the [INSERT SCHOOL YEAR] school year and information on
the number of K-12 teachers and administrators in your K-12 school district that received
professional development.

1. Indicate the number of K-12 participants in your district who were involved in the development
and/or delivery of MSP activities during the [INSERT SCHOOL YEAR] school year:

 Check this box if you cannot provide ANY of the information on this ENTIRE table, then click
on the Save & Continue button below. 1

If ANY information on this table is available, complete as many cells as possible and type an “X”
in each cell for which information is unavailable.
NOTE—Count only those K-12 participants who were involved in the development and/or delivery of MSP
activities, such as:





Co-teaching a pre-service course at a partner IHE
Revising challenging course curricula to align with state standards
Presenting at a summer institute

Do NOT count K-12 participants who were recipients of an MSP activity, such as:





Guidance counselors who received professional development
New K-12 teachers who took part in an induction program
K-12 administrators who attended a weekend seminar

Do NOT double count participants—e.g., if a guidance counselor is also a teacher, do not count that individual
twice—classify that individual based on his or her primary role.
Number
Teachers
Principals, vice principals and assistant principals
Instructional coordinators and supervisors (e.g., curriculum specialists)
Guidance counselors
District-level administrators/staff
Other (specify):

1

Note: Question is complete if checked.

4

2. Provide the following information about the amount of MSP-supported professional development
received by K-12 teachers and school-level administrators in your district during the [INSERT
SCHOOL YEAR] school year.

 Check this box if you cannot provide ANY of the information on this ENTIRE table, then click on the Save &
Continue button below. 2

If ANY information on this table is available, complete as many cells as possible and type an “X” in each cell
for which information is unavailable.
NOTE—assign only one classification for teachers that provide instruction in both math and science and/or more
than one school level—do not report on any individual teacher more than once.
Elementary
School 3

Middle School
Math

Science

High School
Math

Science

Total number of K-12 teachers participating in
MSP-supported professional development during
the [INSERT SCHOOL YEAR] school year
1-20 hours
21-40 hours
Number of K-12
teachers receiving:

41-80 hours
81-120 hours
121-160 hours
161 or more hours

Total number of school-level administrators
participating in MSP-supported professional
development during the [INSERT SCHOOL
YEAR] school year
1-20 hours
21-40 hours
Number of schoollevel administrators
receiving:

41-80 hours
81-120 hours
121-160 hours
161 or more hours

2

Note: Question is complete if checked.

3

For elementary schools, this includes regular classroom teachers who teach math, science and a variety of other subjects. It can also include
math and science resource teachers and special education teachers. Do not include specialized teachers (e.g., art, music, physical education)
who do not teach math or science as part of their regular assignments.

5

3. Provide the following information about the amount of MSP-supported professional development
received by K-12 teachers and school-level administrators in your district since the beginning of
your MSP.

 Check this box if you cannot provide ANY of the information on this ENTIRE table, then click on the Save &
Continue button below. 4

If ANY information on this table is available, complete as many cells as possible and type an “X” in each cell
for which information is unavailable.
NOTE—assign only one classification for teachers that provide instruction in both math and science and/or more
than one school level—do not report on any individual teacher more than once.
Elementary
School 5

Middle School
Math

Science

High School
Math

Science

Total number of K-12 teachers participating in
MSP-supported professional development since the
beginning of your MSP
1-20 hours
21-40 hours
Number of K-12
teachers receiving:

41-80 hours
81-120 hours
121-160 hours
161 or more hours

Total number of school-level administrators
participating in MSP-supported professional
development since the beginning of your MSP
1-20 hours
21-40 hours
Number of schoollevel administrators
receiving:

41-80 hours
81-120 hours
121-160 hours
161 or more hours

4

Note: Question is complete if checked.

5

For elementary schools, this includes regular classroom teachers who teach math, science and a variety of other subjects. It can also include
math and science resource teachers and special education teachers. Do not include specialized teachers (e.g., art, music, physical education)
who do not teach math or science as part of their regular assignments.

6

School-level Information
This section obtains key information (i.e., school name, NCES ID, etc.) on ALL K-12 schools that
are participating in your MSP. Additional information about teacher and student characteristics,
course enrollment and student achievement data will be collected for those schools that have
participated extensively in your MSP.

For the purposes of this collection, a participating school is any school in this district that has worked
with your MSP in ANY CAPACITY since funding began. In completing this section, please include
ALL participating schools.
NOTE—this section contains several skip patterns, i.e., there may be one or more items that you are not
required to complete for a given school. These items will be marked with an "X" in the question guide
Do not leave any cell in a table blank. There are two ways to indicate that some or all of the information
on a given table is currently not available:


For some tables in this section, there is a checkbox to indicate that your project is unable to provide
ANY of the requested information for the ENTIRE table. Checking this box will allow you to skip
the entire item.



On all tables, enter an “X” in each cell where information is not currently available (e.g., the number
of students taking an assessment cannot be disaggregated by race). Use an “X” when some, but not
all information on a table is obtainable. Only enter “0” when it is the actual number that you wish to
report for a given cell (e.g., to report that there are no Asian math teachers at the school).

7

Provide the following information for each school that has worked with your MSP in ANY
CAPACITY:
a. School Name:
b. NCES School ID:
c. School Level: (check the one that best applies to this school)





Elementary
Middle
High
Ungraded

d. Grade Levels at this school: (check all that apply)6









Pre-K
K
1
2
3
4
5
6








7
8
9
10
11
12

Grade Levels targeted at this school by MSP: (check all that apply)









6

Pre-K
K
1
2
3
4
5
6








7
8
9
10
11
12

Respondents will be asked to provide information for the grade levels at the school that are equal to or greater than the grade levels targeted by
the MSP (e.g., if a K-8 school is targeting grades 6-8, the respondent would provide information for grades 6-8. If a 9-12 school is targeting
grades 9 and 10, the respondent would provide information for grades 9-12). If respondent selects grades in the “targeted” table that are not
selected in the “at school” table, respondent will receive an error message. The targeted grades are a subset of the grade levels at the school.

8

If Elementary or Ungraded is selected in Qc AND any combination of Pre-K through 6 in Qd, then SKIP Qe and f
OR if Middle or High is selected in Qc AND any combination of 6-12 in Qd, then SKIP Qe and f.

e. Does this school have self-contained classroom teachers (i.e., teachers who provide instruction
to one group of students in many or all subject areas)?
Note—do NOT select yes if the only teachers who teach more than one subject at this school are special
education teachers.

 Yes
 No
f.

Does this school have teachers who only teach math or science?
 Yes
 No

9

A. (part 1) Did your MSP work directly or indirectly with this school during the [INSERT
SCHOOL YEAR] school year?
 Yes
 No, school closed (If this response option is selected SKIP part 2 and questions 1-8)
 No, other reasons
A. (part 2) Which of the following conditions apply to this school? (check all that apply)
For the purposes of this collection, the term "targeted" refers to those teachers and students who are
expected to be directly impacted by your MSP. For example, if your project is focusing on
mathematics in grades 7 and 8, you would determine if 30 percent or more of a school's 7th and 8th
grade mathematics teachers had participated in 30 or more hours of MSP-sponsored activities in the
previous school year (as opposed to 30 percent of all teachers at the school).
 30 percent or more of targeted teachers participated in 30 or more hours of MSP-sponsored
activities during the [INSERT SCHOOL YEAR] school year.
 30 percent or more of targeted students were engaged in a challenging mathematics or science
curriculum that was initiated or revised with MSP support during the [INSERT SCHOOL
YEAR] school year.
 30 percent or more of targeted students participated in a MSP-supported academic enrichment
activity during the [INSERT SCHOOL YEAR] school year.
 None of the above conditions apply to this school for the [INSERT SCHOOL YEAR] school
year. (If this response option is selected SKIP questions 1-8 7)

NOTE—the column headings for Q1 and 2 will be determined by your responses to Qc-f
and your project’s subject focus (math only, science only or math and science).

7

Respondents will complete questions 1-8 if one of the other three response options was selected in a previous collection year.

10

1.

Provide the following information about the TOTAL number of teachers in [NAME OF SCHOOL] at
the beginning of the [INSERT SCHOOL YEAR] school year:
Enter an “X” in ALL cells where information is currently not available.
NOTE—DO NOT report on any individual teacher more than once in a given row.

Self-contained
Classroom Teachers 8

Math Teachers

Science Teachers

(auto total)

(auto total)

(auto total)

(auto total)

(auto total)

(auto total)

Total
Gender
Male
Female
Not Reported
Race/Ethnicity
Race Not Reported

9

American Indian or Alaska Native
Asian
Black or African American

Hispanic
or Latino

Native Hawaiian or Other Pacific Islander
White
More than One Race Reported
SUB-TOTAL: Hispanic or Latino
American Indian or Alaska Native

NOT
Hispanic or
Latino

Asian

OR

Native Hawaiian or Other Pacific Islander

Ethnicity
NOT
Reported 10

White

Black or African American

More than One Race Reported
SUB-TOTAL: Non-Hispanic or Latino

Neither Race nor Ethnicity Reported

11

8

For elementary schools (and some middle schools), this includes regular classroom teachers who teach math, science and a variety of other
subjects. It can also include math and science resource teachers and special education teachers. Do not include specialized teachers (e.g., art,
music, physical education) who do not teach math or science as part of their regular assignments.

9

Use “Race Not Reported” to provide information about Hispanic or Latino teachers for whom race is not reported or unknown.

10

Use “NOT Hispanic or Latino OR Ethnicity NOT Reported” to provide race information for those teachers (1) who are not Hispanic or Latino,
or (2) for whom ethnicity is not reported or unknown.

11

Use “Neither Race nor Ethnicity Reported” for those teachers for whom both race and ethnicity are unknown.

11

2. Using the definition for “participating teachers” below, provide the following information about the
number of teachers in [NAME OF SCHOOL] that actively participated in your MSP during the
[INSERT SCHOOL YEAR] school year:
Enter an “X” in ALL cells where information is currently not available.
NOTE—DO NOT report on any individual teacher more than once in a given row.
Definition for participating teachers: Those teachers who have participated in 30 or more hours of MSP-sponsored
activities during a given school year. Examples include teachers who (1) developed or delivered a MSP-sponsored activity
to K-12 students or other teachers, (2) participated in a MSP-sponsored effort to revise mathematics or science
curriculum, (3) received MSP-sponsored professional development, and/or (4) took part in MSP-related learning
communities.
Self-contained
Classroom
Teachers 12

Math Teachers

Science Teachers

(auto total)

(auto total)

(auto total)

(auto total)

(auto total)

(auto total)

Total
Gender
Male
Female
Not Reported
Race/Ethnicity
Race Not Reported

13

American Indian or Alaska Native
Asian
Black or African American

Hispanic
or Latino

Native Hawaiian or Other Pacific Islander
White
More than One Race Reported
SUB-TOTAL: Hispanic or Latino
American Indian or Alaska Native

NOT
Hispanic or
Latino

Asian

OR

Native Hawaiian or Other Pacific Islander

Ethnicity
NOT
Reported 14

White

Black or African American

More than One Race Reported
SUB-TOTAL: Non-Hispanic or Latino

Neither Race nor Ethnicity Reported

15

12

For elementary schools (and some middle schools), this includes regular classroom teachers who teach math, science and a variety of other
subjects. It can also include math and science resource teachers and special education teachers. Do not include specialized teachers (e.g., art,
music, physical education) who do not teach math or science as part of their regular assignments.

13

Use “Race Not Reported” to provide information about Hispanic or Latino teachers for whom race is not reported or unknown.

14

Use “NOT Hispanic or Latino OR Ethnicity NOT Reported” to provide race information for those teachers (1) who are not Hispanic or Latino,
or (2) for whom ethnicity is not reported or unknown.

12

3.

Provide the following information about student enrollment for each grade at [NAME OF
SCHOOL] in the beginning of the [INSERT SCHOOL YEAR] school year.
To provide information on a grade level, click on the link in the matrix (in the column titled Grade
Level).

Grade Level

Information Complete

(yes or no)

Pre-Kindergarten
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Other

If you have entered information on all grade levels (indicated by a checkmark in the Information Complete
column) proceed to the next question by clicking on the Save & Continue button below.

15

Use “Neither Race nor Ethnicity Reported” for those teachers for whom both race and ethnicity are unknown.

13

3 (continued). Provide the following information about the total number of students at this grade level that
were enrolled in [NAME OF SCHOOL] at the beginning of the [INSERT SCHOOL YEAR] school year:
Enter an “X” in ALL cells where information is currently not available.
NOTE—provide information about all students in the school-regardless of whether those students or their teachers
participated in the MSP during the previous school year.
Grade Level: (from matrix)
Total Number of Students

(at the beginning of the [INSERT SCHOOL YEAR] school year)

Total
Gender
Male
Female
Not Reported
Race/Ethnicity
Race Not Reported

16

American Indian or Alaska Native
Asian
Hispanic
or Latino

Black or African American
Native Hawaiian or Other Pacific Islander
White
More than One Race Reported
(auto total)

SUB-TOTAL: Hispanic or Latino
NOT
Hispanic or
Latino

American Indian or Alaska Native
Asian
Black or African American

OR

Native Hawaiian or Other Pacific Islander

Ethnicity
NOT
Reported 17

White
More than One Race Reported
(auto total)

SUB-TOTAL: Non-Hispanic or Latino

Neither Race nor Ethnicity Reported

18

Students participating in the National School Lunch Program 19
Special Education Students
Limited English Proficiency Students

16

Use “Race Not Reported” to provide information about Hispanic or Latino students for whom race is not reported or unknown.

17

Use “NOT Hispanic or Latino OR Ethnicity NOT Reported” to provide race information for those students (1) who are not Hispanic or Latino,
or (2) for whom ethnicity is not reported or unknown.

18

Use “Neither Race nor Ethnicity Reported” for those students for whom both race and ethnicity are unknown.

19

Students receiving free or reduced price lunch.

14

4. Check one of the following: 20
 Level 1 math is not currently being offered at this school to students prior to and/or during the 8th
grade. 21
 Level 1 math is currently offered at this school to students prior to and/or during the 8th grade—
and information on student enrollment AND completion can be provided at this time. 22
 Level 1 math is currently offered at this school to students prior to and/or during the 8th grade—
but information on student enrollment AND completion will not be available until a later date. 23
 Level 1 math is currently offered at this school to students prior to and/or during the 8th grade—
but information on student enrollment AND completion cannot be made available to NSF. 24

20

This question will only be required for schools with an 8th grade in projects that are designed to address math.

21

Note: Question 4 is complete if checked.

22

Note: Respondent completes Question 4a table if checked.

23

Note: Respondent is asked follow-up question if checked: “When can this data be reported?” Respondents are given a drop down menu for
month and year.

24

Note: Question 4 is complete if checked. In a warning message, respondent is prompted to explain WHY data cannot be made available to
NSF in the generic text box for the K-12 District Survey.

15

4a. Provide student enrollment and completion data for the Level 1 math courses offered in [NAME
OF SCHOOL]: 25
Enter an “X” in ALL cells where information is currently not available.
NOTE—includes students enrolled in the following courses Algebra 1; Elementary; Beginning; Unified Math 1;
Integrated Math 1; Algebra 1B (second year of two-year sequence for Algebra 1); Math B.
Number of 8th grade students
enrolled in a Level 1 math
course prior to or during the
[INSERT SCHOOL YEAR]
school year

Number of 8th grade students
who passed/received credit for
a Level 1 math course prior to
or during the [INSERT
SCHOOL YEAR] school year

Total
Gender
Male
Female
Not Reported
Race/Ethnicity
Race Not Reported

26

American Indian or Alaska Native
Asian
Hispanic
or Latino

Black or African American
Native Hawaiian or Other Pacific Islander
White
More than One Race Reported
SUB-TOTAL: Hispanic or Latino

NOT
Hispanic or
Latino

(auto total)

(auto total)

(auto total)

(auto total)

American Indian or Alaska Native
Asian
Black or African American

OR

Native Hawaiian or Other Pacific Islander

Ethnicity
NOT
Reported 27

White
More than One Race Reported
SUB-TOTAL: Non-Hispanic or Latino

Neither Race nor Ethnicity Reported

28

25

This question will only be required for schools with an 8th grade in projects that are designed to address math.

26

Use “Race Not Reported” to provide information about Hispanic or Latino students for whom race is not reported or unknown.

27

Use “NOT Hispanic or Latino OR Ethnicity NOT Reported” to provide race information for those students (1) who are not Hispanic or Latino,
or (2) for whom ethnicity is not reported or unknown.

28

Use “Neither Race nor Ethnicity Reported” for those students for whom both race and ethnicity are unknown.

16

5.

Provide student enrollment and completion data for each of the following science courses
offered in [NAME OF SCHOOL] 29 during the [INSERT SCHOOL YEAR] school year:
To provide information on a course type, click on the link in the matrix.
For courses that are not offered, click on the link and indicate course not offered on the next screen.

Course Type

Common Course Names

Information Complete?

Biology 1st Year

Biology I; General; College Preparation; Regents; Introductory;
BSCS I

(yes or no)

Chemistry 1st Year
Physics 1st Year
Earth Science
Integrated Science

29

Chemistry I; General; Introductory; Regents
Physics I; General; Regents; Introductory
Earth Science; Earth-Space Science; Regents Earth Science;
Space Science; Aerospace Science
SS&C; Project 2061; Integrated Science 9, 10; Unified;
Comprehensive Ideas of Investigations in Science; Life/Physical
Science; Earth/Life/ Physical Science; Coordinated Science.

AP/IB Biology

Advanced Placement and International Baccalaureate exams

AP Chemistry

Advanced Placement and International Baccalaureate exams

AP Physics

Advanced Placement and International Baccalaureate exams

This information will only be required for high schools in projects that are designed to address science.

17

5. Check one of the following:
 [INSERT COURSE NAME] is not currently being offered at this school. 30
 [INSERT COURSE NAME] is currently offered at this school and information on student
enrollment AND completion can be provided at this time. 31
 [INSERT COURSE NAME] is currently offered at this school, but information on student
enrollment AND completion will not be available until a later date. 32
 [INSERT COURSE NAME] is currently offered at this school, but information on student
enrollment AND completion cannot be made available to NSF. 33

30

Note: Question 5 is complete for this course if checked.

31

Note: Respondent completes Question 5a table if checked.

32

Note: Respondent is asked follow-up question if checked: “When can this data be reported?” Respondents are given a drop down menu for
month and year.

33

Note: Question 5 is complete for this course if checked. In a warning message, prompt respondent to explain WHY data cannot be made
available to NSF in the generic text box for the K-12 District Survey.

18

5a. Course Type: (from matrix)
Enter an “X” in ALL cells where information is currently not available.
NOTE—students who completed multiple courses in a given category should be counted as many times as
applicable.
Number of students enrolled
in this course at any time
during the [INSERT SCHOOL
YEAR] school year

Number of enrolled students
who passed/received credit for
this course during the
[INSERT SCHOOL YEAR]
school year

Total
Gender
Male
Female
Not Reported
Race/Ethnicity
Race Not Reported

34

American Indian or Alaska Native
Asian
Hispanic
or Latino

Black or African American
Native Hawaiian or Other Pacific Islander
White
More than One Race Reported
SUB-TOTAL: Hispanic or Latino

NOT
Hispanic or
Latino

(auto total)

(auto total)

(auto total)

(auto total)

American Indian or Alaska Native
Asian
Black or African American

OR

Native Hawaiian or Other Pacific Islander

Ethnicity
NOT
Reported 35

White
More than One Race Reported
SUB-TOTAL: Non-Hispanic or Latino

Neither Race nor Ethnicity Reported

36

34

Use “Race Not Reported” to provide information about Hispanic or Latino students for whom race is not reported or unknown.

35

Use “NOT Hispanic or Latino OR Ethnicity NOT Reported” to provide race information for those students (1) who are not Hispanic or Latino,
or (2) for whom ethnicity is not reported or unknown.

36

Use “Neither Race nor Ethnicity Reported” for those students for whom both race and ethnicity are unknown.

19

6. Provide student enrollment and completion data for each of the following math courses
offered in [NAME OF SCHOOL] 37 during the [INSERT SCHOOL YEAR] school year:
To provide information on a course type, click on the link in the matrix.
For courses that are not offered, click on the link and indicate course not offered on the next screen.

Course Type

Common Course Names

Information Complete?

Level 1 Mathematics

Algebra 1; Elementary; Beginning; Unified Math 1; Integrated Math 1;
Algebra 1B (second year of two-year sequence for Algebra 1); Math B

(yes or no)

Level 2 Mathematics

Geometry; Plane Geometry; Integrated Math 2; Unified Math II; Math
C

Level 3 Mathematics

Level 4 Mathematics

Level 5 Mathematics

Algebra 2; Intermediate Algebra; Algebra and Trigonometry;
Advanced Algebra; Algebra and Analytic Geometry; Integrated Math
3; Unified Math III
Trigonometry; College Algebra; Algebra 3; Pre-calculus;
Analytic/Advanced Geometry; Trigonometry and Analytic/Solid
Geometry; Advanced Math Topics; Introduction to College Math;
Number Theory; Math IV; College Preparation Senior. Math;
Elementary Functions; Finite Math; Math Analysis; Numerical
Analysis; Discrete Math; Probability; Statistics
Calculus and Analytic Geometry; Calculus; Abstract Algebra;
Differential Equations; Multivariate Calculus; Linear Algebra; Theory
of Equations; and Vectors/Matrix Algebra

AP Calculus (AB)

AP Calculus (BC)

AP Statistics

37

This information will only be required for high schools in projects that are designed to address math.

20

6. Check one of the following:
 [INSERT COURSE NAME] is not currently being offered at this school. 38
 [INSERT COURSE NAME] is currently offered at this school and information on student
enrollment AND completion can be provided at this time. 39
 [INSERT COURSE NAME] is currently offered at this school, but information on student
enrollment AND completion will not be available until a later date. 40
 [INSERT COURSE NAME] is currently offered at this school, but information on student
enrollment AND completion cannot be made available to NSF. 41

38

Note: Question 6 is complete for this course if checked.

39

Note: Respondent completes Question 6a table if checked.

40

Note: Respondent is asked follow-up question if checked: “When can this data be reported?” Respondents are given a drop down menu for
month and year.

41

Note: Question 6 is complete for this course if checked. In a warning message, prompt respondent to explain WHY data cannot be made
available to NSF in the generic text box for the K-12 District Survey.

21

6a. Course Type: (from matrix)
Enter an “X” in ALL cells where information is currently not available.
NOTE—students who completed multiple courses in a given category should be counted as many times as
applicable.
Number of students enrolled
in this course at any time
during the [INSERT SCHOOL
YEAR] school year

Number of enrolled students
who passed/received credit for
this course during the
[INSERT SCHOOL YEAR]
school year

Total
Gender
Male
Female
Not Reported
Race/Ethnicity
Race Not Reported

42

American Indian or Alaska Native
Asian
Hispanic
or Latino

Black or African American
Native Hawaiian or Other Pacific Islander
White
More than One Race Reported
SUB-TOTAL: Hispanic or Latino

NOT
Hispanic or
Latino

(auto total)

(auto total)

(auto total)

(auto total)

American Indian or Alaska Native
Asian
Black or African American

OR

Native Hawaiian or Other Pacific Islander

Ethnicity
NOT
Reported 43

White
More than One Race Reported
SUB-TOTAL: Non-Hispanic or Latino

Neither Race nor Ethnicity Reported

44

42

Use “Race Not Reported” to provide information about Hispanic or Latino students for whom race is not reported or unknown.

43

Use “NOT Hispanic or Latino OR Ethnicity NOT Reported” to provide race information for those students (1) who are not Hispanic or Latino,
or (2) for whom ethnicity is not reported or unknown.

44

Use “Neither Race nor Ethnicity Reported” for those students for whom both race and ethnicity are unknown.

22

7. Provide student achievement data on all statewide math and science accountability assessments
administered at [NAME OF SCHOOL] during the [INSERT SCHOOL YEAR] school year.
NOTE—MSP projects with a Math Only or Science Only focus are still required to report on all math
AND science assessments administered at this school.
Only report on those accountability assessments that report percentage of students scoring at, above
or below a criterion (this includes assessments reporting a Pass/Fail score).

To add an assessment, click on the Add Assessment button below.
To provide or update information on an assessment, click on the link in the matrix (in the column
titled Assessment Name).
Assessment Name

Subject

Grade Level

Information Complete

(from Q7a)

(from Q7b)

(from Q7c)

(yes or no)

If there are no statewide accountability assessments to report for this school, please click the submit
button to the right.

23

7a.
7b.

Assessment Name:
What subject area does this assessment cover? (Check one response)
 Mathematics
 Science

7c.

What grade level does this assessment primarily cover? (Check one response)
 Drop-down menu determined by response to Qd
Was this assessment administered during the [INSERT SCHOOL YEAR] school year? (Check one
response) 45
 Yes
 No 46

7d.

What type of assessment is this? (Check one response)
 End-of-course exam 47
 Grade-level accountability assessment
 Other (specify): ______________________________________

7e.

Has this assessment been changed in the previous 12 months in such a manner that would preclude
comparisons with assessment data from previous years?
 No
 Yes 48

45

This question is asked only if assessment was entered in a previous year.

46

If checked, respondent will not be asked questions 7d – 7g about this assessment.

47

If checked, respondent will be asked: “You reported that the primary grade level this assessment covers is grade [INSERT GRADE
LEVEL FROM 7c]. If you can not report this assessment by grade level, check all additional grade levels of the students taking this
assessment. If you can report for each grade level separately or if students from only one grade took this assessment, please click the
Save & Continue button below.”

48

If yes, respondent will be asked: “Please describe any changes that have been made to this assessment in the previous 12 months that
preclude comparisons with assessment data from previous years.”

24

7f.

Can information about the students taking this assessment (i.e., number of students taking
assessment, number of students scoring above proficient, number of students scoring below
proficient) be provided at this time? (Check one response)
 Yes, information about students taking this assessment can be provided at this time. 49
 No, information about students taking this assessment can not be provided at this time, but will be
available at a later date. 50
 No, information about students taking this assessment cannot be made available to NSF. 51

49

Respondent completes Question 7g table if checked.

50

Respondent is asked follow-up question if checked: “When can this data be reported?” Respondents are given a drop down menu for month
and year.

51

Question 7 is complete if checked. In a warning message, respondent is prompted to explain WHY data cannot be made available to NSF in
the generic text box for the K-12 District Survey.

25

7g. Provide the following information about the number of students who took this assessment at [NAME
OF SCHOOL] during the [INSERT SCHOOL YEAR] school year:
If some information is available, complete as many cells as possible and use an “X” to indicate that information is not
available for a given cell.
Number of students at
this grade level taking
assessment during the
[INSERT SCHOOL
YEAR] school year

Number of students
taking assessment
scoring at or above
proficient level

Number of students
taking assessment
scoring below
proficient level

(auto total)

(auto total)

(auto total)

(auto total)

(auto total)

(auto total)

Total
Gender
Male
Female
Not Reported
Race/Ethnicity
Race Not Reported

52

American Indian or Alaska Native
Asian
Hispanic
or Latino

Black or African American
Native Hawaiian or Other Pacific Islander
White
More than One Race Reported
SUB-TOTAL: Hispanic or Latino
American Indian or Alaska Native

NOT
Hispanic or
Latino

Asian

OR

Native Hawaiian or Other Pacific Islander

Ethnicity
NOT
Reported 53

White

Black or African American

More than One Race Reported
SUB-TOTAL: Non-Hispanic or Latino

Neither Race nor Ethnicity Reported 54
Special Education Students
Limited English Proficiency Students

52

Use “Race Not Reported” to provide information about Hispanic or Latino students for whom race is not reported or unknown.
Use “NOT Hispanic or Latino OR Ethnicity NOT Reported” to provide race information for those students (1) who are not Hispanic or Latino,
or (2) for whom ethnicity is not reported or unknown.
54
Use “Neither Race nor Ethnicity Reported” for those students for whom both race and ethnicity are unknown.
53

26

8. Did this school meet Adequate Yearly Progress (AYP) for mathematics for the [INSERT SCHOOL
YEAR] school year?
NOTE: Adequate Yearly Progress—a measure of achievement growth in one year that must be demonstrated
by schools as defined by the Elementary and Secondary Education Act.





55

Yes
No
Information about AYP cannot be provided at this time, but will be available at a later date55
Information about AYP for this school is not available.

Respondent is asked follow-up question if checked: “When can this data be reported?” Respondents are given a drop down menu for month
and year.

27


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