Attachment 39. FACES 2019 spring 2022 special teacher sampling form from Head Start staff_clean

OPRE Evaluation: Head Start Family and Child Experiences Survey (FACES 2019) [Nationally representative studies of HS programs]

Attachment 39. FACES 2019 spring 2022 special teacher sampling form from Head Start staff_clean

OMB: 0970-0151

Document [docx]
Download: docx | pdf

Shape1

ATTACHMENT 39


FACES 2019 SPRING 2022 SPECIAL TEACHER SAMPLING FORM FROM HEAD START CENTER STAFF

This page has been left blank for double-sided copying.


NOTE: For each center, a FACES study liaison will request from a designated Head Start staff member (typically the on-site coordinator, known as the OSC) a list of all lead teachers providing in-person instruction to Head Start-funded children. Home visitors and teachers who only teach virtually/remotely should not be included on this list of lead teachers. The attached teacher sampling form is an example of the information required for teacher sampling. The liaison will request this information via a secure file sharing website. The liaison will enter the information into a web-based sampling program. For each teacher, the liaison will obtain their first and last name, their email address, and the number of classrooms they have. For each classroom a teacher has, we will also obtain the instruction schedule (AM, PM, or full day), and the primary language of instruction (English, Spanish, or other). The study liaison will enter this information into a web-based sampling program that will include fields that match those on the attached form. The sampling program will randomly select about two teachers per selected center for participation in the study. Then, if the teacher instructs more than one group of children, the sampling program will sub-sample one group for the classroom observation to take place during the data collection visit.



This page has been left blank for double-sided copying.


Shape5

FACES 2019


SPRING 2022 SPECIAL TEACHER SAMPLING FORM








Program: [HS Program]

OSC: [OSC Name]

Center:

OSC Phone: [Phone #]

[Center Name]

Liaison

(Please Print Your Name)

Center Phone: [Phone #]



INSTRUCTIONS: Please provide the information below for each teacher providing in-person instruction in this center for one or more Head Start funded children. Do not include home visitors or teachers who only teach virtually/remotely. For each teacher, please list information on each of their classrooms that receives in-person instruction, including the instruction schedule (AM, PM, or Full Day), and what the primary language of instruction is (English, Spanish, Other).



A

B

C

D

E

Lead Teacher (Lead teachers are the head or primary teachers for a group of children.)

Lead Teacher Email Address

Number of classrooms for this teacher


Instruction Schedule (Indicate for each classroom)

Primary Language of Instruction

(Indicate for each classroom)

First Name Last Name



AM, PM, Full Day





English, Spanish, Other

1.

1.

1.

1a.____________________

1b. ____________________

1a.____________________

1b. ____________________

2.

2.

2.

2a.____________________

2b. ____________________

2a.____________________

2b. ____________________

3.

3.

3.

3a.____________________

3b. ____________________

3a.____________________

3b. ____________________

4.

4.

4.

4a.____________________

4b. ____________________

4a.____________________

4b. ____________________

5.

5.

5.

5a.____________________

5b. ____________________

5a.____________________

5b. ____________________

6.

6.

6.

6a.____________________

6b. ____________________

6a.____________________

6b. ____________________

7.

7.

7.

7a.____________________

7b. ____________________

7a.____________________

7b. ____________________

8.

8.

8.

8a.____________________

8b. ____________________

8a.____________________

8b. ____________________

9.

9.

9.

9a.____________________

9b. ____________________

9a.____________________

9b. ____________________

10.

10.

10.

10a.____________________

10b. ____________________

10a.____________________

10b. ____________________

11.

11.

11.

11a.____________________

11b. ____________________

11a.____________________

11b. ____________________

12.

12.

12.

12a.____________________

12b. ____________________

12a.____________________

12b. ____________________

13.

13.

13.

13a.____________________

13b. ____________________

13a.____________________

13b. ____________________

14.

14.

14.

14a.____________________

14b. ____________________

14a.____________________

14b. ____________________


The Paperwork Reduction Act Statement: This collection of information is voluntary and will be used to provide descriptive information about Head Start programs and the families they serve. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. 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 number and expiration date for this collection are OMB #: 0970-0151, Exp: XX/XX/XXXX. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Lizabeth Malone, Mathematica, 1100 1st Street, NE, 12th Floor, Washington, DC 20002

This page has been left blank for double-sided copying.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMathematica Staff
File Modified0000-00-00
File Created2021-12-27

© 2024 OMB.report | Privacy Policy