National Teacher and Principal Survey of 2017-2018 (NTPS 2017-18) Preliminary Field Activities

Appendix B NTPS 2017-18 Preliminary Field Activities - Draft Questionnaires

National Teacher and Principal Survey of 2017-2018 (NTPS 2017-18) Preliminary Field Activities

OMB: 1850-0598

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2024-06-10 - No material or nonsubstantive change to a currently approved collection
2024-04-10 - No material or nonsubstantive change to a currently approved collection

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National Teacher and Principal Survey
of 2017-2018 (NTPS 2017-18)
Preliminary Field Activities
OMB# 1850-0598 v.16

Appendix B
NTPS 2015-16 Questionnaires and
Draft NTPS 2017-18 Questionnaires
(to be updated with NTPS 2017-18 final questionnaires in the full-scale NTPS clearance
request to be submitted in February of 2017)

To be Included in Special Contact District Research
Application
National Center for Education Statistics
U.S. Department of Education
July 2016
Revised October 2016
Table of Contents
Teacher Listing Form (TLF) – NTPS 2015-16 ........................................................... Error! Bookmark not defined.
School Questionnaire – NTPS 2015-16 ...................................................................................................................... 22
Principal Questionnaire – NTPS 2015-16 .................................................................................................................. 42
Teacher Questionnaire – NTPS 2015-16 .................................................................................................................... 62
School Questionnaire – Draft for NTPS 2017-18 ..................................................................................................... 102
Principal Questionnaire – Draft for NTPS 2017-18 ................................................................................................. 123
Teacher Questionnaire – Draft for NTPS 2017-18 ................................................................................................... 149
Teacher Listing Form (TLF) – Draft for NTPS 2017-18.......................................................................................... 189
Teacher Listing Verification Form (TLF-P) – Draft for NTPS 2017-18 .................................................................. 211

Conducted by:
U.S. DEPARTMENT OF EDUCATION

OMB No. XXXX-XXXX: Approval Expires XX/XX/XXXX
Collected by:

U.S. DEPARTMENT OF COMMERCE

NATIONAL CENTER FOR EDUCATION STATISTICS

Economics and Statistics Administration

U.S. CENSUS BUREAU

TEACHER LISTING FORM
NATIONAL TEACHER AND PRINCIPAL SURVEY
2015-16 SCHOOL YEAR

(Please correct any errors in name, address, and ZIP Code.)

➧

SCHOOL

GRADE
RANGE

➧

▲

Please return your completed questionnaire in the pre-addressed, postage-paid
envelope or mail it to: U.S. CENSUS BUREAU
ATTN: TLF, SMQAB, BUILDING 61D
JEFFERSONVILLE, IN 47132-0001

NOTICE:

This survey is authorized by the Education Sciences Reform Act of
2002, 20 U.S. Code §9541(b) and §9543(a). The results will only be
produced as statistical summaries.

FORM NTPS-1
(04-22-2015)

FORM NTPS-1

REFERENCE CARD
Please use this guide when listing teachers.

▲

INCLUDE ON THE TEACHER LIST
Regular Classroom Teachers

Chemistry, English, math, physical education, history, etc.

Special Education Teachers

Teach special education classes to students with disabilities.

General Elementary Teachers
Please tear off this reference card to use while completing the survey.

°
°
°

Teach self-contained classes in any of grades K–8, i.e., teach the same class of students all or
most of the day, unless they teach special education students, in which case see the category
above.
Team-teaching, i.e., two or more teachers collaborate in teaching multiple subjects to the same
class of students.
Include kindergarten teachers.

Career, Technical, or Vocational Education Teachers

Teach keyboarding, business, agriculture, life skills, family or consumer economics as well as
any other vocational or technical classes.

Teaching principals, teaching guidance counselors, teaching librarians, teaching school
nurses

Include any staff members who teach at least one regularly scheduled class per week.
For example:
If a librarian teaches a regularly scheduled class in math once a week, include her in the "Math"
category, but if she only teaches groups of students library skills or how to use the library, do
NOT include her on the form.

Teachers of Ungraded Students
Itinerant, Co-op, Traveling, and Satellite Teachers

Teach at more than one school and may OR may not be supervised by someone at your school.

Current Long-Term Substitute Teachers

Currently filling the role of a regular teacher for 4 or more continuous weeks.

Other teachers who teach students in any of grades K–12

If a teacher teaches pre-kindergarten and any other grade between K–12, answer the questions
ONLY for the time the teacher spends teaching any grades K–12.

▲

OMIT FROM THE TEACHER LIST
Prekindergarten teachers who teach ONLY prekindergarten students
Adult Education and Postsecondary Teachers

If they teach ONLY adult education or students beyond grade 12.

Short-term Substitute Teachers

Fill the role of a regular teacher for less than 4 continuous weeks.

Student Teachers
Day Care Aides
Teacher Aides
Librarians who teach ONLY library skills or how to use the library
FORM NTPS-1

Why does the National Center for Education Statistics (NCES) conduct the
National Teacher and Principal Survey (NTPS)?
The NTPS is designed to measure critical aspects of schooling and teaching, the
composition of the principal and teacher work force, and conditions in schools.
What do you need from my school?
Please tear off this reference card to use while completing the survey.

A list of all of the full-time and part-time teachers who teach at this school.
Please see the removable reference card on the reverse side for important
information about the listing form.
What happens to the information I report?
A sample of teachers will be selected for the Teacher Survey component of NTPS. The
selected teachers will receive the Teacher Questionnaire which asks for information on their
educational background, work experience, and attitudes toward teaching.
Why is my school’s participation important?
Only a small number of schools are selected to participate in NTPS. Therefore, your school
represents many other schools.
How does NCES protect the confidentiality of the information I provide?
Your responses are protected from disclosure by federal statute (20 U.S.C., §9573). All
responses that relate to or describe identifiable characteristics of individuals may be used
only for statistical purposes and may not be disclosed, or used, in identifiable form for any
other purpose, unless otherwise compelled by law.

Thank you for your assistance.

FORM NTPS-1

Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons
are required to respond to a collection of information unless it
displays a valid OMB control number. The valid OMB control
number for this voluntary information collection is XXXX-XXXX.
The time required to complete this information collection is
estimated to average 30 minutes per response, including the time
to review instructions, search existing data resources, gather the
data needed, and complete and review the information collection.
If you have any comments concerning the accuracy of the time
estimate, suggestions for improving this collection, or comments
or concerns about the contents or the status of your individual
submission of this questionnaire, please e-mail:
[email protected], or write directly to:
National Teacher and Principal Survey, National Center for
Education Statistics, 1990 K Street, N.W., #9046, Washington,
DC 20006.

Please return your completed form in the enclosed
pre-addressed, postage-paid envelope or mail it to:

U.S. CENSUS BUREAU
ATTN: TLF, SMQAB, BLDG 61D
1201 E. 10TH STREET
JEFFERSONVILLE, IN 47132-0001

FORM NTPS-1

In case we have questions about any of your responses, please print your name, title,
and work telephone number on the lines below.
NAME

TITLE

WORK TELEPHONE NUMBER
AREA CODE

TELEPHONE NUMBER

–

How much time did it take to complete this form, not counting interruptions?
Minutes

Please see page 2 for important information.

Call 1-888-595-1338 toll free if you need assistance filling out the rest of this form.
The office hours are 8:00 AM – 8:00 PM Eastern Time.

FORM NTPS-1

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Line
Number

Teacher’s Name

Subject Matter
Taught

Please list all of the full-time and
part-time teachers who TEACH at
THIS SCHOOL.
List each teacher only once.
List in the following order:
First name, Middle name, Last name,
suffix (if applicable).
Please see the reference card for
important information about itinerant
teachers, substitute teachers,
librarians, principals and other staff
that may teach at this school.
*Line Ex. is an example of a full-time
art teacher who is in his first year
of teaching.

FIRST

MIDDLE

LAST

SUFFIX

*Ex. Andrew Michael Shaffer

Teaching Status
at the
Selected School

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

Enter the numeric
code which
corresponds to the
teacher status of
each teacher at this
school.
Include as part-time:
Itinerant teachers
who teach parttime in this school,
Enter the code for
regardless of
"Other" subject matter
other positions
for teachers who teach
held in this or
art, foreign language,
other districts.
music, physical
education, English as
Teachers who
a second language, and perform other
any other remaining
functions in this
subjects.
school in addition
to part-time
1 - Special education
teaching.
2 - General elementary
For example, a
3 - Math
teaching guidance
4 - Science
counselor should
5 - English/Language
be counted as a
arts
part-time teacher.
6 - Social studies
7 - Vocational/Technical 1 - Full-time
8 - Other (e.g., art,
music, etc.)
2 - Part-time

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

Teacher’s Email
Address

Please list each teacher’s email address.

[email protected]

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Line
Number

Teacher’s Name

Subject Matter
Taught

FIRST

MIDDLE

LAST

SUFFIX

Teaching Status
at the
Selected School

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

Teacher’s Email
Address

Please list each teacher’s email address.

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PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Line
Number

Teacher’s Name

Subject Matter
Taught

FIRST

MIDDLE

LAST

SUFFIX

Teaching Status
at the
Selected School

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

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PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

Teacher’s Email
Address

Please list each teacher’s email address.

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Line
Number

Teacher’s Name

Subject Matter
Taught

FIRST

MIDDLE

LAST

SUFFIX

Teaching Status
at the
Selected School

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

Teacher’s Email
Address

Please list each teacher’s email address.

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PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Line
Number

Teacher’s Name

Subject Matter
Taught

FIRST

MIDDLE

LAST

SUFFIX

Teaching Status
at the
Selected School

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

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PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

Teacher’s Email
Address

Please list each teacher’s email address.

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Line
Number

Teacher’s Name

Subject Matter
Taught

FIRST

MIDDLE

LAST

SUFFIX

Teaching Status
at the
Selected School

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

Teacher’s Email
Address

Please list each teacher’s email address.

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PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Line
Number

Teacher’s Name

Subject Matter
Taught

FIRST

MIDDLE

LAST

SUFFIX

Teaching Status
at the
Selected School

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

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PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

Teacher’s Email
Address

Please list each teacher’s email address.

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Line
Number

Teacher’s Name

Subject Matter
Taught

FIRST

MIDDLE

LAST

SUFFIX

Teaching Status
at the
Selected School

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

Teacher’s Email
Address

Please list each teacher’s email address.

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FORM NTPS-1

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Line
Number

Teacher’s Name

Subject Matter
Taught

FIRST

MIDDLE

LAST

SUFFIX

Teaching Status
at the
Selected School

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

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PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

Teacher’s Email
Address

Please list each teacher’s email address.

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Line
Number

Teacher’s Name

Subject Matter
Taught

FIRST

MIDDLE

LAST

SUFFIX

Teaching Status
at the
Selected School

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

Teacher’s Email
Address

Please list each teacher’s email address.

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PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Line
Number

Teacher’s Name

Subject Matter
Taught

FIRST

MIDDLE

LAST

SUFFIX

Teaching Status
at the
Selected School

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

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PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

Teacher’s Email
Address

Please list each teacher’s email address.

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Line
Number

Teacher’s Name

Subject Matter
Taught

FIRST

MIDDLE

LAST

SUFFIX

Teaching Status
at the
Selected School

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

Teacher’s Email
Address

Please list each teacher’s email address.

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FORM NTPS-1

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Line
Number

Teacher’s Name

Subject Matter
Taught

FIRST

MIDDLE

LAST

SUFFIX

Teaching Status
at the
Selected School

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

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PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

Teacher’s Email
Address

Please list each teacher’s email address.

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Line
Number

Teacher’s Name

Subject Matter
Taught

FIRST

MIDDLE

LAST

SUFFIX

Teaching Status
at the
Selected School

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

Teacher’s Email
Address

Please list each teacher’s email address.

208
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FORM NTPS-1

Thank you very much for your participation
in this survey. If you have any questions,
please contact us, toll-free, at: 1-888-595-1338
or by e-mail at: [email protected].

To learn more about this survey and to
access reports from earlier collections, see the
National Teacher and Principal Survey (NTPS) website at:
http://nces.ed.gov/surveys/ntps
Additional data collected by the National
Center for Education Statistics (NCES) on
a variety of topics in elementary,
secondary, postsecondary, and
international education are available
from NCES’ website at:
http://nces.ed.gov
For additional data collected by various
Federal agencies, including the
Department of Education, visit the
Federal Statistics clearinghouse at:
http://fedstats.sites.usa.gov

FORM NTPS-1

14316012
OMB No. 1850-0598: Approval Expires 06/30/2018

Conducted by:

U.S. DEPARTMENT OF EDUCATION
NATIONAL CENTER FOR EDUCATION STATISTICS

Collected by:

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

SCHOOL QUESTIONNAIRE
NATIONAL TEACHER AND PRINCIPAL SURVEY
2015-16 SCHOOL YEAR

(Please correct any errors in name, address, and ZIP Code.)

THIS SURVEY HAS BEEN ENDORSED BY:
American Association of School Administrators
American Association of School Librarians
American Federation of Teachers
American Montessori Society
Association for Middle Level Education (formerly National Middle School Association)
Association for Supervision and Curriculum Development
Association of American Educators
Council of the Great City Schools
National Association of Elementary School Principals
National Association of Secondary School Principals
National Parent Teacher Association
Please return your completed questionnaire in the pre-addressed,
postage-paid envelope or mail it to:
U.S. CENSUS BUREAU
ATTN: DCB/PCSPU, BUILDING 60A
1201 E. 10TH STREET
JEFFERSONVILLE, IN 47132-0001

NOTICE:
This survey is authorized by the Education Sciences Reform Act of
2002, 20 U.S. Code §9541(b) and §9543(a). The results will only be
produced as statistical summaries.
FORM NTPS-3
(06-19-2015)

§/@]-¤

14316020

•
•
•
•

What is the average student-teacher ratio in the United States?
What is the average salary of a beginning principal?
Have teachers’ views of their autonomy in the classroom changed
over time?
Have the characteristics of the principal and teacher workforces in
the United States changed over time?

The answers to these questions help school districts and policy makers at the
state, federal, and local levels set education policy and improve teacher and
principal working conditions.
Since 1988, the National Teacher and Principal Survey and its precursor, the
Schools and Staffing Survey, have provided the answers to these and other
important education questions from the perspective of Principals and Teachers.
By selecting a statistically representative sample of schools, and teachers in those
schools, we are able to provide representative data for the United States without
going to every school.
Your school has been selected to participate in the 2015-16 National Teacher and
Principal Survey. You will represent thousands of other schools, so it is important
that you respond to this survey.
Your responses are protected from disclosure by federal statute (20 U.S.C.,
§9573). All responses that relate to or describe identifiable characteristics of
individuals may be used only for statistical purposes and may not be disclosed,
or used, in identifiable form for any other purpose, unless otherwise compelled by
law.
More information can be found on our website: http://nces.ed.gov/surveys/ntps

Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays
a valid OMB control number. The valid OMB control number for this voluntary information collection is 1850-0598. The time required to
complete this information collection is estimated to average 30 minutes per response, including the time to review instructions, search
existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning
the accuracy of the time estimate, suggestions for improving this collection, or comments or concerns about the contents or the status
of your individual submission of this questionnaire, please e-mail: [email protected], or write directly to: National
Teacher and Principal Survey, National Center for Education Statistics, 1990 K Street, N.W., #9046, Washington, DC 20006.
FORM NTPS-3

§/@]5¤

14316038

INSTRUCTIONS
The data you enter on this form will be captured through the use of imaging technology. Please print all
information clearly in ordinary characters, using a blue or black ballpoint pen.
CORRECT marking example –
(Use care to keep characters
in their designated spaces.)

35
x Yes
No

INCORRECT marking example –

35
X

Yes

Yes
OR

a. This questionnaire may be completed by any staff member who has access to the school’s records.
b. Please do not write any comments by the answer boxes.
c. If you are unsure about how to answer a question, please give the best answer you can rather than
leaving it blank.

FORM NTPS-3

§/@]G¤

14316046

1. GENERAL INFORMATION ABOUT THIS SCHOOL
Please report for the school listed on the cover.

1-1.

1-2.

Does this school offer the following grades?
Please mark (X) Yes or No for each grade level.
Prekindergarten

Yes

Kindergarten

Yes

1st

Yes

2nd

Yes

3rd

Yes

4th

Yes

5th

Yes

6th

Yes

7th

Yes

8th

Yes

9th

Yes

10th

Yes

11th

Yes

12th

Yes

Ungraded

Yes

Excluding prekindergarten, postsecondary, and adult education students, around the first
of October, how many students were enrolled in this school?
Students

,
1-3.

For this school year (2015-16), what is the Average Daily Attendance (ADA) percentage at
this school?
Round to the nearest whole PERCENT.

FORM NTPS-3

§/@]O¤

14316053

1-4.

1-5.

What is the official start and end time for MOST students at this school?
If the start and end times vary by day, record the start and end time for the longest day of
the week.
Do not include prekindergarten or transitional first grade programs.

Start time

End time

How many days are in the SCHOOL YEAR for students in this school?
Days per SCHOOL YEAR

1-6.

Which of the following best describes this school?
Mark (X) only one box.
REGULAR school – elementary or secondary
SPECIAL PROGRAM EMPHASIS school – such as a science or math school, performing
arts school, talented or gifted school, foreign language immersion school, etc.
SPECIAL EDUCATION school – primarily serves students with disabilities
CAREER/TECHNICAL/VOCATIONAL school – primarily serves students being trained for
occupations
ALTERNATIVE/OTHER school – offers a curriculum designed to provide alternative or
nontraditional education; does not specifically fall into the categories of regular, special
program emphasis, special education, or vocational school – Please describe. C

1-7a.

Does this school currently have any students enrolled in kindergarten?
Please include regular kindergarten as well as transitional (or readiness) kindergarten and
transitional first (or pre-first) grade students, if enrolled.
Yes
No ➜

GO TO item 1-8 on page 6.

b. How long is the school day for a kindergarten, transitional kindergarten, or transitional first
grade student?
Mark (X) only one box.
Full day (4 hours or more per day)
Half day (less than 4 hours per day)
Both full-day and half-day programs are offered

c. How many days per week does a kindergarten, transitional kindergarten, or transitional
first grade student attend?
If the number of days per week varies (e.g., some students attend 3 days per week and some
attend 5 days per week), record the most days that a student would attend in a week.
Days per week

FORM NTPS-3

§/@]V¤

14316061

1-8.

Does this school have a library media center?
(A library media center is an organized collection of printed and/or audiovisual and/or computer
resources which is administered as a unit, is located in a designated place or places, and makes
resources and services available to students, teachers, and administrators. A library media center
may be called a school library, media center, resource center, information center, instructional
materials center, learning resource center, or any other similar name.)
Yes
No

1-9a.

Does this school offer any courses that are taught entirely online?
Yes
No ➜

GO TO item 1-10 below.

b. Among all the courses you offer at this school, about how many of the courses are
entirely online?
Mark (X) only one box.
One or a few courses
Some courses but less than half
About half
A majority
All courses

1-10.

Are the following programs or services currently available AT THIS SCHOOL for students
in any of grades K-12 or comparable ungraded levels, regardless of funding source?

a. Before-school or after-school program providing instruction beyond the normal school
day for students who need academic assistance
Yes
No

b. Before-school or after-school program providing instruction beyond the normal school
day for students who seek academic advancement or enrichment
Yes
No

c. Before-school or after-school day care programs
Yes
No

1-11.

Does this school have instruction specifically designed to address the needs of students
with limited-English proficiency, also known as English-language learners (ELLs)?
Yes
No

FORM NTPS-3

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14316079

2. SCHOOL STAFFING
For all teacher counts in items 2-1 and 2-2:
INCLUDE these types of teachers:
• Regular classroom teachers
• Special area or resource teachers (e.g., special education, Title I, art, music, physical
education)
• Long-term substitute teachers
INCLUDE as part-time teachers:
• Itinerant teachers who teach part-time at this school or teachers who are shared with other
schools
• Employees reported in other items of this section if they also have a part-time teaching
assignment at this school
DO NOT INCLUDE:
• Student teachers
• Short-term substitute teachers
• Teachers who teach ONLY prekindergarten or adult education

2-1.

Around the first of October, how many TEACHERS held full-time or part-time positions or
assignments in this school?
If none, please mark (X) the box.

a. Full-time
None

Full-time teachers

Part-time teachers

b. Part-time
None

c. TOTAL number of full- and part-time teachers
Total teachers

FORM NTPS-3

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14316087

2-2.

Of the full-time and part-time TEACHERS in this school around the first of October,
how many were –
If none, please mark (X) the box.
Please only include each teacher in one category below so none are double-counted.

a. Hispanic or Latino, regardless of race?
None

Teachers

b. White, not of Hispanic or Latino origin?
None

Teachers

c. Black or African American, not of Hispanic or Latino origin?
None

Teachers

d. Asian, not of Hispanic or Latino origin?
None

Teachers

e. Native Hawaiian or other Pacific Islander, not of Hispanic or Latino origin?
None

Teachers

American Indian or Alaska Native, not of Hispanic or Latino origin?
None

Teachers

g. Two or more races, not of Hispanic or Latino origin?
None

Teachers

NOTE: Sum of entries in items 2-2(a-g) should be equal to entry in item 2-1c on page 7.

FORM NTPS-3

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14316095

2-3.

Around the first of October, how many STAFF held full-time or part-time positions or
assignments in this school in each of the following categories?
Employees shared with other schools or the district office should be counted as part-time employees.
Employees who hold more than one position in this school should be counted as part-time staff for
each position held.
FOR EXAMPLE: If your school’s vice principal also serves as a data coach, you would count this
person as 1 part-time vice principal (item b) and 1 part-time data coach (item k), even if this person
works full-time across the two positions.
If no FULL-TIME staff members exist, please mark (X) the "None" box under FULL-TIME.
If no PART-TIME staff members exist, please mark (X) the "None" box under PART-TIME.
If no full-time or part-time staff members exist, please mark (X) the "None" boxes under BOTH
full-time AND part-time.
FULL-TIME

PART-TIME

None

a. Principals

b. Vice principals and assistant principals
c. Instructional coordinators and supervisors,
such as curriculum specialists

d. Librarians or library media specialists
e. School/guidance counselors, excluding
psychologists and social workers

Student support services professional staff

(1) Nurses

(2) Social workers

(3) Psychologists

(4) Speech therapists or pathologists

(5) Other professional staff
g. Aides
(1) Regular Title I aides
(2) English as a Second Language (ESL)
or bilingual teacher aides

FORM NTPS-3

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14316103

2-3.

Continued – Around the first of October, how many STAFF held full-time or part-time positions
or assignments in this school in each of the following categories?
FULL-TIME

PART-TIME

None

(3) Special education instructional aides

(4) Special education non-instructional aides

(5) Library media center instructional aides

(6) Library media center non-instructional aides

(7) Other classroom instructional aides

(8) Other non-instructional aides

h. Secretaries and other clerical support staff

Food service personnel

Custodial and maintenance personnel

k. Data coaches or data coordinators

Technology specialists

m. Security guards or security personnel (not law
enforcement)

n. School Resource Officers (include all career law
enforcement officers with arrest authority, who
have specialized training and are assigned to work
in collaboration with school organizations)

o. Sworn law enforcement officers who are not
School Resource Officers

p. Other employees not reported above
FORM NTPS-3

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14316111

2-4a.

Do any of the teachers or staff have the following specialist assignments in this school?
(A specialist works with students.)

(1) Reading specialist
Yes
No

(2) Math specialist
Yes
No

(3) Science specialist
Yes
No

b. Do any of the teachers or staff have the following coaching assignments in this school?
(A coach works with teachers. Coaching includes observing lessons, providing feedback,
and demonstrating teaching strategies.)

(1) Reading coach
Yes
No

(2) Math coach
Yes
No

(3) Science coach
Yes
No

(4) General instructional/Not subject-specific coach
Yes
No

FORM NTPS-3

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14316129

2-5a.

For THIS school year (2015-16), were there teaching vacancies in this school, that is, teaching
positions for which teachers were recruited and interviewed by this school’s hiring authority?
Please include teaching positions that were vacant for the 2015-16 school year and that may or
may not have been filled before the start of the 2015-16 school year.
Do not include vacancies for teachers who teach ONLY prekindergarten or adult education.
Yes
No ➜

GO TO item 2-6a on page 13.

b. How easy or difficult was it to fill the vacancies for this school year in each of the following
fields?
Mark (X) one box on each line.
This
No
position is vacancy in
not offered this field
in this this school
school
year

Easy

Somewhat
difficult

Very
difficult

Could not
fill the
vacancy

(1) General elementary
(2) Special education
(3) English or language arts
(4) Social studies
(5) Computer science
(6) Mathematics
(7) Biology or life sciences
(8) Physical sciences
(e.g., chemistry, physics,
earth sciences)

(9) English as a Second
Language (ESL) or
bilingual education

(10) Foreign languages
(11) Music or art
(12) Career or technical
education

(13) Other

FORM NTPS-3

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14316137

2-6a.

Around the first of October, how many teachers were newly hired by this school?
(Newly hired teachers are teachers not employed in this school last school year as teachers.)
Do not include newly hired teachers who teach ONLY prekindergarten or adult education.
Record HEAD COUNTS, not FTEs (full-time equivalent).
If none, please mark (X) the box.
None ➜

GO TO Section 3 on page 14.

Teachers

b. Of those newly hired teachers, how many were in their first year of teaching?
Record HEAD COUNTS, not FTEs (full-time equivalent).
If none, please mark (X) the box.
None

Teachers

FORM NTPS-3

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14316145

3. COMMUNITY SERVICE REQUIREMENTS
The questions in this section are about the DISTRICT that this school is a part of, not this specific school.
You may wish to contact the district to obtain the information requested if it is not immediately known.

3-1.

Does this DISTRICT grant high school diplomas?
Do NOT include vocational certificates, certificates of attendance, or certificates of completion.
Yes
No ➔

3-2.

GO TO Section 4 on page 15.

For high school graduates of the class of 2016, does this school or district have a community
service requirement for a standard diploma?
Yes
No ➔

3-3.

GO TO Section 4 on page 15.

What is the minimum number of community service hours required of the high school
graduates in the class of 2016?
Hours

FORM NTPS-3

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14316152

4. SPECIAL PROGRAMS AND SERVICES
4-1a.

Of the students enrolled in this school, do any have an Individual Education Plan (IEP)
because they have special needs?
Do NOT include prekindergarten, postsecondary, or adult education students.
Yes
No ➜

GO TO item 4-3a on page 16.

b. How many students have an Individual Education Plan (IEP) because they have special needs?
Do NOT include prekindergarten, postsecondary, or adult education students.
Students

,
4-2a.

Does this school primarily serve students with disabilities?
If you marked "SPECIAL EDUCATION school - primarily serves students with disabilities" for
item 1-6, please mark "Yes" for this item.
Yes ➜

GO TO item 4-3a on page 16.

b. How many students with disabilities are in each of the following instructional settings?
The sum of entries in item 4-2b should equal the entry in item 4-1b above.
If none, please mark (X) the box.

(1) All day in a regular classroom (100 percent of the school day)
None

Students

(2) Most of the day in a regular classroom (80-99 percent of the school day)
None

Students

(3) Some of the day in a regular classroom (40-79 percent of the school day)
None

Students

(4) Little or none of the day in a regular classroom (0-39 percent of the school day)
None

Students

FORM NTPS-3

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14316160

4-3a.

Does this school have any prekindergarten students?
NOTE: Previous items asking for student counts requested that prekindergarten students be
excluded. Prekindergarten students are included here because they often receive National
School Lunch Program and Title I services asked about in items 4-4 – 4-7.
Yes
No ➜

GO TO item 4-4a below.

b. Around the first of October, how many prekindergarten students were enrolled in this school?
Prekindergarten students

4-4a.

Does this school participate in the National School Lunch Program (that is, the federal free
or reduced-price lunch program)?
Yes
No ➜

GO TO item 4-5 below.

b. Around the first of October, how many students at this school were APPROVED for free or
reduced-price lunches?
Report a separate count for prekindergarten students.
If none, please mark (X) the box.

4-5.

None

K-12 students approved
Prekindergarten students approved

Around the first of October, did any students enrolled in this school receive Title I services
at this school or at any other location?
(Title I is a federally funded program that provides educational services, such as remedial reading
or remedial math, to children who live in areas with high concentrations of low-income families.)
Yes
No ➜

4-6.

GO TO Section 5 on page 18.

How many students participate in the Title I program?
Report a separate count for prekindergarten students.
If none or all, please mark (X) the box.
No K-12 students
All K-12 students

K-12 students
No Prekindergarten students
All Prekindergarten students
Prekindergarten students

FORM NTPS-3

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14316178

4-7.

Are students receiving Title I services in –

a. Reading or language arts?
Yes
No

b. Mathematics?
Yes
No

c. English as a Second Language (ESL)?
Yes
No

4-8.

In head counts, how many designated Title I teachers were teaching AT THIS SCHOOL
around the first of October?
If none, please mark (X) the box.
None

Title I teachers

FORM NTPS-3

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14316186

5. CHARTER SCHOOL INFORMATION
5-1.

Is this school a public CHARTER school?
(A charter school is a public school that, in accordance with an enabling state statute, has been
granted a charter exempting it from selected state or local rules and regulations. A charter school
may be a newly created school or it may previously have been a public or private school.)
Yes
No ➜

5-2.

GO TO Section 6 on page 19.

Which of the following best describes the governance structure of this public charter school?
An independent or stand-alone charter school
Part of a non-profit charter management organization or network of schools that are
managed by a central agency
Part of a for-profit charter management organization or network of schools that are
managed by a central agency
Part of a traditional public school district
Other – Please describe

FORM NTPS-3

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14316194

6. CONTACT INFORMATION
6-1.

What is the name of the person who completed most of this questionnaire?

6-2.

What is his or her job title?

6-3.

What is his or her phone number?
—

—

6-4.

What is his or her work e-mail address?

6-5.

Please enter the date you completed this questionnaire.
Report month as a number, that is, 01 for January, 02 for February, etc.
Month
Day
Year
2 0 1

6-6.

Please indicate how much time it took you to complete this form, not counting interruptions.
Minutes

Thank you very much for your participation
in this survey. If you have any questions,
please contact us, toll-free, at: 1-888-595-1338
or by e-mail at: [email protected].

Please return your completed questionnaire
in the enclosed pre-addressed, postage-paid
envelope or mail it to:
U.S. CENSUS BUREAU
ATTN: DCB/PCSPU, BUILDING 60A
1201 E. 10TH STREET
JEFFERSONVILLE, IN 47132-0001

FORM NTPS-3

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14316202

FORM NTPS-3

§/@_#¤

14216014
OMB No. 1850-0598 Approval Expires 06/30/2018

Conducted by:

U.S. DEPARTMENT OF EDUCATION
NATIONAL CENTER FOR EDUCATION STATISTICS

Collected by:

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

PRINCIPAL QUESTIONNAIRE
NATIONAL TEACHER AND PRINCIPAL SURVEY
2015-16 SCHOOL YEAR

(Please correct any errors in name, address, and ZIP Code.)

§/6]/¤

14216022

•
•
•
•

The answers to these questions help school districts and policy makers at the
state, federal, and local levels set education policy and improve teacher and
principal working conditions.
Since 1988, the National Teacher and Principal Survey and its precursor, the
Schools and Staffing Survey, have provided the answers to these and other
important education questions from the perspective of Principals and Teachers.
By selecting a statistically representative sample of schools, and teachers in those
schools, we are able to provide representative data for the United States without
going to every school.
Your school has been selected to participate in the 2015-16 National Teacher and
Principal Survey. You will represent thousands of other principals, so it is important
that you respond to this survey.
Your responses are protected from disclosure by federal statute (20 U.S.C.,
§9573). All responses that relate to or describe identifiable characteristics of
individuals may be used only for statistical purposes and may not be disclosed,
or used, in identifiable form for any other purpose, unless otherwise compelled by
law.
More information can be found on our website: http://nces.ed.gov/surveys/ntps

Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays
a valid OMB control number. The valid OMB control number for this voluntary information collection is 1850-0598. The time required to
complete this information collection is estimated to average 22 minutes per response, including the time to review instructions, search
existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning
the accuracy of the time estimate, suggestions for improving this collection, or comments or concerns about the contents or the status
of your individual submission of this questionnaire, please e-mail: [email protected], or write directly to: National
Teacher and Principal Survey, National Center for Education Statistics, 1990 K Street, N.W., #9046, Washington, DC 20006.
FORM NTPS-2

§/6]7¤

14216030

35
x Yes
No

INCORRECT marking example –

35
X

Yes

Yes
OR

a. It is important that this questionnaire be completed by the school PRINCIPAL, not by anyone else.
b. Please do not write any comments by the answer boxes.
c. If you are unsure about how to answer a question, please give the best answer you can rather than
leaving it blank.

FORM NTPS-2

§/6]?¤

14216048

1. PRINCIPAL EXPERIENCE AND TRAINING
1-1.

BEFORE you became a principal, how many years of elementary, middle, or secondary
teaching experience did you have?
Count part of a year as 1 year.
If none, please mark (X) the box.
None

1-2.

Year(s) of teaching before becoming a principal

BEFORE you became a principal, did you hold the position of an assistant principal or
program director?
Include temporary positions.
Yes
No

1-3.

BEFORE you became a principal, did you have any management experience outside of the
field of education?
Yes
No

1-4.

BEFORE you became a principal, did you participate in any district or school training or
development program for ASPIRING school principals?
Yes
No

1-5.

PRIOR to this school year, how many years did you serve as the principal of THIS OR ANY
OTHER school?
Do NOT include any years you served as ASSISTANT principal.
Count part of a year as 1 year.
If none, please mark (X) the box.
None

1-6.

Year(s) as principal of this or any other school

PRIOR to this school year, how many years did you serve as the principal of THIS school?
Do NOT include any years you served as ASSISTANT principal.
Count part of a year as 1 year.
If none, please mark (X) the box.
None

Year(s) as principal of this school

FORM NTPS-2

§/6]Q¤

14216055

1-7.

What is the highest degree you have earned?
Mark (X) only one box.
Associate’s degree
Bachelor’s degree (B.A., B.S., etc.)
Master’s degree (M.A., M.A.T., M.B.A., M.Ed., M.S., etc.)
Educational specialist or professional diploma (at least one year beyond master’s level)
Doctorate or first professional degree (Ph.D., Ed.D., M.D., L.L.B., J.D., D.D.S.)
Do not have a degree

1-8.

Which of the following best describes the highest degree you have earned?
Mark (X) only one box.
It was awarded by your school’s college of Education, school of Education, or department
of Education
It was awarded by another college, school, or department, not in Education

1-9.

Do you currently hold a license or certification in “school administration”?
Yes
No

1-10.

WHILE serving as a principal, have you also regularly taught one or more classes at the
elementary, middle, or secondary level?
Do not include time spent as a short-term substitute teacher.
Yes
No ➜

1-11.

GO TO Section 2 on page 6.

While serving as a principal, how many YEARS did you regularly teach at the elementary,
middle, or secondary level?
Count part of a year as 1 year.
Include the 2015-16 school year in this count, if applicable.
If none, please mark (X) the box.
None ➔

GO TO Section 2 on page 6.

YEAR(S) of teaching since becoming a principal

1-12.

In addition to serving as principal, are you CURRENTLY teaching in THIS school?
Do not include time spent as a short-term substitute teacher.
Yes
No

FORM NTPS-2

§/6]X¤

14216063

2. GOALS AND DECISION MAKING
2-1.

We are interested in the importance you place on various educational goals. From the
following ten goals, which do you consider the most important, the second most important,
and the third most important?
12345678910 -

Building basic literacy skills (reading, math, writing, speaking)
Encouraging academic excellence
Preparing students for postsecondary education
Promoting occupational or vocational skills
Promoting good work habits and self-discipline
Promoting personal growth (self-esteem, self-knowledge, etc.)
Promoting human relations skills
Promoting specific moral values
Promoting multicultural awareness or understanding
Fostering religious or spiritual development
Most important
Second most important
Third most important

2-2.

How much ACTUAL influence do you think you have as a principal on decisions concerning
the following activities?
Mark (X) one box on each line.
No
influence

Minor
Moderate
Major
Not
influence influence influence applicable

a. Setting performance standards
for students of this school
b. Establishing curriculum at this
school
c. Determining the content of
in-service professional
development programs for
teachers of this school
d. Evaluating teachers of this
school
e. Hiring new full-time teachers of
this school
f.

Setting discipline policy at this
school

g. Deciding how your school
budget will be spent

FORM NTPS-2

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14216071

3. SCHOOL CLIMATE AND SAFETY
3-1.

To the best of your knowledge, how often do the following types of problems occur at
this school?
Mark (X) one box on each line.
Happens Happens Happens
at
at
Happens
on
least once least once occasion
daily
a week a month

Never
happens

a. Physical conflicts among students
b. Robbery or theft
c. Vandalism
d. Student use of alcohol
e. Student use of illegal drugs
f. Student possession of weapons
g. Physical abuse of teachers
h. Student racial tensions
i.

Student bullying

Student verbal abuse of teachers

k. Widespread disorder in classrooms
l.

Student acts of disrespect for teachers

m. Gang activities

FORM NTPS-2

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14216089

3-2.

LAST school year (2014-15), what percentage of students had at least one parent or
guardian participating in the following events?
Mark (X) one box on each line.
0-25%

26-50%

51-75%

Not
76-100% applicable

a. Open house or back-to-school night
b. All regularly scheduled schoolwide
parent-teacher conferences
c. Special subject-area events (e.g.,
science fair, concerts)
d. Parent education workshops or
courses
e. Signing of a school-parent compact
(This is an agreement between school
community members [e.g., parents,
principals, teachers, and students] that
acknowledges the shared responsibility
for student learning and/or the school’s
policies)
f. Volunteer in the school as needed
or on a regular basis
g. Involvement in school instructional
issues (e.g., planning classroom
learning activities, providing
feedback on curriculum)
h. Involvement in governance (e.g.,
PTA or PTO meetings, school
board, parent booster clubs)
i.

3-3.

Involvement in budget decisions

Are teachers at this school REQUIRED to do the following?
a. Help students with academic needs OUTSIDE of regular school hours
Yes
No
b. Help students with social and emotional needs OUTSIDE of regular school hours
Yes
No

3-4.

Are BEGINNING teachers at this school enrolled in a formal schoolwide or districtwide
program aimed to enhance teachers’ effectiveness by providing systematic support
(sometimes called a teacher induction program)?
A beginning teacher refers to a teacher who is in the first or second year of teaching.
Yes
No

FORM NTPS-2

§/6]z¤

14216097

4. WORKING CONDITIONS AND PRINCIPAL PERCEPTIONS
4-1.

Including hours spent during the school day, before and after school, and on the weekends,
how many hours do you spend on ALL school-related activities during a typical FULL WEEK
at THIS school?
Total WEEKLY hours spent on school-related activities

4-2.

On average throughout the school year, what percentage of time do you estimate that you
spend on the following tasks in this school?
Rough estimates are sufficient.
Please write a percentage in each row. Write 0 if none.
Responses should add up to 100%.
a. Internal administrative tasks, including human resource/personnel
issues, regulations, reports, school budget

b. Curriculum and teaching-related tasks, including teaching,
lesson preparation, classroom observations, mentoring teachers

%
%

c. Student interactions, including discipline and academic guidance

d. Parent interactions, including formal and informal interactions

e. Other – please specify ➜

4-3.

1 0 0

Total

How many days per year are you required to work under your current contract?
Include professional development, student contact days, and any other days covered by your
contract.
Days per contract year

4-4.

Are you represented under a meet-and-confer agreement or a collective bargaining agreement?
("Meet-and-confer" discussions are for the purpose of reaching non-legally-binding agreements.
Collective bargaining agreements are legally-binding agreements.)
Mark (X) only one box.
Yes, meet-and-confer
Yes, collective bargaining
No

FORM NTPS-2

§/6]¿¤

14216105

4-5.

To what extent do you agree or disagree with each of the following statements?

Strongly
agree

Mark (X) one box on each line.
Somewhat Somewhat Strongly
agree
disagree
disagree

a. The stress and disappointments
involved in being a principal at this
school aren’t really worth it.
b. I am generally satisfied with being
principal at this school.
c. If I could get a higher paying job I’d
leave this job as soon as possible.
d. I think about transferring to another
school.
e. I don’t seem to have as much
enthusiasm now as I did when I
began this job.
f. I think about staying home from
school because I’m just too tired
to go.

4-6.

How long do you plan to remain a principal?
Mark (X) only one box.
As long as I am able
Until I am eligible for retirement benefits from this job
Until I am eligible for retirement benefits from a previous job
Until I am eligible for Social Security benefits
Until a specific life event occurs (e.g., children graduate from college, relocation)
Until a more desirable job opportunity comes along
Definitely plan to leave as soon as I can
Undecided at this time

FORM NTPS-2

§/6^&¤

14216113

5. STUDENT GROWTH AND TEACHER EVALUATION
5-1.

During this school year (2015-16), is student achievement growth on standardized
assessments used in the performance evaluation of teachers in this school? Please
include student achievement growth within a teacher’s classroom as well as teamwide,
gradewide, or schoolwide student achievement growth.
Student achievement growth is the change in student achievement for an individual student
between two or more points in time, and may be measured using student growth percentiles,
value added, or other measures of change in student achievement over time.
Standardized assessments are assessments consistently administered and scored for all
students in the same grades and subjects, districtwide. These might include required state
summative assessments, assessments purchased from testing companies, or district-developed
assessments that are administered districtwide.
Student achievement growth on standardized assessments is:
Used in the evaluation of ALL teachers in the school, including all grades, all subjects
(including art, music, and physical education), special education, and special populations
such as English learners and students with disabilities.
Used in the evaluation of SOME (but not all) teachers in this school.
Not used in the evaluation of any teachers in this school.

5-2.

During this school year (2015-16), which of the following sources of information on teacher
performance does your school use in teacher evaluations?
a. Classroom observations using a teacher professional practice rubric, conducted by the
principal or other school administrator
Used in evaluating teachers
Not used in evaluating teachers
b. Classroom observations using a teacher professional practice rubric, conducted by
someone other than a school administrator (such as a peer or mentor teacher,
instructional coach, central office staff member, or an observer from outside the school
or district)
Used in evaluating teachers
Not used in evaluating teachers
c. Teacher self-assessment
Used in evaluating teachers
Not used in evaluating teachers
d. Portfolios or other artifacts of teacher professional practice
Used in evaluating teachers
Not used in evaluating teachers

FORM NTPS-2

§/6^.¤

14216121

5-2.

Continued –
e. Assessments by a peer or mentor teacher that are not based on a teacher professional
practice rubric
Used in evaluating teachers
Not used in evaluating teachers
f.

Student work samples
Used in evaluating teachers
Not used in evaluating teachers

g. Student surveys or other student feedback
Used in evaluating teachers
Not used in evaluating teachers
h. Parent surveys or other parent feedback
Used in evaluating teachers
Not used in evaluating teachers

5-3.

Will the performance evaluation results for teachers for this school year (2015-16) be used
to inform any of the following decisions about teacher professional development?
a. Feedback given to teachers on their professional practice
Yes
No
b. Planning professional development for individual teachers
Yes
No
c. Development of performance improvement plans for low-performing teachers
Yes
No
d. Setting goals with teachers for student achievement growth for the next school year
Yes
No
e. Identifying low-performing teachers for coaching, mentoring, or peer assistance
Yes
No
FORM NTPS-2

§/6^6¤

14216139

5-4.

Will the performance evaluation results for teachers for this school year (2015-16) be used
to inform any of the following decisions about teacher career advancement?
a. Recognizing high-performing teachers
Yes
No
b. Determining annual salary increases
Yes
No
c. Determining bonuses or performance-based compensation other than salary increases
Yes
No
This school does not use bonuses or performance-based compensation
d. Granting tenure or similar job protection
Yes
No
This school does not grant tenure or similar job protection
e. Career advancement opportunities, such as teacher leadership roles
Yes
No

5-5.

Will the performance evaluation results for teachers for this school year (2015-16) be used
to inform any of the following decisions about low-performing teachers?
a. Loss of tenure or similar job protection
Yes
No
This school does not grant tenure or similar job protection
b. Sequencing potential layoffs to reduce staff
Yes
No
c. Dismissing or terminating employment for cause
Yes
No

FORM NTPS-2

§/6^H¤

14216147

6. PRINCIPAL DEMOGRAPHIC INFORMATION
6-1.

Are you male or female?
Male
Female

6-2.

Are you of Hispanic or Latino origin?
Yes
No

6-3.

What is your race?
Mark (X) one or more races to indicate what you consider yourself to be.
White
Black or African-American
Asian
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native

6-4.

What is your year of birth?
1 9

6-5.

What is your current ANNUAL salary for your position in this school before taxes and
deductions?
If your position includes multiple duties (e.g., you teach a class and serve as principal at this
school), please include your entire salary before taxes and deductions.
Please report in whole dollars.
$

.00

per year

FORM NTPS-2

§/6^P¤

14216154

7. CONTACT INFORMATION
7-1.

The survey you have completed may involve a brief follow-up next school year in order to
gain information on principals’ movements in the labor force. The following information would
assist us in contacting you if you have moved or changed jobs. Please keep in mind that all
information provided here is strictly confidential and will only be used in the event that we
need to contact you for follow-up. Your responses are protected from disclosure by federal
statute (20 U.S.C., §9543). All responses that relate to or describe identifiable characteristics
of individuals may be used only for statistical purposes and may not be disclosed, or used,
in identifiable form for any other purpose, unless otherwise compelled by law.
Please PRINT your name, home address, your work, cell, and home telephone numbers, and
your work and home e-mail addresses.
a. First name

Middle name

Last name

Suffix

b. Street address

c. City

d. State

e. ZIP Code + 4
—
f.

Work phone number
AREA CODE

TELEPHONE NUMBER

—

g. Cell phone number
AREA CODE

TELEPHONE NUMBER

—

h. Home phone number
AREA CODE

TELEPHONE NUMBER

—
i.

Work e-mail address

Home e-mail address

—

FORM NTPS-2

§/6^W¤

14216162

7-2.

Please enter the date you completed this questionnaire.
Report month as a number, that is, 01 for January, 02 for February, etc.
Month
Day
Year
2 0 1

7-3.

Please indicate how much time it took you to complete this form, not counting interruptions.
Please record the time in minutes, e.g., 50 minutes, 65 minutes, etc.
Minutes

Thank you very much for your participation
in this survey. If you have any questions,
please contact us, toll-free, at: 1-888-595-1338
or by e-mail at: [email protected].

Please return your completed questionnaire
in the enclosed pre-addressed, postage-paid
envelope or mail it to:

U.S. CENSUS BUREAU
ATTN: DCB/PCSPU, BUILDING 60A
1201 E. 10TH STREET
JEFFERSONVILLE, IN 47132-0001

FORM NTPS-2

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14216170

FORM NTPS-2

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14216188

FORM NTPS-2

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14216196

FORM NTPS-2

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14216204

FORM NTPS-2

§/6_%¤

14416010
OMB No. 1850-0598: Approval Expires 06/30/2018

Conducted by:

U.S. DEPARTMENT OF EDUCATION
NATIONAL CENTER FOR EDUCATION STATISTICS

Collected by:

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

TEACHER QUESTIONNAIRE
NATIONAL TEACHER AND PRINCIPAL SURVEY
2015-16 SCHOOL YEAR

§/J]+¤

14416028

INSTRUCTIONS AND DEFINITIONS
The data you enter on this form will be captured through the use of imaging technology. Please print all
information clearly in ordinary characters, using a blue or black ballpoint pen.
CORRECT marking example –
(Use care to keep characters
in their designated spaces.)

INCORRECT marking example –

35
x Yes

Yes

Yes
OR

a. If you are the teacher named on the cover page label, please complete the questionnaire.
b. Please do not write any comments near the answer boxes.
c. If you are unsure about how to answer a question, please give the best answer you can rather than
leaving it blank.

d. If you have any questions, call the U.S. Census Bureau at 1-888-595-1338. Someone will be
available to take your call Monday through Friday, between 8:00 a.m. and 8:00 p.m. (Eastern Time).
The U.S. Census Bureau is also available to answer your questions via e-mail at:
[email protected].
Teachers who teach in multiple schools: Please respond to questions as they apply to the school
where you received this questionnaire.
Grades K-12 and comparable ungraded levels. This survey focuses on schools offering any of
grades K-12 or comparable ungraded levels at the elementary, middle, or secondary level. The term
“ungraded levels” refers to schools that classify students by an alternative means other than particular
grade levels (e.g., Kindergarten, 1st grade, 2nd grade, etc.).

Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays
a valid OMB control number. The valid OMB control number for this voluntary information collection is 1850-0598. The time required to
complete this information collection is estimated to average 40 minutes per response, including the time to review instructions, search
existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning
the accuracy of the time estimate, suggestions for improving this collection, or comments or concerns about the contents or the status
of your individual submission of this questionnaire, please e-mail: [email protected], or write directly to: National
Teacher and Principal Survey, National Center for Education Statistics, 1990 K Street, N.W., #9046, Washington, DC 20006.
FORM NTPS-4

§/J]=¤

14416036

1. GENERAL INFORMATION
1-1.

1-2.

How do you classify your position at THIS school, that is, the activity at which you spend
most of your time during this school year?
Mark (X) only one box.
1

Regular full-time teacher (in any of grades K-12 or comparable ungraded levels)

Regular part-time teacher (in any of grades K-12 or comparable ungraded levels)

Itinerant teacher (i.e., your assignment requires you to provide instruction at more than
one school)

Long-term substitute (i.e., your assignment requires that you fill the role of a regular teacher
on a long-term basis, but you are still considered a substitute)

Short-term substitute

Student teacher

Teacher aide

Administrator (e.g., principal, assistant principal, director, school head)

Library media specialist or Librarian

Other professional staff (e.g., counselor, curriculum coordinator, social worker)

Support staff (e.g., secretary)

Which box did you mark in item 1-1 above?
Box 1 ➔

GO TO item 1-5 on page 4.

Box 2, 3, or 4 ➔

GO TO item 1-4 on page 4.

Box 5, 6, or 7 ➔

Please STOP now and return this questionnaire to
the U.S. Census Bureau. Thank you for your time.

Box 8, 9, 10, or 11

1-3.

Do you TEACH one or more classes at THIS school, at least once per week, in any of grades
K-12 or comparable ungraded levels?
If you work as a library media specialist or librarian at this school, do not include classes in which
you teach students how to use the library (e.g., library skills or library research).
If you teach a particular specialty either within or outside of a regular classroom (e.g., reading
specialist, special education teacher, English as a Second Language teacher), include that time
as a regularly scheduled class.
Yes ➔

GO TO item 1-4 on page 4.

Please STOP now and return this questionnaire to
No ➔ the U.S. Census Bureau. Thank you for your time.

FORM NTPS-4

§/J]E¤

14416044

1-4.

How much time do you work as a TEACHER in any of grades K-12 or comparable ungraded
levels at THIS school?
Mark (X) only one box.
Full time
3/4 time or more, but less than full-time
1/2 time or more, but less than 3/4 time
1/4 time or more, but less than 1/2 time
Less than 1/4 time
I do not teach any of grades K-12
or comparable ungraded levels ➔

Please STOP now and return this questionnaire to
the U.S. Census Bureau. Thank you for your time.

1-5.

When did you begin teaching, either full-time or part-time, at THIS school?
Do NOT include time spent as a student teacher.
Enter the month AND year. Report month as a number, that is, 01 for January, 02 for February, etc.
Month
Year

1-6.

LAST school year (2014-15), what was your MAIN activity?
Mark (X) only ONE box which best applies to how you spent the MOST time LAST school year.
If you were a substitute or itinerant teacher, please mark (X) the box which best applies to your
MAIN activity LAST school year.
Teaching in this school
Teaching in another public elementary, middle, or secondary school IN THIS SCHOOL SYSTEM
Teaching in a public elementary, middle, or secondary school IN A DIFFERENT SCHOOL
SYSTEM IN THIS STATE
Teaching in a public elementary, middle, or secondary school IN ANOTHER STATE
Teaching in a PRIVATE elementary, middle, or secondary school
Teaching in a preschool
Teaching at a college or university
Student at a college or university
Working in a position in the field of education, but not as a teacher
Working in a position outside the field of education
On leave (e.g., maternity or paternity leave, disability leave, sabbatical)
Caring for family members, but not on leave (e.g., homemaking, childrearing)
Military service
Unemployed and seeking work
Retired from another job
Other – please specify ➔

FORM NTPS-4

§/J]M¤

14416051

1-7.

When did you FIRST begin teaching, either full-time or part-time, at the K-12 or comparable
ungraded level?
Do NOT include time spent as a student teacher.
Enter the month AND year. Report month as a number, that is, 01 for January, 02 for February, etc.
Month

1-8.

Year

In how many schools have you taught, either full-time or part-time, at the K-12 or comparable
ungraded level?
Do NOT include time spent as a student teacher.
Schools

1-9.

Excluding time spent on maternity/paternity leave or sabbatical, how many school years
have you worked, either full-time or part-time, as a K-12 or comparable ungraded level
teacher in public, public charter, or private schools?
Include the current school year.
Do NOT include time spent as a student teacher.
Report years to the nearest whole year, not fractions or months.
School years

FORM NTPS-4

§/J]T¤

14416069

2. CLASS ORGANIZATION
2-1.

2-2.

Do you currently teach students in any of these grades at THIS school?
Please mark (X) Yes or No for each grade level.
Prekindergarten

Yes

Kindergarten

Yes

1st

Yes

2nd

Yes

3rd

Yes

4th

Yes

5th

Yes

6th

Yes

7th

Yes

8th

Yes

9th

Yes

10th

Yes

11th

Yes

12th

Yes

Ungraded

Yes

Of all the students you teach at THIS school, how many have an Individualized Education
Program (IEP) because they have disabilities or are special education students?
Do NOT include students who have only a 504 plan.
If none, please mark (X) the box.
None

Students

FORM NTPS-4

§/J]f¤

14416077

2-3.

Of all the students you teach at THIS school, how many are of limited-English proficiency (LEP)
or are English-language learners (ELLs)?
(Students of limited-English proficiency [LEP] or English-language learners [ELLs] are those
whose native or dominant language is other than English and who have sufficient difficulty speaking,
reading, writing, or understanding the English language as to deny them the opportunity to learn
successfully in an English-speaking-only classroom.)
If none, please mark (X) the box.
None

2-4.

Students

Using Table 1 on page 10, this school year, in what subject is your MAIN teaching assignment
at THIS school, that is, the subject matter in which you teach the most classes?
Record one of the main teaching assignment codes and labels from Table 1 on page 10.
Main Teaching
Assignment Code

2-5.

Main Teaching
Assignment Label

Are you intentionally assigned to instruct the same group of students for more than one year
(e.g., looping)?
Yes
No

2-6a.

During any of your classes, do you have students use instructional software to learn some
or all of their lessons?
Yes
No ➜

GO TO item 2-7 on page 8.

b. Does any of the instructional software the students use AUTOMATICALLY ADJUST the level
of instruction to an individual student’s performance?
Yes
No

FORM NTPS-4

§/J]n¤

14416085

2-7.

Which statement best describes the way YOUR classes at THIS school are organized?
Mark (X) only one box.
1

You instruct several classes of different students most or all of the day in one or more
subjects (sometimes called Departmentalized Instruction).

You are an elementary school teacher who teaches only one subject to different classes of
students (sometimes called an Elementary Subject Specialist).

You instruct the same group of students all or most of the day in multiple subjects
(sometimes called a Self-Contained Class).

2-8.

You are one of two or more teachers, in the same class, at the same time, and are jointly
responsible for teaching the same group of students all or most of the day (sometimes
called Team Teaching).
You instruct a small number of selected students released from or in their regular classes in
specific skills or to address specific needs (sometimes called a "Pull-Out" Class or "Push-In"
Instruction).

Which box did you mark in item 2-7 above?
Box 1 or 2 ➔

GO TO item 2-12 on page 11.

Box 3 or 4
Box 5 ➔

2-9.

GO TO item 2-10 below.

During your most recent FULL WEEK of teaching at THIS school, what is the total number of
students enrolled in the class you taught?
If you teach more than one self-contained class, report the number from your class with the most
students.
Students ➔

2-10.

GO TO item 2-11 on page 9.

During your most recent FULL WEEK of teaching at THIS school, what is the average number
of students you taught at any one time?
Students

FORM NTPS-4

§/J]v¤

14416093

2-11.

During your most recent FULL WEEK of teaching, approximately how many hours did YOU
spend teaching each of the following subjects at THIS school?
If you taught two or more subjects at the same time, apportion the time to each subject the best
you can.
Report hours to the nearest whole hour; do not record fractions of an hour or minutes.
If you did not teach a particular subject during the week, mark (X) the "None" box.
a. English, reading, or language arts (including reading and writing)
None

Hours per week

(1) Of these hours, how many were designated for reading instruction?
None

Hours per week

GO TO item 2-11b below.

b. Arithmetic or mathematics
None

Hours per week

c. Social studies or history
None

Hours per week

d. Science
None

GO TO Section 3 on page 12.

FORM NTPS-4

§/J]~¤

14416101

Table 1. Main Teaching Assignment and Subject-matter Codes and Labels
For Questions 2-4 and 2-13
General Education Codes and Labels
Special Education
110
Special education, any

Elementary Education
101
Early childhood or pre-K, general
102
Elementary grades, general
103
Middle grades, general

Subject-matter Specific Codes and Labels
Arts and Music
141
Art or arts and crafts
142
Art history
143
Dance
144
Drama or theater
145
Music
English and Language Arts
151
Communications
152
Composition
153
English
154
Journalism
155
Language arts
157
Literature or literary criticism
158
Reading
159
Speech
English as a Second Language (ESL)
160
ESL or bilingual education: General
161
ESL or bilingual education: Spanish
162
ESL or bilingual education: Other
languages
Foreign Languages
171
French
172
German
173
Latin
174
Spanish
175
Other foreign language
Health Education
181
Health education
182
Physical education
Mathematics and Computer Science
191
Algebra I
192
Algebra II
193
Algebra III
194
Basic and general mathematics
195
Business and applied math
196
Calculus and pre-calculus
197
Computer science
198
Geometry
199
Pre-algebra
200
Statistics and probability
201
Trigonometry
Natural Sciences
210
Science, general
211
Biology or life sciences
212
Chemistry
213
Earth sciences
214
Engineering
215
Integrated science
216
Physical sciences
217
Physics
218
Other natural sciences

Social
220
221
222
225
226
227
228
231
232
233
234
235
Career
241
242
243
244
245
246
247
249
250
253

254
255
256

or Technical Education
Agriculture and natural resources
Business management
Business support
Marketing and distribution
Healthcare occupations
Construction trades, engineering, or
science technologies (including CADD
and drafting)
Mechanics and repair
Manufacturing or precision production
(electronics, metalwork, textiles, etc.)
Communications and related technologies
(including design, graphics, or printing; not
including computer science)
Personal and public services
(including culinary arts, cosmetology, child
care, social work, protective services,
custodial services, and interior design)
Family and consumer sciences education
Industrial arts or technology education
Other career or technical education

Miscellaneous
Driver education
262
Library or information science
264
Military science or ROTC
265
Philosophy
266
Religious studies, theology, or divinity
267
Other
Other
268

FORM NTPS-4

§/J^"¤

14416119

NOTE: Items 2-12 and 2-13 are for teachers who marked box 1 or 2 for item 2-7 on page 8.
If you marked box 3, 4, or 5 for item 2-7 ➔

2-12.

GO TO Section 3 on page 12.

How many separate class periods or sections do you currently teach at THIS school?
Do NOT include homeroom periods or study halls.
(Example: If you teach 2 classes or sections of chemistry I, a class or section of physics I, and
a class or section of physics II, you would report 04 classes or sections.)
Number of classes or sections

2-13.

Using Table 1 on page 10, for EACH class period or section that you reported in item 2-12,
record the subject-matter code, subject-matter label, grade level code, and number of students.
If you teach a class or section with more than one grade level, list the grade level with the most
students in column C and record the total number of students in column D.
If you reported more than 10 periods or sections in item 2-12, report on only 10 of those periods
or sections.

A.
Subject-Matter Code
from Table 1
Example

B.
Subject-Matter Label
from Table 1

1 9 2

C.
Grade Level Code
from list below

Algebra II

1 1

D.
Number of Students

3 3

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

Grade Level Codes
If your class period or section has students from more than one grade level
(i.e., MIXED GRADES), please list the grade with the most students.
PK
KG
01
02
03
04
05
06

Prekindergarten
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
FORM NTPS-4

07
08
09
10
11
12
UG

7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Ungraded

§/J^4¤

14416127

3. EDUCATION AND TRAINING
3-1a.

Do you have a bachelor’s degree?
If you have more than one bachelor’s degree, information about additional degrees will be asked
in item 3-3 on page 15.
Yes
No ➔

GO TO item 3-3 on page 15.

What is the name of the college or university where you earned this degree?
Name of college or university

In what city and state is it located?
City

State

Located outside the United States

In what year did you receive your bachelor’s degree?
Year

d. Which of the following best describes your bachelor’s degree?
Mark (X) only one box.
It was awarded by your school’s College of Education, School of Education, or Department
of Education
It was awarded by another college, school, or department, not in education

e. Using Table 2 on page 13, what was your major field of study?
Major Field
of Study Code

Major Field
of Study Label

Did you have a second major field of study?
Do NOT report academic minors or concentrations.
Yes
No ➔

GO TO item 3-1h on page 14.

g. Using Table 2 on page 13, what was your second major field of study?
Do NOT report academic minors or concentrations.
Major Field
of Study Code

Major Field
of Study Label

FORM NTPS-4

§/J^<¤

14416135

Table 2. Major and Minor Fields of Study Codes and Labels
For Questions 3-1e, 3-1g, 3-1i, 3-2e, and 3-3b
General Education Codes and Labels
Elementary Education
101
Early childhood or pre-K, general
102
Elementary grades, general
Secondary Education
103
Middle grades, general
104
Secondary grades, general
Special Education
110
Special education, any

Other
131
132
133
134
135
136

Education
Administration
Counseling and guidance
Educational psychology
Policy studies
School psychology
Other non-subject-matter-specific education

Subject-matter Specific Codes and Labels
Arts and Music
141
Art or arts and crafts
142
Art history
143
Dance
144
Drama or theater
145
Music
English and Language Arts
151
Communications
152
Composition
153
English
154
Journalism
155
Language arts
156
Linguistics
157
Literature or literary criticism
158
Reading
159
Speech
English as a Second Language (ESL)
160
ESL or bilingual education: General
161
ESL or bilingual education: Spanish
162
ESL or bilingual education: Other
languages
Foreign Languages
171
French
172
German
173
Latin
174
Spanish
175
Other foreign language
Health Education
181
Health education
182
Physical education
Mathematics and Computer Science
190
Mathematics
197
Computer science
200
Statistics and probability
Natural Sciences
211
Biology or life sciences
212
Chemistry
213
Earth sciences
214
Engineering
217
Physics
218
Other natural sciences
Social Sciences
220
Social studies, general
221
Anthropology

222

Area or ethnic studies (excluding Native
American studies)
223
Criminal justice
224
Cultural studies
225
Economics
226
Geography
227
Government or civics
228
History
229
International studies
230
Law
231
Native American studies
232
Political science
233
Psychology
234
Sociology
235
Other social sciences
Career or Technical Education
Agriculture and natural resources
241
Business management
242
Business support
243
Marketing and distribution
244
Healthcare occupations
245
Construction trades, engineering, or
246
science technologies (including CADD and
drafting)
Mechanics and repair
247
Manufacturing or precision production
249
(electronics, metalwork, textiles, etc.)
Communications and related technologies
250
(including design, graphics, or printing; not
including computer science)
Personal and public services
253
(including culinary arts, cosmetology, child
care, social work, protective services,
custodial services, and interior design)
Family and consumer sciences education
254
Industrial arts or technology education
255
Other career or technical education
256
Miscellaneous
261
Architecture
263
Humanities or liberal studies
264
Library or information science
265
Military science or ROTC
266
Philosophy
267
Religious studies, theology, or divinity
Other
268
Other
FORM NTPS-4

§/J^D¤

14416143

3-1h. Did you have a minor field of study?
Yes
No ➔

GO TO item 3-2a below.

Using Table 2 on page 13, what was your minor field of study?
Minor Field
of Study Code

3-2a.

Minor Field
of Study Label

Do you have a master’s degree?
If you have more than one master’s degree, information about additional degrees will be asked
in item 3-3 on page 15.
Yes
No ➔

GO TO item 3-3 on page 15.

b. Was at least a portion of the cost of your master’s degree paid for by a STATE, SCHOOL, or
SCHOOL DISTRICT in which you taught?
Yes
No

c. In what year did you receive your master’s degree?
Year

d. Which of the following best describes your master’s degree?
Mark (X) only one box.
It was awarded by your school’s College of Education, School of Education, or Department
of Education
It was awarded by another college, school, or department, not in education

e. Using Table 2 on page 13, what was your major field of study for your master’s degree?
Major Field
of Study Code

Major Field
of Study Label

FORM NTPS-4

§/J^L¤

14416150

3-3.

Have you earned any of the degrees or certificates listed below?
Yes
No ➔

a. Degree or
certificate

GO TO item 3-4 on page 16.

b. Using Table 2 on page 13, what was
your major field of study for each
degree or certificate?

c. Which of the following best
describes each degree or
certificate?

d. In what
year?

Major Field of Study Code
Year

(1) Vocational
certificate

Major Field of Study Label

Major Field of Study Code
Year

(2) Associate’s
degree

Major Field of Study Label

Major Field of Study Code

(3) SECOND
Bachelor’s
degree

(4) SECOND
Master’s
degree

(5) Educational
specialist or
professional
diploma (at
least one year
beyond a
master’s level)

(6) Certificate of
Advanced
Graduate
Studies

(7) Doctorate or
first
professional
degree (Ph.D.,
Ed.D., M.D.,
J.D., D.D.S.)

It was awarded by your
school’s College of Education,
School of Education, or
Department of Education

Major Field of Study Label

It was awarded by another
college, school, or department,
not in education

Major Field of Study Code

It was awarded by your
school’s College of Education,
School of Education, or
Department of Education

Major Field of Study Label

It was awarded by another
college, school, or department,
not in education

Major Field of Study Code

It was awarded by your
school’s College of Education,
School of Education, or
Department of Education

Major Field of Study Label

It was awarded by another
college, school, or department,
not in education

Major Field of Study Code

It was awarded by your
school’s College of Education,
School of Education, or
Department of Education

Major Field of Study Label

It was awarded by another
college, school, or department,
not in education

Major Field of Study Code

It was awarded by your
school’s College of Education,
School of Education, or
Department of Education

Major Field of Study Label

Year

It was awarded by another
college, school, or department,
not in education

FORM NTPS-4

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3-4.

Have you ever taken any graduate or undergraduate courses that focused SOLELY on
teaching methods?
Do NOT include student teaching (sometimes called practice teaching).
Do NOT include professional development courses, workshops, or seminars.
▲

Yes
No ➔

How many courses?
Mark (X) only one box.

GO TO item 3-6 below.

1 or 2 courses
3 or 4 courses
5 to 9 courses
10 or more courses

3-5.

Did you take any of the courses you marked in 3-4 before your first year of teaching?
Yes
No

3-6.

BEFORE your first year of teaching, did you take any graduate or undergraduate courses
which taught you —

a. Classroom management techniques?
Yes
No

b. Lesson planning?
Yes
No

c. How to assess learning?
Yes
No

d. How to use student performance data to inform instruction?
Yes
No

e. How to serve students from diverse economic backgrounds?
Yes
No

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3-6.

Continued – BEFORE your first year of teaching, did you take any graduate or undergraduate
courses which taught you —

How to serve students with special needs?
Yes
No

g. How to teach students who are limited-English proficient (LEP) or English-language
learners (ELLs)?
Yes
No

3-7a.

Did you have any student teaching (sometimes called practice teaching)?
Yes
No ➔

GO TO Section 4 on page 18.

b. In how many different classrooms did you student teach?
Mark (X) only one box.
1
2
3 or more

How long did your student teaching last?
If you student taught in more than one classroom, report the total amount of time spent student
teaching across all assignments.
Mark (X) only one box.
4 weeks or less
5-7 weeks
8-11 weeks
12 weeks or more

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14416184

4. CERTIFICATION
4-1.

Did you enter teaching through an alternative route to certification program?
(An alternative route to certification program is a program that was designed to expedite the transition
of nonteachers to a teaching career, for example, a state, district, or university alternative route to
certification program.)
Yes
No

The next series of questions is about state certification. Please read the questions carefully. This section
allows teachers to report UP TO TWO current teaching certificates in the state where they are teaching,
plus several content areas per certificate, if applicable. Those who have only one certificate that applies to
only one content area DO NOT have to fill out the entire section and should follow the GO TO instructions.

4-2a.

Which of the following describes the teaching certificate you currently hold that certifies you
to teach in THIS state?
Mark (X) only one box.
If you currently hold more than one of the following, a second certification may be listed in item 4-3.
Regular or standard state certificate or advanced professional certificate
Certificate issued after satisfying all requirements except the completion of a probationary
period (in some states this is called a probationary certificate)
Certificate that requires some additional coursework, student teaching, or passage of a test
before regular certification can be obtained (in some states this is called a temporary or
provisional certificate)
Certificate issued to persons who must complete a certification program in order to continue
teaching (in some states this is called a waiver or emergency certificate)
I do not hold any of the above certifications in THIS state ➔

GO TO Section 5 on page 22.

Using Table 3 on page 19, in what content area(s) and grade range(s) does the teaching
certificate marked above certify you to teach in THIS state?
(For some teachers, the content area may be special education or the grade level.)
If this certificate certifies you to teach in more than one content area, you may report additional
content areas in later items.
If your certificate does not restrict you to a specific grade range(s), mark (X) all three grade ranges.
(1) Content Area

(2) Grade Range of Certificate (mark (X) all that apply)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12

Does this certificate marked in item 4-2a certify you to teach in additional content areas?
Yes ➔
No ➔

GO TO item 4-2d on page 20.
GO TO item 4-3a on page 20.

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Table 3. Certification Content Area Codes and Labels For Questions 4-2b, 4-2d, 4-3c, and 4-3e
General Education Codes and Labels
Elementary Education
Special Education – Continued
101
Early childhood or Pre-K, general
Learning disabilities
117
Intellectual disabilities
118
102
Elementary grades, general
Mildly or moderately disabled
119
103
Middle grades, general
Orthopedically impaired
120
Secondary Education
Severely or profoundly disabled
121
Middle grades, general
103
Speech or language impaired
122
Secondary grades, general
104
Traumatically brain-injured
123
Visually impaired
124
Special Education
Other special education
125
111
Special education, general
112
Autism
General Administration
113
Deaf and hard-of-hearing
131
Administration
114
Developmentally delayed
132
Counseling and guidance
115
Early childhood special education
116
Emotionally disturbed or behavior disorders
Subject-matter Specific Codes and Labels
Arts and Music
Social Sciences
141
Art or arts and crafts
220
Social studies, general
142
Art History
221
Anthropology
143
Dance
222
Area or ethnic studies (excluding Native
American studies)
144
Drama or theater
225
Economics
145
Music
226
Geography
English and Language Arts
227
Government or civics
Communications
151
228
History
Composition
152
231
Native American studies
English
153
232
Political Science
Journalism
154
233
Psychology
Language arts
155
234
Sociology
Literature or Literary Criticism
157
235
Other social sciences
Reading
158
Career or Technical Education
Speech
159
Agriculture and natural resources
241
English as a Second Language
Business management
242
ESL or bilingual education: General
160
Business support
243
ESL or bilingual education: Spanish
161
Marketing and distribution
244
ESL or bilingual education: Other
162
Healthcare occupations
245
languages
Construction trades, engineering, or science
246
technologies (including CADD and drafting
Foreign Languages
Mechanics and repair
247
French
171
Manufacturing or precision production
249
German
172
(electronics, metalwork, textiles, etc.)
Latin
173
Communications and related technologies
250
Spanish
174
(including design, graphics or printing; not
Other foreign language
175
including computer science)
Personal and public services
253
Health Education
(including culinary arts, cosmetology, child
Health education
181
care, social work, protective services,
Physical education
182
custodial services, and interior design)
Mathematics and Computer Science
Family and consumer sciences education
254
Mathematics
190
Industrial arts or technology education
255
Computer science
197
Other career or technical education
256
Statistics and probability
200
Miscellaneous
Driver education
262
Natural Sciences
Humanities or Liberal studies
263
Science, general
210
Library or Information science
264
Biology or life sciences
211
Military science or ROTC
265
Chemistry
212
Philosophy
266
Earth sciences
213
Religious studies, theology or divinity
267
Physical sciences
216
Physics
Other
217
Other
Other natural sciences
268
218
FORM NTPS-4

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4-2.
d.

Continued –
Using Table 3 on page 19, please record all ADDITIONAL content areas and grade ranges
in which this certificate certifies you to teach:
If your certificate does not restrict you to a specific range(s), mark (X) all three ranges.
Additional Content Area

(1)

Grade Range of Certificate (mark (X) all that apply)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12
(2)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12
(3)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12
(4)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12

4-3a.

Do you have another current teaching certificate that certifies you to teach in THIS state?
Yes
No ➔

GO TO Section 5 on page 22.

b. Which of the following describes this current teaching certificate you hold in THIS state?
Mark (X) only one box.
Regular or standard state certificate or advanced professional certificate
Certificate issued after satisfying all requirements except the completion of a probationary
period (in some states this is called a probationary certificate)
Certificate that requires some additional coursework, student teaching, or passage of a test
before regular certification can be obtained (in some states this is called a temporary or
provisional certificate)
Certificate issued to persons who must complete a certification program in order to continue
teaching (in some states this is called a waiver or emergency certificate)

FORM NTPS-4

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4-3.
c.

Continued –
Using Table 3 on page 19, in what content area(s) and grade range(s) does the teaching
certificate marked in question 4-3b on page 20 certify you to teach in THIS state?
(For some teachers, the content area may be the grade level.)
If this certificate certifies you to teach in more than one content area, you may report additional
content areas in later items.
If your certificate does not restrict you to a specific grade range(s), mark (X) all three grade ranges.
(1) Content Area

(2) Grade Range of Certificate (mark (X) all that apply)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12

d. Does this certificate marked in item 4-3b certify you to teach in additional content areas?
Yes
No ➔

GO TO Section 5 on page 22.

e. Using Table 3 on page 19, please record all ADDITIONAL content areas and grade ranges
in which this certificate certifies you to teach:
If your certificate does not restrict you to a specific grade range(s), mark (X) all three grade ranges.
Additional Content Area
(1)

Grade Range of Certificate (mark (X) all that apply)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
Content Area Label

At least one of grades 6-8
At least one of grades 9-12

(2)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
Content Area Label

At least one of grades 6-8
At least one of grades 9-12

(3)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
Content Area Label

At least one of grades 6-8
At least one of grades 9-12

(4)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
Content Area Label

At least one of grades 6-8
At least one of grades 9-12

FORM NTPS-4

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14416226

5. EARLY CAREER EXPERIENCES
5-1.

Was your FIRST year of teaching before the 2011-2012 school year?
Yes ➔

GO TO Section 6 on page 26.

5-2.

What was your MAIN activity the year before you began teaching at the K-12 or comparable
ungraded level?
Mark (X) only one box.
Student at a college or university
Working as a substitute teacher

➔

GO TO item 5-4 on page 23.

Teaching in a preschool
Teaching at a college or university
Working in a position in the field of education, but not as a teacher
Working in an occupation outside the field of education
Caring for family members
Military service

➔

GO TO item 5-4 on page 23.

Unemployed and seeking work
Retired from another job

5-3a.

What kind of work did you do, that is, what was your occupation?
Please record your job title; for example, electrical engineer, cashier, typist, farmer, loan officer.

b. What were your most important activities or duties on that job?
For example, typing, selling cars, driving delivery truck, caring for livestock.

c. How would you classify yourself on that job?
Mark (X) only one box.
An employee of a PRIVATE company, business, or individual for wages, salary, or commission
A FEDERAL government employee
A STATE government employee
A LOCAL government employee
SELF-EMPLOYED in your own business, professional practice, or farm
Working WITHOUT PAY in a family business or farm
Working WITHOUT PAY in a volunteer job
FORM NTPS-4

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5-4.

In your FIRST year of teaching, how well prepared were you to —
If you are in your first year of teaching, please answer for THIS school year.

Not at all
prepared

Mark (X) one box on each line.
Somewhat
Well
Very well
prepared
prepared
prepared

a. Handle a range of classroom management
or discipline situations?
b. Use a variety of instructional methods?
c. Teach your subject matter?
d. Use computers in classroom instruction?
e. Assess students?
f.

Differentiate instruction in the
classroom?

g. Use data from student assessments to
inform instruction?
h. Teach to state content standards?

5-5.

Teach students who are limited-English
proficient [LEP]or English-language
learners [ELLs]?

Teach students with special needs?

In your FIRST year of teaching, did you participate in a formal schoolwide or districtwide
program for beginning teachers aimed to enhance teachers’ effectiveness by providing
systematic support (sometimes called a teacher induction program)?
If you are in your first year of teaching, please answer for THIS school year.
Yes
No

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5-6.

Did you receive the following kinds of support during your FIRST year of teaching?
If you are in your first year of teaching, please answer for THIS school year.
a. Reduced teaching schedule or number of preparations
Yes
No
b. Common planning time with teachers in your subject
Yes
No
c. Seminars or classes for beginning teachers
Yes
No
d. Extra classroom assistance (e.g., teacher aides)
Yes
No
e. Regular supportive communication with your principal, other administrators, or
department chair
Yes
No
f.

Observation and feedback on your teaching aimed at helping you develop and refine
your teaching practice BEYOND any formal administrative observation and feedback
you may have received
Yes
No

g. Release time to participate in support activities for new or beginning teachers
Yes
No

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14416259

5-7a.

In your FIRST year of teaching, were you assigned a master or mentor teacher by your
school or district?
If you are in your first year of teaching, please answer for THIS school year.
Yes
No ➔

GO TO Section 6 on page 26.

b. How frequently did you work with your assigned master or mentor teacher during your
first year of teaching?
At least once a week
Once or twice a month
A few times a year
Never

c. Had your assigned master or mentor teacher ever instructed students in the same subject
area(s) as yours?
Yes
No

5-8.

Did your assigned master or mentor teacher provide the following types of support during
your FIRST year of teaching?
If you are in your first year of teaching, please answer for THIS school year.
a. Helped with paperwork or record keeping
Yes
No

b. Demonstrated lessons
Yes
No

c. Helped you prepare lessons that address learning standards
Yes
No

d. Helped you develop student assessment tools
Yes
No

5-9.

Overall, to what extent did your assigned master or mentor teacher improve your teaching
in your first year of teaching?
Mark (X) only one box.
Not at all
To a small extent
To a moderate extent
To a great extent
FORM NTPS-4

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6. TEACHER WORKING CONDITIONS
For questions 6-1 to 6-3 please report to the nearest whole hour; do not record fractions of an hour or
minutes.

6-1.

How many hours does your contract require you to work during a typical FULL WEEK at
THIS school?
This would be base contract hours, or the equivalent, NOT including stipends or extra pay for
extra duty.
Total WEEKLY hours required to work

6-2.

Of the hours you are CONTRACTED to work, how many hours during a typical full week do
you DELIVER INSTRUCTION to students in THIS school?
This number should be less than the reported number of hours in 6-1.
"PULL-OUT" or "PUSH-IN" TEACHERS: Please include the number of hours you instruct
individual students or small groups of students.
Exclude time spent planning and monitoring students outside of class.
Total WEEKLY hours delivering instruction

6-3.

Including hours spent during the school day, before and after school, and on the weekends,
how many hours do you spend on ALL teaching and other school-related activities during a
typical FULL WEEK at THIS school?
Total WEEKLY hours spent on all teaching and school-related activities

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6-4.

During this school year, do you or will you do the following for this school or district —

a. Coach a sport?
Yes
No

b. Sponsor any student groups, clubs, or organizations?
Yes
No

c. Serve as a department lead or chair?
Yes
No

d. Serve as a lead curriculum specialist?
Yes
No

e. Serve on a schoolwide or districtwide committee or task force?
Yes
No

Serve as an assigned mentor or mentor coordinator for teachers?
Yes
No

6-5.

In the LAST SCHOOL YEAR (2014-15), how much of your own money did you spend on
classroom supplies, without reimbursement?
Please use your best estimate for costs incurred, in whole dollars.
If none, please mark (X) the box.
None
or
$

.00

FORM NTPS-4

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7. SCHOOL CLIMATE AND TEACHER ATTITUDES
7-1.

How much actual influence do you think teachers have over school policy AT THIS SCHOOL
in each of the following areas?
No
influence

Mark (X) one box on each line.
Minor
Moderate A great deal
influence
influence
of influence

a. Setting performance standards for
students at this school
b. Establishing curriculum
c. Determining the content of in-service
professional development programs
d. Evaluating teachers
e. Hiring new full-time teachers
f. Setting discipline policy
g. Deciding how the school budget
will be spent

7-2. How much actual control do you have IN YOUR CLASSROOM at this school over the
following areas of your planning and teaching?
No
control

Mark (X) one box on each line.
Minor
Moderate A great deal
control
control
of control

a. Selecting textbooks and
other instructional materials
b. Selecting content, topics, and
skills to be taught
c. Selecting teaching techniques
d. Evaluating and grading students
e. Disciplining students
f. Determining the amount of
homework to be assigned

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7-3.

To what extent do you agree or disagree with each of the following statements?
Mark (X) one box on each line.
Strongly Somewhat Somewhat Strongly
agree
disagree
agree
disagree
a. The school administration’s behavior
toward the staff is supportive and
encouraging.
b. I am satisfied with my teaching salary.
c. The level of student misbehavior in this
school (such as noise, horseplay or
fighting in the halls, cafeteria, or student
lounge) interferes with my teaching.
d. I receive a great deal of support
from parents for the work I do.
e. Necessary materials such as textbooks,
supplies, and copy machines are
available as needed by the staff.
f. Routine duties and paperwork interfere
with my job of teaching.
g. My principal enforces school rules
for student conduct and backs me
up when I need it.
h. Rules for student behavior are
consistently enforced by teachers in
this school, even for students who are
not in their classes.
i. Most of my colleagues share my
beliefs and values about what the
central mission of the school should be.
j. The principal knows what kind of
school he or she wants and has
communicated it to the staff.
k. There is a great deal of cooperative
effort among the staff members.
l. In this school, staff members are
recognized for a job well done.
m. I worry about the security of my job
because of the performance of my
students or my school on state and/or
local tests.
n. State or district content standards
have had a positive influence on my
satisfaction with teaching.
o. I am given the support I need to teach
students with special needs.
p. The amount of student tardiness and
class cutting in this school interferes
with my teaching.
q. I am generally satisfied with being a
teacher at this school.
r. I make a conscious effort to coordinate
the content of my courses with that of
other teachers.
FORM NTPS-4

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7-4.

To what extent is each of the following a problem in this school?
Mark (X) one box on each line.
Serious
Moderate
Minor
Not a
problem
problem
problem
problem
a. Student tardiness
b. Student absenteeism
c. Student class cutting
d. Teacher absenteeism
e. Students dropping out
f. Student apathy
g. Lack of parental involvement
h. Poverty
i. Students come to school unprepared
to learn
j. Poor student health

7-5.

To what extent do you agree or disagree with each of the following statements?
Strongly
agree

Mark (X) one box on each line.
Somewhat Somewhat Strongly
agree
disagree
disagree

a. The stress and disappointments involved in
teaching at this school aren’t really worth it.
b. The teachers at this school like being here;
I would describe us as a satisfied group.
c. I like the way things are run at this school.
d. If I could get a higher paying job I’d leave
teaching as soon as possible.
e. I think about transferring to another school.
f. I don’t seem to have as much enthusiasm
now as I did when I began teaching.
g. I think about staying home from school
because I’m just too tired to go.

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14416317

7-6.

How long do you plan to remain in teaching?
Mark (X) only one box.
As long as I am able
Until I am eligible for retirement benefits from this job
Until I am eligible for retirement benefits from a previous job
Until I am eligible for Social Security benefits
Until a specific life event occurs (e.g., parenthood, marriage, retirement of spouse or partner)
Until a more desirable job opportunity comes along
Definitely plan to leave as soon as I can
Undecided at this time

7-7a.

Has a student FROM THIS SCHOOL ever threatened to injure you?
Yes
No ➔

GO TO item 7-8a below.

b. Has a student FROM THIS SCHOOL threatened to injure you IN THE PAST 12 MONTHS?
Yes
No ➔

GO TO item 7-8a below.

In the past 12 months, how many times has a student FROM THIS SCHOOL threatened
to injure you?
Times

7-8a.

Has a student FROM THIS SCHOOL ever physically attacked you?
Yes
No ➔

GO TO Section 8 on page 32.

b. Has a student FROM THIS SCHOOL physically attacked you IN THE PAST 12 MONTHS?
Yes
No ➔

GO TO Section 8 on page 32.

In the past 12 months, how many times has a student FROM THIS SCHOOL physically
attacked you?
Times

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8. GENERAL EMPLOYMENT AND BACKGROUND INFORMATION
The following questions refer to your BEFORE-TAX earnings from teaching and other employment.

8-1.

DURING THE SUMMER OF 2015, did you have any earnings from —
Report amounts in whole dollars.

a. Teaching summer school in this school or any other school?
Yes ➔

How much?

.00

(1) Did all of these earnings come from your current
school?
Yes
No
GO TO item 8-1b below.

b. Working in a non-teaching job in this school or any other school?
Yes ➔

How much?

.00

(1) Did all of these earnings come from your current
school?
Yes
No
GO TO item 8-1c below.

c. Working in any NONSCHOOL job?
Yes ➔

How much?

.00

No
GO TO item 8-2 below.

8-2.

How many days are covered by your contract, per contract year?
Include professional development, student contact days, and any other days covered by
your contract.
Days per contract year

8-3.

DURING THE CURRENT SCHOOL YEAR, what is your base teaching salary for the entire
school year?
Report amounts in whole dollars.
$

.00

For the entire school year

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8-4.

DURING THE CURRENT SCHOOL YEAR, do you, or will you, earn any additional compensation
from this school system for extracurricular or additional activities such as coaching, student
activity sponsorship, mentoring teachers, or teaching evening classes?
Report amounts in whole dollars.
Yes ➔

How much?

.00

No
GO TO item 8-5 below.

8-5.

DURING THE CURRENT SCHOOL YEAR, do you, or will you, earn any additional compensation
from this school system based on your students’ performance (e.g., through a merit pay or
pay-for-performance agreement)?
Report amounts in whole dollars.
Yes ➔

How much?

.00

No
GO TO item 8-6 below.

8-6.

DURING THE CURRENT SCHOOL YEAR, have you earned income from any OTHER sources
from this school system, such as a state supplement, etc.?
Do NOT report any earnings already reported.
Report amounts in whole dollars.
Yes ➔

How much?

.00

No
GO TO item 8-7a below.

8-7a. DURING THE CURRENT SCHOOL YEAR, do you, or will you, earn additional compensation
from working in any job OUTSIDE this school system?
Report amounts in whole dollars.
Yes ➔

How much?

.00

GO TO item 8-7b below.

No ➔

GO TO item 8-8
on page 34.

b. Which of these best describes this job OUTSIDE this school system?
Mark (X) only one box.
Teaching or tutoring
Non-teaching, but related to teaching field
Other

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8-8.

During the CURRENT SCHOOL YEAR do you, or will you, receive a retirement pension check
paid from a teacher retirement system?
Report amounts in whole dollars.
Yes ➔

How much?

.00

No
GO TO item 8-9 below.

8-9.

Are you a member of a teachers’ union or an employee association similar to a union?
Yes
No

8-10a. Does your school, district, or school system offer tenure?
Yes
No ➔

GO TO item 8-11 below.

b. Are you tenured at your current school?
Yes
No

8-11.

Are you male or female?
Male
Female

8-12a. What is your current marital status?
Mark (X) only one box.
Now married ➔

GO TO item 8-13 on page 35.

Widowed
Separated
Divorced
Never married

b. Are you currently living with a boyfriend/girlfriend or partner?
Yes
No ➔

GO TO item 8-13 on page 35.

c. Are you currently living in a registered domestic partnership or civil union?
Yes
No

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8-13.

Are you of Hispanic or Latino origin?
Yes
No

8-14.

8-15.

What is your year of birth?
1 9

FORM NTPS-4

§/J‘[¤

14416366

9. CONTACT INFORMATION
9-1.

The survey you have completed may involve a brief follow-up next school year in order to
gain information on teachers’ movements in the labor force. The following information would
assist us in contacting you if you have moved or changed jobs. Please keep in mind that all
information provided here is strictly confidential and will only be used in the event that we
need to contact you for follow-up. Your responses are protected from disclosure by federal
statute (20 U.S.C., §9573). All responses that relate to or describe identifiable characteristics
of individuals may be used only for statistical purposes and may not be disclosed, or used,
in identifiable form for any other purpose, unless otherwise compelled by law.
Please PRINT your name, your spouse’s name (if applicable), your home address, your home
and cell phone numbers, the most convenient time to reach you, and your work and home
e-mail addresses.
a. First name

Middle name

Last name

Suffix

b. Spouse’s First Name

Spouse’s Middle Name

Spouse’s Last Name

c. Street Address

d. City

e. State

ZIP Code + 4
—

FORM NTPS-4

§/J‘c¤

14416374

g. Cell phone number
AREA CODE

TELEPHONE NUMBER

—

h. Home phone number
AREA CODE

TELEPHONE NUMBER

—
i.

—

Best day(s) to reach you
Mark (X) all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Best time of the day to reach you
Mark (X) only one box.
a.m.
p.m.

k. Work e-mail address

Home e-mail address

FORM NTPS-4

§/J‘k¤

14416382

9-2.

What are the names and addresses of two other people who would know where to get in
touch with you during the coming years? Please do not list more than one person who now
lives with you. Please inform these individuals that you have provided their names and
someone from the U.S. Census Bureau may contact them in the coming years if we are
unable to locate you.
Please PRINT contact’s name, contact’s relationship to you, and contact’s cell and home
phone numbers.
(1) First Contact Person
a. First name

Last name

b. Relationship to you

c. Cell phone number
AREA CODE

TELEPHONE NUMBER

—

d. Home phone number
AREA CODE

TELEPHONE NUMBER

—

What is the name and address of another person who would know where to get in touch with
you during the coming years?
Please PRINT contact’s name, contact’s relationship to you, and contact’s cell and home
phone number.
(2) Second Contact Person
a. First name

Last name

b. Relationship to you

c. Cell phone number
AREA CODE

TELEPHONE NUMBER

—

d. Home phone number
AREA CODE

—

TELEPHONE NUMBER

—
FORM NTPS-4

§/J‘s¤

14416390

9-3.

Please enter the date you completed this questionnaire.
Report month as a number, that is, 01 for January, 02 for February, etc.
Month
Day
Year
2 0 1

9-4.

Please indicate how much time it took you to complete this form, not counting interruptions.
Please record the time in minutes, e.g., 50 minutes, 65 minutes, etc.
Minutes

Thank you very much for your participation
in this survey. If you have any questions,
please contact us, toll-free, at: 1-888-595-1338
or by e-mail at: [email protected].

Please return your completed questionnaire
in the enclosed pre-addressed, postage-paid
envelope or mail it to:

U.S. CENSUS BUREAU
ATTN: DCB/PCSPU, BUILDING 60A
1201 E. 10TH STREET
JEFFERSONVILLE, IN 47132-0001

FORM NTPS-4

§/J‘{¤

14416408

FORM NTPS-4

§/Ja)¤

14316012
OMB No. 1850-0598: Approval Expires 06/30/20**

Conducted by:

U.S. DEPARTMENT OF EDUCATION

NATIONAL CENTER FOR EDUCATION STATISTICS

Collected by:

U.S. DEPARTMENT OF COMMERCE

Economics and Statistics Administration

U.S. CENSUS BUREAU

SCHOOL QUESTIONNAIRE
NATIONAL TEACHER AND PRINCIPAL SURVEY
2017-18 SCHOOL YEAR

DRAFT

(Please correct any errors in name, address, and ZIP Code.)

§/@]-¤

14316020

•
•
•
•

DRAFT

Your school has been selected to participate in the 2017-18 National Teacher and
Principal Survey. You will represent thousands of other schools, so it is important
that you respond to this survey.

Your responses are protected from disclosure by federal statute (20 U.S.C.,
§9573). All responses that relate to or describe identifiable characteristics of
individuals may be used only for statistical purposes and may not be disclosed,
or used, in identifiable form for any other purpose, unless otherwise compelled by
law.
More information can be found on our website: http://nces.ed.gov/surveys/ntps

Paperwork Burden Statement

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays
a valid OMB control number. The valid OMB control number for this voluntary information collection is 1850-0598. The time required to
complete this information collection is estimated to average 30 minutes per response, including the time to review instructions, search
existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning
the accuracy of the time estimate, suggestions for improving this collection, or comments or concerns about the contents or the status
of your individual submission of this questionnaire, please e-mail: [email protected], or write directly to: National
Teacher and Principal Survey, National Center for Education Statistics, 1990 K Street, N.W., #9046, Washington, DC 20006.

FORM NTPS-3

§/@]5¤

14316038

35
x Yes
No

INCORRECT marking example –

Yes
No

35
Yes

d. If you have any questions, call the U.S. Census Bureau at 1-888-595-1338. Someone will be

available to take your call Monday through Friday, between 8:00 a.m. and 8:00 p.m. (Eastern Time).
The U.S. Census Bureau is also available to answer your questions via e-mail at:
[email protected].

DRAFT

FORM NTPS-3

§/@]G¤

14316046

1. GENERAL INFORMATION ABOUT THIS SCHOOL
Please report for the school listed on the cover.

1-1.

Does this school offer the following grades?
Please mark (X) Yes or No for each grade level.
Prekindergarten

Yes

Kindergarten

Yes

1st

Yes

2nd

Yes

3rd

Yes

4th

Yes

5th

Yes

6th

Yes

7th

Yes

11th

Yes

12th

Yes

Ungraded

Yes

DRAFT

8th
9th
10th

1-2.

Excluding prekindergarten, postsecondary, and adult education students, around the first
of October, how many students were enrolled in this school?
Students

,
1-3.

For this school year (2017-18), what is the Average Daily Attendance (ADA) percentage at
this school?
Round to the nearest whole PERCENT.

FORM NTPS-3

§/@]O¤

14316053

1-4.

:
1-5.

End time
a.m.
p.m.

a.m.
p.m.

How many days are in a TYPICAL SCHOOL WEEK for students in this school?
Do not include prekindergarten, kindergarten, or transitional first grade programs.
Days per SCHOOL WEEK

1-6.

How many days are in the SCHOOL YEAR for students in this school?

Days per SCHOOL YEAR

1-7.

Which of the following best describes this school?
Mark (X) only one box.

DRAFT

REGULAR school – elementary or secondary

SPECIAL PROGRAM EMPHASIS school – such as a science or math school, performing
arts school, talented or gifted school, foreign language immersion school, etc.
SPECIAL EDUCATION school – primarily serves students with disabilities
CAREER/TECHNICAL/VOCATIONAL school – primarily serves students being trained for
occupations
ALTERNATIVE/OTHER school – offers a curriculum designed to provide alternative or
nontraditional education; does not specifically fall into the categories of regular, special
program emphasis, special education, or vocational school – Please describe. C

FORM NTPS-3

§/@]V¤

14316053

1-8a.

Yes
No ➜ GO TO item 1-9 below.

c. How many days are in a TYPICAL SCHOOL WEEK for kindergarten, transitional

kindergarten, or transitional first grade students in this school?
If the number of days per week varies, record the most days that a student would attend in a
week.

DRAFT

Days per SCHOOL WEEK

1-9.

Does this school have a library media center?
(A library media center is an organized collection of printed and/or audiovisual and/or computer
resources which is administered as a unit. A library media center may be called a school library,
media center, resource center, information center, instructional materials center, learning resource
center, or any other similar name.)

Yes
No

FORM NTPS-3

§/@]V¤

14316061

1-10a.

Does this school offer any courses that are taught entirely online?
Yes
No ➜ GO TO item 1-11a below.

b. Among all the courses you offer at this school, about how many of the courses are
entirely online?
Mark (X) only one box.

One or a few courses
Some courses but less than half
About half
A majority
All courses

1-11a.

Does this school have a magnet program?
(A magnet program offers enhancements such as special curricular themes or methods of
instruction to attract students from outside their normal attendance area.)

Yes

DRAFT

No ➜ GO TO item 1-12 on page 8.

b. Is this a school-wide magnet program in which all students in this school participate
in the program?
Yes
No

Is the magnet program focused on…?
Mark (X) for all that apply.
Science, Technology, Engineering, or Math
Performing Arts
Education for gifted or talented students
Foreign language immersion
Other

FORM NTPS-3

§/@]^¤

1-12.

Does this school offer the following?

a. Different instructional approaches (e.g., mixed ability grouping, self-paced instruction,
ungraded classrooms, etc.)

Yes
No

b. A dual language or foreign language immersion program (A program in which the goal of
instruction is that students are proficient in two languages)
Do not include English as a Second Language (ESL) programs or classes.

Yes
No

c. Distance learning course(s) (Taught primarily via Internet, e-mail, satellite, or television)
Yes
No

1-13.

Are the following before-school or after-school programs or services currently available for
students in any of grades K-12, or comparable ungraded levels, regardless of funding source
at this school?

DRAFT

a. A program or service providing instruction beyond the normal school day for students who
NEED academic ASSISTANCE

Yes
No

b. A program or service providing instruction beyond the normal school day for
students who SEEK academic ADVANCEMENT or ENRICHMENT

Yes
No

c. Extended-day care
Yes
No

d. School-related activities and clubs (e.g., yearbook club, school dance committee, etc.)
Yes
No

1-14.

Does this school have instruction specifically designed to address the needs of students
with limited-English proficiency, also known as English-language learners (ELLs)?
Yes
No

FORM NTPS-3

§/@]p¤

14316079

2. INSTRUCTIONAL TIME
2-1.

Does this school have students enrolled in the THIRD GRADE?
Yes
No ➜

2-2.

GO TO item 2-4 on page 11.

What is the official start and end time for THIRD GRADE students at this school?
If the start and end times vary by day, record the start and end time for the longest day of the
week.

Start time

End time

:
2-3.

a.m.
p.m.

During a TYPICAL SCHOOL WEEK, approximately how many minutes per day do most
THIRD GRADE students spend on the following activities at this school?
For days where the subject is not taught to third grade students, please select "None".
If your school has 2 or more third grade classes, calculate the average minutes per day for all
third grade classes.

DRAFT

a. Arithmetic or mathematics

Minutes per day

None

Days per week

for

b. Social studies or history
Days per week

Minutes per day

None

for

c. Science
Days per week

Minutes per day

None

for

d. Foreign language (Not English as a Second Language [ESL])
Days per week

Minutes per day

None

for

FORM NTPS-3

§/@]p¤

14316087

2-3.

Continued- During a TYPICAL SCHOOL WEEK, approximately how many minutes per day do most
THIRD GRADE students spend on the following activities at this school?
For days where the subject is not taught to third grade students, please select "None".
If your school has 2 or more third grade classes, calculate the average minutes per day for all
third grade classes.
e.

Physical education
Days per week

Minutes per day

None

for

Music
Days per week

Minutes per day

None

g. Art

for

DRAFT
Days per week

Minutes per day

None

for

h. Recess
Do NOT include time allocated for lunch.

Days per week

Minutes per day

None

for

FORM NTPS-3

§/@]x¤

14316087

2-4.

Does this school have students enrolled in the EIGHTH GRADE?
Yes
No ➜

2-5.

GO TO item 3-1 on page 12.

What is the official start and end time for EIGHTH GRADE students at this school?
If the start and end times vary by day, record the start and end time for the longest day of the
week.

Start time

End time

:
2-6.

a.m.
p.m.

During a TYPICAL SCHOOL WEEK, approximately how many minutes per day do most
EIGHTH GRADE students spend on the following activities at this school?
For days where the subject is not taught to eighth grade students, please select "None".
If your school has 2 or more eighth grade classes, calculate the average minutes per day for all
eighth grade classes.
a. Combined TOTAL of English, reading, or language arts

DRAFT
Minutes per day

None

Days per week

for

b. Arithmetic or mathematics

Days per week

Minutes per day

None

for

c. Social studies or history
Days per week

Minutes per day

None

for

d. Science
Days per week

Minutes per day

None

for

FORM NTPS-3

§/@]x¤

14316145

3. CLASSROOM ORGANIZATION
3-1.

During THIS school year (2017-2018), does this school use the following methods to organize
classes or students?

a. Traditional grades (e.g., 1st grade, 2nd grade) or academic discipline-based departments
(e.g., math, science)
Yes
No

b. Tracking (Students are assigned based on their ability)
Yes
No

c. Grades subdivided into small groups such as “teams”, “houses” or “families”
Yes
No

DRAFT

d. Student groups assigned to stay in classes together for two or more years with the SAME
teacher (e.g., looping)
Yes
No

e. Student groups assigned to stay in classes together for two or more years with
DIFFERENT teachers
Yes
No

Multi-age grouping or composite classes (Most students normally in different grades placed
together)
Yes
No

g. Block scheduling (Extended class periods scheduled to create blocks of instruction time)
Yes
No
12

FORM NTPS-3

§/@^N¤

14316152

3-2a.

Does this school use a year-round calendar to distribute school days across 12 months?
Yes
No ➜

GO TO item 3-3 below.

Do all students attend on the same cycle?
Yes
No

3-3.

Does this school have students enrolled in any grades 9-12?
Yes➜

GO TO item 3-4 on page 14.

No➜

GO TO section 4 on page 15.

DRAFT

FORM NTPS-3

§/@^U¤

14316152

3-4.

Are the following opportunities available for students in any grades 9-12 in this school?

a. Dual or concurrent enrollment that offers both high school and college credit
Yes ➜
No

How is this funded?

By the school, district or state
By the family or the student
By some other entity

Specialized career academy
(A program within the school that offers a set of specialized curriculum
organized around a specific career area, such as automotive, business,
carpentry, communications, construction, cosmetology, culinary arts, education,
electricity, engineering, health, hospitality, IT, manufacturing, plumbing,
protective and legal services, repair, transportation, etc.)

Yes ➜

How many students are enrolled in the program?

DRAFT

Career and technical education courses
If courses are available to students but not part of a specialized career academy
in 3-4b, select "Yes".

Yes ➜

How many students are enrolled in the program?

students

Work-based learning or internships outside of school, in which students earn
COURSE CREDITS for supervised learning activities that occur in paid or
unpaid workplace assignments

Yes ➜
No

students

How many students are enrolled in the program?

FORM NTPS-3

students

§/@^U¤

14316145

4. COMMUNITY SERVICE REQUIREMENTS
The questions in this section are about the DISTRICT that this school is a part of, not this specific school.
You may wish to contact the district to obtain the information requested if it is not immediately known.

4-1.

Does this DISTRICT grant high school diplomas?
Do NOT include vocational certificates, certificates of attendance, or certificates of completion.
Yes
No ➔ GO TO Section 5 on page 16.

4-2.

For high school graduates of the class of 2018, does this school or district have a community
service requirement for a standard diploma?

Yes
No ➔ GO TO Section 5 on page 16.

4-3.

What is the minimum number of community service hours required of the high school
graduates in the class of 2018?

Hours

DRAFT

FORM NTPS-3

§/@^N¤

14316152

5. SPECIAL PROGRAMS AND SERVICES
5-1a.

b. How many students have an Individual Education Plan (IEP) because they have special needs?
Do NOT include prekindergarten, postsecondary, or adult education students.

,
5-2a.

Students

Does this school primarily serve students with disabilities?
If you marked "SPECIAL EDUCATION school - primarily serves students with disabilities" for
item 1-7, please mark "Yes" for this item.

Yes ➜ GO TO item 5-3a on page 17.
No

b. How many students with disabilities are in each of the following instructional settings?

DRAFT

The sum of entries in item 5-2b should equal the entry in item 5-1b above.
If none, please mark (X) the box.

(1) All day in a regular classroom (100 percent of the school day)
None

Students

(2) Most of the day in a regular classroom (80-99 percent of the school day)
None

Students

(3) Some of the day in a regular classroom (40-79 percent of the school day)
None

Students

(4) Little or none of the day in a regular classroom (0-39 percent of the school day)
None

Students

FORM NTPS-3

§/@^U¤

14316160

5-3a.

Does this school participate in the National School Lunch Program (that is, the federal free
or reduced-price lunch program)?
Yes
No ➜ GO TO item 5-4 on page 18.

b. Around the first of October, 2017, how many PREKINDERGARTEN students were enrolled
in this school ?

None

Prekindergarten students

(1) What was the percentage of PREKINDERGARTEN students at this school
APPROVED for free or reduced-price lunches under the National School Lunch
Program?

% of prekindergarten students approved
c. Around the first of October, 2017, what was the percentage of GRADES K-12 students
at this school APPROVED for free or reduced-price lunches under the National School
Lunch Program?

% of K-12 students approved
is the count of students whose National School Lunch Program eligibility was
d. What
determined through direct certification?

DRAFT

(Direct Certification deems students eligible for free meals under the NSLP by their
families’ participation in certain Federal assistance programs such as Supplemental
Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF),
or Food Distribution Program on Indian Reservations (FDPIR).)
None

students

e. Does this school provide a free lunch for ALL students as part of the National
School Lunch Program’s Community Eligibility Option?

(The Community Eligibility Program (CEP) eliminates the requirement for eligibility information
once a school has determined a baseline percentage of FRPL-eligible students. Under CEP,
schools must serve all students free lunch and breakfast. All students in a school are
therefore eligible for free lunches and there is no count of reduced-price lunch students.)

Yes
No

FORM NTPS-3

§/@^]¤

14316178

5-4.

Around the first of October, 2017 did any students enrolled in this school receive Title I
services at this school or at any other location?
(Title I is a federally funded program that provides educational services, such as remedial reading
or remedial math, to children who live in areas with high concentrations of low-income families.)

Yes
No ➜

5-5a.

How many PREKINDERGARTEN students at this school participate in the Title I program?
None

Prekindergarten students

How many students at this school in GRADES K-12 participate in the Title I program?
None

5-6.

GO TO item 6-1 on page 19.

K-12 students

Are students receiving Title I services in –

a. Reading or language arts?
Yes
No

DRAFT

b. Mathematics?
Yes
No

c. English as a Second Language (ESL)?
Yes
No

5-7.

How many designated Title I teachers were teaching AT THIS SCHOOL around the first
of October, 2017?

None

Title I teachers

FORM NTPS-3

§/@^o¤

14316186

6. CHARTER SCHOOL INFORMATION
6-1.

Yes
No ➜ GO TO Section 7 on page 20.

6-2.

DRAFT

FORM NTPS-3

§/@^w¤

14316194

7. CONTACT INFORMATION
7-1.

What is the name of the person who completed most of this questionnaire?

7-2.

What is his or her job title?

7-3.

What is his or her phone number?

—

7-4.

What is his or her work e-mail address?

7-5.

Please enter the date you completed this questionnaire.
Report month as a number, that is, 01 for January, 02 for February, etc.
Month
Day
Year

DRAFT
2 0 1

7-6.

Please indicate how much time it took you to complete this form, not counting interruptions.
Minutes

Thank you very much for your participation
in this survey. If you have any questions,
please contact us, toll-free, at: 1-888-595-1338
or by e-mail at: [email protected].

FORM NTPS-3

§/@^¡¤

14316202

DRAFT

For additional data collected by various
Federal agencies, including the
Department of Education, visit the
Federal Statistics clearinghouse at:
http://fedstats.sites.usa.gov

FORM NTPS-3

§/@_#¤

14216014
OMB No. 1850-0598 Approval Expires 06/30/20**

Conducted by:

U.S. DEPARTMENT OF EDUCATION

Collected by:

NATIONAL CENTER FOR EDUCATION STATISTICS

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

PRINCIPAL QUESTIONNAIRE
NATIONAL TEACHER AND PRINCIPAL SURVEY
2017-18 SCHOOL YEAR

DRAFT

(Please correct any errors in name, address, and ZIP Code.)

§/6]/¤

14216022

•
•
•
•

DRAFT

Your school has been selected to participate in the 2017-18 National Teacher and
Principal Survey. You will represent thousands of other principals, so it is important
that you respond to this survey.

Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays
a valid OMB control number. The valid OMB control number for this voluntary information collection is 1850-0598. The time required to
complete this information collection is estimated to average 22 minutes per response, including the time to review instructions, search
existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning
the accuracy of the time estimate, suggestions for improving this collection, or comments or concerns about the contents or the status
of your individual submission of this questionnaire, please e-mail: [email protected], or write directly to: National
Teacher and Principal Survey, National Center for Education Statistics, 1990 K Street, N.W., #9046, Washington, DC 20006.
FORM NTPS

§/6]7¤

14216030

INCORRECT marking example –

35
x Yes

Yes

Yes
OR

DRAFT

FORM NTPS

§/6]?¤

14216048

1. PRINCIPAL EXPERIENCE AND TRAINING
1-1.

BEFORE you became a principal, how many years of elementary, middle, or secondary
teaching experience did you have?
Count part of a year as 1 year.
If none, please mark (X) the box.
None

1-2.

Year(s) of teaching before becoming a principal

BEFORE you became a principal, did you hold the position of an assistant principal or
program director?
Include temporary positions.
Yes
No

1-3.

BEFORE you became a principal, did you have any management experience outside of the
field of education?
Yes
No

1-4.

BEFORE you became a principal, did you participate in any district or school training or
development program for ASPIRING school principals?

DRAFT

Yes
No

1-5.

1-6.

Year(s) as principal of this or any other school

Year(s) as principal of this school

FORM NTPS

§/6]Q¤

14216055

1-7.

1-8.

1-9.

Do you currently hold a license or certification in “school administration”?
Yes
No

1-10.

While serving as a principal, have you also regularly taught one or more classes at the
elementary, middle, or secondary level?
Do not include time spent as a short-term substitute teacher.

Yes
No ➜

1-11.

DRAFT

GO TO item 2-1 on page 6.

While serving as a principal, how many YEARS did you regularly teach at the elementary,
middle, or secondary level?
Count part of a year as 1 year.
Include the 2017-18 school year in this count, if applicable.
If none, please mark (X) the box.
None ➔

GO to item 2-1 on page 6.

YEAR(S) of teaching since becoming a principal

1-12.

In addition to serving as principal, are you CURRENTLY teaching in THIS school?
Do not include time spent as a short-term substitute teacher.
Yes
No

FORM NTPS

§/6]X¤

14216063

2. GOALS AND DECISION MAKING
2-1.

2-2.

How much ACTUAL influence do you think you have as a principal on decisions concerning
the following activities?
Mark (X) one box on each line.
No
influence

Minor
Moderate
Major
Not
influence influence influence applicable

DRAFT

e. Hiring new full-time teachers of
this school
f.

Setting discipline policy at this
school

g. Deciding how your school
budget will be spent

FORM NTPS

§/6]‘¤

14216071

3. SCHOOL CLIMATE AND SAFETY
3-1.

Never
happens

a. Physical conflicts among students
b. Robbery or theft
c. Vandalism
d. Student use of alcohol
e. Student use of illegal drugs

DRAFT

f. Student possession of weapons
g. Physical abuse of teachers
h. Student racial tensions
i.

Student bullying

Student verbal abuse of teachers

k. Widespread disorder in classrooms
l.

Student acts of disrespect for teachers

m. Gang activities

FORM NTPS

§/6]h¤

14216089

3-2.

LAST school year (2016-17), what percentage of students had at least one parent or
guardian participating in the following events?

Mark (X) one box on each line.
0-25%

26-50%

51-75%

Not
76-100% applicable

DRAFT

f. Volunteer in the school as needed
or on a regular basis

g. Involvement in school instructional
issues (e.g., planning classroom
learning activities, providing
feedback on curriculum)
h. Involvement in governance (e.g.,
PTA or PTO meetings, school
board, parent booster clubs)
i.

3-3.

Involvement in budget decisions

3-4.

FORM NTPS

§/6]z¤

14216113

4. TEACHER EVALUATION
4-1.

During the LAST school year (2016-2017), which of the following sources of information on
teacher performance did THIS school use in teacher evaluations?

a. Classroom observations using a teacher professional practice rubric, conducted by the
principal or other school administrator
Yes
No

b. Classroom observations using a teacher professional practice rubric, conducted by
someone OTHER than a school administrator
Yes
No

c. Videotaped classroom observation
Yes
No

DRAFT

d. Assessments by a peer or mentor teacher that are NOT based on a teacher
professional practice rubric
Yes
No

e. Teacher self-assessment
Yes
No

Amount or content of professional development completed by the teacher
Yes
No

g. Artifacts of teacher professional practice or portfolios
Yes
No
h. Student surveys or other student feedback
Yes
No

FORM NTPS

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14216121

4-1.

Continued – During the LAST school year (2016-2017), which of the following sources of
information on teacher performance did THIS school use in teacher evaluations?
i.

Parent surveys or other parent feedback
Yes
No

Teacher professional credentials including experience, education, and certification
Yes
No

4-2.

a. For a TENURED or EXPERIENCED teacher, on average, how many formal observations
were conducted during the LAST school year (2016-2017) to evaluate performance?

DRAFT

A formal observation is one that is required by the school, district, or state in order to
collect information for a performance evaluation.
None

Number of observations

GO TO item 4-2c below.

b. For a TENURED or EXPERIENCED teacher, on average, how long is the typical formal
observation?
Average number of minutes
c. For a TENURED or EXPERIENCED teacher, on average, how many informal observations
were conducted during the LAST school year (2016-2017)?
None

Number of observations

GO TO item 4-2e on page 11.

d. For a TENURED or EXPERIENCED teacher, on average, how long is the typical informal
observation?
Average number of minutes

FORM NTPS

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14216121

4-2.

Continued –
e. On average, how often do TENURED or EXPERIENCED teachers recieve an evaluation?
An evaluation is a SUMMATIVE judgement about performance that is used for some
administrative purpose and becomes a part of the record of a teacher's performance.

Mark (X) only one box.
Two or more times a year
Once a year
Once every 2 years
Once every 3 or more years
No evaluations are conducted

4-3.

a. For a NON-TENURED or INEXPERIENCED teacher, on average, how many formal
observations were conducted during the LAST school year (2016-2017) to evaluate
performance?

DRAFT

A formal observation is one that is required by the school, district, or state in order
to collect information for a performance evaluation.
None

Number of observations

GO TO item 4-3c below.

b. For a NON-TENURED or INEXPERIENCED teacher, on average, how long is the typical
formal observation?
Average number of minutes
c.

For a NON-TENURED or INEXPERIENCED teacher, on average, how many informal
observations were conducted during the LAST school year (2016-2017)?
None

Number of observations

GO TO item 4-3e on page 12.

d. For a NON-TENURED or INEXPERIENCED teacher, on average, how long is the typical
informal observation?
Average number of minutes

FORM NTPS

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14216139

4-3.

Continued –
e. On average, how often do NON-TENURED or INEXPERIENCED teachers recieve an
evaluation?
An evaluation is a SUMMATIVE judgement about performance that is used for some
administrative purpose and becomes a part of the record of a teacher's performance.

Mark (X) only one box.
Two or more times a year
Once a year
Once every 2 years
Once every 3 or more years
No evaluations are conducted

4-4.

During THIS school year (2017-2018), is student achievement growth on standardized
assessments or student learning objectives used in the performance evaluation of
teachers in this school, whether it be within a classroom, teamwide, gradewide, or
schoolwide?

DRAFT

Student achievement growth is the change in individual student achievement between two or
more points in time.
Standardized assessments are assessments consistently administered and scored districtwide
or statewide for all students in the same grades and subjects.
Student learning objectives (SLOs) are measurable learning goals or objectives established
for students, which can be used to measure student growth over a set period of time.
Student achievement growth on standardized assessments or student learning objectives is
used in the evaluation of:
ALL teachers in this school, including all grades, all subjects, special education,
and special populations
MOST teachers in this school
SOME teachers in this school
NO teachers in this school ➔ GO TO item 4-6 on page 13.

4-5.

The teachers in this school are evaluated on the achievement growth of:
Mark all that apply.
Students they teach DIRECTLY
Students GRADEWIDE
Students TEAMWIDE
Students SCHOOLWIDE

FORM NTPS

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14216139

4-6.

During THIS school year (2017-2018), to what extent will teachers' performance evaluation
results be used to inform the following decisions about teacher professional development?
Mark (X) one box in each line.
Not at all

Somewhat

A lot

a. Plan professional development for individual
teachers
b. Identify low-performing teachers for coaching,
mentoring, or peer assistance
c. Develop performance improvement plans for lowperforming teachers
d. Set goals with teachers for student achievement
growth for the next school year

4-7.

During THIS school year (2017-2018), will teacher performance evaluation results be used to
inform any of the following decisions about teachers in THIS school?
a. Formally recognizing high performing teachers
Yes
No

DRAFT

b. Determining annual salary increases
Yes
No

c. Determining bonuses or performance-based compensation other than salary increases
Yes
No
d. Determining teaching assignments
Yes
No
e. Offering career advancement opportunities, such as teacher leadership roles
Yes
No
f.

Granting job protection or tenure
Yes
No

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14216063

4-8.

During THIS school year (2017-2018), will teacher performance evaluation results be used
to inform any of the following decisions about LOW-PERFORMING teachers in THIS school?

a. Losing job protection or tenure
Yes
No

b. Prioritizing teachers for layoffs
Yes
No
c. Determining teacher reassignment
Yes
No

DRAFT

d. Counseling a teacher out of the school, district, or profession due to poor
performance
Yes
No

e. Not renewing teacher contract or terminating employment for cause
Yes
No

FORM NTPS

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14216063

5. TEACHER PROFESSIONAL DEVELOPMENT
5-1.

To what extent do you agree or disagree with the following statements about
professional development for TEACHERS in this school?
Mark (X) one box in each line.
Strongly Somewhat
Disagree Disagree

Somewhat
Agree

Strongly
Agree

An appropriate amount of time is provided for
professional development

b. Sufficient resources are available for
professional development in this school
c.

Professional development offerings are based
on best practices

d. Professional development opportunities are
aligned with the school’s improvement plan
e.

Professional development is directly applicable
to the content or curriculum being taught

Professional development provides ongoing
opportunities for teachers to refine
instructional strategies

DRAFT

g. Professional development enhances teachers’
abilities to improve student learning

5-2.

How often are teachers' evaluation results considered when professional
development is planned and designed at THIS school?
Never
Sometimes
Frequently
Always

b. How often is teachers' input taken into consideration when planning professional
development at THIS school?
Never
Sometimes
Frequently
Always

FORM NTPS

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14216063

5-3.

How often is professional development for teachers at THIS school led by teachers in this
SCHOOL or DISTRICT?
Never
Sometimes
Frequently
Always

How often is professional development for teachers at THIS school evaluated for
evidence of improvement in SCHOOL or DISTRICT-wide achievement?
Never
Sometimes
Frequently
Always

DRAFT

FORM NTPS

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14216063

6. PRINCIPAL EVALUATIONS
6-1.

LAST school year (2016-2017), were you evaluated as a principal at THIS school?
Yes
No

➔

b. LAST school year, why were you not evaluated at THIS school?
I was not a principal at this school last year.
This district does not conduct principal evaluations.
This district does not conduct principal evaluations on yearly basis.
I am not evaluated because I am a tenured or experienced principal.
I am not evaluated for another reason.
GO TO item 6-4 on page 18.

6-2.

Thinking about your evaluation LAST school year (2016-2017), to what extent do you agree or
disagree with the following statements?
Mark (X) one box in each line.

DRAFT

Strongly Somewhat Somewhat Strongly
Agree
Agree
Disagree Disagree

a. The evaluator(s) accurately evaluated my
strengths and weaknesses as a principal.
b. My evaluator(s) was fair and unbiased.

c. Overall, the evaluation process was fair.
d. The evaluation rubric accurately represents
the scope of my responsibilities as a principal.

FORM NTPS

§/6]‘¤

14216063

6-3.

a. Thinking about your evaluation LAST school year (2016-2017), did you receive any
feedback on your work as a principal?
Yes
No ➔ GO TO item 6-4 below.
b. Thinking about your evaluation LAST school year (2016-2017), have you used the
feedback you received to try to improve YOUR performance?
Yes
No
c. Thinking about your evaluation LAST school year (2016-2017), did you receive
feedback on the processes or procedures you use to attain THIS school's
performance goals?
Yes
No

6-4.

During THIS school year (2017-2018), is student achievement growth on standardized
assessments used in your performance evaluation?

DRAFT

FORM NTPS

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14216063

7. PRINCIPAL PROFESSIONAL DEVELOPMENT
7-1.

During the LAST school year (2016-2017), did you participate in any professional
development activities as a principal at THIS school?
Yes
No ➔ GO TO item 8-1 on page 22.

7-2.

During the LAST school year (2016-2017), how often were the professional
development activities in which you participated:
Mark (X) one box in each line.
Never

Sometimes

Frequently

Always

a. Designed to support state or district
standards and/or assessments?

DRAFT

b. Designed as part of a school
improvement plan to meet state, district,
or school goals?

7-3.

During the LAST school year (2016-2017), have you participated in the following kinds
of professional development?
a. University course(s) related to your role as principal
Yes
No
b. Visits to other schools designed to improve your own work as principal
Yes
No
c.

Mentoring and/or peer observation and coaching of principals
Yes
No

FORM NTPS

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14216063

7-3.

Continued – During the LAST school year (2016-2017), have you participated in the

following kinds of professional development?
d. Participating in a principal network (e.g, a group of principals organized
within school systems, by an outside agency, or through the internet)
Yes
No
e. Workshops, conferences, or training in which you were a presenter
Yes
No
f.

Other workshops or conferences in which you were not a presenter
Yes
No

7-4.

DRAFT

During the LAST school year (2016-2017), did you participate in professional
development on any of the following topics?
a. Analyzing and interpreting student achievement data
Yes
No
b. Human resource management
Yes
No
c. Student motivation and engagement
Yes
No
d. Use of technology to support instruction
Yes
No
e. School management and policy
Yes
No

FORM NTPS

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14216063

7-4.

Continued – During the LAST school year (2016-2017), did you participate in professional

development on any of the following topics?
f.

School improvement planning
Yes
No

g. Social services for students
Yes
No

DRAFT

h. Safety or school climate
Yes
No
i.

Supporting effective instruction
Yes
No

FORM NTPS

§/6]‘¤

14216063

8. PRINCIPAL ENGAGEMENT
8-1.

To what extent do you agree or disagree with the following statements about
your work at THIS school?
Mark (X) one box in each line.
Strongly
Disagree

Somewhat
Disagree

Somewhat
Agree

Strongly
Agree

a. I have the necessary tools and resources to
carry out my work at THIS school.
b. During this school year, I have received
positive recognition for my work.
c. My colleagues support me.
d.

The school helps me see that my job as a
principal is an important one.

e. I feel fulfilled in my role as a
principal of this school.
f.

There is someone at this school who I can
seek advice from about my work.

g. My supervisor values my opinions and ideas
for improvement.
h. I work among colleagues who are highly
committed to the mission of the school.
i.

I feel connected to this school.

My job is rewarding.

DRAFT
22

FORM NTPS

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14216147

9. PRINCIPAL DEMOGRAPHIC INFORMATION
9-1.

Are you male or female?
Male
Female

9-2.

Are you of Hispanic or Latino origin?

Yes
No

9-3.

What is your race?
Mark (X) one or more races to indicate what you consider yourself to be.

White
Black or African-American

DRAFT

Asian

Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native

9-4.

What is your year of birth?
1 9

9-5.

.00

per year

FORM NTPS

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14216154

10. CONTACT INFORMATION
10-1.

Please PRINT your name, home address, your work, cell, and home telephone numbers, and
your work and home e-mail addresses.
a. First name

Middle name

Last name

Suffix

DRAFT

b. Street address

c. City

d. State

e. ZIP Code + 4
—
f.

Work phone number
AREA CODE

TELEPHONE NUMBER

—

g. Cell phone number
AREA CODE

TELEPHONE NUMBER

—

h. Home phone number
AREA CODE

TELEPHONE NUMBER

—

Work e-mail address

Home e-mail address

—

FORM NTPS

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14216162

10-2.

Please enter the date you completed this questionnaire.
Report month as a number, that is, 01 for January, 02 for February, etc.
Month
Day
Year
2 0 1

10-3.

Please indicate how much time it took you to complete this form, not counting interruptions.
Please record the time in minutes, e.g., 50 minutes, 65 minutes, etc.
Minutes

Thank you very much for your participation
in this survey. If you have any questions,
please contact us, toll-free, at: 1-888-595-1338
or by e-mail at: [email protected].

DRAFT

Please return your completed questionnaire
in the enclosed pre-addressed, postage-paid
envelope or mail it to:

U.S. CENSUS BUREAU
ATTN: DCB/PCSPU, BUILDING 60A
1201 E. 10TH STREET
JEFFERSONVILLE, IN 47132-0001

FORM NTPS

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14216170

DRAFT

FORM NTPS

§/6^g¤

14416010
OMB No. 1850-0598: Approval Expires 06/30/20**

Conducted by:

U.S. DEPARTMENT OF EDUCATION

Collected by:

U.S. DEPARTMENT OF COMMERCE

NATIONAL CENTER FOR EDUCATION STATISTICS

Economics and Statistics Administration

U.S. CENSUS BUREAU

TEACHER QUESTIONNAIRE
NATIONAL TEACHER AND PRINCIPAL SURVEY
2017-18 SCHOOL YEAR

DRAFT

NOTICE:
This survey is authorized by the Education Sciences Reform Act of
2002, 20 U.S. Code §9541(b) and §9543(a). The results will only be
produced as statistical summaries.
FORM

NTPS ROUND 2-FULL

(06-19-2017)

FORM NTPS ROUND 2-FULL

§/J]+¤

14416028

35
x Yes
No

INCORRECT marking example –

35
X

Yes

Yes
OR

d. If you have any questions, call the U.S. Census Bureau at 1-888-595-1338. Someone will be

DRAFT

available to take your call Monday through Friday, between 8:00 a.m. and 8:00 p.m. (Eastern Time).
The U.S. Census Bureau is also available to answer your questions via e-mail at:
[email protected].
Teachers who teach in multiple schools: Please respond to questions as they apply to the school
where you received this questionnaire.
Grades K-12 and comparable ungraded levels. This survey focuses on schools offering any of
grades K-12 or comparable ungraded levels at the elementary, middle, or secondary level. The term
“ungraded levels” refers to schools that classify students by an alternative means other than particular
grade levels (e.g., Kindergarten, 1st grade, 2nd grade, etc.).

Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays
a valid OMB control number. The valid OMB control number for this voluntary information collection is 1850-0598. The time required to
complete this information collection is estimated to average 40 minutes per response, including the time to review instructions, search
existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning
the accuracy of the time estimate, suggestions for improving this collection, or comments or concerns about the contents or the status
of your individual submission of this questionnaire, please e-mail: [email protected], or write directly to: National
Teacher and Principal Survey, National Center for Education Statistics, 1990 K Street, N.W., #9046, Washington, DC 20006.

FORM NTPS ROUND 2-FULL

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14416036

1. GENERAL INFORMATION
1-1.

1-2.

How do you classify your position at THIS school, that is, the activity at which you spend
most of your time during this school year?
Mark (X) only one box.
1

Regular full-time teacher (in any of grades K-12 or comparable ungraded levels)

Regular part-time teacher (in any of grades K-12 or comparable ungraded levels)

Itinerant teacher (i.e., your assignment requires you to provide instruction at more than
one school)

Long-term substitute (i.e., your assignment requires that you fill the role of a regular teacher
on a long-term basis, but you are still considered a substitute)

Short-term substitute

Student teacher

Teacher aide

Administrator (e.g., principal, assistant principal, director, school head)

Library media specialist or Librarian

Other professional staff (e.g., counselor, curriculum coordinator, social worker)

Support staff (e.g., secretary)

DRAFT

Which box did you mark in item 1-1 above?
Box 1 ➔

GO TO item 1-5 on page 4.

Box 2, 3, or 4 ➔

GO TO item 1-4 on page 4.

Box 5, 6, or 7 ➔

Please STOP now and return this questionnaire to
the U.S. Census Bureau. Thank you for your time.

Box 8, 9, 10, or 11

1-3.

GO TO item 1-4 on page 4.

Please STOP now and return this questionnaire to
No ➔ the U.S. Census Bureau. Thank you for your time.

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14416044

1-4.

Please STOP now and return this questionnaire to
the U.S. Census Bureau. Thank you for your time.

1-5.

1-6.

LAST school year (2016-17), what was your MAIN activity?
Mark (X) only ONE box which best applies to how you spent the MOST time LAST school year.
If you were a substitute or itinerant teacher, please mark (X) the box which best applies to your
MAIN activity LAST school year.

DRAFT

Teaching in this school

Teaching in another public elementary, middle, or secondary school IN THIS SCHOOL SYSTEM
Teaching in a public elementary, middle, or secondary school IN A DIFFERENT SCHOOL
SYSTEM IN THIS STATE
Teaching in a public elementary, middle, or secondary school IN ANOTHER STATE
Teaching in a PRIVATE elementary, middle, or secondary school
Teaching in a preschool
Teaching at a college or university
Student at a college or university
Working in a position in the field of education, but not as a teacher
Working in a position outside the field of education
On leave (e.g., maternity or paternity leave, disability leave, sabbatical)
Caring for family members, but not on leave (e.g., homemaking, childrearing)
Military service
Unemployed and seeking work
Retired from another job
Other – please specify ➔

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14416051

1-7.

1-8.

Year

In how many schools have you taught, either full-time or part-time, at the K-12 or comparable
ungraded level?
Do NOT include time spent as a student teacher.
Schools

1-9.

DRAFT

School years

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14416069

2. CLASS ORGANIZATION
2-1.

Do you currently teach students in any of these grades at THIS school?
Please mark (X) Yes or No for each grade level.
Prekindergarten

Yes

Kindergarten

Yes

1st

Yes

2nd

Yes

3rd

Yes

4th

Yes

5th

Yes

6th

Yes

7th

Yes

DRAFT

8th

Yes

12th

Yes

Ungraded

Yes

9th
10th
11th

2-2.

Students

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14416077

2-3.

2-4.

Students

2-5.

Main Teaching
Assignment Label

Are you intentionally assigned to instruct the same group of students for more than one year
(e.g., looping)?
Yes
No

2-6a.

DRAFT

During any of your classes, do you have students use instructional software to learn some
or all of their lessons?
Yes
No ➜

GO TO item 2-7 on page 8.

b. Does any of the instructional software the students use AUTOMATICALLY ADJUST the level
of instruction to an individual student’s performance?
Yes
No

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14416085

2-7.

Which statement best describes the way YOUR classes at THIS school are organized?
Mark (X) only one box.
1

You instruct several classes of different students most or all of the day in one or more
subjects (sometimes called Departmentalized Instruction).

You are an elementary school teacher who teaches only one subject to different classes of
students (sometimes called an Elementary Subject Specialist).

You instruct the same group of students all or most of the day in multiple subjects
(sometimes called a Self-Contained Class).

2-8.

Which box did you mark in item 2-7 above?
Box 1 or 2 ➔

GO TO item 2-12 on page 11.

Box 3 or 4
Box 5 ➔

2-9.

DRAFT

GO TO item 2-10 below.

2-10.

GO TO item 2-11 on page 9.

During your most recent FULL WEEK of teaching at THIS school, what is the average number
of students you taught at any one time?
Students

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14416093

2-11.

During your most recent FULL WEEK of teaching, approximately how many minutes did
YOU spend teaching each of the following subjects at THIS school?
If you taught two or more subjects at the same time, apportion the time to each subject the best
you can.
If you did not teach a particular subject during the week, mark (X) the "None" box.

a. English, reading, or language arts (including reading and writing)
Days per week

Minutes per day

None

for

(1) Of these hours, how many were designated for reading instruction?
Days per week

Minutes per day
None

for

GO TO item 2-11b below.

b. Arithmetic or mathematics
Days per week

Minutes per day

None

for

DRAFT

c. Social studies or history

Days per week

Minutes per day

None

for

d. Science
Days per week

Minutes per day

None

for

GO TO Section 3 on page 12.

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14416101

Table 1. Main Teaching Assignment and Subject-matter Codes and Labels
For Questions 2-4 and 2-13
General Education Codes and Labels
Special Education
110
Special education, any

Elementary Education
101
Early childhood or pre-K, general
102
Elementary grades, general
103
Middle grades, general

Subject-matter Specific Codes and Labels
Arts and Music
141
Art or arts and crafts
142
Art history
143
Dance
144
Drama or theater
145
Music

Social
220
221
222
225
226
227
228
231
232
233
234
235

English and Language Arts
151
Communications
152
Composition
153
English
154
Journalism
155
Language arts
157
Literature or literary criticism
158
Reading
159
Speech
English as a Second Language (ESL)
160
ESL or bilingual education: General
161
ESL or bilingual education: Spanish
162
ESL or bilingual education: Other
languages

Career
241
242
243
244
245
246

Sciences
Social studies, general
Anthropology
Area or ethnic studies (excluding
Native American studies)
Economics
Geography
Government or civics
History
Native American studies
Political Science
Psychology
Sociology
Other social sciences
or Technical Education
Agriculture and natural resources
Business management
Business support
Marketing and distribution
Healthcare occupations
Construction trades, engineering, or
science technologies (including CADD
and drafting)
Mechanics and repair
Manufacturing or precision production
(electronics, metalwork, textiles, etc.)
Communications and related technologies
(including design, graphics, or printing; not
including computer science)
Personal and public services
(including culinary arts, cosmetology, child
care, social work, protective services,
custodial services, and interior design)
Family and consumer sciences education
Industrial arts or technology education
Other career or technical education

DRAFT

Foreign Languages
171
French
172
German
173
Latin
174
Spanish
175
Other foreign language
Health Education
181
Health education
182
Physical education

Mathematics and Computer Science
191
Algebra I
192
Algebra II
193
Algebra III
194
Basic and general mathematics
195
Business and applied math
196
Calculus and pre-calculus
197
Computer science
198
Geometry
199
Pre-algebra
200
Statistics and probability
201
Trigonometry
Natural Sciences
210
Science, general
211
Biology or life sciences
212
Chemistry
213
Earth sciences
214
Engineering
215
Integrated science
216
Physical sciences
217
Physics
218
Other natural sciences

247
249
250
253

254
255
256

Miscellaneous
Driver education
262
Library or information science
264
Military science or ROTC
265
Philosophy
266
Religious studies, theology, or divinity
267
Other
Other
268

FORM NTPS ROUND 2-FULL

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14416119

NOTE: Items 2-12 and 2-13 are for teachers who marked box 1 or 2 for item 2-7 on page 8.
If you marked box 3, 4, or 5 for item 2-7 ➔

2-12.

GO TO Section 3 on page 12.

2-13.

A.
Subject-Matter Code
from Table 1
Example

B.
Subject-Matter Label
from Table 1

1 9 2

C.
Grade Level Code
from list below

Algebra II

1 1

D.
Number of Students

3 3

(1)

(2)

(3)

(4)

(5)

DRAFT

(6)

(7)

(8)

(9)

(10)

Grade Level Codes
If your class period or section has students from more than one grade level
(i.e., MIXED GRADES), please list the grade with the most students.
PK
KG
01
02
03
04
05
06

Prekindergarten
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade

07
08
09
10
11
12
UG

FORM NTPS ROUND 2-FULL

7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Ungraded

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14416127

3. EDUCATION AND TRAINING
3-1a.

Do you have a bachelor’s degree?
If you have more than one bachelor’s degree, information about additional degrees will be asked
in item 3-3 on page 15.
Yes
No ➔

GO TO item 3-3 on page 15.

What is the name of the college or university where you earned this degree?
Name of college or university

In what city and state is it located?
City

State

Located outside the United States

In what year did you receive your bachelor’s degree?

DRAFT

Year

d. Which of the following best describes your bachelor’s degree?

Mark (X) only one box.
It was awarded by your school’s College of Education, School of Education, or Department
of Education
It was awarded by another college, school, or department, not in education

e. Using Table 2 on page 13, what was your major field of study?
Major Field
of Study Code

Major Field
of Study Label

Did you have a second major field of study?
Do NOT report academic minors or concentrations.
Yes
No ➔

GO TO item 3-1h on page 14.

g. Using Table 2 on page 13, what was your second major field of study?
Do NOT report academic minors or concentrations.
Major Field
of Study Code

Major Field
of Study Label

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14416135

Other
131
132
133
134
135
136

Education
Administration
Counseling and guidance
Educational psychology
Policy studies
School psychology
Other non-subject-matter-specific education

Subject-matter Specific Codes and Labels
Arts and Music
141
Art or arts and crafts
142
Art history
143
Dance
144
Drama or theater
145
Music
English and Language Arts
151
Communications
152
Composition
153
English
154
Journalism
155
Language arts
156
Linguistics
157
Literature or literary criticism
158
Reading
159
Speech
English as a Second Language (ESL)
160
ESL or bilingual education: General
161
ESL or bilingual education: Spanish
162
ESL or bilingual education: Other
languages
Foreign Languages
171
French
172
German
173
Latin
174
Spanish
175
Other foreign language
Health Education
181
Health education
182
Physical education
Mathematics and Computer Science
190
Mathematics
197
Computer science
200
Statistics and probability
Natural Sciences
211
Biology or life sciences
212
Chemistry
213
Earth sciences
214
Engineering
217
Physics
218
Other natural sciences

222

DRAFT

Social Sciences
220
Social studies, general
221
Anthropology

Other
268
Other
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14416143

3-1h. Did you have a minor field of study?
Yes
No ➔

GO TO item 3-2a below.

Using Table 2 on page 13, what was your minor field of study?
Minor Field
of Study Code

3-2a.

Minor Field
of Study Label

Do you have a master’s degree?
If you have more than one master’s degree, information about additional degrees will be asked
in item 3-3 on page 15.
Yes
No ➔

GO TO item 3-3 on page 15.

b. Was at least a portion of the cost of your master’s degree paid for by a STATE, SCHOOL, or
SCHOOL DISTRICT in which you taught?
Yes
No

DRAFT

c. In what year did you receive your master’s degree?
Year

d. Which of the following best describes your master’s degree?
Mark (X) only one box.

It was awarded by your school’s College of Education, School of Education, or Department
of Education
It was awarded by another college, school, or department, not in education

e. Using Table 2 on page 13, what was your major field of study for your master’s degree?
Major Field
of Study Code

Major Field
of Study Label

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3-3.

Have you earned any of the degrees or certificates listed below?
Yes
No ➔

a. Degree or
certificate

GO TO item 3-4 on page 16.

b. Using Table 2 on page 13, what was
your major field of study for each
degree or certificate?

c. Which of the following best
describes each degree or
certificate?

d. In what
year?

Major Field of Study Code
Year

(1) Vocational
certificate

Major Field of Study Label

Major Field of Study Code
Year

(2) Associate’s
degree

Major Field of Study Label

Major Field of Study Code

(3) SECOND
Bachelor’s
degree

(4) SECOND
Master’s
degree

(5) Educational
specialist or
professional
diploma (at
least one year
beyond a
master’s level)

(6) Certificate of
Advanced
Graduate
Studies

(7) Doctorate or
first
professional
degree (Ph.D.,
Ed.D., M.D.,
J.D., D.D.S.)

It was awarded by your
school’s College of Education,
School of Education, or
Department of Education

DRAFT

Major Field of Study Label

It was awarded by another
college, school, or department,
not in education

Major Field of Study Code

It was awarded by your
school’s College of Education,
School of Education, or
Department of Education

Major Field of Study Label

It was awarded by another
college, school, or department,
not in education

Major Field of Study Code

It was awarded by your
school’s College of Education,
School of Education, or
Department of Education

Major Field of Study Label

It was awarded by another
college, school, or department,
not in education

Major Field of Study Code

It was awarded by your
school’s College of Education,
School of Education, or
Department of Education

Major Field of Study Label

It was awarded by another
college, school, or department,
not in education

Major Field of Study Code

It was awarded by your
school’s College of Education,
School of Education, or
Department of Education

Major Field of Study Label

Year

It was awarded by another
college, school, or department,
not in education

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14416168

3-4.

Yes
No ➔

How many courses?
Mark (X) only one box.

GO TO item 3-6 below.

1 or 2 courses
3 or 4 courses
5 to 9 courses
10 or more courses

3-5.

Did you take any of the courses you marked in 3-4 before your first year of teaching?
Yes
No

3-6.

BEFORE your first year of teaching, did you take any graduate or undergraduate courses
which taught you —

a. Classroom management techniques?
Yes
No

DRAFT

b. Lesson planning?
Yes
No

c. How to assess learning?
Yes
No

d. How to use student performance data to inform instruction?
Yes
No

e. How to serve students from diverse economic backgrounds?
Yes
No

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3-6.

Continued – BEFORE your first year of teaching, did you take any graduate or undergraduate
courses which taught you —

How to serve students with special needs?
Yes
No

g. How to teach students who are limited-English proficient (LEP) or English-language
learners (ELLs)?
Yes
No

3-7a.

Did you have any student teaching (sometimes called practice teaching)?
Yes
No ➔

GO TO Section 4 on page 18.

b. In how many different classrooms did you student teach?
Mark (X) only one box.
1
2
3 or more

DRAFT

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14416184

4. CERTIFICATION
4-1.

4-2a.

DRAFT

Certificate issued to persons who must complete a certification program in order to continue
teaching (in some states this is called a waiver or emergency certificate)
I do not hold any of the above certifications in THIS state ➔

GO TO Section 5 on page 22.

(2) Grade Range of Certificate (mark (X) all that apply)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12

Does this certificate marked in item 4-2a certify you to teach in additional content areas?
Yes ➔
No ➔

GO TO item 4-2d on page 20.
GO TO item 4-3a on page 20.

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DRAFT

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14416200

4-2.
d.

(1)

Grade Range of Certificate (mark (X) all that apply)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12
(2)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12
(3)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12

(4)

Content Area Code

DRAFT

Early childhood, preschool, or at least one of grades K-5

Content Area Label

At least one of grades 6-8

At least one of grades 9-12

4-3a.

Do you have another current teaching certificate that certifies you to teach in THIS state?
Yes
No ➔

GO TO Section 5 on page 22.

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14416218

4-3.
c.

(2) Grade Range of Certificate (mark (X) all that apply)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12

d. Does this certificate marked in item 4-3b certify you to teach in additional content areas?
Yes
No ➔

GO TO Section 5 on page 22.

e. Using Table 3 on page 19, please record all ADDITIONAL content areas and grade ranges

in which this certificate certifies you to teach:
If your certificate does not restrict you to a specific grade range(s), mark (X) all three grade ranges.

Additional Content Area
(1)

Content Area Code

Grade Range of Certificate (mark (X) all that apply)

DRAFT

Early childhood, preschool, or at least one of grades K-5

Content Area Label

At least one of grades 6-8

At least one of grades 9-12

(2)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
Content Area Label

At least one of grades 6-8
At least one of grades 9-12

(3)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
Content Area Label

At least one of grades 6-8
At least one of grades 9-12

(4)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
Content Area Label

At least one of grades 6-8
At least one of grades 9-12

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14416069

5. TEACHER EVALUATIONS
5-1.

LAST school year (2016-2017), were you evaluated at THIS school?
Yes
No ➔ LAST school year, why were you not evaluated at THIS school?

I was not a teacher at this school last year.
I was not evaluated because I am only evaluated
every 2 or more years.
This school does not conduct teacher evaluations.
I was not evaluated for another reason.

5-2.

To what extent do you agree or disagree with the following statements about your evaluation
LAST school year (2016-2017)?

Mark (X) one box on each line.

DRAFT
Strongly
Disagree

Somewhat
Disagree

Somewhat
Agree

Strongly
Agree

a. Overall, the evaluation process was fair.

b. The evaluation process was based on what
is known about good teaching practice.
I had a strong understanding of how I
c. would be evaluated at this school.

d. The results of my evaluation were accurate.
The evaluation process helped me to
e. determine whether I had been successful
with my students.
f. I had a clearer idea of what was expected
of me because of the evaluation process.
g. The evaluation process had a positive effect
on my teaching.
h. Overall, the evaluation process led to
improved student learning.

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5-3.

Did you receive feedback from your evaluation LAST school year (2016-2017)?
Yes
No ➔ GO TO item 5-5 below.

5-4.

a. Did you receive feedback on your teaching methods from your evaluation LAST school year
(2016-2017)?
Yes
No
b. Did you receive feedback on how well you were meeting the school’s performance goals
from your evaluation LAST school year (2016-2017)?
Yes
No

c. Have you used the feedback you received from your evaluation LAST school year
(2016-2017), to improve your teaching?
Yes
No

5-5.

DRAFT

Was participation in professional development considered during your
evaluation LAST school year (2016-2017)?
Yes
No

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6. TEACHER WORKING CONDITIONS
For questions 6-1 to 6-2 please report to the nearest whole hour; do not record fractions of an hour or
minutes.

6-1a.

Total WEEKLY hours required to work

6-1b.

Of the hours you are CONTRACTED to work, excluding time spent on planning, lunch,
break/recess, proctoring exams, arrival/dismissal of students, and otherwise NOT delivering
instruction, how many hours during a typical full week do you DELIVER INSTRUCTION to
students at THIS school?
"PULL-OUT" or "PUSH-IN" TEACHERS: Please include the number of hours you
instruct individual students or small groups of students.
Total WEEKLY hours delivering instruction

6-2.

DRAFT

Total WEEKLY hours spent on all teaching and school-related activities

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14416275

6-3.

During this school year, do you or will you do the following for this school or district —

a. Coach a sport?
Yes
No

b. Sponsor any student groups, clubs, or organizations?
Yes
No

c. Serve as a department lead or chair?
Yes
No

d. Serve as a lead curriculum specialist?
Yes
No

DRAFT

e. Serve on a schoolwide or districtwide committee or task force?
Yes
No

Serve as an assigned mentor or mentor coordinator for teachers?
Yes
No

6-4.

In the LAST SCHOOL YEAR (2016-17), how much of your own money did you spend on
classroom supplies, without reimbursement?
Please use your best estimate for costs incurred, in whole dollars.
If none, please mark (X) the box.

None
or
$

.00

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14416069

7. TEACHER PROFESSIONAL DEVELOPMENT
7-1.

During the past 12 months, how frequently, if at all, did you participate in each of
the following professional development activities?
If an activity occurred all day for several days, but less than one month of the year in total,
please mark “Once or a few times a year”

Mark (X) one box on each line.
Did not
participate

Once or a
few times a
year

Once or a few
times a
month

Once or a
few times a
week

a. Planned lessons or courses with
other teachers
b. Consulted with other teachers about
individual students

c. Collaborated with other teachers on
issues of instruction excluding
administrative meetings

DRAFT

d. Acted as a coach or mentor to other
teachers or staff
e. Received coaching or mentoring
from other teachers or staff

f. Participated in online or web-based
professional development
g. Participated in a workshop
h. Attended a conference

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7-2.

During the past 12 months, how many HOURS, if any, did you spend participating
in any of the following types of professional development?

Mark (X) one box on each line.

Did not
participate

8 hours
or less

9-16
hours

17-32
hours

33 hours
or more

a. Professional development
that directly relates to your
teaching assignment
b. Professional development on
using technology to support
instruction
c. Professional development on
teaching Science, Technology,
Engineering or Mathematics
(STEM), or incorporating STEM
into other subjects
d. Professional development on
classroom and behavior
management

DRAFT

e. Professional development on
instruction strategies to teach
students with disabilities or
IEPs
f. Professional development on
preparing students to take
annual assessments

g. Professional development on
analyzing and interpreting
student achievement data

h. Professional development on
differentiated instruction

7-3.

Considering all of the professional development you participated in during the past
12 months, how relevant was it to your teaching assignment?
Did not complete any professional development in the past 12 months ➔ GO TO item 7-7 on page 29.

Not relevant at all
Somewhat relevant
Very relevant

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7-4a.

Did you incorporate what you learned from professional development into your teaching, in
the past 12 months?
Yes
No ➔ GO TO item 7-5 below.

Did you receive feedback about how you incorporated what you learned from professional
development into your teaching, in the past 12 months?
Yes
No

7-5.

As a result of completing any professional development activities in the past 12
months, did you receive credits toward re-certification or advanced certification?

Yes
No

7-6.

During the past 12 months, did you receive any of the following types of support?

DRAFT

a. Release time from teaching to attend professional development
Yes
No

b. Funding or reimbursement for attending conferences or workshops for professional
development

Yes
No

c. Funding or reimbursement for travel and/or daily expenses to attend professional
development

Yes
No

d. Full or partial reimbursement of college tuition for courses related to professional
development

Yes
No

e. Stipend for professional development activities that took place outside regular work hours
Yes
No

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7-7.

In the past 12 months, professional development was available to teachers at THIS school:
Mark (X) all that apply.

Before or after school days
During in-service days (teacher planning or work days) when students are NOT in school
During regular school days when students are in school
During summer and other extended school breaks

7-8.

To what extent do you agree or disagree with the following statements about professional
development at THIS school?

Mark (X) one box on each line.
Strongly
Disagree

Somewhat
Disagree

Somewhat
Agree

Strongly
Agree

a. I have sufficient resources available
for my professional development in
this school.
b. I have access to about the same
amount of resources for professional
development as other teachers at
this school.

DRAFT

c. My professional development
opportunities are aligned with
this school’s performance
goals.
d. The techniques I am learning about
in my professional development
definitely will help improve student
achievement.
e. I feel capable of incorporating the
kinds of techniques I am learning about
in my professional development.
f. The types of professional
development available to me are
consistent with my own professional
goals.
g. I have the opportunity to provide
feedback to school leaders about my
professional development experience
to determine its value and impact.

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7-9.

Does THIS school provide teachers with time for INDIVIDUAL professional
development during regular contract hours?
Yes
No

7-10.

Does THIS school provide teachers with time for TEAM-BASED
professional development during regular contract hours?
Yes
No

DRAFT

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14416085

8. TEACHER ENGAGEMENT
8-1.

To what extent do you agree or disagree with the following statements about your work at THIS
school?

Mark (X) one box on each line.
Strongly
Disagree

Somewhat
Disagree

Somewhat
Agree

Strongly
Agree

a. I have the necessary tools and
resources to carry out my work at this
school.
b. I received positive feedback for
my work.
c. My colleagues support me.
d. The school helps me see that my job
as a teacher is an important one.
e. I feel fulfilled in my role as a teacher at
this school.

DRAFT

f. There is someone at this school whom
I can look to for advice about my work.
g. The principal values my opinions and
my ideas for improvement.

h. I work among colleagues who are
highly committed to the mission of the
school.
i. I feel connected to this school.

j. My job is rewarding.

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9. GENERAL EMPLOYMENT AND BACKGROUND INFORMATION
The following questions refer to your BEFORE-TAX earnings from teaching and other employment.

9-1.

DURING THE SUMMER OF 2017, did you have any earnings from —
Report amounts in whole dollars.

a. Teaching summer school in this school or any other school?
Yes ➔

How much?

.00

(1) Did all of these earnings come from your current
school?
Yes
No
GO TO item 9-1b below.

b. Working in a non-teaching job in this school or any other school?
Yes ➔

How much?

.00

DRAFT

(1) Did all of these earnings come from your current
school?
Yes

GO TO item 9-1c below.

c. Working in any NONSCHOOL job?
Yes ➔

How much?

9-2.

.00

GO TO item 9-2 below.

How many days are covered by your contract, per contract year?
Include professional development, student contact days, and any other days covered by
your contract.

Days per contract year

9-3.

DURING THE CURRENT SCHOOL YEAR, what is your base teaching salary for the entire
school year?
Report amounts in whole dollars.

.00

For the entire school year

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9-4.

How much?

9-5.

.00

GO TO item 9-5 below.

How much?

9-6.

.00

GO TO item 9-6 below.

DRAFT
How much?

.00

GO TO item 8-7a below.

9-7a. DURING THE CURRENT SCHOOL YEAR, do you, or will you, earn additional compensation
from working in any job OUTSIDE this school system?
Report amounts in whole dollars.
Yes ➔

How much?

.00

GO TO item 9-7b below.

No ➔

GO TO item 9-8
on page 34.

b. Which of these best describes this job OUTSIDE this school system?
Mark (X) only one box.
Teaching or tutoring
Non-teaching, but related to teaching field
Other

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9-8.

During the CURRENT SCHOOL YEAR do you, or will you, receive a retirement pension check
paid from a teacher retirement system?
Report amounts in whole dollars.

How much?

Yes ➔

9-9.

.00

GO TO item 9-9 below.

Are you a member of a teachers’ union or an employee association similar to a union?
Yes
No

9-10a. Does your school, district, or school system offer tenure?
Yes
No ➔ GO TO item 9-11 below.

b. Are you tenured at your current school?
Yes
No

9-11.

DRAFT

Are you male or female?

Male
Female

9-12a. What is your current marital status?
Mark (X) only one box.

Now married ➔ GO TO item 9-13 on page 35.
Widowed
Separated
Divorced
Never married

b. Are you currently living with a boyfriend/girlfriend or partner?
Yes
No ➔ GO TO item 9-13 on page 35.

c. Are you currently living in a registered domestic partnership or civil union?
Yes
No

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9-13.

Are you of Hispanic or Latino origin?
Yes
No

9-14.

What is your race?
Mark (X) one or more races to indicate what you consider yourself to be.

White
Black or African-American
Asian
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native

9-15.

What is your year of birth?

1 9

DRAFT

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10. CONTACT INFORMATION
10-1.

Middle name

Last name

Suffix

DRAFT

b. Spouse’s First Name

Spouse’s Middle Name

Spouse’s Last Name

c. Street Address

d. City

e. State

ZIP Code + 4
—

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g. Cell phone number
AREA CODE

TELEPHONE NUMBER

—

h. Home phone number
AREA CODE

TELEPHONE NUMBER

—
i.

—

Best day(s) to reach you
Mark (X) all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

DRAFT

Best time of the day to reach you
Mark (X) only one box.
a.m.
p.m.

k. Work e-mail address

Home e-mail address

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10-2.

Last name

b. Relationship to you

c. Cell phone number
AREA CODE

TELEPHONE NUMBER

—

DRAFT

d. Home phone number
AREA CODE

TELEPHONE NUMBER

—

Last name

b. Relationship to you

c. Cell phone number
AREA CODE

TELEPHONE NUMBER

—

d. Home phone number
AREA CODE

—

TELEPHONE NUMBER

—
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10-3.

Please enter the date you completed this questionnaire.
Report month as a number, that is, 01 for January, 02 for February, etc.
Month
Day
Year
2 0 1

10-4.

Please indicate how much time it took you to complete this form, not counting interruptions.
Please record the time in minutes, e.g., 50 minutes, 65 minutes, etc.
Minutes

Thank you very much for your participation
in this survey. If you have any questions,
please contact us, toll-free, at: 1-888-595-1338
or by e-mail at: [email protected].

DRAFT

Please return your completed questionnaire
in the enclosed pre-addressed, postage-paid
envelope or mail it to:

U.S. CENSUS BUREAU
ATTN: DCB/PCSPU, BUILDING 60A
1201 E. 10TH STREET
JEFFERSONVILLE, IN 47132-0001

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DRAFT

For additional data collected by various
Federal agencies, including the
Department of Education, visit the
Federal Statistics clearinghouse at:
http://www.fedstats.sites.usa.gov

FORM NTPS ROUND 2-FULL

§/Ja)¤

OMB No. 1850-0598: Approval Expires xx/xx/20xx

Conducted by:

U.S. DEPARTMENT OF EDUCATION

Collected by:

U.S. DEPARTMENT OF COMMERCE

NATIONAL CENTER FOR EDUCATION STATISTICS

Economics and Statistics Administration

U.S. CENSUS BUREAU

TEACHER LISTING FORM

NATIONAL TEACHER AND PRINCIPAL SURVEY
2017-18 SCHOOL YEAR

➧

SCHOOL

(Please correct any errors in name, address, and ZIP Code.)

GRADE
RANGE

➧

Please return your completed questionnaire in the pre-addressed, postage-paid
envelope or mail it to:
U.S. CENSUS BUREAU
ATTN: TLF, SMQAB, BUILDING 61D
1201 E. 10TH STREET
JEFFERSONVILLE, IN 47132-0001

FORM NTPS-1

REFERENCE CARD
Please use this guide when listing teachers.

▲

INCLUDE ON THE TEACHER LIST
Regular Classroom Teachers

Chemistry, English, math, physical education, history, etc.

Special Education Teachers

Teach special education classes to students with disabilities.

General Elementary Teachers

°
°

Please tear off this reference card to use while completing the survey.

Career, Technical, or Vocational Education Teachers

Teach keyboarding, business, agriculture, life skills, family or consumer economics as well as
any other vocational or technical classes.

Teaching principals, teaching guidance counselors, teaching librarians, teaching school
nurses

Teachers of Ungraded Students

Itinerant, Co-op, Traveling, and Satellite Teachers

Teach at more than one school and may OR may not be supervised by someone at your school.

Current Long-Term Substitute Teachers

Currently filling the role of a regular teacher for 4 or more continuous weeks.

Other teachers who teach students in any of grades K–12

If a teacher teaches pre-kindergarten and any other grade between K–12, answer the questions
ONLY for the time the teacher spends teaching any grades K–12.

▲

OMIT FROM THE TEACHER LIST
Prekindergarten teachers who teach ONLY prekindergarten students
Adult Education and Postsecondary Teachers

If they teach ONLY adult education or students beyond grade 12.

Short-term Substitute Teachers

Fill the role of a regular teacher for less than 4 continuous weeks.

Student Teachers
Day Care Aides
Teacher Aides
Librarians who teach ONLY library skills or how to use the library
FORM NTPS-1

A list of all of the full-time and part-time teachers who teach at this school.

Please see the removable reference card on the reverse side for important
information about the listing form.
What happens to the information I report?

A sample of teachers will be selected for the Teacher Survey component of NTPS. The
selected teachers will receive the Teacher Questionnaire which asks for information on their
educational background, work experience, and attitudes toward teaching.
Why is my school’s participation important?

Only a small number of schools are selected to participate in NTPS. Therefore, your school
represents many other schools.
How does NCES protect the confidentiality of the information I provide?

Your responses are protected from disclosure by federal statute (20 U.S.C., §9573). All
responses that relate to or describe identifiable characteristics of individuals may be used
only for statistical purposes and may not be disclosed, or used, in identifiable form for any
other purpose, unless otherwise compelled by law.

Thank you for your assistance.

FORM NTPS-1

Paperwork Burden Statement

According to the Paperwork Reduction Act of 1995, no persons
are required to respond to a collection of information unless it
displays a valid OMB control number. The valid OMB control
number for this voluntary information collection is 1850-0598.
The time required to complete this information collection is
estimated to average 30 minutes per response, including the
time to review instructions, search existing data resources,
gather the data needed, and complete and review the information
collection. If you have any comments concerning the accuracy of
the time estimate, suggestions for improving this collection, or
comments or concerns about the contents or the status of your
individual submission of this questionnaire, please e-mail:
[email protected], or write directly to: National Teacher and
Principal Survey, National Center for Education Statistics, PCP,
550 12th Street, S.W., 4th Floor, Washington, DC, 20202.

Please return your completed form in the enclosed
pre-addressed, postage-paid envelope or mail it to:

U.S. CENSUS BUREAU
ATTN: TLF, SMQAB, BLDG 61D
1201 E. 10TH STREET
JEFFERSONVILLE, IN 47132-0001

FORM NTPS-1

In case we have questions about any of your responses, please print your name, title,
and work telephone number on the lines below.
NAME

TITLE

WORK TELEPHONE NUMBER
TELEPHONE NUMBER

–

How much time did it take to complete this form, not counting interruptions?
Minutes

–

AREA CODE

Please see page 2 for important information.

Call 1-xxx-xxx-xxxx toll free if you need assistance filling out the rest of this form.
The office hours are 8:00 AM – 8:00 PM Eastern Time.

FORM NTPS-1

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Teacher’s Name

Subject Matter
Taught

MIDDLE

LAST

SUFFIX

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

3
4
5
6
7
8

*Ex. Andrew Michael Shaffer
1

9
10
11
12
13
14
15
PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

Please list each teacher’s email address.

FIRST

Teacher’s Email
Address

Teaching Status
at the
Selected School

Line
Number

[email protected]

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Teacher’s Name

Subject Matter
Taught

18
19
20
21
22
23
24

SUFFIX

Please list each teacher’s email address.

LAST

MIDDLE

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

FIRST

Teacher’s Email
Address

Teaching Status
at the
Selected School

Line
Number

25
26
27
28
29
30
31
PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Teacher’s Name

Subject Matter
Taught

34
35
36
37
38
39
40

SUFFIX

LAST

MIDDLE

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

41
42
43
44
45
46
47
PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

Please list each teacher’s email address.

FIRST

Teacher’s Email
Address

Teaching Status
at the
Selected School

Line
Number

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Teacher’s Name

Subject Matter
Taught

50
51
52
53
54
55
56

SUFFIX

Please list each teacher’s email address.

LAST

MIDDLE

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

FIRST

Teacher’s Email
Address

Teaching Status
at the
Selected School

Line
Number

57
58
59
60
61
62
63
PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Teacher’s Name

Subject Matter
Taught

66
67
68
69
70
71
72

SUFFIX

LAST

MIDDLE

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

73
74
75
76
77
78
79
PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

Please list each teacher’s email address.

FIRST

Teacher’s Email
Address

Teaching Status
at the
Selected School

Line
Number

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Teacher’s Name

Subject Matter
Taught

82
83
84
85
86
87
88

SUFFIX

Please list each teacher’s email address.

LAST

MIDDLE

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

FIRST

Teacher’s Email
Address

Teaching Status
at the
Selected School

Line
Number

89
90
91
92
93
94
95
PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Teacher’s Name

Subject Matter
Taught

98
99
100
101
102
103
104

SUFFIX

LAST

MIDDLE

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

105
106
107
108
109
110
111
PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

Please list each teacher’s email address.

FIRST

Teacher’s Email
Address

Teaching Status
at the
Selected School

Line
Number

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Teacher’s Name

Subject Matter
Taught

114
115
116
117
118
119
120

SUFFIX

Please list each teacher’s email address.

113

LAST

112

MIDDLE

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

FIRST

Teacher’s Email
Address

Teaching Status
at the
Selected School

Line
Number

121
122
123
124
125
126
127
PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Teacher’s Name

Subject Matter
Taught

130
131
132
133
134
135
136

SUFFIX

129

LAST

128

MIDDLE

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

137
138
139
140
141
142
143
PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

Please list each teacher’s email address.

FIRST

Teacher’s Email
Address

Teaching Status
at the
Selected School

Line
Number

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Teacher’s Name

Subject Matter
Taught

146
147
148
149
150
151
152

SUFFIX

Please list each teacher’s email address.

145

LAST

144

MIDDLE

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

FIRST

Teacher’s Email
Address

Teaching Status
at the
Selected School

Line
Number

153
154
155
156
157
158
159
PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Teacher’s Name

Subject Matter
Taught

162
163
164
165
166
167
168

SUFFIX

161

LAST

160

MIDDLE

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

169
170
171
172
173
174
175
PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

Please list each teacher’s email address.

FIRST

Teacher’s Email
Address

Teaching Status
at the
Selected School

Line
Number

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Teacher’s Name

Subject Matter
Taught

178
179
180
181
182
183
184

SUFFIX

Please list each teacher’s email address.

177

LAST

176

MIDDLE

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

FIRST

Teacher’s Email
Address

Teaching Status
at the
Selected School

Line
Number

185
186
187
188
189
190
191
PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Teacher’s Name

Subject Matter
Taught

194
195
196
197
198
199
200

SUFFIX

193

LAST

192

MIDDLE

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

201
202
203
204
205
206
207
PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

Please list each teacher’s email address.

FIRST

Teacher’s Email
Address

Teaching Status
at the
Selected School

Line
Number

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Teacher’s Name

Subject Matter
Taught

210
211
212
213
214
215
216

SUFFIX

Please list each teacher’s email address.

209

LAST

208

MIDDLE

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

FIRST

Teacher’s Email
Address

Teaching Status
at the
Selected School

Line
Number

217
218
219
220
221
222
223
PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Teacher’s Name

Subject Matter
Taught

226
227
228
229
230
231
232

SUFFIX

225

LAST

224

MIDDLE

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

233
234
235
236
237
238
239
PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1

Please list each teacher’s email address.

FIRST

Teacher’s Email
Address

Teaching Status
at the
Selected School

Line
Number

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on the inside cover of this booklet.)
Teacher’s Name

Subject Matter
Taught

242
243
244
245
246
247
248

SUFFIX

Please list each teacher’s email address.

241

LAST

240

MIDDLE

Enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes. If the
teacher teaches two or
more subjects equally,
enter each numeric
code that applies.

FIRST

Teacher’s Email
Address

Teaching Status
at the
Selected School

Line
Number

249
250
251
252
253
254
255
FORM NTPS-1

Thank you very much for your participation
in this survey. If you have any questions,
please contact us, toll-free, at: 1-xxx-xxx-xxxx
or by e-mail at: [email protected].

To learn more about this survey and to
access reports from earlier collections, see the
National Teacher and Principal Survey (NTPS) website at:
http://nces.ed.gov/surveys/ntps

Additional data collected by the National
Center for Education Statistics (NCES) on
a variety of topics in elementary,
secondary, postsecondary, and
international education are available
from NCES’ website at:
http://nces.ed.gov

For additional data collected by various
Federal agencies, including the
Department of Education, visit the
Federal Statistics clearinghouse at:
http://fedstats.sites.usa.gov

FORM NTPS-1

OMB No. xxxx-xxxx: Approval Expires xx/xx/xxxx

Conducted by:

U.S. DEPARTMENT OF EDUCATION

Collected by:

U.S. DEPARTMENT OF COMMERCE

NATIONAL CENTER FOR EDUCATION STATISTICS

Economics and Statistics Administration

U.S. CENSUS BUREAU

TEACHER LISTING VERIFICATION FORM

AF
T

NATIONAL TEACHER AND PRINCIPAL SURVEY
2017-18 SCHOOL YEAR

(Please correct any errors in name, address, and ZIP Code.)

➧

SCHOOL

GRADE
RANGE

➧

FORM NTPS-1P

AF
T

Paperwork Burden Statement

According to the Paperwork Reduction Act of 1995, no persons
are required to respond to a collection of information unless it
displays a valid OMB control number. The valid OMB control
number for this voluntary information collection is xxxx-xxxx. The
time required to complete this information collection is estimated
to average 30 minutes per response, including the time to review
instructions, search existing data resources, gather the data
needed, and complete and review the information collection. If
you have any comments concerning the accuracy of the time
estimate, suggestions for improving this collection, or comments
or concerns about the contents or the status of your individual
submission of this questionnaire, please e-mail:
[email protected], or write directly to:
National Teacher and Principal Survey, National Center for
Education Statistics, 1990 K Street, N.W., #9046, Washington,
DC 20006.

Please return your completed form in the enclosed
pre-addressed, postage-paid envelope or mail it to:

U.S. CENSUS BUREAU
ATTN: TLF, SMQAB, BLDG 61D
1201 E. 10TH STREET
JEFFERSONVILLE, IN 47132-0001

FORM NTPS-1P

AF
T

Please tear off this reference card to use while completing the survey.

A list of all of the full-time and part-time teachers who teach at this school. In order to reduce
the burden on your school, we populated your school's TLF with a list of teachers from
publicly-available sources. We are now asking you to verify the accuracy of the teacher data.
Please see the removable reference card on the reverse side for important
information about the listing form.

What happens to the information I report?

Only a small number of schools are selected to participate in NTPS. Therefore, your school
represents many other schools.
How does NCES protect the confidentiality of the information I provide?

Your responses are protected from disclosure by federal statute (20 U.S.C., §9573). All
responses that relate to or describe identifiable characteristics of individuals may be used
only for statistical purposes and may not be disclosed, or used, in identifiable form for any
other purpose, unless otherwise compelled by law.

Thank you for your assistance.

FORM NTPS-1P

REFERENCE CARD
Please use this guide when verifying teachers.

▲

INCLUDE ON THE TEACHER LIST
Regular Classroom Teachers

Chemistry, English, math, physical education, history, etc.

Special Education Teachers

Teach special education classes to students with disabilities.

General Elementary Teachers

°
°

AF
T

Please tear off this reference card to use while completing the survey.

Career, Technical, or Vocational Education Teachers

Teach keyboarding, business, agriculture, life skills, family or consumer economics as well as
any other vocational or technical classes.

Teaching principals, teaching guidance counselors, teaching librarians, teaching school
nurses

Teachers of Ungraded Students

Itinerant, Co-op, Traveling, and Satellite Teachers

Teach at more than one school and may OR may not be supervised by someone at your school.

Current Long-Term Substitute Teachers

Currently filling the role of a regular teacher for 4 or more continuous weeks.

Other teachers who teach students in any of grades K–12

If a teacher teaches pre-kindergarten and any other grade between K–12, answer the questions
ONLY for the time the teacher spends teaching any grades K–12.

▲

EXCLUDE FROM THE TEACHER LIST
Prekindergarten teachers who teach ONLY prekindergarten students
Adult Education and Postsecondary Teachers

If they teach ONLY adult education or students beyond grade 12.

Short-term Substitute Teachers

Fill the role of a regular teacher for less than 4 continuous weeks.

Student Teachers
Day Care Aides
Teacher Aides
Librarians who teach ONLY library skills or how to use the library

FORM NTPS-1P

INSTRUCTIONS
a. Please review each teacher's information to ensure that it is accurate.
b. If you need to make any corrections to the teacher's name or email address, please line out
the incorrect portion and enter the correction next to the preprinted information in pen.
c. If the teacher's subject matter is incorrect, please line it out and enter the code for the
correct subject matter(s). If the teacher teaches an additional subject matter, enter the code
next to the preprinted subject matter.

AF
T

d. Please see page 4 for important information on whom to include and exclude from the
teacher list. If the person listed is a teacher at your school, mark "yes" in the Teacher
Status column. If the person listed is not a teacher or does not work at your school, mark
"no."
e. Please add any teachers who are missing from this list in the available rows.
f.

If you have any questions, call the U.S. Census Bureau at 1-888-595-1338. Someone will be
available to take your call Monday through Friday, between 8:00 a.m. and 8:00 p.m. (Eastern
Time). The U.S. Census Bureau is also available to answer your questions via e-mail at:
[email protected].

In case we have questions about any of your responses, please print your name, title,
and work telephone number on the lines below.

NAME

TITLE

WORK TELEPHONE NUMBER

AREA CODE

TELEPHONE NUMBER

–

How much time did it take to complete this form, not counting interruptions?
Minutes

FORM NTPS-1P

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on page 3 of this booklet.)

Line
Number

Teacher’s Email Address

Teacher’s Name
Please review the list of the full-time
and part-time teachers who TEACH
at THIS SCHOOL.
Make any corrections to the
teacher's name in pen.
If teacher(s) are missing, add their
information to this form. Each
teacher should be listed only once.

Please review each teacher’s email
address.
Make any corrections to the
teacher's email address in pen. If the
email address is missing, write it in
this column.

Please see the reference card on
page 4 for important information
about itinerant teachers, substitute
teachers, librarians, principals and
other staff that may teach at this
school.

MIDDLE

LAST

1 -Special education (SE)
2 -General elementary (GE)
3 -Math
4 -Science
5 -English/Language
arts (ELA)
6 -Social studies (SS)
7 -Vocational/Technical (VT)
8 -Other (e.g., art, music,
foreign language, physical
education, English as a
second language, and any
other remaining subjects.)

SUFFIX

Schafer

Please see the
reference card on
page 4 for important
information about
itinerant teachers,
substitute teachers,
librarians, principals
and other staff that
may teach at this
school.
Is this person
currently a
teacher at this
school?

[email protected]
[email protected]

5-ELA 2

Yes

*Ex. 2
Elizabeth Marie Smith

[email protected]

2-GE

Yes

*Ex. 3 Jessica Lynn Jones

[email protected]

Yes

2
3
4

*Ex. 1 Andrew Michael Shaffer

PLEASE CONTINUE ON NEXT PAGE
FORM NTPS-1P

Please review each
teacher's subject
matter. If the subject
matter is not correct,
enter the numeric code
that corresponds to the
subject in which the
teacher teaches the
most classes in pen. If
the teacher teaches
two or more subjects
equally, enter each
numeric code that
applies.

Teacher's Status

AF
T

FIRST

Subject Matter
Taught

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on page 3 of this booklet.)

Line
Number

Teacher’s Email Address

Please review each teacher’s email
address.
Make any corrections to the
teacher's email address in pen. If the
email address is missing, write it in
this column.

Please see the reference card on
page 4 for important information
about itinerant teachers, substitute
teachers, librarians, principals and
other staff that may teach at this
school.

MIDDLE

LAST

SUFFIX

Yes

16
17
18
19
20

Yes

PLEASE CONTINUE ON NEXT PAGE

Teacher's Status

AF
T

FIRST

Subject Matter
Taught

FORM NTPS-1P

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on page 3 of this booklet.)

Line
Number

Teacher’s Email Address

Please review each teacher’s email
address.
Make any corrections to the
teacher's email address in pen. If the
email address is missing, write it in
this column.

Please see the reference card on
page 4 for important information
about itinerant teachers, substitute
teachers, librarians, principals and
other staff that may teach at this
school.

MIDDLE

LAST

SUFFIX

Yes

32
33
34
35
36

Yes

PLEASE CONTINUE ON NEXT PAGE

Teacher's Status

AF
T

FIRST

Subject Matter
Taught

FORM NTPS-1P

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on page 3 of this booklet.)

Line
Number

Teacher’s Email Address

Please review each teacher’s email
address.
Make any corrections to the
teacher's email address in pen. If the
email address is missing, write it in
this column.

Please see the reference card on
page 4 for important information
about itinerant teachers, substitute
teachers, librarians, principals and
other staff that may teach at this
school.

MIDDLE

LAST

SUFFIX

Yes

48
49
50
51
52

Yes

PLEASE CONTINUE ON NEXT PAGE

Teacher's Status

AF
T

FIRST

Subject Matter
Taught

FORM NTPS-1P

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on page 3 of this booklet.)

Line
Number

Teacher’s Email Address

Please review each teacher’s email
address.
Make any corrections to the
teacher's email address in pen. If the
email address is missing, write it in
this column.

Please see the reference card on
page 4 for important information
about itinerant teachers, substitute
teachers, librarians, principals and
other staff that may teach at this
school.

MIDDLE

LAST

SUFFIX

Yes

64
65
66
67
68

Yes

PLEASE CONTINUE ON NEXT PAGE

Teacher's Status

AF
T

FIRST

Subject Matter
Taught

FORM NTPS-1P

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on page 3 of this booklet.)

Line
Number

Teacher’s Email Address

Please review each teacher’s email
address.
Make any corrections to the
teacher's email address in pen. If the
email address is missing, write it in
this column.

Please see the reference card on
page 4 for important information
about itinerant teachers, substitute
teachers, librarians, principals and
other staff that may teach at this
school.

MIDDLE

LAST

SUFFIX

Yes

80
81
82
83
84

Yes

PLEASE CONTINUE ON NEXT PAGE

Teacher's Status

AF
T

FIRST

Subject Matter
Taught

FORM NTPS-1P

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on page 3 of this booklet.)

Line
Number

Teacher’s Email Address

Please review each teacher’s email
address.
Make any corrections to the
teacher's email address in pen. If the
email address is missing, write it in
this column.

Please see the reference card on
page 4 for important information
about itinerant teachers, substitute
teachers, librarians, principals and
other staff that may teach at this
school.

MIDDLE

LAST

SUFFIX

Yes

102

Yes

103

Yes

104

Yes

105

Yes

106

Yes

107

Yes

108

Yes

109

Yes

96
97
98
99
100

101

Yes

PLEASE CONTINUE ON NEXT PAGE

Teacher's Status

AF
T

FIRST

Subject Matter
Taught

FORM NTPS-1P

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on page 3 of this booklet.)

Line
Number

Teacher’s Email Address

Please review each teacher’s email
address.
Make any corrections to the
teacher's email address in pen. If the
email address is missing, write it in
this column.

Please see the reference card on
page 4 for important information
about itinerant teachers, substitute
teachers, librarians, principals and
other staff that may teach at this
school.

110

MIDDLE

LAST

SUFFIX

Yes

118

Yes

119

Yes

120

Yes

121

Yes

122

Yes

123

Yes

124

Yes

125

Yes

112
113
114
115
116

117

Yes

111

PLEASE CONTINUE ON NEXT PAGE

Teacher's Status

AF
T

FIRST

Subject Matter
Taught

FORM NTPS-1P

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on page 3 of this booklet.)

Line
Number

Teacher’s Email Address

Please review each teacher’s email
address.
Make any corrections to the
teacher's email address in pen. If the
email address is missing, write it in
this column.

Please see the reference card on
page 4 for important information
about itinerant teachers, substitute
teachers, librarians, principals and
other staff that may teach at this
school.

126

MIDDLE

LAST

SUFFIX

Yes

134

Yes

135

Yes

136

Yes

137

Yes

138

Yes

139

Yes

140

Yes

141

Yes

128
129
130
131
132

133

Yes

127

PLEASE CONTINUE ON NEXT PAGE

Teacher's Status

AF
T

FIRST

Subject Matter
Taught

FORM NTPS-1P

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on page 3 of this booklet.)

Line
Number

Teacher’s Email Address

Please review each teacher’s email
address.
Make any corrections to the
teacher's email address in pen. If the
email address is missing, write it in
this column.

Please see the reference card on
page 4 for important information
about itinerant teachers, substitute
teachers, librarians, principals and
other staff that may teach at this
school.

142

MIDDLE

LAST

SUFFIX

Yes

150

Yes

151

Yes

152

Yes

153

Yes

154

Yes

155

Yes

156

Yes

157

Yes

144
145
146
147
148

149

Yes

143

PLEASE CONTINUE ON NEXT PAGE

Teacher's Status

AF
T

FIRST

Subject Matter
Taught

FORM NTPS-1P

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on page 3 of this booklet.)

Line
Number

Teacher’s Email Address

Please review each teacher’s email
address.
Make any corrections to the
teacher's email address in pen. If the
email address is missing, write it in
this column.

Please see the reference card on
page 4 for important information
about itinerant teachers, substitute
teachers, librarians, principals and
other staff that may teach at this
school.

158

MIDDLE

LAST

SUFFIX

Yes

166

Yes

167

Yes

168

Yes

169

Yes

170

Yes

171

Yes

172

Yes

173

Yes

160
161
162
163
164

165

Yes

159

PLEASE CONTINUE ON NEXT PAGE

Teacher's Status

AF
T

FIRST

Subject Matter
Taught

FORM NTPS-1P

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on page 3 of this booklet.)

Line
Number

Teacher’s Email Address

Please review each teacher’s email
address.
Make any corrections to the
teacher's email address in pen. If the
email address is missing, write it in
this column.

Please see the reference card on
page 4 for important information
about itinerant teachers, substitute
teachers, librarians, principals and
other staff that may teach at this
school.

174

MIDDLE

LAST

SUFFIX

Yes

182

Yes

183

Yes

184

Yes

185

Yes

186

Yes

187

Yes

188

Yes

189

Yes

176
177
178
179
180

181

Yes

175

PLEASE CONTINUE ON NEXT PAGE

Teacher's Status

AF
T

FIRST

Subject Matter
Taught

FORM NTPS-1P

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on page 3 of this booklet.)

Line
Number

Teacher’s Email Address

Please review each teacher’s email
address.
Make any corrections to the
teacher's email address in pen. If the
email address is missing, write it in
this column.

Please see the reference card on
page 4 for important information
about itinerant teachers, substitute
teachers, librarians, principals and
other staff that may teach at this
school.

190

MIDDLE

LAST

SUFFIX

Yes

198

Yes

199

Yes

200

Yes

201

Yes

202

Yes

203

Yes

204

Yes

205

Yes

192
193
194
195
196

197

Yes

191

PLEASE CONTINUE ON NEXT PAGE

Teacher's Status

AF
T

FIRST

Subject Matter
Taught

FORM NTPS-1P

PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.
(A removable reference card is printed on page 3 of this booklet.)

Line
Number

Teacher’s Email Address

Please review each teacher’s email
address.
Make any corrections to the
teacher's email address in pen. If the
email address is missing, write it in
this column.

Please see the reference card on
page 4 for important information
about itinerant teachers, substitute
teachers, librarians, principals and
other staff that may teach at this
school.

206

MIDDLE

LAST

SUFFIX

Yes

214

Yes

215

Yes

216

Yes

217

Yes

218

Yes

219

Yes

220

Yes

221

Yes

208
209
210
211
212

213

Yes

207

PLEASE CONTINUE ON NEXT PAGE

Teacher's Status

AF
T

FIRST

Subject Matter
Taught

FORM NTPS-1P

AF
T

Thank you very much for your participation
in this survey. If you have any questions,
please contact us, toll-free, at: 1-888-595-1338
or by e-mail at: [email protected].

For additional data collected by various
Federal agencies, including the
Department of Education, visit the
Federal Statistics clearinghouse at:
http://fedstats.sites.usa.gov

FORM NTPS-1P

File Type	application/pdf
File Modified	2016-10-31
File Created	2016-10-13