Annual IHE Participant Survey for Institute MSPs

Attachment F
Annual Survey for IHE Institute Participants

OMB # 3145-0199
Expires: XXXX

Math and Science Partnership Program
Annual Survey for IHE Institute Participants

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, 4201 Wilson
Boulevard, Arlington, VA 22230.

Annual IHE Participant Survey for Institute MSPs
For the [INSERT SCHOOL YEAR] School Year

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 Institute program. For the purposes of this collection, this
includes any faculty member or administrator who participated in the planning or development of the
Institute or provides professional development or administrative services to Institute teacher leaders.
If you have any questions about the MSP Management Information System, please contact:
Holly Bozeman
1-800-937-8281, ext. 2619
[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.

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
 Choose not to respond
6. Which of the following categories describes your ethnicity? (Check one response)

 Hispanic or Latino 1
 Not Hispanic or Latino
 Choose not to respond
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
Choose not to respond

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.

3

8. Use the list below to identify your primary fields of research and instruction between
September [INSERT START YEAR] and August [INSERT END 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.

4

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 between September
[INSERT START YEAR] and August [INSERT END 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

5

11. Was the [INSERT SCHOOL YEAR] school year (i.e., between September [INSERT
START YEAR] and August [INSERT END 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 between September
[INSERT START YEAR] and August [INSERT END 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)

 Institute Planning and Development

 Summer Institute Activities
 Academic Year Institute Activities
 Management and/or Other MSP-related activities

13. Estimate the number of hours you spent on your institution’s MSP between September
[INSERT START YEAR] and August [INSERT END 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-d); however, the system will generate an abbreviated version of the survey and
prompt the respondent to skip Q14a-d if the respondent checks “Less than 20 hours” or “20-40 hours” for
item 13.

6

14a.

Using the table below, identify the MSP Institute Planning and Development Activities that
you participated in between September [INSERT START YEAR] and August [INSERT
END YEAR]:
Did you participate in
this activity between
September [INSERT
START YEAR] and
August [INSERT END
YEAR]?

Institute Planning and Development Activities

a) Collaborate with other IHE faculty to establish K-12 district needs,
Institute mission, and goals

Yes/No

b) Collaborate with school district stakeholders to establish K-12 district
needs, Institute mission, and goals

Yes/No

c) Conduct fact-finding activities to inform Institute curriculum development
(e.g., visits to area science or mathematics classes)

Yes/No

d) Align Institute curricula with other courses/standards (e.g., degree or
certification requirements, district standards, national, state and local mathematics
and science reform attempts)

Yes/No

e) Align curricula with recent research about mathematics and science
pedagogical methods.

Yes/No

f) Link the Institute work to national teacher certification activities or
advanced degree completion (e.g., the National Board Certification, Master’s
Degree)

Yes/No

g) Enlist expert individuals external to the MSP management to act as an
advisory committee (e.g., assist in evaluation/oversight of the project, review
Institute curricula)

Yes/No

h) Recruit graduate students to assist with Institute planning and instruction

Yes/No

i) Establish requirements for teacher leader participants (e.g., years of
experience, prior coursework, teaching observation ratings)

Yes/No

j) Conduct district/school/teacher recruiting activities (e.g., hold meetings with
chairs/department heads/administrators at K-12 schools, attend mathematics or
science conferences for K-12 teachers, establish communication with programs
that employ highly motivated teachers in mathematics and science)

Yes/No

k) Select teacher leaders (e.g., member of a selection committee)

Yes/No

Narrative 1

l) 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.

7

14b.

Using the table below, identify the Summer Institute Activities that you participated in
between September [INSERT START YEAR] and August [INSERT END YEAR]:
Did you participate
in this activity
between September
[INSERT START
YEAR] and August
[INSERT END
YEAR]

Summer Institute Activities

1

a) Teach courses with K-12 teachers that increase mathematical or science
content knowledge

Yes/No

b) Teach courses with K-12 teachers that increase pedagogical skills in
mathematics and science

Yes/No

c) Teach targeted courses with K-12 teachers on mathematical or science
content knowledge or pedagogical skills (e.g., courses specifically linked to the
curriculum/text used at partner schools)

Yes/No

d) Teach courses with K-12 teachers that improve leadership skills and
strategies

Yes/No

e) Teach courses with K-12 teachers that increase abilities to develop new and
challenging curriculum materials

Yes/No

f) Teach courses with K-12 teachers on working with adult learners.

Yes/No

g) Teach courses with K-12 teachers that increase understanding of how to
use technology for course content innovation (e.g., mathematical modeling;
online science experiments; access to digital images on online libraries)

Yes/No

h) Teach courses with K-12 teachers using data and research to inform
teaching.

Yes/No

i) Teach courses for school administrators (e.g., sessions to increase knowledge
of effective classroom observation, professional development for teachers, or
supporting teacher leaders)

Yes/No

j) Teach courses through distance learning (e.g., online, videoconferencing)

Yes/No

k) Team-teach courses with K-12 teachers

Yes/No

l) Provide mentoring for teacher leaders on professional development
strategies and other leadership responsibilities

Yes/No

Narrative 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.

8

m) Involve graduate students in Institute course instruction

Yes/No

n) Direct or organize enrichment activities during summer institute (e.g.,
seminars, visiting lecturers, classroom visits)

Yes/No

o) Other (specify):

9

14c. Using the table below, identify the Academic Year Activities that you participated in between
September [INSERT START YEAR] and August [INSERT END YEAR]:
Did you participate
in this activity
between September
[INSERT START
YEAR] and
August [INSERT
END YEAR]?

Academic Year Activities

1

a) Conduct workshops/courses with K-12 teachers that increase content
and/or pedagogical knowledge (e.g., conduct a workshop on cognitive science
and its impact on instruction)

Yes/No

b) Conduct targeted workshops/courses with K-12 teachers (e.g., a workshop
specifically linked to the curriculum/text used at partner schools)

Yes/No

c) 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

d) Facilitate online course(s) during the academic year for institute
participants

Yes/No

e) Establish/provide STEM in-person or online learning communities/study
groups (e.g., lesson study groups; discipline dialogues)

Yes/No

f) 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

g) Provide mentoring during the academic year for teacher leaders related to
their leadership responsibilities

Yes/No

h) Provide instruction during the academic year for teacher leaders related to
their leadership responsibilities

Yes/No

i) Work with K-12 building staff to facilitate the work of the teacher leaders
(e.g., meet with and advise school principal, mathematics or science specialists)

Yes/No

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

Yes/No

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

Yes/No

l) Increase collaborative activities with regional school systems to improve K12 instruction and learning

Yes/No

m) Strengthen your IHE’s pre-service activities

Yes/No

n) Establish a new/modified degree or certification program at your IHE as a
result or part of the Institute (e.g., Mathematics or science specialist
certification; Master of Science Education)

Yes/No

Narrative 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.

10

o) Engage your department in activities to improve of K-12 instruction and
learning
p) Other (specify):

11

Yes/No

14d. Using the table below, identify the Management and other MSP-related Activities that you
participated in between September [INSERT START YEAR] and August [INSERT END YEAR]:
Did you participate
in this activity
between September
[INSERT START
YEAR] and
August [INSERT
END 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 in-service education programs)

Yes/No

g) Attend national or regional conferences to disseminate information about
your MSP or learn information that will strengthen your MSP (answer no if
the only conference attended was the MSP conference sponsored by NSF)

Yes/No

h) Work on project-related evaluation activities

Yes/No

Narrative 1

i) 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.

12

15. Please briefly describe (i.e., one paragraph) your most significant contribution(s) to your
own MSP Institute project between September [INSERT START YEAR] and August
[INSERT END 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 between September [INSERT START YEAR] and August
[INSERT END YEAR].
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

17. Did you receive any Institute-sponsored professional development between September
[INSERT START YEAR] and August [INSERT END YEAR] to provide you with the skills
needed to perform your Institute 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.