Cascades Job Corps College and Career Academy Pilot Evaluation
18-MONTH FOLLOW-UP SURVEY
Throughout the instrument, there are places where the CAPI software will insert text to customize the question for the respondent. A couple of key text inserts are defined here:
[RAD]: This is the random assignment date for all participants. The random assignment date indicates the date that the person became a participant in the CCCA Evaluation.
[PROVIDER]: This is the fill variable used in all of the questions in Section B. It is derived from the name provided in a (B4a).
[PROGRAM NAME]: This is the fill variable used in all of the questions in Section B. It is derived from the name provided in a school/training spell (B4b).
[EMPLOYER NAME]: This is the fill variable used in questions in Section C. It is derived from the name provided in a employment spell (C2).
CAPI notes, which begin with CAPI: are instructions for the programmers. They are noted in bold font and the skip logic for CAPI is noted with numeric values, for example: CAPI: IF B2≠6 SKIP TO B7.
Refused and Don’t Know responses are valued at -2 and -1 if the field is numeric; otherwise the values are 97 and 98. For example, in a yes, no, refused, don’t know response set, refused and don’t know have values of 97 and 98. If the question asks for total hours worked, refused and don’t know would be -2 and -1 respectively.
Note for OMB Review: Grey text boxes provide explanations on question order and section structure. Interviewers will not see these boxes. They will only be visible to instrument reviewers. |
Note for OMB Review: Yellow text boxes indicate sources for questions. Interviewers will not see these boxes. They will only be visible to instrument reviewers. The main item sources are:
|
Hello, my name is [ ]. May I please speak with _____?
IF RESPONDENT COMES TO THE PHONE: I’m calling on behalf of the Job Corps Cascades College and Career Academy Pilot Evaluation.
IF PHONE OR IN-PERSON: I work for Abt Associates, or Abt, an independent research company. Abt is helping the U.S. Department of Labor (DOL) with its evaluation of the Job Corps Cascades College and Career Academy program. We are conducting interviews with people like you who agreed to be in a study. Thank you for taking the time to talk with me today.
This interview will include questions on your employment and education activities, your use of services, and your overall well-being, including questions about your participation in some risky or illegal behaviors. This interview will take about 30 minutes to complete. When we are done, we will send you a $25 gift card as a token of appreciation. You agreed to be part of the study around [RAD] when you signed a consent form to let researchers collect information from you. We need to talk with people who got into the program and those who did not. Your participation in this study will help policymakers and program operators better understand how to help people attain educational credentials and find and keep jobs.
Before we begin the survey, I would like to assure you that all of your responses on this survey will be kept private; your name will not appear in any written reports we produce. As a reminder, we have a Certificate of Confidentiality to protect your data from subpoena. Your responses to these questions are completely voluntary. That means you may choose not to answer any question, or you may stop the interview if you wish, but we hope you don’t. Your responses to these questions will in no way affect your participation in any programs or your receipt of any kinds of public benefits or services. The information you provide will be kept private and only used for this study. By participating in this study, you will help the government learn if and how programs like Job Corps Cascades College and Career Academy make a difference in people’s lives and how to improve programs in the future.
According to the Paperwork Reduction Act (PRA), an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this collection is 1290-0012 and it expires xx/xx/xxxx. If you have comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, please send them to U.S. Department of Labor, Office of Policy Development and Research, Room N-5641, Washington, D.C. 20210. Attn: OMB-PRA 1290-0012.
Do you have any questions before we begin?
Let’s begin now.
First I just need to verify that I am speaking with the correct person.
Read the following text and ask Q1 of everyone. |
A1. What is your date of birth? ___________ (MM/DD/YYYY)
INTERVIEWER: ENTER DATE USING FORMAT BELOW.
CATI/CAPI NOTE: DISPLAY DOB
Respondent’s Birthday: ________ / ________ / ____________
<SC1_MM>, <SC1_DD>, <SC1_YY> MM DD YYYY
<SC1_REF> REFUSED 7
<SC1_DK> DON’T KNOW 8
Ask Q2 only if the DOB in Q1 does not match what is in our records. |
CAPI: IF DOB AGREES WITH THE BIRTH DATE ON THE FILE, SKIP TO B1. ELSE, CONTINUE.
A2. What are the last 4 digits of your Social Security Number?
INTERVIEWER – ENTER LAST 4 DIGITS OF SSN CAPI NOTE: DISPLAY LAST 4 DIGITS SSN
<SC2_4SSN> RECORD LAST 4 DIGITS: ___ ___ ___ ___
<SC2_REF> REFUSED q 7
<SC2_DK> DON’T KNOW q 8
CAPI: IF THE 4 DIGITS GIVEN BY RESPONDENT AGREE WITH THE NUMBER ON THE FILE, SKIP TO B1.
IF SSN IS MISSING IN THE SAMPLE OR IS A MISMATCH WITH WHAT IS ENTERED AND THERE IS A MISMATCH IN DOB, DISPLAY DISCONTINUED TEXT:
DISCONTINUED TEXT: I’m sorry. I was unable to pull up the correct questionnaire. I will need to check with my supervisor to look into the problem. I will re-contact you when the problem is resolved. Thank you for your time.
To start, I would like to discuss the types of classes, courses, or training you have participated in since [RAD], either through Job Corps or from schools and other training providers you found on your own.
Source: Unless otherwise noted, all questions in Section B
(“Training and Education”) come
from the RTW
18-month Follow-Up Survey, with some minor modifications.
B1a. To begin, since [RAD], have you attended any high school diploma classes, GED classes, or similar education classes for improving reading and math skills?
Yes 1
No 2
REFUSED 97
DON’T KNOW 98
B1b. What about courses for credit towards a certificate, credential, or degree, or vocational courses or training programs for a specific job, trade, or occupation? This can include enrollment in a community college, a 2-year college, or a 4-year college, either on campus or online. This can also include programs where you are trained for a specific occupation or job, usually leading to a certificate, license, or credential. Please do not include on-the-job training programs, or recreational courses.
Since [RAD] have you attended any “for credit” college courses or vocational courses or training programs for a specific job, trade, or occupation?
SELECT ALL THAT APPLY:
Yes – “For credit” college courses 1
Yes – Vocational courses or training programs 2
No 3
REFUSED 97
DON’T KNOW 98
CAPI: IF CONTROL: IF B1a = 2, DK, or REF AND B1b = 3, DK, or REF SKIP TO B15
B2a.
[Ask
if RESPONDENT WAS ASSIGNED
TO TREATMENT GROUP, AND B1a = 2, REF, OR DK AND B1b = 3, REF, OR
DK]:
Our records indicate that approximately 18
months ago, you may have enrolled in the Cascades College and Career
Academy program offered by Job Corps. Do you remember participating
in that program?
Yes 1
No 2
REFUSED 97
DON’T KNOW 98
CAPI: IF TREATMENT: IF B1a = 2, DK, or REF AND B1b = 3, DK, or REF AND B2a = 2, DK, or REF SKIP TO B15
B2b. [Ask if B2a = 1]: What types of classes did you take as part of the Cascades College and Career Academy at Job Corps? Were they…
SELECT ALL THAT APPLY:
High school diploma classes, GED classes, or similar education classes for
improving reading and math skills 1
Courses for credit towards a college degree, 2
A vocational or training program for a specific job, trade, or occupation 3
REFUSED 97
DON’T KNOW 98
I am now going to ask you a few questions about the program/programs you attended. Please tell us only about the programs you attended, not each class. For example, if classes were held over multiple sessions or at different locations or schools as part of a program you attended, please count that as one program. Please include all programs that you started, even if you did not complete them. If you don’t know the exact information, your best guess is fine.
NOTE: Questions B3a through B13b will be asked for each of the following types of programs attended, where providers differ:
For the sake of brevity, in this document we do not repeat the questions for each type of program, but instances where questions vary by program type are noted. The set of questions will only be asked of those respondents who reported that they participated in at least one ABE/GED program, college courses for credit, or vocational training program. |
CAPI: IF B1a =1 or B2b = 1 PULL IN “high school diploma program, GED program, or education program for improving reading and math skills” for [TYPE OF PROGRAM]; ASK B3a-B13b; CHECK FOR NEXT PROGRAM TYPE.
CAPI: IF B1b = 1 or 2 or B2b = 2 or 3 PULL IN “For-credit college or vocational training program” for [TYPE OF PROGRAM]; ASK B3a-B14; CHECK FOR NEXT PROGRAM TYPE.
B3a. For the [TYPE OF PROGRAM] that you attended, please tell me the place, school, or organization that offered this program? Please tell me the name of the place, school, ororganization that offered or oversaw your entire program, even if you took classes at different locations, schools, or places as part of that program. If you attended more than one [TYPE OF PROGRAM], please tell me the name of all the places, schools, or organizations that oversaw your program.
IF PROVIDER UNKNOWN, PROBE: Where did you attend these courses/classes?
ONE: ___________________________________________
TWO: ___________________________________________
THREE: _________________________________________
FOUR: __________________________________________
FIVE: ___________________________________________
REFUSED 97
DON’T KNOW 98
CAPI: IF B3a=DK, ask what they would like the program/provider to be referred to going forward. IF B3a=REF, run through the loop with no Provider filled in.
B3b. Please tell me the name(s) the program or programs you took at [FILL NAME OF PROVIDER IN B3a ONE/TWO/THREE/FOUR/FIVE]. Please note, I am asking about the name of the overall program you were enrolled in, not the name of the individual classes you may have taken as part of the program.
ONE: ___________________________________________
TWO: ___________________________________________
THREE: _________________________________________
FOUR: __________________________________________
FIVE: ___________________________________________
REFUSED 97
DON’T KNOW 98
NOTE: PROGRAM NAME used to guide interview flow.
IF [PROVIDER ONE/TWO/THREE/FOUR/FIVE] repeats in B3a for HIGH SCHOOL DIPLOMA CLASSES, GED CLASSES, OR SIMILAR EDUCATION CLASSES and FOR-CREDIT COLLEGE PROGRAMS AND VOCATIONAL TRAINING PROGRAMS, ask B4:
CAPI: IF B3b=DK, ask what they would like the program/provider to be referred to going forward. IF B3b=REF, run through the loop with no Program Name filled in.
Source for B4: New Question.
B4. You mentioned that you attended high school diploma classes, GED classes, or similar education classes for improving reading and math skills at [PROVIDER], and that you also attended courses for credit, or vocational courses, or a training program at [PROVIDER]. Were the high school diploma, GED classes, or classes for improving reading and math skills included as part of the for-credit college or vocational training program offered by the same provider?
IF UNKNOWN, PROBE: Was this one experience/enrollment at this provider, or did you attend this provider at two different time periods?
Yes – one experience/enrollment 1 (ASK B4a, then ASK LOOP B5-B14 EACH PROGRAM)
No – multiple enrollments 2 (ASK LOOP B5-B14 FOR EACH PROGRAM)
REFUSED 97 (ASK LOOP B5-B14 FOR EACH PROGRAM)
DON’T KNOW 98 (ASK LOOP B5-B14 FOR EACH PROGRAM)
B4a. [Ask if B4 = 1] How would you like to refer to this one enrollment experience for the remainder of this survey? That is, what program name should we use? Please remember that when asked about this experience in future questions, the questions will be referring to the entire program experience (to the high school diploma classes, GED classes, or similar education classes for improving reading and math skills, as well as to the courses for credit, or vocational courses, or a training program).
REVISED PROGRAM NAME: ___________________________________________
Which program names from B3b should we replace with this new name?
CAPI: Replace relevant HIGH SCHOOL DIPLOMA CLASSES, GED CLASSES, OR SIMILAR EDUCATION CLASSES program name and FOR-CREDIT COLLEGE PROGRAMS AND VOCATIONAL TRAINING PROGRAMS program name with REVISED PROGRAM NAME. ASK LOOP B5-B14 ONLY ONCE FOR THIS PROGRAM.
NOTE: Questions B5 through B13b will be asked for each high school diploma/GED provider/program combo listed in Question B3a/b. Questions B5-B14 will be asked for each for-credit college courses/classes or vocational training provider/program combo listed in Question B3a/b and/or B4a [if B4=1, ask the loop one time for the revised program name; ask the loop additional times for each additional provider/program combo listed in Question B3a/b]. |
LOOP STARTS HERE
B5. When did you start the [PROGRAM NAME] program offered by [PROVIDER]?
INTERVIWER NOTE: IF EXACT DAY IN DATE IS UNKNOWN PROBE WITH BEGINNING, MIDDLE, OR END OF THE MONTH. IF RESPONSE IS BEGINNING OF THE MONTH ENTER '01', IF MIDDLE OF THE MONTH ENTER'15', IF END OF THE MONTH ENTER '28 /30'. OTHERWISE, ENTER '01' FOR DAY
| | | / | | | / | | | | |
MONTH DAY YEAR
REFUSED 97
DON’T KNOW 98
B6. Did you complete the [PROGRAM NAME] program offered by [PROVIDER] by finishing all of the coursework or program /class requirements, or are you still taking the program, or did you stop the program before completing it?
Completed the program, 1
Still in the program, 2
Stopped the program early/dropped out, 3 (SKIP TO B8)
REFUSED 97
DON’T KNOW 98
B7. When (IF B6= 1 did; IF B6 = 2 will) the [PROGRAM NAME] program at [PROVIDER NAME] end?
INTERVIWER NOTE: IF EXACT DAY IN DATE IS UNKNOWN PROBE WITH BEGINNING, MIDDLE, OR END OF THE MONTH. IF RESPONSE IS BEGINNING OF THE MONTH ENTER '01', IF MIDDLE OF THE MONTH ENTER'15', IF END OF THE MONTH ENTER '28 /30'. OTHERWISE, ENTER '01' FOR DAY
| | | / | | | / | | | | | (SKIP TO B9)
MONTH DAY YEAR
REFUSED 97
DON’T KNOW 98
B8. [Ask if B6 = 3]: When did you stop taking [PROGRAM NAME] program at [PROVIDER NAME]?
INTERVIWER NOTE: IF EXACT DAY IN DATE IS UNKNOWN PROBE WITH BEGINNING, MIDDLE, OR END OF THE MONTH. IF RESPONSE IS BEGINNING OF THE MONTH ENTER '01', IF MIDDLE OF THE MONTH ENTER'15', IF END OF THE MONTH ENTER '28 /30'. OTHERWISE, ENTER '01' FOR DAY
| | | / | | | / | | | | |
MONTH DAY YEAR
REFUSED 97
DON’T KNOW 98
Source for B9: HPOG 36-month Follow-up Survey, with minor
modifications
B9. Were there any periods of a month or more during the time you attended the [PROGRAM NAME] program at [PROVIDER NAME] when you were not attending classes? Please do not include time when you were on school planned breaks such as spring, summer, or holiday breaks.
Yes 1 (ASK B9a)
No 2 (SKIP TO B10)
REFUSED 97 (SKIP TO B10)
DON’T KNOW 98 (SKIP TO B10)
B9a. [Ask if B9 = 1] How many weeks did this last? If you took more than one break from the program, please add all the breaks together.
______________________ WEEKS
REFUSED -2
DON’T KNOW -1
B10. How many hours per week (IF B6= 1 or 3 ‘did’; IF B6 = 2 ‘do’; IF B6 = DK/REF ‘did/do’) you attend classes or training experiences in the [PROGRAM NAME] in a typical week? Do not include time spent outside of class studying or doing homework. Only time spent attending class should be counted.
IF RESPONDENT SAYS THEY TOOK ONLINE CLASSES, PROBE: Only include the time you spent online actually taking classes. Do not include time spent studying or doing homework.
______________________ (HOURS) (SKIP TO B12)
REFUSED -2
DON’T KNOW -1
B11. [Ask if B10 = DK, REF] Would you say you (IF B6= 1 or 3 ‘attended; ‘IF B6 = 2 ‘attend’; IF B6 = DK/REF ‘attended/attend’) class for the [PROGRAM NAME] program/course/class...?
More than 1 but less than 5 hours per week, 1
Between 5 and less than 12 hours per week, 2
Between 12 and less than 15 hours per week, 3
15 or more hours per week? 4
REFUSED 97
DON’T KNOW 98
B12. In the next set of questions, we are interested in the types of services and assistance you may have received during [PROGRAM NAME] from [PROVIDER NAME]. Did you receive any of the following support services?
B12_1. [For each service, if Yes]: How many times did you receive [FILL IN TYPE OF SUPPORT SERVICE] during [PROGRAM NAME] from [PROVIDER NAME]?
B12_2. [If number times REF or DK] If you don’t remember a specific number, please provide a range. Would you say that the number of times was between…
Did you receive any.. |
B12 |
B12_1 |
B12_2 |
||||||||||
Yes |
No |
REF |
DK |
How many times? |
REF |
DK |
1-2 times? |
3-4 times? |
5-6 times? |
7 or more times? |
REF |
DK |
|
|
1□ |
2□ |
97□ |
98□ |
____ |
97□ |
98□ |
1□ |
2□ |
3□ |
4□ |
97□ |
98□ |
|
1□ |
2□ |
97□ |
98□ |
____ |
97□ |
98□ |
1□ |
2□ |
3□ |
4□ |
97□ |
98□ |
|
1□ |
2□ |
97□ |
98□ |
____ |
97□ |
98□ |
1□ |
2□ |
3□ |
4□ |
97□ |
98□ |
|
1□ |
2□ |
97□ |
98□ |
____ |
97□ |
98□ |
1□ |
2□ |
3□ |
4□ |
97□ |
98□ |
|
1□ |
2□ |
97□ |
98□ |
____ |
97□ |
98□ |
1□ |
2□ |
3□ |
4□ |
97□ |
98□ |
Source for B13: PACE and HPOG 15 month survey, with minor modifications.
B13a. [Ask if B6 = 1 or 2 and B1b=1 or 2]: (IF B6= 1 or 3 ‘Did you’; IF B6 = 2 ‘Will you’; IF B6 = DK/REF ‘did you/will you’) receive any college credits for completing the courses in [PROGRAM NAME]?
Yes 1
No 2 (SKIP TO B15)
REFUSED 97
DON’T KNOW 98
B13b. How many credits did you earn?
PROBE:
Only
count credits that count toward a college degree such as an
Associate or Bachelor’s degree. Your best guess is fine.
(CREDITS) (range 1 – 100)
REFUSED 97
DON’T KNOW 98
COMPLETE B5 – B13b FOR ALL HIGH SCHOOL DIPLOMA, GED , OR SIMILAR EDUCATION CLASSES PROVIDERS AND PROGRAMS LISTED IN B3a-b (NEXT IS PROVIDER 1 PROGRAM 2 - 5; PROVIDER 2 PROGRAMS 1 – 5); ETC. AFTER EXHAUSTED, MOVE ON TO FOR-CREDIT COLLEGE PROGRAMS AND VOCATIONAL TRAINING PROGRAMS AND COMPLETE B5-14 FOR EACH PROVIDER AND PROGRAM COMBINATION IN B3a-b. IF NO PROGRAMS LISTED UNDER ‘FOR-CREDIT COLLEGE COURSES/CLASSES OR VOCATIONAL TRAINING PROGRAMS’ GO TO B15.
FOR ‘FOR-CREDIT COLLEGE PROGRAMS and VOCATIONAL TRAINING PROGRAMS’ ONLY; IF B1b = 1 or 2 OR B2b = 2 or 3 ASK QUESTION B14.
Source for B14: New Question.
B14. What (IF B6= 1 or 3 ‘Was’; IF B6 = 2 ‘Is’; IF B6 = DK/REF ‘Was/Is’) your major field of study in the [PROGRAM NAME] program?
Healthcare 1
IT 2
Construction/Manufacturing 3
Finance & Business Services/Office Administration 4
Culinary Arts 5
Forestry 6
Automotive Technology 7
Truck Driving/CDL 8
Landscaping/Forestry 9
Facilities Maintenance 10
Other (SPECIFY______________________________________) 95
REFUSED 97
DON’T KNOW 98
END OF LOOP.
I am now going to ask you to think back about all the education and training programs you’ve taken part in since [RAD].
B15. Since [RAD], did you take and pass a test for the GED, a high school equivalency diploma, a High School Certificate of Completion, or receive a high school diploma?
Yes 1
No 2
REFUSED 97
DON’T KNOW 98
Source for B16a-B17: New Questions.
B16a. Since [RAD], have you been awarded any diploma(s), academic degree(s), or vocational credential(s) or certificate(s) (please do not include a GED, high school equivalency diploma, High School Certificate of Completion, or high school diploma) ?
PROBE: If response is “no,” probe if working toward completion.
Yes 1
No –working toward completion of a diploma, degree, credential, or certificate 2
No 3 (SKIP TO B17)
REFUSED 97 (SKIP TO B17)
DON’T KNOW 98 (SKIP TO B17)
B16b. [Ask if B16a=1 or 2]: What is the name of the diploma(s), certificate(s), academic degree(s), or credential(s) you earned, and what subject or field was the award in?
PROBE If unsure: “your best recollection of the name is fine, or the just tell me the subject/field the award was in.”
(1) NAME: ______________________________ FIELD/SUBJECT: __________________________
(2) NAME: ______________________________ FIELD/SUBJECT: __________________________
(3) NAME: ______________________________ FIELD/SUBJECT: __________________________
(4) NAME: ______________________________ FIELD/SUBJECT: __________________________
(5) NAME: ______________________________ FIELD/SUBJECT: __________________________
REFUSED 97
DON’T KNOW 98
INTERVIEWER TO RECORD OPEN-ENDED REPSONSE
AND CODE INTO THE FOLLOWING CATEGORIES. INTERVIEWER CONFIRM
RESPONDENT AGREEMENT WITH CATEGORIZATION:
[Ask for
credential 1 thru 5]: Would you say this is in the [FIELD]
field?
Healthcare 1
IT 2
Construction/Manufacturing 3
Finance & Business Services/Office Administration 4
Culinary Arts 5
Forestry 6
Automotive Technology 7
Truck Driving/CDL 8
Landscaping/Forestry 9
Facilities Maintenance 10
Other (SPECIFY______________________________________) 95
REFUSED 97
DON’T KNOW 98
B17. Since [RAD], what is the highest industry-recognized certification awarded by the state, or by an industry or professional association that you have received?
PROBE: These tend to be professional certifications or a license showing that you are qualified to perform a specific job, like Certified Medical Assistant, Licensed Realtor, or an IT certification.
(1) NAME: ______________________________ (2) FIELD/SUBJECT: __________________________
(1) NAME: INTERVIEWER TO RECORD OPEN-ENDED REPSONSE AND CODE INTO THE FOLLOWING CATEGORIES. INTERVIEWER CONFIRM RESPONDENT AGREEMENT WITH CATEGORIZATION: Would you say this is a [NAME] certification?
Certified Medical Assistant 1
Certified Nursing Assistant 2
Pharmacy Technician 3
Microsoft Office Specialist 4
ATA Game and Web Development Certificate 5
CompTIA (Computing Technology Industry Association) 6
Microsoft Technical Assistant 7
A+ Certification 8
ATA Network+ Certificate 9
Certified Professional Coder 10
Other (SPECIFY______________________________________) 95
(2) FIELD: INTERVIEWER TO RECORD OPEN-ENDED REPSONSE AND CODE INTO THE FOLLOWING CATEGORIES. INTERVIEWER CONFIRM RESPONDENT AGREEMENT WITH CATEGORIZATION: Would you say this is in the [FIELD] field?
Healthcare 1
IT 2
Construction/Manufacturing 3
Finance & Business Services/Office Administration 4
Culinary Arts 5
Forestry 6
Automotive Technology 7
Truck Driving/CDL 8
Landscaping/Forestry 9
Facilities Maintenance 10
Other (SPECIFY______________________________________) 95
NO INDUSTRY-RECOGNIZED CERTIFICATION 96
REFUSED 97
DON’T KNOW 98
Source for B18: Newly developed question. Categories taken from: https://www.performwell.org/index.php/find-surveyassessments/outcomes/social-development/social-competencesocial-skills/the-belonging-scale
Response options taken from HPOG 36 month survey.
.
Belonging
B18. Think about the education and training programs you have attended since [RAD]. For each of the following statements, please tell me whether you feel/felt this way: never, rarely, sometimes, most of the time, or always…
While in the education or traning program… |
NEVER |
RARELY |
SOMETIMES |
MOST OF THE TIME |
ALWAYS |
REFUSED |
DON’T KNOW |
|
1 |
2 |
3 |
4 |
5 |
97 |
98 |
|
1 |
2 |
3 |
4 |
5 |
97 |
98 |
|
1 |
2 |
3 |
4 |
5 |
97 |
98 |
|
1 |
2 |
3 |
4 |
5 |
97 |
98 |
Source: Questions B19-B20 are modified from University of North
Dakota’s Student Evaluation of Learning and Feedback for
Instructors (SELFI). We chose it as a model because there is very
detailed public documentation of the research process that led them
to adopt the SELFI. See:
https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwjRgMTK0ITVAhWFPD4KHWdgDx8QFggoMAA&url=https%3A%2F%2Fund.edu%2Funiversity-senate%2Fsetic-2.0-final-report.pdf&usg=AFQjCNF_ZrpxH7HYpeBJ7Fg4pUB5IDG--A
B19. Think about the education or training programs you have attended since [RAD]. For each of the following statements please tell me whether you strongly disagree, disagree, neither agree nor disagree, agree, or strongly agree, with the statement.
I attended a program where the… |
STRONGLY DISAGREE |
DISAGREE |
NEITHER AGREE NOR DISAGREE |
AGREE |
STRONGLY AGREE |
REFUSED |
DON’T KNOW |
|
1 |
2 |
3 |
4 |
5 |
97 |
98 |
|
1 |
2 |
3 |
4 |
5 |
97 |
98 |
|
1 |
2 |
3 |
4 |
5 |
97 |
98 |
B20. Think about the education or training programs you have attended since [RAD]. For each of the following statements please tell me whether you strongly disagree, disagree, neither agree nor disagree, agree, or strongly agree, with the statement.
|
STRONGLY DISAGREE |
DISAGREE |
NEITHER AGREE NOR DISAGREE |
AGREE |
STRONGLY AGREE |
REFUSED |
DON’T KNOW |
a. I have gained knowledge/skills that reflect the goals of the program. Do you… |
1 |
2 |
3 |
4 |
5 |
97 |
98 |
b. My interest in the subject has increased as a result of these experiences. Do you… |
1 |
2 |
3 |
4 |
5 |
97 |
98 |
c. I have found the courses intellectually challenging. Do you… |
1 |
2 |
3 |
4 |
5 |
97 |
98 |
Source for B21-B22: PACE and HPOG 15 month survey, with modifications.
B21. Now I’m going to read a list of “general skills” topics that are sometimes covered in education, training, or other types of programs. Since [RAD], did you receive any information on the following topics, from any organization, including but not limited to the education or training providers we already talked about.
Did you receive information on: |
Yes |
No |
REF |
DK |
|
a. Study skills, such as locating information, taking notes, and preparing for classes and exams. |
1□ |
2□ |
97□ |
98□ |
|
b. Finding help with problems you had at school, work, or home. |
1□ |
2□ |
97□ |
98□ |
|
c. Managing time effectively. |
1□ |
2□ |
97□ |
98□ |
|
d. Working in groups. |
1□ |
2□ |
97□ |
98□ |
|
e. Communicating well (for example, good listening and speaking skills). |
1□ |
2□ |
97□ |
98□ |
|
f. Managing stress, anger, and frustration. |
1□ |
2□ |
97□ |
98□ |
|
g. Acting professionally (for example, how to dress, show good attendance habits, be respectful). |
1□ |
2□ |
97□ |
98□ |
|
h. Managing money and personal finances. |
1□ |
2□ |
97□ |
98□ |
|
i. Handling parenting and other family responsibilities. |
1□ |
2□ |
97□ |
98□ |
|
|
|
|
|
|
|
B22. Since [RAD], have you participated in any of the following opportunities for direct experiences with occupations related to your career goals ([IF B1a=1 or B1b=1, 2 or B2=1] or studies )? If you participated in one of the following activities, but it was not related to an occupation you have or are preparing for, then please answer “no.”
Did you participate in…. |
Yes |
No |
REF |
DK |
|
1□ |
2□ |
97□ |
98□ |
|
1□ |
2□ |
97□ |
98□ |
|
1□ |
2□ |
97□ |
98□ |
|
1□ |
2□ |
97□ |
98□ |
|
1□ |
2□ |
97□ |
98□ |
This next set of questions are about your employment experiences.
Source: Unless otherwise noted, all questions in Section C
(“Employment”) come from the RTW follow-up survey, with
modifications.
Please include any full- or part-time jobs, self-employment, temporary positions, odd jobs, side jobs such as babysitting, gardening, or housekeeping, under-the-table jobs, business ventures, or other types of paid jobs that you have had.
PROBE: Please remember to include any type of job that you have for pay.
Yes – Worked for pay 1
Yes – Been in the military 2
No 3 (SKIP TO D1)
REFUSED 97
DON’T KNOW 98
CAPI: ALLOW FOR RESPONDETS TO SELECT BOTH 1 AND 2.
Source for Questions C2-C3: New Question
C2. What are the names of the employers you have had since [RAD], starting with your most recent? If you worked two or more jobs at the same time, please tell them to me one at a time, starting with the one you consider your main job.
IF EMPLOYER REFUSED OR DON’T KNOW, PROBE: What would you like me to call this employer when I refer back to it later?
ONE: ___________________________________________
TWO: ___________________________________________
THREE: _________________________________________
FOUR: __________________________________________
FIVE: ___________________________________________
REFUSED 97
DON’T KNOW 98
NOTE: [EMPLOYER NAME] used to guide interview flow.
CHECK: IF C1 = 2, MAKE SURE THE MILITARY OR A MILITARY BRANCH IS LISTED AS AN EMPLOYER IN C2.
C3. What kind of work do/did you do in your current or most recent job – that is, for [EMPLOYER ONE]; that is, what [is/was] your occupation? (For example: registered nurse, IT technician, personnel manager, supervisor or order department, secretary, accountant.) If you [have/had] more than one job at the same time, please answer for your main job.
Healthcare job 1
IT job 2
Construction/Manufacturing job 3
Finance & Business Services/Office Administration job 4
Culinary Arts job 5
Forestry job 6
Automotive Technology job 7
Truck Driving/CDL job 8
Other job (SPECIFY______________________________________) 95
REFUSED 97
DON’T KNOW 98
NOTE: Questions C4 through C7 will be asked for each employer listed in Question C2. |
Now, I’m going to ask for a few details on each of the jobs you mentioned.
C4. What month, day, and year did you start working at [EMPLOYER NAME]?
PROBE: If you cannot remember the exact day, can you remember if it was in the beginning, middle, or end of the month?
| | | / | | | / | | | | |
MONTH DAY YEAR
INTERVIWER NOTE: IF EXACT DAY IN DATE IS UNKNOWN PROBE WITH BEGINNING, MIDDLE, OR END OF THE MONTH. IF RESPONSE IS BEGINNING OF THE MONTH ENTER '01', IF MIDDLE OF THE MONTH ENTER '15', IF END OF THE MONTH ENTER '28/30/31'. OTHERWISE, ENTER '01' FOR DAY
REFUSED 97
DON’T KNOW 98
C5. What month, day, and year did you stop working at [EMPLOYER NAME]?
| | | / | | | / | | | | |
MONTH DAY YEAR
INTERVIWER NOTE: IF EXACT DAY IN DATE IS UNKNOWN PROBE WITH BEGINNING, MIDDLE, OR END OF THE MONTH. IF RESPONSE IS BEGINNING OF THE MONTH ENTER '01', IF MIDDLE OF THE MONTH ENTERS’15’, IF END OF THE MONTH ENTER '28/30/31'. OTHERWISE, ENTER '01' FOR DAY
Still employed 1
REFUSED 97
DON’T KNOW 98
C6. How many hours (IF C5 =1 ‘do’ ELSE, ‘did’) you usually work in a typical week at [EMPLOYER NAME]? Please include any regular overtime hours.
| | | HOURS PER WEEK (SKIP TO Section D)
REFUSED -1
DON’T
KNOW -2
C7. Would you say you (IF C5 =1 ‘work’ ELSE, ‘worked’)...?
Up to 9 hours per week, 1
10 to 19 hours per week, 2
20 to 29 hours per week, 3
30 to 39 hours per week, 4
40 or more hours per week, 5
REFUSED 97
DON’T KNOW 98
END OF LOOP. GO TO NEXT EMPLOYER LISTED AT C2 AND ASK C4 – C7 UNTIL LIST IS EXHAUSTED.
Source for D1: HPOG 36-month Follow-up Survey, with minor
modifications.
D1. Please tell me whether you would say you strongly agree, somewhat agree, somewhat disagree, or strongly disagree with the following statement:
|
STRONGLY DISAGREE |
SOMEWHAT DISAGREE |
SOMEWHAT AGREE |
STRONGLY AGREE |
REFUSED |
DON’T KNOW |
a. I see myself on a career path. Would you say you: |
1 |
2 |
3 |
4 |
97 |
98 |
Self-Efficacy
Source for D2: Baseline Information Form for JC Cascades
D2. In general, some people have an easier or harder time with problems or difficulties. How true do you think are the following statements?
|
Not at all true |
Somewhat true |
Mostly true |
Entirely true |
Refused |
Don’t Know |
|
1 |
2 |
3 |
4 |
97 |
98 |
|
1 |
2 |
3 |
4 |
97 |
98 |
|
1 |
2 |
3 |
4 |
97 |
98 |
|
1 |
2 |
3 |
4 |
97 |
98 |
|
1 |
2 |
3 |
4 |
97 |
98 |
|
1 |
2 |
3 |
4 |
97 |
98 |
|
1 |
2 |
3 |
4 |
97 |
98 |
|
1 |
2 |
3 |
4 |
97 |
98 |
|
1 |
2 |
3 |
4 |
97 |
98 |
Source for D3-D4: YouthBuild 12-month Follow-up Survey, with
modifications.
Risky Behaviors
These next questions are about experiences you may have had with the police or courts. All of your answers will be kept private to the fullest extent of the law.
D3. Since [RAD], have you been arrested or taken into custody for a crime or illegal offense? Please include probation or parole violations, but do not include minor motor vehicle violations.
Yes 1
No 2
REFUSED 97
DON’T KNOW 98
D4. In the last week, have you engaged in any of the following activities? [IF NEEDED: All of your answers will be kept private to the fullest extent of the law.]
|
YES |
NO |
REFUSED |
DON’T KNOW |
|
1 |
2 |
97 |
98 |
|
1 |
2 |
97 |
98 |
|
1 |
2 |
97 |
98 |
Public Benefit Receipt
I would now like to ask some questions about your participation in government-funded programs.
Source for D5-D7: Baseline Information Form for JC Cascades, with
minor modifications
D5. Have you (or your family if you live with them) received food stamps (also called Supplemental Nutrition and Assistance Program, or SNAP) in the last 3 months?
Yes 1
No 2
REFUSED 97
DON’T KNOW 98
D6. Have you or your family (if you live with them) received welfare or cash assistance (also called Temporary Assistance for Needy Families, or TANF) in the last 3 months?
Yes 1
No 2
REFUSED 97
DON’T KNOW 98
D7. Have you or your family (if you live with them) received Medicaid in the last 3 months?
Yes 1
No 2
REFUSED 97
DON’T KNOW 98
Source for Section E: New Questions.
E1. I have your name recorded as [FIRST LAST]. Is this still correct or have you changed your name?
YES, STILL CORRECT 1 (SKIP TO E2)
NO, NAME CHANGED 2
E1a. What is your first name now?
E1b. What is your last name now?
E2. I have your address recorded as [STREET, APT, CITY, STATE, ZIP]. Is this still correct or have you moved?
YES, STILL CORRECT 1 (END)
NO, ADDRESS CHANGED 2
E2a. What your street address or PO box number?
E2b. Is there a complex or building name?
E2c. Is there an apartment number?
E2d. In what city?
E2e. In what state?
E2f. What is the zip code?
Thank you very much for your time today.
If you have any questions about the study, you can e-mail or call the people who are doing the research at [email protected] or (866)-587-4111. This is a free call.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Abt Single-Sided Body Template |
Author | Tanya de Sousa |
File Modified | 0000-00-00 |
File Created | 2021-01-15 |