2010 National Assessment of Education Progress (NAEP) Wave 1

National Assessment of Educational Progress 2008-2010 System Clearance

Part 1g-Teacher Grade 4

2010 National Assessment of Education Progress (NAEP) Wave 1

OMB: 1850-0790

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NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS

Wave 1 Submittal for 2010
VOLUME II
Part 1g
BACKGROUND QUESTIONS
FOR 2010 ASSESSMENT

Teacher Grade 4
Part I-BET (Background, Education, and Training) Questions
Part II-Teacher Grade 4 Writing Questions
Part III-Teacher Grade 4 Civics, Geography, U.S. History Questions

Part 1g contains:
Teacher Grade 4 Questions
The amount of time estimated to complete this form is 20 minutes.

Updated June 10, 2009
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Grade 4 -Part 1 of 3

50

TEACHER QUESTIONNAIRES
OMB Information on Teacher Questionnaire Cover Page
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 1850-0790. The time required to complete
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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(s) or
suggestions for improving this form, please write to: U.S. Department
of Education, Washington, D.C. 20202-4537. If you have comments or
concerns regarding the status of your individual submission of this
form, write directly to: NAEP/NCES, U.S. Department of Education,
1990 K Street N.W., Washington, D.C. 20006-5651.
A project of the Institute of Education Sciences.
The information you provide will be used for statistical purposes only. In
accordance with the Confidential Information Protection provisions of
Title V, Subtitle A, Public Law 107-347 and other applicable Federal
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ANY identifiable information about you.
OMB No. 1850-0790 Approval Expires 05/31/2010

2010 OMB Wave 1
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51

Teacher BET (Background, Education, and Training) Questionnaire
Grade 4

This section has 15 questions. Mark you answers in your booklet. Fill in only one oval for
each question except where instructed otherwise.
VB331330

1. Are you Hispanic or Latino? Fill in one or more ovals. [4/8]
A No, I am not Hispanic or Latino.
B Yes, I am Mexican, Mexican American, or Chicano.
C Yes, I am Puerto Rican or Puerto Rican American.
D Yes, I am Cuban or Cuban American.
E Yes, I am from some other Hispanic or Latino background.

VB331331

2. Which of the following best describes you? Fill in one or more ovals. [4/8]
A White
B Black or African American
C Asian
D American Indian or Alaska Native
E Native Hawaiian or other Pacific Islander

VB333653

.

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3. Counting this year, how many years have you worked as an elementary or
secondary teacher? Include any full-time teaching assignments, part-time teaching
assignments, and long-term substitute assignments, but not student teaching. If less
than 4 months total experience, enter “00.” [4/8]
___ ___ Years
VC309863

4. Did you enter teaching through an alternative certification program? [4/8]
(An alternative program is a program that was designed to expedite the transition
of non-teachers to a teaching career, for example, a state, district, or university
alternative certification program.)
A Yes
B No

VC309874

5. What type of teaching certificate do you hold in the state where you currently
teach? [4/8]
A Regular or standard state certificate or advanced professional certificate Æ
Skip to Question 7.
B Certificate issued after satisfying all requirements except the completion of a
probationary period Æ Go to Question 6.
C Certificate that requires some additional coursework, student teaching, or
passage of a test before regular certification can be obtained Æ Go to Question
6.
D Certificate issued to persons who must complete a certification program in
order to continue teaching Æ Go to Question 6.
E I do not hold any of the above certificates in the state where I currently teach
Æ Go to Question 6.

VB595188

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53

6. Do you hold a currently valid regular or standard certification from a state other
than the one in which you are currently teaching? [4/8]
A Yes
B No

VC309886

7. This school year, are you a Highly Qualified Teacher (HQT) according to your
state’s requirements? [4/8]
(Generally, to be Highly Qualified, teachers must meet requirements related to 1) a
bachelor’s degree, 2) full state certification, and 3) demonstrate competency in the
subject area(s) taught. The HQT requirement is a provision under the No Child Left
Behind (NCLB) Act.)
A Yes
B I meet my state’s requirements for a Highly Qualified Teacher in at least one
subject that I teach.
C No

VC309891

8. Are you certified by the National Board for Professional Teaching Standards in at
least one content area? [4/8]
(The National Board for Professional Teaching Standards is a nongovernmental
organization that administers National Board certification, a voluntary national
assessment program that certifies teachers who meet high professional standards.
In order to gain certification, the candidate must at least complete a portfolio of
classroom practice and pass one or more tests of content knowledge.)
A Yes, I am fully certified by the National Board for Professional Teaching
Standards.
B I am working towards my National Board certification.
C No

2010 OMB Wave 1
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54

HE001012

9. What is the highest academic degree you hold? [4/8]
A High-school diploma
B Associate’s degree/vocational certification
C Bachelor’s degree
D Master’s degree
E Education specialist’s or professional diploma based on at least one year’s
work past master’s degree
F Doctorate
G Professional degree (e.g., M.D., LL.B., J.D., D.D.S.)

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55

VB333658

10. Did you have a major, minor, or special emphasis in any of the following subjects
as part of your undergraduate coursework? Fill in one oval on each line. [4]
Yes, a major

Yes, a minor or
special emphasis

No

a. Reading, language arts, or
literacy education

A

B

C

VB378391

b. English

A

B

C

VB378392

c. Other language arts-related
subject

A

B

C

VB378394

d. History or history education

A

B

C

VB333659

e. Geography or geography
education

A

B

C

VB333660

f. Political science

A

B

C

VB607676

g. General social science or
social studies education

A

B

C

VB334021

A

B

C

VB610604

A

B

C

VB482660

j. Special education (including
students with disabilities)

A

B

C

NEW

k. English-language learning

A

B

C

NEW

h. Other social science (for
example, economics,
sociology, psychology,
anthropology)
i. Education (including
elementary or early
childhood)

2010 OMB Wave 1
Grade 4 -Part 1 of 3

56

VB345619

11. Did you have a major, minor, or special emphasis in any of the following subjects
as part of your graduate coursework? Fill in one oval on each line. [4]
Yes, a major

Yes, a minor or special
emphasis

No

a. Reading, language arts, or
literacy education

A

B

C

VB378395

b. English

A

B

C

VB378396

c. Other language arts-related
subject

A

B

C

VB378398

d. History or history education

A

B

C

VB345620

e. Geography or geography
education

A

B

C

VB374402

f. Political science

A

B

C

VB607677

g. General social science or
social studies education

A

B

C

VB374403

A

B

C

VB610605

A

B

C

VB473840

j. Special education (including
students with disabilities)

A

B

C

NEW

k. English-language learning

A

B

C

NEW

h. Other social science (for
example, economics,
sociology, psychology,
anthropology)
i. Education (including
elementary or early
childhood)

2010 OMB Wave 1
Grade 4 -Part 1 of 3

57

12. During the last two years, did you participate in any of the following professional

development activities related to the teaching of civics, geography, history, language
arts, or social studies? “Language arts” refers to literature, reading, writing, and related
topics. Fill in one or more ovals on each line. [4]

a. College course taken after your first certification
b. Workshop or training session
c. Conference or professional association meeting
d. Observational visit to another school or classroom
e. Mentoring and/or peer observation and coaching as
part of a formal arrangement
f. Committee or task force focusing on curriculum,
instruction, or student assessment
g. Regularly scheduled discussion group or study group
h. Teacher collaborative or network, such as one
organized by an outside agency or over the Internet
i. Individual or collaborative research
j. Independent reading on a regular basis—for example,
educational journals, books, or the Internet
k. Co-teaching/team teaching
l. Consultation with a subject specialist

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58

Yes, activities
related to civics,
geography,
history, or social
studies

Yes,
activities
related to
language
arts

No

A
A

B
B

C
C

VE040652

A
A
A

B
B
B

C
C
C

VE040666

A

B

C

VE040670

A
A

B
B

C
C

VE040672

A
A

B
B

C
C

VE040676

A
A

B
B

C
C

VE040682

VE040664

VE040667
VE040668

VE040675

VE040677

VE040684

VC191232

13. During the past two years, have you received training from any source in any of
the following areas? Fill in one oval on each line. [4/8]
No, I am already
proficient.

No, I have
not.

Yes

a. Basic computer training

A

B

C

VC191233

b. Software applications

A

B

C

VC191234

c. Use of the Internet

A

B

C

VC191235

A

B

C

VC191237

A

B

C

VC191238

d. Use of other technology—for
example, satellite access,
wireless Web, interactive
video, closed-circuit television,
videoconferencing
e. Integration of computers and
other technology into
classroom instruction

VB556174

14. Do you have special leadership responsibilities for the following subjects at your
school—for example, responsibilities as a mentor teacher, lead teacher, resource
specialist, departmental chair, or master teacher? [4]
Yes

No

a. History, civics, geography, or social studies

A

B

VC101614

b. Reading/language arts

A

B

VB556175

VC304724

15. During the last two years have you participated in activities associated with school
improvement efforts directed at issues such as adequate yearly progress and state
accountability standards? [4/8]
A Yes
B No

2010 OMB Wave 1
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59

Teacher Questionnaire
Writing — Grade 4
This section has 15 questions. Mark your answers in your booklet. Fill in only one oval for
each question except where instructed otherwise.
1. To what extent do you use each of the following technological resources for writing
instruction? Fill in one oval on each line. (New) [4/8]

a. Desktop computer
b. Laptop computer
c. Tablet PC (notebook-like
computer that allows users to
write or draw through the use of
a stylus or touch-screen
d. Hand-held computer (e.g.,
personal digital assistant)
e. Digital projector (device that
connects to a computer to
display presentations, or
demonstrate lessons, such as an
LCD)
f. CD-ROM, DVD-ROM
g. Online software
h. Digital music device (pocketsized music player used to listen
to or create audio files, such as
an MP3 player)
i. Cable/satellite/closed-circuit
television
j. Online content (e.g., Podcasts, or
streaming videos)

2010 OMB Wave 1
Grade 4 -Part 1 of 3

Not at
all

Small
extent

Moderate
extent

Large
extent

A
A
A

B
B
B

C
C
C

D
D
D

NEW

A

B

C

D

NEW

A

B

C

D

NEW

A
A
A

B
B
B

C
C
C

D
D
D

NEW

A

B

C

D

NEW

A

B

C

D

NEW

60

NEW
NEW

NEW
NEW

2. Which statement best describes computer availability for your writing instruction?
(New) [4/8]
A There is no computer for student use.
B There is one computer shared by all students.
C More than three students share one computer.
D Two or three students share one computer.
E Each student has a computer.

3. Do you have access to the Internet when you teach writing to your students? (New)
[4/8]
A Yes, always
B Yes, sometimes
C No

4. How often do you ask your students to do the following when you ask them to
write about something? Fill in one oval on each line. (New) [4/8]

a. Explain (for
example, provide
information about a
topic or steps in a
process)
b. Persuade (for
example, convince
someone to do
something)
c. Convey experience
(for example, write
about personal or
imagined
experiences)

2010 OMB Wave 1
Grade 4 -Part 1 of 3

Never or
hardly ever

Sometimes

Very often

Always or
almost always

A

B

C

D
NEW

A

B

C

D

NEW

A

B

C

D

NEW

61

5. How often do you ask your students to write to each of the following audiences?
Fill in one oval on each line. (New) [4/8]

a. Family
members
b. School officials
c. Other students
d. Community
organizations
e. Government
officials
f. Businesses
g. Other (please
specify):
____________
____________

Never or hardly
ever

A few times a
year

Once or
twice a
month

At least once a
week

A

B

C

D

A
A
A

B
B
B

C
C
C

D
D
D

A

B

C

D

A
A

B
B

C
C

D
D

NEW
NEW
NEW
NEW
NEW
NEW
NEW

6. How often do you ask your students to write the following? Fill in one oval on
each line. (New) [4/8]

a. Informational
essays
b. Letters
c. Speeches
d. Personal essays
e. Stories
f. Poems
g. Journal entries
h. Editorials
i. Book reviews
j. Multi-step
instructions
k. Song lyrics

2010 OMB Wave 1
Grade 4 -Part 1 of 3

Never or hardly
ever

A few times a
year

Once or
twice a
month

At least once a
week

A

B

C

D

A
A
A
A
A
A
A
A
A

B
B
B
B
B
B
B
B
B

C
C
C
C
C
C
C
C
C

D
D
D
D
D
D
D
D
D

A

B

C

D

62

NEW
NEW
NEW
NEW
NEW
NEW
NEW
NEW
NEW
NEW
NEW

7. How often do you allow your students to choose the form (e.g., stories, poems,
essays, etc.) they use in a writing assignment? (New) [4/8]
A Never
B Less than half of the time
C About half of the time
D More than half of the time

8. Overall, what percentage of your instructional time teaching writing is spent on
each of the following? Fill in one oval on each line. (New) [4/8]

a. Development of
ideas
b. Organization of
ideas
c. Effectiveness of
expression (e.g.,
sentence variety,
word choice, and
tone)
d. Mechanics and
conventions (e.g.,
spelling, grammar,
and punctuation)
a. Other (please
specify):
________
________

2010 OMB Wave 1
Grade 4 -Part 1 of 3

0%

1-5%

6-10%

11-25%

26-50%

51-75%

76-90%

Over
90%

A

B

C

D

E

F

G

H

NEW

A

B

C

D

E

F

G

H

NEW

A

B

C

D

E

F

G

H

NEW

A

B

C

D

E

F

G

H

NEW

A

B

C

D

E

F

G

H

NEW

63

9. During the past two years, how often did you participate in any of the following
professional development activities related to the teaching of writing? Fill in one
oval on each line. (New) [4/8]

a. College course taken
after your first
certification
b. Conference or
professional
association meeting
c. Observational visit to
another school or
classroom
d. Mentoring and/or
peer observation and
coaching
e. Writing activities that
are a part of national
writing initiatives

Never or hardly
ever

A few
times a
year

Once or
twice
a month

At least once
a week

A

B

C

D

NEW

A

B

C

D

NEW

A

B

C

D

NEW

A

B

C

D

NEW

A

B

C

D

NEW

10. During the past two years, which describes your participation in workshops or
training sessions on writing? (New) [4/8]
A I did not attend any workshops about writing.
B I attended workshops that met for less than a day.
C I attended workshops that met for a full day.
D I attended workshops that met for more than one day.

VE032921

11. During the past two years, have you written outside of school for publication or
public presentation? [4/8]
A Yes
B No

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64

12. How often do you ask your students to do the following when you ask them to
write about something? Fill in one oval on each line. (New) [4/8]

a. Use a computer for
drafting and revising
their writing
b. Use a computer to
complete writing that is
usually started by hand
c. Use word processing
tools to check spelling
or use a dictionary or
thesaurus
d. Use the Internet to get
information for their
writing
e. Assess their own
writing by using a
specific rubric
f. Assess the writing of
other students by using
rubrics

Never or
hardly ever

Sometimes

Very
often

Always or
almost always

A

B

C

D

NEW

A

B

C

D

NEW

A

B

C

D

NEW

A

B

C

D

NEW

A

B

C

D

NEW

A

B

C

D

NEW

13. How often do you use computers as part of your delivery of classroom instruction
to your students (excluding planning)? (New) [4/8]
A Never or hardly ever
B Sometimes
C Very often
D Always or almost always

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65

14. Based on keyboarding instruction at your school, which of the following best
describes the keyboarding skills expected of students at the grade level you teach?
(New) [4/8]
A No typing skill is expected because we do not give formal keyboarding
instruction.
B Two-finger typing
C Basic touch-typing
D Rapid and accurate touch-typing

15. When evaluating/grading your students’ writing, approximately what percentage of
the grade/evaluation is based on each of the following? Fill in one oval on each
line. (New) [4/8]

a. Development of
ideas
b. Organization of
ideas
c. Effectiveness of
expression (e.g.,
sentence variety,
word choice, and
tone)
d. Mechanics and
conventions (e.g.,
spelling, grammar,
and punctuation)
e. Other (please
specify):
________
________

2010 OMB Wave 1
Grade 4 -Part 1 of 3

0%

1-5%

6-10%

11-25%

26-50%

51-75%

76-90%

Over
90%

A

B

C

D

E

F

G

H

NEW

A

B

C

D

E

F

G

H

NEW

A

B

C

D

E

F

G

H

NEW

A

B

C

D

E

F

G

H

NEW

A

B

C

D

E

F

G

H

NEW

66

Teacher Questionnaire
Civics, Geography, U.S. History — Grade 4

This section has 16 questions. Mark your answers in your booklet. Fill in only one
oval for each question except where instructed otherwise.
If you do not teach social studies (e.g., U.S. history, civics or government, or
geography), please skip to Part III (writing).

VE040730

1. Which best describes your role in teaching social studies to this class? Fill in
one oval. [4/8]
A I do not teach social studies to this class.
B I teach all or most subjects, including social studies.
C The only subject I teach is social studies.
D We team teach, and I have primary responsibility for teaching social
studies.

VB473856

2. How many students are in this class? [4/8]
A 15 or fewer
B 16-18
C 19-20
D 21-25
E 26 or more

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67

VB336261

3. Which best describes how social studies instruction is organized? [4/8]
A Social studies is taught primarily as a discrete subject with little or no
integration with instruction in other subjects.
B Some social studies instruction is integrated with other subjects, and some
social studies instruction is presented as a discrete subject.
C Social studies lessons are primarily integrated with instruction in other
subjects.

VB595265

4. About how much time in total do you spend with your class on social studies
instruction in a typical week? [4]
A Less than 30 minutes
B 30 to 60 minutes
C 61 to 120 minutes
D 121 to 180 minutes
E More than 180 minutes

VE040760

5. What is the primary basis on which you create instructional groups for social
studies in this class? [4/8]
A I don’t create groups for social studies in this class.
B Achievement
C Interest
D Diversity
E Other

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VB608033

6. During what percentage of social studies instruction time in this class is your
primary focus on each of the following subjects? Fill in one oval on each line.
[4/8]

a. U.S. history
b. Geography
c. Civics/government

None

1-10%

11-40%

41-60%

61-90%

A
A
A

B
B
B

C
C
C

D
D
D

E
E
E

More than
90%

F
F
F

VE036140

7. To what extent do you use state or local standards for history, civics,
geography, or social studies courses to plan your instruction? [4/8]
A Not at all
B Small extent
C Moderate extent
D Large extent
E We have no state or local standards that apply to teaching history, civics,
geography, or social studies.

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69

VB608034
NEW
VB608035

VB608036

8. How often do you use the following resources to teach social studies in this
class? Fill in one oval on each line. [4/8]

a. A social studies
textbook
b. Books,
newspapers,
magazines, or
other periodicals
c. Primary
documents
d. Quantitative data
(such as that on
maps, charts, or
graphs)
e. Computer
software
f. Films, videos, or
filmstrips
g. Materials from
other subject
areas
h. Online textbooks

Never or
hardly
ever

Once or
twice a
month

Once or
twice a
week

Almost
every day

A

B

C

D

VB608037

A

B

C

D

VB608038

A

B

C

D

VB608039

A

B

C

D

VB608040

A

B

C

D

VB608041

A

B

C

D

VB608062

A

B

C

D

VB608063

A

B

C

D

NEW

NEW

9. Do you give instruction on geography to your students? [4]
(A) Yes ´ Go to Question 10.
(B) No ´ Skip to Question 11.

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70

NEW

10. How often do you teach the following skills and topics as part of geography
instruction with this class? Fill in one oval on each line. [4]

a. Using maps and
globes
b. Natural resources
(e.g., oil, forests, and
water)
c. Other countries and
cultures
d. Environmental issues
(e.g., pollution and
recycling)
e. Space and place (e.g.,
basic concepts of
physical and human
geography)
f. Spatial dynamics and
connections (e.g.,
variation among
regions and how
people interact across
space via
communication,
transportation, trade)

2010 OMB Wave 1
Grade 4 -Part 1 of 3

Never or
hardly
ever

Once or
twice a
month

Once or
twice a
week

Almost
every
day

A

B

C

D

NEW

A

B

C

D

NEW

A

B

C

D

NEW

A

B

C

D

NEW

A

B

C

D

NEW

A

B

C

D

NEW

71

VB608064

11. How often do you do the following as part of social studies instruction with
this class? Fill in one oval on each line. [4/8]

a. Ask students to
complete a
worksheet
b. Give a lecture to the
class about social
studies
c. Have students
participate in
debates or panel
discussions
d. Have students
participate in mock
trials, role-playing,
or dramatization
e. Have students write
letters to state an
opinion or solve a
community problem
f. Have visitors from
your community
meet with the class
to discuss important
events and ideas
g. Have students
participate in
community
volunteer projects or
services
h. Have students access
information through
the Internet for use
in the classroom
i. Discuss current
events
j. Use student
government
k. Give students social
studies homework

2010 OMB Wave 1
Grade 4 -Part 1 of 3

Never or
hardly
ever

Once or
twice a
month

Once or
twice a
week

Almost
every
day

A

B

C

D

VB608065

A

B

C

D

VB608066

A

B

C

D

VB608067

A

B

C

D

VB608068

A

B

C

D

VB608069

A

B

C

D

VB608070

A

B

C

D

VB608072

A

B

C

D

VB608073

A

B

C

D

VB608074

A

B

C

D

VB608075

A

B

C

D

VB608076

72

VB608077

12. How often do you use each of the following to assess student progress in social
studies? Fill in one oval on each line. [4/8]

a. Tests with multiplechoice, true/false, or
matching type questions
b. Tests with fill-in-theblank questions
c. Paragraph-length written
responses about what
students have read
d. Extended essays/papers on
assigned topics
e. Individual projects
f. Individual presentations
g. Group projects
h. Group presentations

2010 OMB Wave 1
Grade 4 -Part 1 of 3

Never or
hardly
ever

Once or
twice a
month

Once or
twice a
week

Almost
every
day

A

B

C

D

VB608078

A

B

C

D

VB608079

A

B

C

D

VB608080

A

B

C

D

VB608482

A
A
A
A

B
B
B
B

C
C
C
C

D
D
D
D

73

NEW
NEW
NEW
NEW

VB336276

13. When your students work on social studies, to what extent do they use
computers to do the following? Fill in one oval on each line. [4]

a. Locate and retrieve social
studies information
through the Internet
b. Look up social studies
information in electronic
reference works (for
example, atlases, almanacs,
encyclopedias)
c. Use exploration or
simulation software to
“experience” history or
geography
d. Write social studies reports
using word processing
e. Create social studies
presentations or projects
using specialized software
(such as PowerPoint,
HyperStudio)
f. Organize social studies
information using
spreadsheets or databases

Not at
all

Small
extent

Moderate
extent

Large
extent

A

B

C

D

VB336277

A

B

C

D

NEW

A

B

C

D

VB336279

A

B

C

D

VB337061

A

B

C

D

VB337062

A

B

C

D

VB337063

VE102335

14. To what extent are computers available for students to use for social studies in
school (e.g., a classroom or a computer lab)? [4]
A Not at all
B Some extent
C Moderate extent
D Large extent

2010 OMB Wave 1
Grade 4 -Part 1 of 3

74

VB595266

15. About how many weeks during the school year do you spend covering the
following periods in U.S. history? Fill in one oval on each line. [4/8]

a. The period before 1815:
beginnings through the
Revolution (e.g.,
colonization, settlement,
revolution)
b. The period between 1815
and 1865: the new nation
through the Civil War
(e.g., expansion, reform,
crisis of the Union)
c. The period between 1865
and 1945: the
development of modern
America (e.g.,
Reconstruction, industrial
growth, United States role
in world affairs, the Great
Depression, the First and
Second World Wars,
immigration)
d. The period between 1945
and the present:
contemporary America
(e.g., civil rights
movement, women’s
rights movement, Korean
and Vietnam wars,
environmental
movement)

2010 OMB Wave 1
Grade 4 -Part 1 of 3

Not
covered in
curriculum

One
to two
weeks

Three
to five
weeks

Six or
more
weeks

A

B

C

D

VB595267

A

B

C

D

VB595268

A

B

C

D

VB595269

A

B

C

D

VB595270

75

VC776876

16. To what extent have you emphasized each of the following topics in your
social studies class? Fill in one oval on each line. [4]

a. Change in American
democracy
b. People from various cultures
c. Technological changes
d. Economic changes
e. Role of America in the world
f. Politics and government
g. Foundations of the American
democracy
h. The U.S. Constitution
i. World affairs
j. Roles of citizens in American
democracy
k. Space and place (i.e., basic
concepts of physical and
human geography)
l. Environment and society (i.e.,
how people adapt to, depend
on, and are affected by the
natural environment)

2010 OMB Wave 1
Grade 4 -Part 1 of 3

76

Not
at all

Small
extent

Moderate
extent

Large
extent

A

B

C

D

VC776877

A
A
A
A
A
A

B
B
B
B
B
B

C
C
C
C
C
C

D
D
D
D
D
D

VC776878

A
A
A

B
B
B

C
C
C

D
D
D

VC776884

A

B

C

D

VC776887

A

B

C

D

VC776888

VC776879
VC776880
VC776881
VC776882
VC776883

VC776885
VC776886


File Typeapplication/pdf
File TitleMicrosoft Word - Vol II - Part 1 of 3 rev. 6-11-09_.doc
Authorjoconnell
File Modified2009-06-12
File Created2009-06-11

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