Make-up List and Instructions

Att O2_Make-up List & Instructions.docx

2021 and 2023 National Youth Risk Behavior Surveys and 2021 ABES

Make-up List and Instructions

OMB: 0920-0493

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2021 and 2023 National Youth Risk Behavior Survey





Attachment O2


Make-up List and Instructions




MAKE-UP LIST AND INSTRUCTIONS


School Name: ________________________ State:_______





Teacher Name(s):_______________________________


Class: __________________________Period:_______


Grades(s): _____



Dear Teacher:


Students who were selected to participate but did not complete the survey and are eligible for a make-up are listed below. The list includes students who were coded as: A: Absent; ISS: In-School Suspension; SR: Student Refusal; and NFR: No Form Returned (for schools using active parental permission only). Students coded as NFR must have returned a signed parental permission form, with the yes box checked, to be surveyed as part of a make-up session. Students who initially refused to take the survey (SR) but voluntarily changed their mind and decide to participate, may be surveyed.


You are asked to administer a make-up with all students listed in the table below. An adequate supply of survey materials is enclosed. When administering the survey, please follow the enclosed make-up survey administration script closely.


When you have completed the make-ups, please place each student’s sealed envelope containing his/her questionnaire in the white, business reply envelope marked MAKE-UPS, along with this form.


Important: If a student, for all practical purposes, has ceased to come to class or attend school and you cannot conduct a make-up, mark a capital “D” next to his/her name. For any student(s) not completing a make-up survey, please note the reason (if known) next to the student’s name below.


Please attempt to complete all student make-ups by:­­­­­­­ ____________________________


Thank you again for your help. If you have any questions, please call us toll-free at 1-800-675-9727.


PLEASE PRINT NAMES OR IDENTIFIERS CLEARLY.


Students Needing Make-ups


Code

A, ISS, SR, NFR



Students Needing Make-ups


Code

A, ISS, SR, NFR



















































































File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleMAKE-UP LIST
AuthorCalverton
File Modified0000-00-00
File Created2021-01-14

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