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Under-Represented Populations Instruments

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Teacher/Faculty Intake Questionnaires

Instrument 1: Teachers Survey

Project: Sisters in Science: Intergenerational Partnerships in Science, Engineering, and Mathematics Education
Temple University

Funding Source: NSF: Program for Women and Girls (HRD)

Purpose: To collect background demographic information and to assess the teacher's opinions concerning teaching and learning, student activities in the classroom, school principal's involvement, and parental involvement

Administered To: Participating teachers

Topics Covered:

  • Family Influences: activities, awareness, communication, engagement, expectations
  • Implementation Characteristics: administrative support, incentives, parent support, peer support
  • Instructional Practices: activities, assessment, collaboration, content, field, techniques, technology
  • Learning Environment: classroom organization
  • Background Characteristics & Activities (Teacher/Faculty): certification, credentials, education, experience, professional development activities
  • Demographics (Teacher/Faculty): ethnicity, gender

Format/Length: 57 closed-ended questions, 1 of which has room for comments, and 11 demographic questions

Teachers Survey

 

Name  ____________________________________________

School  _________________________________________ District  ______________________________

PART I - ABOUT ME

  1. Female   Male

  2. My background is best described as:

    African-American.   American Indian/Alaskan Native.   Hispanic.

    Asian or Pacific Islander.   White.   Other __________________________________.

    The following information is optional but helpful if provided

  3. I am certified to teach grade(s):  K  1  2   3  4  5  6  7  8  9  10   11  12

  4. What is the highest level of degree you have learned?

       Bachelor's   Masters   Masters + 30 credit hours or more Doctorate

  5. I am certified to teach in the following field(s):

    ELEMENTARY (K-8 OR 1-8)
    Mathematics   Science

    MIDDLE SCHOOL
    Mathematics   Science

  6. Years of teaching experience

    0-5   5-9   9-15   16-25   Over 25  

  7. If you did not major in science, please indicate which science classes that you have taken at the college level:

    Astronomy   Chemistry   Physical Science   Physics  
    Geology   Biology   Oceanography  
    OTHER ________________________________________________

  8. If you did not major in science, how many credit hours of science did you take?
    9-12   15-18   18-21   21-25   Over 25  

  9. Clock hours spent on in-service professional development during the last 12 months. Write in the number of hours next to the organization that provided the experience.

    __________college or university  __________curriculum or text publisher

    __________county, district or school office  __________________________________Other (please specify)

Survey modified from © Jane Butler Kahle & teve Rogg, Bridging Study, Miami University, 1997. Scantelbury, 1997.

PART II - MY OPINIONS ABOUT TEACHING AND LEARNING

The SAMPLE ITEM below show how to respond to the statements in the remainder of this questionnaire. Please mark your responses using both Column A and Column B choices.

HOW I TEACH



Survey modified from © Jane Butler Kahle & teve Rogg, Bridging Study, Miami University, 1997. Scantelbury, 1997.

WHAT MY STUDENTS DO


Survey modified from © Jane Butler Kahle & teve Rogg, Bridging Study, Miami University, 1997. Scantelbury, 1997.

MY SCHOOL PRINCIPAL"S INVOLVEMENT


Survey modified from © Jane Butler Kahle & teve Rogg, Bridging Study, Miami University, 1997. Scantelbury, 1997.

PARENTAL INVOLVEMENT


Survey modified from © Jane Butler Kahle & teve Rogg, Bridging Study, Miami University, 1997. Scantelbury, 1997.