Appendix A1 - Supplementary Material

Appendix A1 NTPS 2020-21 Supplementary Material for Generic Research Application.pdf

National Teacher and Principal Survey of 2020-2021 (NTPS 2020-21)

Appendix A1 - Supplementary Material

OMB: 1850-0598

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National Teacher and Principal Survey
of 2020–2021 (NTPS 2020–21)

OMB# 1850-0598 v.30

Appendix A1
Supplementary Material for
Generic Research Applications

National Center for Education Statistics (NCES)
U.S. Department of Education

March 2020

Appendix A1: Supplementary Material for Generic Research Applications
The materials in this section are previously used and cleared copies of the Principal FollowUp Survey and the Teacher Follow-Up Survey. They are included in this package for
clearance so that, upon request by Special Contact Districts, they can be sent to those
Districts as examples of the kinds of materials used for those two surveys.
The following materials are contained in this document:
2015-16 Principal Status Form (PFS).................................................................................................. .3
2012-13 Teacher Status Form (TFS)................................................................................................... .7
2012-13 TFS Questionnaire for Former Teachers................................................................................ 9
2012-13 TFS Questionnaire for Current Teachers.............................................................................. 19

OMB No. 1850-0934: Approval Expires 2/29/2020
Collected by:

Conducted by:

U.S. DEPARTMENT OF COMMERCE

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

Economics and Statistics Administration

U.S. CENSUS BUREAU

PRINCIPAL FOLLOW-UP SURVEY

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

Please return this form within 2 weeks in the enclosed envelope, or mail it to:
U.S. CENSUS BUREAU
Attn: DCB-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 PFS-1C
(2-21-2017)

The National Center for Education Statistics is interested in Principal attrition and mobility.
According to our records, you were the principal of
during the 2015-16 school year. Please answer the following question about your current
occupational status.
Which of the following best describes your current occupational status?
Please mark (X) one box.
If you were not the Principal of
last year (2015-16 school year), mark (X) here

50

and return the form.

Still working as Principal of the same school
20

Still working as Principal of the same school

Still working as a Principal, but not at the same school
24

Working as a Principal, but in a different public school
Is your new school in the same District as last year’s school?
21
Yes
22
No
23
Don’t know

25

Working as a Principal, but in a private school

Still working in a K–12 school, but not as a Principal
26
27
28

Working in the same school, but not as Principal
Working in a different public school, but not as Principal
Working in a private school, but not as Principal

Still working in K–12 Education, but not in a K–12 school
29

30

31

Working in a District or Administrative Office as a Superintendent,
Assistant Superintendent, or other higher-level Administrator
Working in a District or Administrative Office, in a position other than that of
Superintendent, Assistant Superintendent, or other higher-level Administrator
Working at a job associated with K–12 education, but not directly associated
with any schools or school system

Working at a job outside of K–12 Education
32

Working at a job outside of K–12 education

Other
33
34
35
36

2

Retired – not working outside the home
On leave (e.g., maternity/paternity, military, disability, sabbatical)
Deceased
Other – Specify

FORM PFS-1C (2-21-2017)

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 1850-0934. The time required to complete
this information collection is estimated to average 5 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
(NTPS), National Center for Education Statistics (NCES), 550 12th St. SW #4014,
Washington, DC 20004.
FORM PFS-1C (2-21-2017)

3

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://www.fedstats.sites.usa.gov

4

FORM PFS-1C (2-21-2017)

OMB No. 1850-0598: Approval Expires 03/31/2015
Conducted by:

U.S. DEPARTMENT OF EDUCATION

U.S. DEPARTMENT OF COMMERCE

NATIONAL CENTER FOR EDUCATION STATISTICS

Economics and Statistics Administration

U.S. CENSUS BUREAU

TEACHER FOLLOW-UP SURVEY
2012–2013 SCHOOL YEAR

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

TEACHER STATUS FORM
for
PUBLIC AND PRIVATE SCHOOLS

Please return this form within 2 weeks in the enclosed envelope.

NOTICE
This is a voluntary survey and all personally identifiable characteristics may be
used only for statistical purposes and may not be disclosed, or used, in identifiable
form for any other purpose, except as required by law [Education Sciences Reform
Act of 2002 (ESRA 2002), 20 U.S.C. § 9573].

FORM TFS-1
(6-14-2012)

Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a

collection of information unless such collection displays a valid OMB control number. The valid

OMB control number for this information collection is 1850-0598. The time required to complete

this information collection is estimated to average 10 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 or suggestions for improving this form, please write to: U.S. Department of

Education, Washington, DC 20202-4537. If you have comments or concerns about the content of

this form, write directly to: Schools and Staffing Survey, National Center for Education Statistics,

1990 K Street, N.W., Washington, DC 20006-5651.

Page 2	

FORM TFS-1 (6-14-2012)

FORM TFS-1 (6-14-2012)

8
7
6
5
4
2
1

NO.

8	 Deceased

TEACHER’S NAME
AS REPORTED IN SASS

6	 Left this school, not currently teaching (e.g., retired, working in another occupation,

homemaking, or child rearing)

7	 Left this school, occupational status unknown

3

8
7
6
5
4
2
1

3

8
7
6
5
4
3
2
1

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5

8
7
6
5
4

4
3

3

3

6
4

5

5 – On
leave, not
returning
this school
year (e.g.,
extended
maternity/
paternity
leave,
disability,
sabbatical,
or military
leave)

6 – Left this
school, not
currently
teaching
(e.g., retired,
working in
another
occupation,
homemaking,
or child
rearing)

7

8

7 – Left this 8 – Deceased
school,
occupational
status
unknown

Mark (X)
this box
if
teacher
is
currently
living
outside
of the
U.S.

2

5	 On leave, not returning this school year (e.g., extended maternity/paternity leave,

disability, sabbatical, or military leave)


1

4	 On leave, returning this school year to this school

2

3	 Not teaching, but working in this school

1

2	 Teaching, but not in this school

2

1	 Teaching in this school

1

OCCUPATIONAL STATUS CODES
(Mark (X) ONE of these codes for each teacher listed on page 3.)

4 – On
leave,
returning
this school
year to this
school

U.S. Census Bureau
SMQAB–TFS-1
Bldg. 66, Room 347
1201 E. 10th Street
Jeffersonville, IN 47132-0001

1 – Teaching 2 – Teaching, 3 – Not
in this school but not in this teaching,
school
but working
in this
school

Please return your completed form, WITHIN 2 WEEKS, to the U.S. Census Bureau in

the enclosed pre-addressed envelope. If you do not have the return envelope, please

call 1–888–262–5934 or mail your form to:


ITEM 2:

All of the teachers listed on the following page were selected for last year’s Schools and

Staffing Survey (SASS), sponsored by the National Center for Education Statistics. To help

us better understand the percentage of teachers who change schools or professions, or who

remain at the same school, in ITEM 1, please indicate the current occupational status for

each of the teachers listed. Use the OCCUPATIONAL STATUS CODES listed below. For 

ITEM 2, indicate if the teacher is currently living outside of the United States. Also, please

make corrections to any misspelled teacher names in the space provided beside each name.

If you have any questions, call the U.S. Census Bureau toll free at 1–888–262–5934 

or e-mail us at [email protected].


ITEM 1: OCCUPATIONAL STATUS CODE (Mark (X) only ONE box for each teacher.)

INSTRUCTIONS

Page 3

OMB No. 1850-0598: Approval Expires 01/31/2014
Conducted by:

U.S. DEPARTMENT OF EDUCATION

U.S. DEPARTMENT OF COMMERCE

NATIONAL CENTER FOR EDUCATION STATISTICS

Economics and Statistics Administration

U.S. CENSUS BUREAU

TEACHER FOLLOW-UP SURVEY
Please place your completed questionnaire in the enclosed
pre-addressed, postage-paid envelope or mail it to:

QUESTIONNAIRE FOR FORMER TEACHERS
2012–13 SCHOOL YEAR

U.S. Census Bureau
Attn: DCB/PCSPU, Building 60A

1201 E. 10th Street

Jeffersonville, IN 47132-0001

Thank you very much for your participation in this survey.

If you have ANY questions, please contact us,

toll-free, at: 1–866–208–7437 or by e-mail at:

[email protected].


To learn more about this survey and to access reports

from earlier collections, see the Schools and Staffing

Survey (SASS) website at:

http://www.nces.ed.gov/surveys/sass

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 the

NCES website at:

http://www.nces.ed.gov


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

For additional data collected by various Federal

agencies, including the Department of Education,

visit the Federal Statistics clearinghouse at:

http://www.fedstats.gov

THIS SURVEY HAS BEEN ENDORSED BY MANY ORGANIZATIONS. THE NAMES
OF THESE ORGANIZATIONS ARE SHOWN ON THE NEXT PAGE.

NOTICE

TFS-2
(11-28-2012)

20

FORM TFS-2 (11-28-2012)

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.

VI

THIS SURVEY HAS BEEN ENDORSED BY:

CONTACT INFORMATION

39.	 Please provide the following information in case we have questions about the

American Association of School Administrators

responses you provided on this questionnaire.

American Federation of Teachers
a. First name

American Montessori Society
Association of Christian Schools International

9025

Association of Christian Teachers and Schools

Middle name

Association of Supervision and Curriculum Development
9026

Association of Waldorf Schools of North America

Last name	

Suffix

Christian Schools International
9027

9028

Council for American Private Education
b. Home phone number


Council of Chief State School Officers

Area code

Evangelical Lutheran Church in America
Friends Council on Education

Number

–

9029

–

General Conference of Seventh-Day Adventists
c. Work phone number
Area code
Number

Islamic School League of America
Jesuit Secondary Education Association

–

9030

Jewish Community Day School Network
Jewish Education Services of North America

–

d. Cell phone number

Lutheran Church–Missouri Synod

Area code

National Association of Elementary School Principals

Number
–

9031

–

National Association of Episcopal Schools
e. Home e-mail address

National Association of Independent Schools
National Association of Private Special Education Centers
9032

National Association of Secondary School Principals
f. Work e-mail address

National Catholic Educational Association
National Christian School Association
9033

National Coalition of Girls’ Schools

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

National Council for Private School Accreditation

interruptions.
Please record the time in minutes, e.g., 20 minutes, 65 minutes, etc.

National Education Association
National Independent Private Schools Association
Oral Roberts University Educational Fellowship

0010

Minutes

Solomon Schechter Day Schools
Southern Baptist Association of Christian Schools
The Association of Boarding Schools
Torah Umesorah – National Society for Hebrew Day Schools
Toussaint Institute
U.S. Conference of Catholic Bishops
Wisconsin Evangelical Lutheran Synod
2	

FORM TFS-2 (11-28-2012)

FORM TFS-2 (11-28-2012)

19

V

BACKGROUND INFORMATION
Dear Teacher:

34.	 Which category represents the total combined BEFORE-TAX income of ALL FAMILY

You have been selected to be part of the Teacher Follow-up Survey because you completed the 2011–12
Schools and Staffing Survey. Your participation is important. Below are answers to some general questions.

MEMBERS in your household during 2012?
Include your own income.
Include money from jobs, net business or farm income, pensions, dividends, interest, rent, Social Security

payments, and any other income received by family members in your household.

Mark (X) only one box.

1525	 1

Less than $35,000

2

$35,000 – $49,999

3

$50,000 – $74,999

4

$75,000 – $99,999

5

$100,000 – $149,999

6

$150,000 or more

Who is conducting this survey?
The U.S. Census Bureau is conducting this survey for the National Center for Education Statistics
(NCES) of the U.S. Department of Education. This survey is authorized by the Education Sciences
Reform Act of 2002, 20 U.S. Code § 9541(b) and § 9543(a).
Why should you participate in this survey?
Policymakers and educational leaders rely on data from this survey to inform their decisions concerning
K–12 schools. Because it is a sample survey, your responses represent the responses of many. Higher
response rates give us confidence that the findings are accurate.

35. Do you own or rent your primary residence?

Will your responses be kept confidential?
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.

Mark (X) only one box.
1526 1

Own

2

Rent

3

Other living arrangement – Please specify

How will your information be reported?
The information you provide will be combined with the information provided by others in statistical
reports. No individually-identifiable data will be included in the statistical reports.

5526

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

36. What is your current marital status?
Mark (X) only one box.
1527 1

What is the purpose of this survey?
The purpose of this survey is to obtain information about current teachers’ main assignment field,
experiences, and satisfaction, and about former teachers’ current employment and reasons for leaving
the teaching profession.

U.S. Census Bureau
Attn: DCB/PCSPU, Building 60A
1201 E. 10th Street
Jeffersonville, IN 47132-0001

Married

2

Widowed

3

Separated

4

Divorced

We hope you will participate in this voluntary effort.

5

Never married

Sincerely,

6

Living with a partner in a marriage-like relationship

37.	 Including yourself, how many family members were living in your household or were
financially dependent on you (or your spouse) during 2012?

Jack Buckley

Commissioner for Education Statistics

National Center for Education Statistics


Family members

1528

Paperwork Burden Statement

38.	 How many family members counted in the previous item were 4 years of age or
younger?

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 19 minutes per response, including the time to review instructions, search existing
data sources, gather the data needed, and complete and review the information collection. If you have
any comments concerning the accuracy of the time estimate or suggestions for improving this collection,
please write to: U.S. Department of Education, Washington, DC 20202-4537. If you have comments or
concerns about the contents or the status of your individual submission of this questionnaire, e-mail:
[email protected], or write directly to: Teacher Follow-up Survey, National Center for
Education Statistics, 1990 K Street, N.W., #9026, Washington, DC 20006.

If none, please mark (X) the box.
1529	 0

18

None

or

Family members 4 years of age or younger

FORM TFS-2 (11-28-2012)

FORM TFS-2 (11-28-2012)

3

31. At what level would you most like to teach?

INSTRUCTIONS

Mark (X) only one box.

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 –

english

E NG L I SH

1452

1

Elementary (including kindergarten)

2

Junior high/Middle school

3

Senior high

32. Indicate how important each factor would be in influencing your decision to
return to the position of a K–12 teacher.
Mark (X) one box on each line.

1
2

X	

Yes

1

No

2

X

Yes
No

or

1

Yes

2

No

Not at all
important

Slightly
important

Very
important

Extremely
important

a. Ability to maintain your teacher
retirement benefits

1455

1

2

1456

1

2

1457

1

2

1458

1

2

4

5

4

5

4

5

4

5

4

5

4

5

4

5

4

5

4

5

4

5

b. State certification reciprocity (a state’s

a. If you are the individual named on the cover page label, please complete the questionnaire.

acceptance of teacher certifications from
other states)

b. Please do not write any comments near the answer spaces.

3

c. An easier and less costly way to renew/earn

c.	 If you are unsure about how to answer a question, please give the best answer you can rather than


certification

leaving it blank.


d.	 If you have any questions, please call us, toll-free, at 1–866–208–7437 or contact us by e-mail at


d. Smaller class sizes or smaller student load

[email protected]. Someone will be available to take your call 7 days a week,

between 8:00 a.m. and 12:00 midnight (Eastern Time). At any other time, please leave a message and

someone will return your call as soon as possible.


3

3

e. Availability of full–time teaching positions
1459

1

2
3

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

f. Availability of part–time teaching positions
Teacher name
First name

1460

1

2

1461

1

2

g. Forgiveness of your student loans
assistance, low interest loans, relocation
assistance)

Middle name

1462

Last name	

Suffix

1

2
3

i. An increase in salary

9001

3

3

h. Housing incentives (e.g., subsidies, rent

9000

9002

Somewhat
important

1463

1

2

1464

1

2

3

j. Availability of suitable childcare options

9003

3

33. Would any factors other than the ones listed above influence your decision to

Street address

return to the position of a K–12 teacher?
1465

9004

Yes

1

3

➜ If "Yes," What factors?
Please list up to two factors.

City
9005

5466

1.

5467

2.

2

State
9006

4	

No


ZIP Code + 4

9007

–

FORM TFS-2 (11-28-2012)

FORM TFS-2 (11-28-2012)

17

IV

I

EDUCATION ACTIVITIES AND FUTURE PLANS

28a. Have you enrolled in college or university courses since the end of last school year?

1a. Do you CURRENTLY TEACH any regularly scheduled class(es) in any of grades pre-K–12?
(Regularly scheduled classes are those taught at least once per week for a full term.)

Mark (X) only one box.
1400

1

Yes

2

No

➜

If you teach a particular specialty either within or outside of a regular classroom (e.g., you are a special
education teacher, an English as a Second Language teacher, or a reading specialist teaching reading),
please answer “yes.”

GO TO item 29 below.

If you work in some other capacity at the school (e.g., principal, library media specialist/librarian, or school
counselor) and occasionally teach a single lesson or unit of instruction, please answer “no.”

b. Which of the following best describes your enrollment in these courses?
1010

Mark (X) only one box.
1401

1

Individual courses (not part of a program leading to a degree or certificate)

2

Vocational certificate program

3

Associate’s degree granting program

4

Bachelor’s degree granting program

5

Master’s degree granting program

6

Education specialist or professional diploma program (at least one year beyond Master’s level)

7

Certificate of Advanced Graduate Studies program

8

Doctorate or professional degree granting program (Ph.D., Ed.D., M.D., J.D., D.D.S.)

1

Yes

2

No

1600

1

Yes

2

No

GO TO item 3 on page 6.

spend most of your time during this school year?
Mark (X) only one box.
1011

1

Regular teacher (full-time or part-time)

2

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

3

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)

To obtain or for use in a K–12 TEACHING POSITION

4

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

2

To obtain or for use in a position in the FIELD OF EDUCATION but

5

Library media specialist or librarian

6

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

7

Support staff (e.g., secretary)

8

Short-term substitute

9

Student teacher

➜

GO TO item 29 below.

➜

3

To obtain or for use in a position OUTSIDE THE FIELD OF EDUCATION

4

For reasons unrelated to obtaining or using in a job (e.g., personal fulfillment)

GO TO item 29 below.

➜

GO TO item 29 below.

d. Were these courses needed to obtain, renew, or maintain teaching certification?

1450

}

1

NOT AS A K–12 TEACHER

29.

GO TO item 1c below.

c. How do you classify your position at your CURRENT school, that is, the activity at which you

Mark (X) only one box.

1403

➜

b. Are you currently on: maternity or paternity leave, disability leave, or sabbatical from teaching?

c. Which of the following best describes the reason you enrolled in these courses?
1402

EMPLOYMENT STATUS

1

Yes

2

No

10

d. Which box did you mark in item 1c above?

Would you consider returning to the position of a K–12 teacher?
1

Yes

2

No

Teacher aide

➜

1601

GO TO item 34 on page 18.

30. How soon might you return to the position of a K–12 teacher?

1

Box 1, 2, 3, 4, 5, 6, or 7

2

Box 8, 9, or 10

➜

➜

Please STOP now and return this questionnaire to the Census Bureau. You
will be sent another form for teachers who are still teaching.

GO TO item 2 on page 6.

YOUR COMMENTS

Mark (X) only one box.
1451

16

1

Later this school year (2012–13)

2

Next school year (2013–14)

3

After the 2013–14 school year, but before the 2017–18 school year

4

During the 2017–18 school year or later

5

Undecided

FORM TFS-2 (11-28-2012)

FORM TFS-2 (11-28-2012)

5

2.

27. Thinking about all the factors that influence your job satisfaction, overall, how

Last school year you reported teaching regularly scheduled classes. This school
year you reported a transition to a teacher aide, student teacher, or short-term
substitute teacher. In 20 words or less, please explain the reason for the change.

satisfied are you with your current position compared to the position of a K–12
teacher?

NOTE: For this survey, teacher aides, student teachers, and short-term substitute teachers are not
considered current regular classroom teachers. Please complete this Former Teacher Questionnaire as
best as you can based on your experience of changing from a classroom teacher to a teacher aide,
short-term substitute teacher, or student teacher.

Mark (X) only one box.
1825

1

More satisfied in teaching

2

More satisfied in current position

3

No difference

5602	

YOUR COMMENTS

3.

What is your current MAIN occupational status?
Mark (X) only one box.

1603

Working for a school or school district in a position in the field
of K–12 education, but not as a regular K–12 classroom teacher

1

2

Working in the field of K–12 education but not in a school/district

3

Working in the field of pre-K or postsecondary education

4

Working outside the field of education, including military service

5

Student at a college or university

6

Caring for family members

7

Retired

8

Disabled

9

Unemployed

10

Other – Please specify

➜

➜

}

GO TO item 6 on page 7.

GO TO item
5a below.

GO TO item 11 on page 8.

}


5603

4.

Are you currently working in a job?

1604

1

Yes

2

No

➜

GO TO item 11 on page 8.

5a.	 What kind of work do you do, that is, what is your occupation?
Please record your job title; for example, electrical engineer, stock clerk, typist.
5605

b.

What are your most important activities or duties at this job?
For example, typing, keeping account books, filing, selling cars, operating printing press, 

finishing concrete.


5606

6	

FORM TFS-2 (11-28-2012)

FORM TFS-2 (11-28-2012)

15

25.

}


1800

26.

5c. How would you classify yourself in this job?

What is your MAIN occupational status?
Your response should correspond to item 3 on page 6.
Mark (X) only one box.

Mark (X) only one box.
An employee of a PRIVATE company, non-profit, business, or individual for wages, salary, or commission

1607 1 


Working for a school or school district in a position in the field of K–12 education, but
not as a regular K–12 classroom teacher

2


A FEDERAL government employee

2


Working in the field of K–12 education but not in a school/district

3


A STATE government employee

3


Working in the field of pre-K or postsecondary education

4


A LOCAL government employee

4


Working outside the field of education, including military service

5


SELF-EMPLOYED in your own business, professional practice, or farm

5


Other than the above

6


Working WITHOUT PAY in a family business or farm

7


Working WITHOUT PAY in a volunteer job

1


➜

GO TO item 28a on page 16.

How would you rate your current position relative to teaching in
terms of each of the following aspects?
Mark (X) one box on each line.

Better in
teaching

Not better
or worse

a. Salary

1801

1

2

b. Benefits (e.g., health insurance, retirement plan)

1802

1

2

1803

1

2

c. Opportunities for professional ADVANCEMENT or
PROMOTION

Better in
current
position

GO TO item 7 below.

6. Is your current main occupation a –
If you have more than one position, mark (X) the position for which you spend the most time.
Mark (X) only one box.

3

Principal/school head


1608 1

3

d. Opportunities for professional DEVELOPMENT

1804

1

2

e. Opportunities for learning from colleagues

1805

1

2

2


Assistant principal

3


School district administrator

4


Librarian/Library technician

5


Instructional coordinator

3

6


Academic coach/specialist

3

7


Teacher assistant/aide

8


Counselor or school psychologist

9


Short-term substitute

10


Other occupation – Please specify

3

3

f. Social relationships with colleagues

1806

1

2

g. Recognition and support from administrators/managers

1807

1

2

h. Safety of environment

1808

1

2
3

i. Influence over workplace policies and practices

1809

1

2

j. Autonomy or control over your own work

1810

1

2

k. Professional prestige

1811

1

2

l. Procedures for performance evaluation

1812

1

2

m. Manageability of workload

1813

1

2

3

3

5608


3

7. Are you employed full-time or part-time?
Mark (X) only one box.

3
1610 1


Employed full-time

3

n. Ability to balance personal life and work

1814

1

2

1815

1

8. What are your estimated annual before-tax earnings at this job?

2
3

p. General work conditions

1816

1

If you are in the military service, report military earnings here.


2

Include earnings from commissions, merit pay bonuses, and other bonuses from this job.

3

q. Job security

1817

1

2

r. Intellectual challenge

1818

1

2

s. Sense of personal accomplishment

1819

1

2

If this is a volunteer position with no annual earnings please record 0.

Report earnings in whole dollars.


3

1611


3

t. Opportunities to make a difference in the lives of
others

Employed part-time

3

o. Availability of resources and materials/equipment for
doing your job

2


$

,

.00 Per year

3
1820

1

2
3

14

3

FORM TFS-2 (11-28-2012)

FORM TFS-2 (11-28-2012)

7


9. How long do you plan to remain in your current position?

20. To what extent do you agree or disagree with each of the following statements about
the state or district assessment program at LAST YEAR’S SCHOOL?

Mark (X) only one box.
1612

Mark (X) one box on each line.

1

As long as I am able

2

Until I am eligible for retirement benefits from this job

3

Until I am eligible for retirement benefits from a previous job

4

Until I am eligible for Social Security benefits

5

Until a specific life event occurs (e.g., parenthood, marriage)

6

Until a more desirable job opportunity comes along

7

Definitely plan to leave as soon as I can

8

Undecided at this time

Strongly
agree

preparing my students for the assessments.
performing well on the assessments.

2

No

➜

curriculum I taught.

1

1313

1

1314

1

3

4

2

3

4

3

4

3

4

3

4

reflected accurately through their
performance on assessments.

1315

1

1316

1

2

e. Overall, I was satisfied with the assessment
program.

2

21. Were you formally evaluated for your work as a teacher last school year (2011–12)?
1320

1

Yes

2

No

$
,

2

d. My students’ knowledge and abilities were

How much?
Record earnings in whole dollars, then GO TO item 11 below.
1616

1312

c. The assessment program influenced the

Do not include earnings from spouses, partners, or other family members.
Yes

Strongly
disagree

b. I believe that my students were capable of

Do not include money from dividends, interest, rent, Social Security payments, and other non-earned
income sources.

1

Somewhat
disagree

a. I did not receive adequate support in

10. Do you have any other earned income, such as from a second job?

1615

Somewhat
agree

.00 Per year	

11. Are you currently receiving a retirement pension check paid from a teacher retirement
system?

2

➜

GO TO item 25 on page 14.

22. To what extent do you agree or disagree with each of the following statements about the
formal evaluation of your work as a teacher last school year (2011–12)?
Mark (X) one box on each line.

1520

1

Yes

2

No

➜

How much?
Record amount in whole dollars, then GO TO item 12a below.
1521

Strongly
agree

Somewhat
agree

Somewhat
disagree

Strongly
disagree

a. My work as a teacher was assessed fairly in

$
,

.00 Per year

the formal evaluation.

1321

1

1322

1

1323

1

3

4

3

4

3

4

b. I received feedback from the formal

evaluation that was helpful in the
development of my work as a teacher.

12a. Did you receive an incentive to retire from the position of a K–12 teacher at
last year’s school?
(An incentive is a monetary bonus or reward used to encourage teachers to retire.)
1620

1

Yes	

2

No

c. I was satisfied with the formal evaluation
process.

➜

2

GO TO item 13 on page 9.

2

23. Which of the following best describes the evaluation you received for your work as a
teacher last school year (2011–12)?
2

b. Would you have remained in teaching if you had not received an incentive to retire?
1621

1

Yes	

2

No	

Mark (X) only one box.
1324

1

Excellent / Outstanding / Highly effective

2

Satisfactory / Effective

3

Unsatisfactory / Not that effective

24. Last year, how effective do you think you were as a teacher?
Mark (X) only one box.
1325

8	

FORM TFS-2 (11-28-2012)

1

Excellent / Outstanding / Highly effective

2

Satisfactory / Effective

3

Unsatisfactory / Not that effective

FORM TFS-2 (11-28-2012)

13

III	

II

YOUR IMPRESSIONS OF TEACHING AND OF YOUR CURRENT JOB

17. Indicate how effectively your principal or school head performed each of the

13. Did you leave your K–12 teaching position involuntarily (e.g., contract not renewed,

following at LAST YEAR’S SCHOOL.

laid off, school closed or merged)?

Mark (X) one box on each line.

Not at all
effectively

Slightly
effectively

Somewhat
effectively

Very
effectively

Extremely
effectively

a. Communicated respect for and value of
teachers

1300

1

2

4

5

1

2

4

5

1700

1

Yes

2

No

1301

1302

3

1

2

3

4

5

d. Encouraged professional collaboration
among teachers

position?

1303

1

2

1

23

3

4

5

4

5

1701

1

Budget cuts or budget shortfalls

2

Reduced pupil enrollment

3

School and/or district merger or school closed

4

I did not meet Highly Qualified Teacher (HQT) requirements
(Generally, to be Highly Qualified, teachers must 1) have a bachelor’s degree; 2) hold full state certification
or licensure, including an "alternative certification"; and 3) demonstrate competency in the subject area(s)
they teach. The HQT requirement is a provision under No Child Left Behind [NCLB].)

5

I have not taken or could not pass the test(s) required by my school or district

6

My contract was not renewed for other reason(s) – Please specify

e. Worked with teaching staff to solve school
or department problems

1304

f. Encouraged the teaching staff to use
student assessment results in planning
curriculum and instruction

1305

1

23

4

5

g. Worked to develop broad agreement among
the teaching staff about the school’s
mission

1306

1

2

3

4

5

15. Indicate the level of importance EACH of the following played in your decision to
leave the position of a K–12 teacher.

1307

1

2

3

4

5

1

Yes

2

No

conveniently located OR because I
moved.

Yes

2

No

➜
➜

Somewhat
important

Very
important

Extremely
important

1702

1

2

1703

1

2

1704

1

2

4

5

4

5

4

5

b. Because of other personal life reasons (e.g.,

district assessment program in a subject that you taught?
1

Slightly
important

a. Because I wanted to take a job more

GO TO item 21 on page 13.

19. LAST SCHOOL YEAR, did any of your students participate in a REQUIRED state or
1311	

Not at all
important

Personal Life Factors

3

➜

Mark (X) one box on each line.
I left the position of a K–12 teacher –

18. LAST SCHOOL YEAR, did you teach in a public school?
1310

5701

GO TO item 17 on page 12.

h. Facilitated and encouraged professional
development activities of teachers

GO TO item 15 below.

Mark (X) only one box.

c. Worked with staff to meet curriculum
standards

➜

14. Which of the following best describes why you involuntarily left your K–12 teaching

b. Encouraged teachers to change teaching
methods if students were not doing well

INFORMATION ON LEAVING THE TEACHING PROFESSION

health, pregnancy/childcare, caring for
family).

GO TO item 20 on page 13.

3

c. Because I decided to retire or receive

GO TO item 21 on page 13.

retirement benefits from last year’s school
system.

Not at all
important

Salary and Other Job Benefits

3

Slightly
important

Somewhat
important

Very
important

Extremely
important

3

d. Because I wanted or needed a higher salary.

1705

1

2

1706

1

2

4

5

4

5

4

5

e. Because I needed better benefits than I
received at last year’s school.

3

f. Because I was concerned about my job
security at last year’s school.

1707

1

2

3

3

12

FORM TFS-2 (11-28-2012)

FORM TFS-2 (11-28-2012)	

9

15. Continued – Indicate the level of importance EACH of the following played in your decision

15. Continued – Indicate the level of importance EACH of the following played in your decision
to leave the position of a K–12 teacher.

to leave the position of a K–12 teacher.

Mark (X) one box on each line.

Mark (X) one box on each line.
I left the position of a K–12 teacher –
Career Factors

Not at all
important

Slightly
important

Somewhat
important

Very
important

I left the position of a K–12 teacher –


Extremely
important

Student Performance Factors


g. Because I decided to pursue a position
other than that of a K–12 teacher.

1708

1

2

1709

1

2

4

5

4

5

t.

h. Because I decided to take courses to
improve career opportunities WITHIN the
field of education.

3

Because I was dissatisfied with how
student assessments and school
accountability measures impacted my
teaching or curriculum at last year’s
school.

Not at all
important

Slightly
important

1721

1

2

1722

1

2

Somewhat
important

Very
important

Extremely
important

4

5

4

5

4

5

Very
important

Extremely
important

4

5

u. Because I was dissatisfied with how

i. Because I decided to take courses to
improve career opportunities OUTSIDE the
1710
field of education.

1

2

4

3

some of my compensation, benefits, or
rewards were tied to the performance of
my students at last year’s school.

5

3

j. Because I was dissatisfied with teaching
as a career.

1711

1

2

4

3

v. Because I was dissatisfied with the

5

support I received for preparing my
students for student assessments at last
year’s school.

k. Because there were not enough
opportunities for leadership roles or
professional advancement at last year’s
school.

3
1712

1

Not at all
important

Assignment and Classroom Factors

2

Slightly
important

Somewhat
important

5

Very
important

Extremely
important

1

2

4

5

1714

1

2

4

5

5724

3

Slightly
important

Somewhat
important

3
1724

1

2

3

reason in your decision to leave the position of a K–12 teacher?

Enter the letter from item 15 on pages 9-11.

n. Because I was dissatisfied with the large
number of students I taught at last year’s
school.

Not at all
important

2

16.	 From the reasons listed in item 15, which do you consider the one most important


m. Because I did not have enough autonomy
over my classroom at last year’s school.

1

w. Because of other factors not included in
previous items a–v – Please specify

1713

1723

Other Factors

3

l. Because I was dissatisfied with my job
description or assignment (e.g.,
responsibilities, grade level, or subject
area).

4

3

1715

1

2

1716

1

23

3

4

5

4

5

5725

Most important

o. Because I felt that there were too many
intrusions on my teaching time at last
year’s school.

YOUR COMMENTS
Not at all
important

School Factors

Slightly
important

Very
important

Extremely
important

3

p. Because I was dissatisfied with workplace
conditions (e.g., facilities, classroom
resources, school safety) at last year’s
school.

Somewhat
important

1717

1

2

1718

1

2

1719

1

2

1720

1

2
3

4

5

4

5

4

5

4

5

q. Because student discipline problems were
an issue at last year’s school.

3

r. Because I was dissatisfied with the
administration at last year’s school.

3

s. Because I was dissatisfied with the lack of
influence I had over school policies and
practices at last year’s school.

3

10

FORM TFS-2 (11-28-2012)

FORM TFS-2 (11-28-2012)	

11

OMB No: 1850-0598: Approval Expires 01/31/2014
Conducted by:

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

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

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

TEACHER FOLLOW-UP SURVEY
QUESTIONNAIRE FOR CURRENT TEACHERS
2012–13 SCHOOL YEAR

U.S. Census Bureau
Attn: DCB/PCSPU Building 60A
1201 E. 10th Street
Jeffersonville, IN 47132-0001
Thank you very much for your participation in this survey.

If you have ANY questions, please contact us,

toll-free, at: 1–866–208–7437 or by e-mail at:

[email protected].


To learn more about this survey and to 

access reports from earlier collections, see 

the Schools and Staffing Survey (SASS) website at:

http://www.nces.ed.gov/surveys/sass

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://www.nces.ed.gov


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

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

THIS SURVEY HAS BEEN ENDORSED BY MANY ORGANIZATIONS. THE NAMES

OF THESE ORGANIZATIONS ARE SHOWN ON THE NEXT PAGE.


NOTICE

FORM TFS-3
(11-28-2012)

FORM TFS-3 (11-28-2012)

28

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.

VI

CONTACT INFORMATION

THIS SURVEY HAS BEEN ENDORSED BY:

49. Please provide the following information in case we have questions about the
responses you provided on this questionnaire.
American Association of School Administrators

a. First name

American Federation of Teachers
American Montessori Society

9025

Middle name

Association of Christian Schools International
Association of Christian Teachers and Schools

9026

Association of Supervision and Curriculum Development

Last name	

Suffix

Association of Waldorf Schools of North America
9027

Christian Schools International

9028

Council for American Private Education
b. Home phone number
Area code
Number


Council of Chief State School Officers
Evangelical Lutheran Church in America
Friends Council on Education

–

9029

–

General Conference of Seventh-Day Adventists
Islamic School League of America

c. Work phone number
Number
Area code

Jesuit Secondary Education Association
Jewish Community Day School Network
Jewish Education Services of North America

–

9030

–

Lutheran Church–Missouri Synod
National Association of Elementary School Principals

d. Cell phone number
Area code
Number

National Association of Episcopal Schools
National Association of Independent Schools

–

9031

–

National Association of Private Special Education Centers
National Association of Secondary School Principals
e. Home e-mail address

National Catholic Educational Association
National Christian School Association

9032

National Coalition of Girls’ Schools
National Council for Private School Accreditation
f. Work e-mail address

National Education Association
National Independent Private Schools Association

9033

Oral Roberts University Educational Fellowship
Solomon Schechter Day Schools

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

Southern Baptist Association of Christian Schools

Please record the time in minutes, e.g., 20 minutes, 65 minutes, etc.

The Association of Boarding Schools
Torah Umesorah – National Society for Hebrew Day Schools
0010

Toussaint Institute

Minutes

U.S. Conference of Catholic Bishops
Wisconsin Evangelical Lutheran Synod

2	

FORM TFS-3 (11-28-2012)

FORM TFS-3 (11-28-2012)

27

44. Which category represents the total combined BEFORE-TAX income of ALL FAMILY
MEMBERS in your household during 2012?
Dear Teacher:

Include your own income.
Include money from jobs, net business or farm income, pensions, dividends, interest, rent, Social Security
payments, and any other income received by family members in your household.
Mark (X) only one box.
1525

1

Less than $35,000

2

$35,000 – $49,999

3

$50,000 – $74,999

4

$75,000 – $99,999

5

$100,000 – $149,999

6

$150,000 or more

What is the purpose of this survey?
The purpose of this survey is to obtain information about current teachers’ main assignment field,
experiences, and satisfaction, and about former teachers’ current employment and reasons for leaving the
teaching profession.
Who is conducting this survey?
The U.S. Census Bureau is conducting this survey for the National Center for Education Statistics
(NCES) of the U.S. Department of Education. This survey is authorized by the Education Sciences
Reform Act of 2002, 20 U.S. Code § 9541(b) and § 9543(a).
Why should you participate in this survey?
Policymakers and educational leaders rely on data from this survey to inform their decisions concerning
K–12 schools. Because it is a sample survey, your responses represent the responses of many. Higher
response rates give us confidence that the findings are accurate.

45. Do you own or rent your primary residence?
Mark (X) only one box.
1526

1

Own

2

Rent

3

Other living arrangement – Please specify

Will your responses be kept confidential?
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.

5526

How will your information be reported?
The information you provide will be combined with the information provided by others in statistical reports.
No individually-identifiable data will be included in the statistical reports.

46. What is your current marital status?
Mark (X) only one box.
1527

You have been selected to be part of the Teacher Follow-up Survey because you completed the 2011–12
Schools and Staffing Survey. Your participation is important. Below are answers to some general
questions.

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

1

Married

2

Widowed

3

Separated

4

Divorced

5

Never married

6

Living with a partner in a marriage-like relationship

U.S. Census Bureau

Attn: DCB/PCSPU, Building 60A

1201 E. 10th Street

Jeffersonville, IN 47132-0001

We hope you will participate in this voluntary effort.

47. Including yourself, how many family members were living in your household or were

Sincerely,

financially dependent on you (or your spouse) during 2012?
Family members

1528

48. How many family members counted in the previous item were 4 years of age or younger?
If none, please mark (X) the box.

Jack Buckley

Commissioner for Education Statistics

National Center for Education Statistics

Paperwork Burden Statement

1529

26

0

None

or

Family members 4 years of age or younger

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 sources,
gather the data needed, and complete and review the information collection. If you have any comments
concerning the accuracy of the time estimate or suggestions for improving this collection, please write to:
U.S. Department of Education, Washington, DC 20202-4537. If you have comments or concerns about the
contents or the status of your individual submission of this questionnaire, e-mail:
[email protected], or write directly to: Teacher Follow-up Survey, National Center for
Education Statistics, 1990 K Street, N.W., #9026, Washington, DC 20006.

FORM TFS-3 (11-28-2012)

FORM TFS-3 (11-28-2012)

3

40. 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)?

INSTRUCTIONS

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 –

E NG L I S H

english

1509

1

Yes

2

No

➜

How much?
Record amount in whole dollars, then GO TO item 41 below.
1510

$
,

.00 Per year

41. DURING THE CURRENT SCHOOL YEAR, have you earned income from any OTHER
sources from your current school system, such as a state supplement, etc.?

1
2

X

Yes

1

No

2

X

Yes
No

or

1

Yes

2

No

1511

1

Yes

2

No

➜

How much?
Record amount in whole dollars, then GO TO item 42a below.
1512

$
,

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 spaces.

.00 Per year

42a. DURING THE CURRENT SCHOOL YEAR, do you, or will you, earn additional
compensation from working in any job OUTSIDE your current school system?

c. If you are unsure about how to answer a question, please give the best answer you can rather than
leaving it blank.
1513

Yes

1

d. If you have any questions, please call us, toll-free, at 1–866–208–7437 or contact us by e-mail at

➜

[email protected]. Someone will be available to take your call 7 days a week, between
8:00 a.m. and 12:00 midnight (Eastern Time). At any other time, please leave a message and someone
will return your call as soon as possible.

How much?
Record amount in whole dollars, then GO TO item 42b below.
1514

$
,

No

2

➜

.00 Per year

GO TO item 43 below.

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

b. Which of these best describes this job OUTSIDE your current school system?

Teacher name

Mark (X) only one box.
First name
1515
9000

Middle name

1

Teaching or tutoring

2

Non-teaching, but related to teaching field

3

Other

43. DURING THE CURRENT SCHOOL YEAR, do you, or will you, receive a retirement

9001

pension check paid from a teacher retirement system?
Last name

Suffix

9002

9003

1520

1

Yes

2

No

➜

How much?
Record amount in whole dollars, then GO TO item 44 on page 26.
1521

$
,

Street address

.00

9004

City
9005

State
9006

4

ZIP Code + 4
9007

–

FORM TFS-3 (11-28-2012)

FORM TFS-3 (11-28-2012)

25

V GENERAL EMPLOYMENT AND BACKGROUND INFORMATION

I

The following questions refer to your BEFORE-TAX earnings from teaching and other employment.

1a.

Do you CURRENTLY TEACH any regularly scheduled class(es) in any of grades
pre-K–12?
(Regularly scheduled classes are those taught at least once per week for a full term.)
If you teach a particular specialty either within or outside of a regular classroom (e.g., you are a special
education teacher, an English as a Second Language teacher, or a reading specialist teaching reading),
please answer “yes.”
If you work in some other capacity at the school (e.g., principal, library media specialist/librarian, or school
counselor) and occasionally teach a single lesson or unit of instruction, please answer “no.”

37. DURING THE SUMMER OF 2012, did you have any earnings from –
a. Teaching summer school in your current or any other school?
1500

1

Yes

2

No

➜

How much?
Record amount in whole dollars, then GO TO item 37b below.
1501

1010

$
,

CERTIFICATION AND ASSIGNMENTS AT YOUR CURRENT SCHOOL

1

Yes

2

No

.00 Per year

➜

Please STOP now and return this questionnaire to the U.S. Census
Bureau. You will be sent a different form to complete.

b. Working in a non-teaching job in your current or any other school?
1502

1

Yes

2

No

➜

b. How do you classify your position at your CURRENT school, that is, the activity at which you

How much?
Record amount in whole dollars, then GO TO item 37c below.
1503

spend most of your time during this school year?
Mark (X) only one box.

$
,

.00 Per year

c. Working in any NONSCHOOL job?
1504

1

Yes

2

No

➜

How much?
Record amount in whole dollars, then GO TO item 38 below.
1505

$
,

{

1011

.00 Per year

38. DURING THE CURRENT SCHOOL YEAR, what is your base teaching salary for the
entire school year?
Record amount in whole dollars.
1506

1

Regular teacher (full-time or part-time)

2

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

3

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)

4

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

5

Library media specialist or librarian

6

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

7

Support staff (e.g., secretary)

8

Short-term substitute

9

Student teacher

10

,

.00 For the entire school year

2.

Mark (X) only one box.

compensation from your current school system for extracurricular or additional
activities such as coaching, student activity sponsorship, mentoring teachers, or
teaching evening classes?
1

Yes

2

No

➜

1012

1
2

➜
Teaching part-time ➜
Teaching full-time

GO TO item 4 on page 6.
GO TO item 3a on page 6.

How much?
Record amount in whole dollars, then GO TO item 40 on page 25.
1508

$
,

24

}

Are you teaching full-time or part-time?

39. DURING THE CURRENT SCHOOL YEAR, do you, or will you, earn any additional

1507

Teacher aide

$

Please STOP now and return this questionnaire to the U.S. Census
Bureau. You will be sent a different form to complete.

.00 Per year

FORM TFS-3 (11-28-2012)

FORM TFS-3 (11-28-2012)

5

35. How long do you plan to remain in the position of a pre-K–12 teacher?

3a.	 Do you have another school position, other than your main position indicated in
question 1b?
1013

1

Yes

2

No

➜

Mark (X) only one box.
1410

GO TO item 4 below.

b. Which of the following best describes your OTHER assignment at your current school?
Mark (X) only one box.
1014

1

As long as I am able

2

Until I am eligible for retirement benefits from this job

3

Until I am eligible for retirement benefits from a previous job

4

Until I am eligible for Social Security benefits

5

Until a specific life event occurs (e.g., parenthood, marriage)

6

Until a more desirable job opportunity comes along

7

Definitely plan to leave as soon as I can

8

Undecided at this time

1

Regular teacher

2

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

3

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)

4

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

5

Library media specialist or librarian

6

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

Answer “no” if you have only applied for summer jobs or other positions to supplement your income from teaching.

7

Support staff (e.g., secretary)

Answer “yes” if you have applied for non-teaching positions in the field of education (e.g., administrator) or
a position outside the field of education.

8

Other – Please specify

36.	 In the last 12 months, have you applied for a job in an attempt to leave the position of

a pre-K–12 teacher?


1411

5014

4. This school year, what is your MAIN teaching assignment field at your current school?

1

Yes

2

No

YOUR COMMENTS

(Your main assignment is the field in which you teach the most classes.)
Record one of the teaching assignment and subject matter codes from Table 1 on page 7.
Code
1015

Main assignment
5015

YOUR COMMENTS

6

FORM TFS-3 (11-28-2012)

FORM TFS-3 (11-28-2012)

23

IV EDUCATION ACTIVITIES AND FUTURE PLANS
Table 1. Teaching Assignment Codes for question 4

34a. Have you enrolled in college or university courses since the end of last school year?
1400

1

Yes

2

No

➜

General Education


GO TO item 35 on page 23.

b. Which of the following best describes your enrollment in these courses?
Mark (X) only one box.
1401

Subject-matter Specific

1

Individual courses (not part of a program leading to a degree or certificate)

2

Vocational certificate program

3

Associate’s degree granting program

4

Bachelor’s degree granting program

5

Master’s degree granting program

6

Education specialist or professional diploma program (at least one year beyond Master’s level)

7

Certificate of Advanced Graduate Studies program

8

Doctorate or professional degree granting program (Ph.D., Ed.D., M.D., J.D., D.D.S.)

Arts
141
143
144
145

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

Mark (X) only one box.
1

To obtain or for use in a K–12 TEACHING POSITION

2

To obtain or for use in a position in the FIELD OF EDUCATION
but NOT AS A K–12 TEACHER
GO TO item 35 on page 23.

3

To obtain or for use in a position OUTSIDE THE FIELD OF EDUCATION

4

For reasons unrelated to obtaining or using in a job 

(e.g., personal fulfillment)

GO TO item 35 on page 23.

➜

➜ GO TO item 35 on page 23.

➜

1

Yes

2

No

Foreign Languages
171 French

172 German

173 Latin

174 Spanish

175 Other foreign language

Health Education
181 Health education

182 Physical education


d. Were these courses needed to obtain, renew, or maintain teaching certification?
1403

and Music
Art or arts and crafts
Dance
Drama or theater
Music

English and Language Arts
151 Communications
152 Composition
153 English
154 Journalism
155 Language arts
158 Reading
159 Speech

c. Which of the following best describes the reason you enrolled in these courses?
1402

Special Education

110 Special education, any

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

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

Social Sciences
220 Social studies, general
221 Anthropology
225 Economics
226 Geography
227 Government or civics
228 History
231 Native American studies
233 Psychology
234 Sociology
Career or Technical Education
241	 Agriculture and natural resources
242	 Business management
243	 Business support
244	 Marketing and distribution
245	 Healthcare occupations
246	 Construction trades, engineering, or
science technologies (including CADD
and drafting)
247	 Mechanics and repair
249	 Manufacturing or precision production
(electronics, metalwork, textiles, etc.)
250	 Communications and related
technologies (including design,
graphics, or printing; not including
computer science)
253	 Personal and public services (including
culinary arts, cosmetology, child care,
social work, protective services,
custodial services, and interior design)
254	 Family and consumer sciences education
255	 Industrial arts or technology education
256	 Other career or technical education
Miscellaneous
262 Driver education
264 Library or information science
265 Military science or ROTC
266 Philosophy
267 Religious studies, theology, or divinity
Other
268 Other

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

22

FORM TFS-3 (11-28-2012)

FORM TFS-3 (11-28-2012)

7

5.	 Which of the following best describes the teaching certificate you currently hold that
Mark (X) only one box.
1020

3
If you are teaching in the same school as you were last year, report on your current
teaching
conditions and assignment(s) relative to last year’s teaching conditions and assignment(s).

1

Regular or standard state certificate or advanced professional certificate

2

Certificate issued after satisfying all requirements except the completion of a probationary period

3

Certificate that requires some additional coursework, student teaching, or passage of a test before 

regular certification can be obtained


4

Certificate issued to persons who must complete a certification program in order to continue teaching

5

I do not hold any of the above certifications in THIS state

Mark (X) one box on each line.

Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th

9th
10th
11th
12th
Ungraded
8	

1026

1027

1028

1029

1030

1031

1032

1033

1034

1035

1036

1037

1038

1039

Not better or
worse

a. Salary

1250

1

ADVANCEMENT or PROMOTION

2
3

1251

1

2
3

c. Opportunities for professional
1252

1

2
3

1253

1

32

1254

1

3
2

1255

1

32

1256

1

3
2

1257

1

3
2

d. Opportunities for professional
DEVELOPMENT

1

Yes

2

No

1

Yes

2

No

1

Yes

g. Recognition and support from

2
1

No
Yes

h. Safety of environment

2

No

i. Influence over workplace policies and

1

Yes

2

No

1

e. Opportunities for learning from
colleagues

f. Social relationships with colleagues
administrators/managers

practices

3
1258

1

2
3

j. Autonomy or control over your own work

1259

1

32

Yes

k. Professional prestige

1260

1

2

2

No

l. Procedures for performance evaluation

1261

1

3
2

1

Yes

m. Manageability of workload

1262

1

3
2

2

No

n. Ability to balance personal life and work

1263

1

3
2

1

Yes

2

No

1

Yes

2

No

1

Yes

2

No

1

3

o. Availability of resources and
materials/equipment for doing your job

1264

1

2
3

p. General work conditions

1265

1

2

q. Job security

1266

1

3
2

r. Intellectual challenge

1267

1

2

Yes

s. Sense of personal accomplishment

1268

1

2

2

No

t. Opportunities to make a difference in the

1

Yes

1269

1

2

2

No

1

Yes

2

No

1

Yes

2

No

1

Yes

2

No

Better in current
position

3

retirement plan)

Please mark (X) Yes or No for each grade level.

1025

3

Better in last
year’s position

b. Benefits (e.g., health insurance,

6. Do you currently teach students in any of these grades at THIS school?

Prekindergarten

33. How would you rate your CURRENT teaching position relative to LAST YEAR’S 

teaching position in terms of each of the following aspects?


certifies you to teach in THIS state?

lives of others

FORM TFS-3 (11-28-2012)

FORM TFS-3 (11-28-2012)

21

28.	 To what extent do you agree or disagree with each of the following statements about

7. Which statement best describes the way YOUR classes at your current school are

the state or district assessment program at LAST YEAR’S SCHOOL?

organized?
Mark (X) only one box.

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

Somewhat
agree

Somewhat
disagree

Strongly
disagree

1045	

1

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

2

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

3

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

4

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).

5

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).

a. I did not receive adequate support in
preparing my students for the
assessments.

1312

1

2

4

1313

1

2

4

b. I believe that my students were capable of
performing well on the assessments.

3

c. The assessment program influenced the
curriculum I taught.

1314

1

2

4
3

d. My students’ knowledge and abilities were
reflected accurately through their
performance on assessments.

1315

1

23

4

1316

1

2

4

8.	 Of all the students you teach at your current school, what percent have an Individualized

e. Overall, I was satisfied with the
assessment program.

Education Plan (IEP) because they have disabilities or are special education students?
Mark (X) only one box.

3

29. Were you formally evaluated for your work as a teacher last school year (2011–12)?
1320

1046	
1

Yes

2

No

➜

1

None

2

1–24 %

3

25–49 %

4

50–99 %

5

100 %

3

GO TO item 33 on page 21.	

30. To what extent do you agree or disagree with each of the following statements about
the formal evaluation of your work as a teacher last school year (2011–12)?
Mark (X) one box on each line.
Strongly
agree

Somewhat
agree

Somewhat
disagree

Strongly
disagree

9.	 Of all the students you teach at your current school, what percent are of limited-English
proficiency (also known as English Language Learners)?
(Students of limited-English proficiency, or English Language Learners, 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.)

a. My work as a teacher was assessed fairly
in the formal evaluation.

1321

1

2

4

b. I received feedback from the formal
evaluation that was helpful in the
development of my work as a teacher.

Mark (X) only one box.
1322

1

23

4

1323

1

2

4

1047

c. I was satisfied with the formal evaluation
process.

3

31.	 Which of the following best describes the evaluation you received for your work as a
teacher last school year (2011–12)?
Mark (X) only one box.
1324	

1

Excellent / Outstanding / Highly effective

2

Satisfactory / Effective

3

Unsatisfactory / Not that effective

1

None

2

1–24 %

3

25–49 %

4

50–99 %

5

100 %

3

32. Last year, how effective do you think you were as a teacher?
Mark (X) only one box.
1325	

20

1

Excellent / Outstanding / Highly effective

2

Satisfactory / Effective

3

Unsatisfactory / Not that effective

FORM TFS-3 (11-28-2012)

FORM TFS-3 (11-28-2012)	

9

II

25. Indicate how effectively your principal or school head performed each of the

YOUR CURRENT SCHOOL: CONDITIONS AND EXPERIENCES

following at LAST YEAR’S SCHOOL.
If you are teaching in the same school as you were last year, then report on how
effective your principal or school head was last year.
Mark (X) one box on each line

10. To what extent do you agree or disagree with each of the following statements
about your current school?
Mark (X) one box on each line.

Strongly
agree

Somewhat
agree

Somewhat
disagree

Not at all
effectively

Strongly
disagree

a. The school administration’s behavior
toward the staff is supportive and
encouraging.

b. I am satisfied with my teaching salary.

1

2

4

1101

1

2

4

teachers

1300

1

2

teaching methods if students were not
doing well

3

1

2

1301

1

2

1302

1

2

1303

1

2

1304

1

2

1103

1

2

standards

1305

1

23

1306

1

2

1104

1

23

among teachers

1307

1

2

1105

school or department problems

1

2

4

1106

1

23

student assessment results in planning
curriculum and instruction

among the teaching staff about the
school’s mission
1

23

4

5

3

4

5

3

4

5

4

5

3

4

5

4

5

4

h. Facilitated and encouraged professional
development activities of teachers
1108

1

23

3

4

26. LAST SCHOOL YEAR, did you teach in a public school?
1310
1109

1

23

1110

1

2

1111

1

Yes

2

No

2

GO TO item 29 on page 20.

27.	 LAST SCHOOL YEAR, did any of your students participate in a REQUIRED state or
4

district assessment program in a subject that you taught?

3

m. I worry about the security of my job because

➜

3

4
3

l. In this school, staff members are recognized

1

4

k. There is a great deal of cooperative effort

of the performance of my students on state
and/or local tests.

3

g. Worked to develop broad agreement

j. The principal or school head knows what

for a job well done.

5

4

i. Most of my colleagues share my beliefs and

among the staff members.

4

f. Encouraged the teaching staff to use

3

enforced by teachers in this school, even for
students who are not in their classes.
1107

kind of school he/she wants and has
communicated it to the staff.

3

e. Worked with teaching staff to solve

4

h. Rules for student behavior are consistently

values about what the central mission of
the school should be.

5

d. Encouraged professional collaboration

4
3

g. My principal or school head enforces school
rules for student conduct and backs me up
when I need it.

4

c. Worked with staff to meet curriculum

4

f. Routine duties and paperwork interfere
with my job of teaching.

Extremely
effectively

3
1102

e. Necessary materials such as textbooks,
supplies, and copy machines are available
as needed by the staff.

Very
effectively

b. Encouraged teachers to change

d. I receive a great deal of support from
parents for the work I do.

Somewhat
effectively

a. Communicated respect for, and value of,
1100

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.

Slightly
effectively

1311	
1112

1

23

4

1113

1

23

4

1114

1

2

4

1
2

➜
No ➜
Yes

GO TO item 28 on page 20.
GO TO item 29 on page 20.

n. State, district, or local 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.

3

p. The amount of student tardiness and class
cutting in this school interferes with my
teaching.

1115

1

23

4

1116

1

2

4

q. I am generally satisfied with being a
teacher at this school.

3

r. I make a conscious effort to coordinate the
content of my courses with that of other
teachers.

1117

1

23

10	

4
FORM TFS-3 (11-28-2012)

3

FORM TFS-3 (11-28-2012)

19

23.	 Continued – Indicate the level of importance EACH of the following played in your decision
to leave LAST YEAR’S SCHOOL.
Mark (X) one box on each line.

11. To what extent is each of the following a problem at your current school?
Mark (X) one box on each line.
Serious
problem

I left last year’s school –
Not at all
important

School Factors

Slightly
important

Somewhat
important

Very
important

Extremely
important

p. Because there were not enough
opportunities for leadership roles or
professional advancement at last year’s
school.

1244

Student Performance Factors

1

Not at all
important

2

4

Slightly
important

Somewhat
important

5

Very
important

Extremely
important

3

q. Because I was dissatisfied with how
student assessments/school
accountability measures impacted my
teaching or curriculum at last year’s
school.

1245

1

2

4

5

r. Because I was dissatisfied with how
some of my compensation, benefits, or
rewards were tied to the performance of
my students at last year’s school.

3
1246

1

2

4

5

1

Not at all
important

Other Factors

4

Slightly
important

2

4

b. Student absenteeism

1121

1

2

4

c. Student class cutting

1122

1

23

4

d. Teacher absenteeism

1123

1

23

4

e. Students dropping out

1124

1

23

4

f. Student apathy

1125

1

23

4

g. Lack of parental involvement

1126

1

23

4

h. Poverty

1127

1

23

4

i. Students come to school unprepared to learn

1128

1

23

4

j. Poor student health

1129

1

23

4

3
12. To what extent do you agree or disagree with each of the following
statements?

Somewhat
important

Very
important

Extremely
important

1248

1

2

5248

Somewhat
disagree

Strongly
disagree

4

5

a. The stress and disappointments involved
in teaching at this school aren’t really
worth it.

3

1130

1

2

1131

1

2

I would describe us as a satisfied group.

teaching as soon as possible.
reason in your decision to leave LAST YEAR’S SCHOOL?
Enter the letter from item 23 on pages 17 and 18.

1132

1

2

1133

1

2

4
3
4
3

e. I think about transferring to another school.

1134

1

2

1135

1

2

f. I don’t seem to have as much enthusiasm
now as I did when I began teaching.

Most important reason in my decision to leave

4
3

d. If I could get a higher paying job, I’d leave

24.	 From the reasons listed in item 23, which do you consider the one most important

4

b. The teachers at this school like being here;
c. I like the way things are run at this school.

5249

3

Somewhat
agree

5

3

t. Because of other factors not included in
previous items a–s. – Please specify

1

Strongly
agree

2

Not a
problem

1120

3
1247

Minor
problem

a. Student tardiness

Mark (X) one box on each line.

s. Because I was dissatisfied with the
support I received for preparing my
students for student assessments at
last year’s school.

Moderate
problem

4
3
4
3

g. I think about staying home from school
because I’m just too tired to go.

1136

1

2

4
3

3

18

FORM TFS-3 (11-28-2012)

FORM TFS-3 (11-28-2012)

11

13.	 How many hours a week are you paid to deliver INSTRUCTION to a class of students at
your current school?
(Example: If your base contract requires you to work 40 hours a week, with 30 of those hours for delivering
instruction and 10 hours for planning, monitoring students outside of class time, etc., you would report 30
hours.)
"PULL-OUT" or "PUSH-IN" TEACHERS: Please include the number of hours you instruct individual

students or small groups of students.

Report total weekly hours to the nearest whole hour.
If you do not know what is stated in your base contract, please use the following worksheet to calculate

your paid instructional hours.


23. Indicate the level of importance EACH of the following played in your decision to
leave LAST YEAR’S SCHOOL.
Mark (X) one box on each line.
I left last year’s school –
Slightly
important

Somewhat
important

Very
important

Extremely
important

a. Because I wanted to take a job more
conveniently located OR because I
moved.

1229

1

2

4

5

1230

1

23

4

5

1231

1

2

4

5

b. Because of other personal life reasons (e.g.,
health, pregnancy/childcare, caring for
family).

List the number of classes by length of instructional period in a typical week:

Not at all
important

Personal Life Factors

c. Because I wanted to receive retirement
1140

number of classes x

1141

instructional minutes =

minutes

1142

benefits from last year’s school system.

Not at all
important

Salary and Other Job Benefits
1143

number of classes x

1144

instructional minutes =

minutes

1145

number of classes x

1147

instructional minutes =

minutes

1148

Slightly
important

1232

1

2

number of classes x

1150

instructional minutes =

minutes

1151

received at last year’s school.

1233

1

2

number of classes x

1153

instructional minutes =

Sum of minutes of each entry above

minutes

1154

all classes

1155

Extremely
important

4

5

4

5

4

5

3

security at last year’s school.

1234

1

2
3

Assignment and Classroom Factors
1152

Very
important

e. Because I needed better benefits than I
f. Because I was concerned about my job

1149

Somewhat
important

3

d. Because I wanted or needed a higher
salary.

1146

3

Not at all
important

Slightly
important

Very
important

Extremely
important

3

g. Because I was dissatisfied with my job
description or assignment (e.g.,
responsibilities, grade level, or subject
area).

Somewhat
important

1235

1

2

1236

1

2

4

5

4

5

h. Because I did not have enough autonomy
Convert to hours:	

1156

over my classroom at last year’s school.

÷ 60

3

i. Because I was dissatisfied with the large
Total WEEKLY hours spent delivering instruction

number of students I taught at last year’s
school.

1157

1237

1

23

4

5

intrusions on my teaching time at last year’s
school.
1238

1

23

4

5

j. Because I felt that there were too many

Not at all
important

School Factors

Slightly
important

Very
important

Extremely
important

3

k. Because I wanted the opportunity to teach
at my current school.

Somewhat
important

1239

1

2

1240

1

2

1241

1

2

4

5

4

5

4

5

4

5

4

5

l. Because I was dissatisfied with workplace
conditions (e.g., facilities, classroom
resources, school safety) at last year’s
school.

3

m. Because student discipline problems were
an issue at last year’s school.

3

n. Because I was dissatisfied with the
administration at last year’s school.

1242

1

3

o. Because I was dissatisfied with the lack of
influence I had over school policies and
practices at last year’s school.
12	

FORM TFS-3 (11-28-2012)	

2

1243

1

23

FORM TFS-3 (11-28-2012)

17
3

19.	 Which of the following best describes your move from last year’s school to your current school?

14. Thinking about a TYPICAL FULL WEEK at your current school, complete items a–d below
about the hours you spend on ALL teaching and other school-related activities.

(For this question, all charter and BIE/tribal schools are considered public schools.)

TYPICAL FULL WEEK refers to a week during the regular school year, NOT during the summer.
Include hours spent during the school day, before and after school, and weekends.
BASE CONTRACT HOURS, or the equivalent, include the number of hours you are required to
work to receive your base pay. It does NOT include stipends or extra pay for extra duty.
OTHER PAID HOURS include hours for which you are paid BEYOND your base pay (e.g., hours
for which you receive stipends or extra pay).

Mark (X) only one box.	
1225

}

1

Moved from one PUBLIC school to another PUBLIC
school in the SAME SCHOOL DISTRICT

2

Moved from one PUBLIC school district to ANOTHER
PUBLIC SCHOOL DISTRICT

3

Moved from a PRIVATE school to a PUBLIC school	

4

Moved from one PRIVATE school to another PRIVATE school

5

Moved from a PUBLIC school to a PRIVATE school

GO TO item 21 below.	

UNPAID HOURS include hours spent on teaching and other school-related activities for which you
are NOT paid by your base contract or by stipends or extra pay.
TOTAL HOURS includes the sum of base contract hours, other paid hours, and unpaid hours you
spend on ALL teaching and other school-related activities during a typical FULL WEEK.
Hours Spent in a
TYPICAL FULL WEEK

}


20.	 Is the private school in which you currently teach affiliated with the Roman

Catholic Church, some other religious organization, or is it nonsectarian?

Mark (X) only one box.
1226

1

Religious – Roman Catholic

2

Religious – other than Roman Catholic

3

Nonsectarian – not religiously affiliated	

21.	 Did you change schools involuntarily (e.g., contract not renewed, laid off, school closed 


a.

Base Contract Hours

1160

b.

Other Paid Hours

1161

c.

Unpaid Hours

1162

d.

TOTAL (a+b+c)

1163

or merged)?

1227

1

Yes

2

No

➜

15. During this school year, do you or will you –
a. Coach a sport?

GO TO item 23 on page 17.	

22. Which of the following best describes the reason why you changed schools involuntarily?

1170

Mark (X) only one box.
1228

1

Budget cuts or budget shortfalls

2

Reduced pupil enrollment

3

School and/or district merger or school closed

4

Transfer required by school or district

5

I did not meet Highly Qualified Teacher (HQT) requirements
(Generally, to be Highly Qualified, teachers must 1) have a bachelor’s degree; 2) hold full state certification or
licensure, including an "alternative certification"; and 3) demonstrate competency in the subject area(s) they

teach. The HQT requirement is a provision under No Child Left Behind [NCLB].)


6

I have not taken or could not pass the test(s) required by my school or district

7

My contract was not renewed for other reason(s) – Please specify

1

Yes

2

No

b. Sponsor any student groups, clubs, or organizations?
1171

1

Yes

2

No

c. Serve as a department lead or chair?
1172

1

Yes

2

No

d. Serve as a lead curriculum specialist?
1173

5228

GO TO item 25 on page 19.	

1

Yes

2

No

e. Serve on a school-wide or district-wide committee or task force?
1174

1

Yes

2

No

f. Serve as a formal mentor or mentor coordinator in your school or district?
1175

16	

FORM TFS-3 (11-28-2012)

1

Yes

2

No

FORM TFS-3 (11-28-2012)

13

III

18. Does your current school offer the following grades?

INFORMATION ABOUT CHANGES FROM LAST SCHOOL YEAR TO THIS

SCHOOL YEAR


Please mark (X) Yes or No for each grade level.

16a. Are you currently teaching in the SAME SCHOOL as you were last year (2011–12)?
1200

1

Yes

2

No

➜

GO TO item 25 on page 19.

Prekindergarten

Kindergarten

b. Are you currently teaching in the SAME STATE as you were last year (2011–12)?
1201

1

Yes

2

No

➜

GO TO item 17 below.

1st
2nd

c. Are you currently teaching in a school OUTSIDE the United States?
1202

1

Yes – In what country?

2

No

5202

➜

GO TO item 18 on
page 15.

3rd
4th

17. Please provide the following information about your current school.
Name of school

5th

5203

6th

Street

1210

1211

1212

1213

1214

1215

1216

1217

5204

7th

1218

City
5205

8th
State

5206

ZIP Code + 4

9th

1219

1220

1

Yes

2

No

1

Yes

2

No

1

Yes

2
1

No
Yes

2

No

1

Yes

2

No

1

Yes

2

No

1

Yes

2

No

1

Yes

2

No

1

Yes

2

No

1

Yes

2

No

1

Yes

2

No

1

Yes

2

No

1

Yes

2

No

1

Yes

2

No

1

Yes

2

No

5207

–
10th

1221

Name of school district (if applicable)
5208

11th

1222

Name of county
12th

5209

Ungraded

14

FORM TFS-3 (11-28-2012)

FORM TFS-3 (11-28-2012)

1223

1224

15


File Typeapplication/pdf
AuthorWalter L Holmes (CENSUS/POP FED)
File Modified2020-03-25
File Created2020-03-19

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