Wave 3 2009 of the NAEP 2008-2010 Operations and Pilot Survey System Clearance

National Assessment of Educational Progress 2008-2010 System Clearance

Att_NAEP Wave 3 2009 Grade12 Surveys

Wave 3 2009 of the NAEP 2008-2010 Operations and Pilot Survey System Clearance

OMB: 1850-0790

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THE NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS

Wave 3 Submittal for 2009
VOLUME II
Part 3 of 3
BACKGROUND QUESTIONS
FOR 2009 ASSESSMENT

Grade 12 Questionnaires

Part 3 of 3 contains:
Grade 12 Questionnaires:
3a.
3b.
3c.
3d.
3e.
3f.

Student Grade 12 ESBQ (Extended Student Background Questions)
School Grade 12 Operational Questions
School Grade 12 Pilot Questions
Grade 12 HSTS (High School Transcript Study) Questions
SD (Student with Disabilities) Questions (Grade 12)
ELL (English Language Learner) Questions (Grade 12)

July 18, 2008

1

THE NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS

Wave 3 Submittal for 2009
VOLUME II
Part 3a
BACKGROUND QUESTIONS
FOR 2009 ASSESSMENT

Student Grade 12 Extended Student Background Questions

Part 3a. contains:
Student Grade 12 Extended Student Background Questions
The amount of time estimated to complete this form is 5 minutes.

July 18, 2008

ESBQ – Gr. 12

1
2

STUDENT QUESTIONNAIRES
OMB Information on Student Questionnaire
Cover Page

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
numbers for this information collection are 1850-0790. The time
required to complete this information collection is estimated to
average 5 minutes per booklet, 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(s) or suggestions
for improving this form, please write to: U.S. Department of Education,
Washington, D.C. 20202-4651. 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 National Center for Education Statistics of the
Institute of Education Sciences.
This report is authorized by law(P.L.107-110, 20 U.S.C. §9010). While
your participation is voluntary, your cooperation is needed to make the
results of the survey comprehensive, accurate, and timely. The
information you provide is being collected for research purposes only
and will be kept strictly confidential.
OMB No. 1850-0790 Approval Expires 05/31/2010
Mark Reflex® forms by Pearson NCS EM-166###-001-1:654321
Printed in U.S.A.

ESBQ – Gr. 12

2
3

Extended Student Background Questionnaire
Grades 8 and 12
In this section, please tell us about yourself and your family. This section has 10
questions. Mark your answers in your booklet.

1. Do you live in different homes with different people during the school year? Fill in
only one oval. (VC180917) [4/8/12]
A Yes
B No

2. Which of the following people live in your home? Fill in one oval on each line.
(VC180891) [4/8/12]
a. Mother/Stepmother

Yes
Y

No
N

(NEW)

b. Father/Stepfather

Y

N

(NEW)

c. Foster parents

Y

N

(NEW)

d. Grandmother or
Grandfather

Y

N

(NEW)

3. How many brothers and sisters do you have, whether they live with you or not?
Include all stepbrothers and stepsisters. Fill in only one oval. (NEW) [4/8/12]
A None
B One
C Two
D Three
E Four
F Five
G Six or more

Student ESBQ – Gr. 12

3
4

4. Does your mother usually have a job for pay? Fill in only one oval. (NEW) [4/8/12]
A Yes
B No
5. Does your father usually have a job for pay? Fill in only one oval. (NEW) [4/8/12]
A Yes
B No
6. Which of the following items do you have in your home? Fill in one oval on each
line. (VC180923) [4/8/12]
Yes

No

a. Access to the Internet

Y

N

(VC180924)

b. Clothes dryer just for your
family

Y

N

(NEW)

c. Electric dishwasher

Y

N

(VC180928)

d. More than six rooms (not
including bathrooms)

Y

N

(VC180931)

e. More than one bathroom

Y

N

(VC180932)

f. A bedroom of your own

Y

N

(NEW)

g. Three or more cars, trucks,
or other vehicles that your
family uses

Y

N

(NEW)

7. Do you have your own cell phone? Fill in only one oval. (NEW) [4/8/12]
A Yes
B No

Student ESBQ – Gr. 12

4
5

8. Does your family own or rent your home, or have some other living arrangement?
Fill in only one oval. (VC180956) [8/12]
A Own (or pay mortgage)
B Rent
C Other
9. How far in school did your mother go? Fill in only one oval. (NEW) [8/12]
A She did not finish high school.
B She graduated from high school.
C She attended school after high school, but did not graduate.
D She graduated from a two-year college.
E She graduated from a four-year college.
F She has a master’s degree, Ph.D., M.D., law degree, or other advanced degree.
10. How far in school did your father go? Fill in only one oval. (NEW) [8/12]
A He did not finish high school.
B He graduated from high school.
C He attended school after high school, but did not graduate.
D He graduated from a two-year college.
E He graduated from a four-year college.
F He has a master’s degree, Ph.D., M.D., law degree, or other advanced degree.

Student ESBQ – Gr. 12

5
6

THE NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS

Wave 3 Submittal for 2009
VOLUME II
Part 3b
BACKGROUND QUESTIONS
FOR 2009 ASSESSMENT

Operational School Grade 12

Part 3b. contains:
Operational School Grade 12:
School Characteristics & Policies
Reading
Mathematics
Science
Charter School
The amount of time estimated to complete this form is 30 minutes.

July 18, 2008

1

7

SCHOOL QUESTIONNAIRES
OMB Information on School Questionnaire
Cover Page
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
numbers for this information collection are 1850-0790. The time
required to complete this information collection is estimated to
average 30 minutes per booklet, 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(s) or suggestions
for improving this form, please write to: U.S. Department of Education,
Washington, D.C. 20202-4651. 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.
This report is authorized by law (P.L.107-110, 20 U.S.C. §9010). While
your participation is voluntary, your cooperation is needed to make the
results of the survey comprehensive, accurate, and timely. All
responses that relate to or describe identifiable characteristics of
teachers or schools 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.
OMB OMB No. 1850-0790 Approval Expires 05/31/2010
Mark Reflex® forms by Pearson NCS EM-166###-001-1:654321
Printed in U.S.A.

School Operational Grade 12

2
8

School Questionnaire
Grade 12
This questionnaire should be completed by the principal or the head of the school.

School Operational Grade 12
School Characteristics and Policies

3
9

School Questionnaire
Grade 12
Part I: School Characteristics and Policies
1.

What grades are taught in your school? Fill in all ovals that apply. (VB337248) [4/8/12]
A Pre-kindergarten
B Kindergarten
C 1st grade
D 2nd grade
E 3rd grade
F 4th grade
G 5th grade
H 6th grade
I 7th grade
J 8th grade
K 9th grade
L 10th grade
M 11th grade
N 12th grade

School Operational Grade 12
School Characteristics and Policies

4
10

2.

Do all students in your school follow the same calendar? (VB556165) [4/8/12]
A Yes Æ Go to Question 3
B No Æ Skip to Question 4

3.

Please indicate the number of hours of instruction that twelfth-grade students in your
school completed as of February 1, 2009. Fill in the blocks below and then skip to
Question 5. (VC346266) [12]
,

4.

5.

hours of instruction as of February 1, 2009

For each group of students following a separate calendar, please indicate the number
of hours of instruction that twelfth-grade students in your school completed as of
February 1, 2009. (VB607892) [12]
First group:

,

hours of instruction as of February 1, 2009 [12]

(VB607893)

Second group:

,

hours of instruction as of February 1, 2009 [12]

(VB607894)

Third group:

,

hours of instruction as of February 1, 2009 [12]

(VB607895)

What is the current enrollment in your school? (VB337250) [4/8/12]
,

School Operational Grade 12
School Characteristics and Policies

5
11

6.

Approximately what percentage of twelfth-graders in your school…
(Please be sure your answers sum to 100%.) (VC181111) [12]
[Same at:]

a. is new this year?

%

[12]

(VC181112)

b. has been attending your school for 1–2
years?

%

[12]

(VC181113)

c. has been attending your school for 3 or
more years?

%

[12]

(VC181114)

TOTAL

7.

1

0

0

%

Of the students currently enrolled in your school, what percentage has been
identified as limited-English proficient? (VB337256) [4/8/12]
A 0%
B 1–5%
C 6–10%
D 11–25%
E 26–50%
F 51–75%
G 76–90%
H Over 90%

8.

Is your school a public charter school? (VC310911) [4/8/12]
(A charter school is a public school that, in accordance with an enabling state statute,
has been granted a charter exempting it from selected state or local rules and
regulations. A charter school may be a newly created school, or it may previously
have been a public or private school.)
A Yes
B No

School Operational Grade 12
School Characteristics and Policies

6
12

9.

What other type of school is this? Fill in one oval on each line. (VC311331) [4/8/12]
Yes

No

[Same at:]

a. Regular elementary school

A

B

[4]

b. A regular school with a magnet program

A

B

[4/8/12]

A

B

[4/8/12]

(VC311338)

A

B

[4/8/12]

(VC311343)

A

B

[4/8/12]

(VC311346)

A

B

[4/8/12]

(VC311350)

g. Private (independent)

A

B

[4/8/12]

(VC311351)

h. Private (religiously affiliated)

A

B

[4/8/12]

(VC311353)

i.

Privately run public school

A

B

[4/8/12]

(VC311354)

j.

Other

A

B

[4/8/12]

(VC311358)

c. A magnet school or a school with a special
program emphasis, e.g., science/math
school, performing arts school,
talented/gifted school, foreign language
immersion school, etc.
d. Special education: a school that primarily
serves students with disabilities
e. Vocational/technical: a school that
primarily serves students being trained for
occupations
f. Alternative: a school that offers a
curriculum designed to provide alternative
or nontraditional education, not clearly
categorized as regular or special education

(VC311335)
(VC311336)

10. About what percentage of your students is absent on an average day? (Include
excused and unexcused absences in calculating this rate.) (HE000917) [4/8/12]
A 0–2%
B 3–5%
C 6–10%
D More than 10%

School Operational Grade 12
School Characteristics and Policies

7
13

11. About what percentage of your teachers is absent on an average day? (Include all
absences in calculating this rate.) (LC000488) [4/8/12]
A 0–2%
B 3–5%
C 6–10%
D More than 10%

12. About what percentage of students who are enrolled at the beginning of the school
year is still enrolled at the end of the school year? (Exclude students who transfer
into the school during the school year in figuring this rate.) (HE000918) [4/8/12]
A 98–100%
B 95–97%
C 90–94%
D 80–89%
E 70–79%
F 60–69%
G 50–59%
H Less than 50%

School Operational Grade 12
School Characteristics and Policies

8
14

13. Of the full-time teachers who started in your school last year, what percentage left
before the end of the school year? (HE000920) [4/8/12]
A 0%
B 1–2%
C 3–5%
D 6–10%
E 11–15%
F 16–20%
G More than 20%
14. Does your school participate in the National School Lunch Program? (HE002094)
[4/8/12]
A Yes Æ Go to Question 15
B No Æ Skip to Question 18
15. How does the school operate the program? (VB556173) [4/8/12]
A Student eligibility is determined individually, and eligible students receive free
or reduced-price lunch. Æ Skip to Question 17
B All students in school receive free lunch under special provisions (e.g.,
Provision 2 or 3). Æ Go to Question 16

School Operational Grade 12
School Characteristics and Policies

9
15

16. If your school distributes free lunch to all students under Provision 2 or 3, what was
the base year during which individual student eligibility was collected? (NEW)
[4/8/12]
A This school does not distribute free lunch to all students under Provision 2 or
3—eligibility is determined annually.
B 2008
C 2007
D 2006
E 2005
F 2004
G 2003 or earlier
17. During this school year, about what percentage of students in your school was
eligible to receive a free or reduced-price lunch through the National School Lunch
Program? (VB608487) [4/8/12]
A 0%
B 1–5%
C 6–10%
D 11–25%
E 26–34%
F 35–50%
G 51–75%
H 76–99%
I 100%
18. Does your school receive Title I funding? (Title I is a federally funded program
which provides educational services, such as remedial reading or remedial math, to
children who live in areas with high concentrations of low-income families.)
(VB608488) [4/8/12]
A No
B Yes, our school receives funds, which are targeted to eligible students.
C Yes, our school receives funds, which are used for schoolwide purposes.
School Operational Grade 12
School Characteristics and Policies

10
16

19. Approximately what percentage of students in your school receives the following
services? Fill in one oval on each line. Students who receive more than one service
should be counted for each service they receive. Please report the percentage of
students who receive each of the following services as of the day you respond to this
questionnaire. (VB485284) [4/8/12]

a. Targeted
Title I
services
b. Gifted and
talented
program
c. Instruction
provided
in
student’s
home
language
(nonEnglish)
d. Englishas-asecondlanguage
(not in a
bilingual
education
program)
e. Special
education

None

1–5%

6–
10%

11–
25%

26–
50%

51–
75%

76–
90%

Over
90%

[Same
at:]

A

B

C

D

E

F

G

H

[4/8/12]

(VB610145)

A

B

C

D

E

F

G

H

[4/8/12]

(VB485286)

A

B

C

D

E

F

G

H

[4/8/12]

(VB485287)

A

B

C

D

E

F

G

H

[4/8/12]

(VB485288)

A

B

C

D

E

F

G

H

[4/8/12]

(VB485289)

School Operational Grade 12
School Characteristics and Policies

11
17

20. Of students in last year’s graduating class, approximately what percentage has gone
on to each of the following types of school? Fill in one oval on each line. (VB338407)

a. Two-year
colleges
b. Four-year
colleges or
universities
c. Vocational,
technical, or
business
schools

None

1–5%

6–
10%

11–
25%

26–
50%

51–
75%

76–
90%

Over
90%

A

B

C

D

E

F

G

H

(VB338408)

A

B

C

D

E

F

G

H

(VB338409)

A

B

C

D

E

F

G

H

(VB338410)

School Operational Grade 12
School Characteristics and Policies

12
18

Part II: English/Language Arts
1.

2.

During the last two years, to what extent have professional development activities
offered to teachers in your school focused on the following? Fill in one oval on each
line. (VB380370) [4/8/12]
Not
at all

Small
extent

Moderate
extent

Large
extent

[Same at:]

a. Use of language arts
across the curriculum

A

B

C

D

[4/8/12]

(VB380371)

b. Interpreting and analyzing
literature

A

B

C

D

[4/8/12]

(VB380372)

c. Understanding the process
of reading or writing

A

B

C

D

[4/8/12]

(VB380373)

d. Instructional strategies for
teaching language arts

A

B

C

D

[4/8/12]

(VB380374)

Is there an English/language arts specialist or coach available (full- or part-time) to
twelfth-graders at your school? (VC311875) [12]
A Yes, available full-time to my school Æ Go to Question 3
B Yes, available part-time to my school Æ Go to Question 3
C No Æ Skip to Question 4

School Operational Grade 12
Language Arts

13
19

3.

To what extent are any of the following a responsibility of the English/language arts
specialist or coach available to twelfth-graders at your school? Fill in one oval on
each line. (VC311887) [12]

a. Provide technical
assistance/support to
individual teachers about
English/language arts content
or the teaching of
English/language arts
b. Conduct professional
development for groups of
teachers about
English/language arts content
or the teaching of
English/language arts
c. Provide English/language arts
instruction to students on
various topics
d. Provide English/language arts
instruction to students at
various grade levels
e. Provide English/language arts
enrichment to some student
groups

School Operational Grade 12
Language Arts

Not
at all

Small
extent

Moderate
extent

Large
extent

[Same
at:]

A

B

C

D

[8/12]

(VC311888)

A

B

C

D

[8/12]

(VC311889)

A

B

C

D

[8/12]

(VC311890)

A

B

C

D

[8/12]

(VC311891)

A

B

C

D

[8/12]

(VC311892)

14
20

4. To what extent is your school’s English/language arts program structured
according to the following resources? Fill in one oval on each line. (VC191175)
[8/12]

a. State curriculum standards or
frameworks
b. District curriculum standards or
curriculum guides
c. Results from state/district
assessments
d. In-school curriculum frameworks
and standards for learning
e. Results from school assessments

Not
at all

Small
extent

Moderate
extent

Large
extent

[Same at:]

A

B

C

D

[4/8/12]

(NEW)

A

B

C

D

[4/8/12]

(NEW)

A

B

C

D

[4/8/12]

(NEW)

A

B

C

D

[4/8/12]

(NEW)

A

B

C

D

[4/8/12]

(NEW)

f. Recommendations from school
reading/language arts department
g. Discretion of individual teachers

A

B

C

D

[4/8/12]

(NEW)

A

B

C

D

[4/8/12]

(NEW)

h. Commercially designed programs

A

B

C

D

[4/8/12]

(NEW)

5. To what extent does your school’s twelfth-grade English/language arts curriculum
focus on preparation for the following types of assessments? Fill in one oval on
each line. (NEW) [12]
Not
at all

Small
extent

Moderate
extent

Large
extent

a. Federally mandated
assessments

A

B

C

D

[4/8/12]

(NEW)

b. State assessments

A

B

C

D

[4/8/12]

(NEW)

c. District assessments

A

B

C

D

[4/8/12]

(NEW)

d. School assessments

A

B

C

D

[4/8/12]

(NEW)

School Operational Grade 12
Language Arts

[Same
at:]

15
21

6.

Does your school have the following personnel to assist with English/language arts
class instruction for twelfth-grade students with disabilities (SD) and/or English
language learners (ELL)? Fill in one oval for SD and one oval for ELL on each line.
(NEW) [12]
SD

ELL

Yes

No

Yes

No

[Same at:]

A

B

A

B

[4/8/12]

(NEW)

b. Reading specialists or
coaches

A

B

A

B

[4/8/12]

(NEW)

c. Speech pathologists

A

B

A

B

[4/8/12]

(NEW)

d. Certified ELL/bilingual
education teachers

A

B

A

B

[4/8/12]

(NEW)

e. Other staff not trained in
SD or ELL

A

B

A

B

[4/8/12]

(NEW)

f. Parent volunteers

A

B

A

B

[4/8/12]

(NEW)

g. Paraprofessionals or
teacher aids who are
trained in SD or ELL

A

B

A

B

[4/8/12]

(NEW)

h. Paraprofessionals or
teacher aids who are not
trained in SD or ELL

A

B

A

B

[4/8/12]

(NEW)

a. Special Education teachers
(and related service
providers)

7. Does your school offer online English/language arts courses for credit?

(VC311868)

[12]

A Yes
B No

School Operational Grade 12
Language Arts

16
22

8. Are courses of at least one semester in length taught in your school in each of the
following subjects? Fill in one oval on each line. (VC311867) [12]
Yes

No

[Same at:]

a. Advanced Placement English Language
and Composition

A

B

[12]

(NEW)

b. Advanced English Language and
Composition (beyond an introductory
course)

A

B

[12]

(NEW)

c. Advanced Placement English Literature
and Composition

A

B

[12]

(NEW)

d. Advanced English Literature and
Composition (beyond an introductory
course)

A

B

[12]

(NEW)

School Operational Grade 12
Language Arts

17
23

Part III: Mathematics
1. Beginning with ninth grade, how many years (or Carnegie-unit equivalents) of course
work does your school or district require of each student in mathematics for
graduation this year? (VB543384) [12]
A None
B One-half year
C One year
D Two years
E Three years
F Four years
G More than four years

2. Does your school offer online mathematics courses for credit? (VB543425) [12]
A Yes
B No

School Operational Grade 12
Mathematics

18
24

3. Are courses of at least one semester in length taught in your school in each of the
following subjects? Fill in one oval on each line. (QK070745) [12]
Yes

No

[Same at:]

a. Pre-calculus, third-year algebra, or
elementary functions and analysis

A

B

[12]

(VB543396)

b. Trigonometry

A

B

[12]

(QK070750)

c. Advanced Placement Calculus AB

A

B

[12]

(VB543387)

d. Advanced Placement Calculus BC

A

B

[12]

(VB543389)

e. Calculus (other than those listed
above)

A

B

[12]

(VB543386)

f. Advanced Placement Statistics

A

B

[12]

(VB543390)

g. Probability and/or statistics (other
than those listed above)

A

B

[12]

(VB543397)

h. Advanced Placement Computer
Science

A

B

[12]

(VB543393)

A

B

[12]

(VB543392)

i.

Computer science (other than those
listed above)

4. Which of the following mathematics courses are required for high school graduation?
Fill in one oval on each line. (VC194471) [12]
Yes

No

[Same at:]

a. Algebra I

A

B

[12]

(VC194472)

b. Geometry

A

B

[12]

(VC194473)

c. Algebra II

A

B

[12]

(VC194474)

d. Statistics/Probability

A

B

[12]

(VC194475)

e. Other course

A

B

[12]

(VC194476)

School Operational Grade 12
Mathematics

19
25

5. Are twelfth-grade students typically assigned to mathematics classes by ability and/or
achievement levels (so that some instruction groups are higher in average
mathematics ability and/or achievement levels than others)? (NEW) [12]
A Yes
B No
6. Is there a mathematics specialist or coach available (full- or part-time) to twelfthgraders at your school? (VC311920) [12]
A Yes, available full-time to my school Æ Go to Question 7
B Yes, available part-time to my school Æ Go to Question 7
C No Æ Skip to Question 8

7. To what extent are any of the following a responsibility of the mathematics specialist
or coach available to twelfth-graders at your school? Fill in one oval on each line.
(VC311914) [12]
Not
at all

Small
extent

Moderate
extent

Large
extent

[Same at:]

a. Provide technical
assistance/support to individual
teachers about mathematics content
or the teaching of mathematics

A

B

C

D

[4/8/12]

(VC311915)

b. Conduct professional development
for groups of teachers about
mathematics content or the teaching
of mathematics

A

B

C

D

[4/8/12]

(VC311916)

c. Provide mathematics instruction to
students on various topics

A

B

C

D

[4/8/12]

(VC311917)

d. Provide mathematics instruction to
students at various grade levels

A

B

C

D

[4/8/12]

(VC311918)

A

B

C

D

[4/8/12]

(NEW)

A

B

C

D

[4/8/12]

(VC311919)

e. Provide mathematics
remediation/intervention to some
student groups
f. Provide mathematics enrichment to
some student groups

School Operational Grade 12
Mathematics

20
26

8. To what extent is your school’s mathematics program structured according to the
following resources? Fill in one oval on each line. (VC311202) [4/8/12]
Not
at all

Small
extent

Moderate
extent

Large
extent

[Same at:]

a. State curriculum standards or
frameworks

A

B

C

D

[4/8/12]

(NEW)

b. District curriculum standards or
curriculum guides

A

B

C

D

[4/8/12]

(NEW)

c. Results from state/district
assessments

A

B

C

D

[4/8/12]

(NEW)

d. In-school curriculum frameworks
and standards for learning

A

B

C

D

[4/8/12]

(NEW)

e. Results from school assessments

A

B

C

D

[4/8/12]

(NEW)

f. Recommendations from school
mathematics department

A

B

C

D

[4/8/12]

(NEW)

g. Discretion of individual teachers

A

B

C

D

[4/8/12]

(NEW)

h. Commercially designed programs

A

B

C

D

[4/8/12]

(NEW)

School Operational Grade 12
Mathematics

21
27

9. Approximately what percentage of your school's classrooms has the following
technological resources for twelfth-grade mathematics instruction? Fill in one oval on
each line. (VC311930) [12]

0%

1–
25%

26–
50%

51–
75%

76–
99%

100%

[Same at:]

a. Cable/satellite/closed-circuit
television

A

B

C

D

E

F

[4/8/12]

(VC311932)

b. Videodisc player/VCR/DVD
player

A

B

C

D

E

F

[4/8/12]

(VC311933)

c. Digital/video camera

A

B

C

D

E

F

[4/8/12]

(VC311934)

d. Videoconferencing equipment

A

B

C

D

E

F

[4/8/12]

(VC311935)

e. Scanner for images or text

A

B

C

D

E

F

[4/8/12]

(VC311936)

A

B

C

D

E

F

[4/8/12]

(VC311937)

g. Computer

A

B

C

D

E

F

[4/8/12]

(VC311938)

h. Internet

A

B

C

D

E

F

[4/8/12]

(VC311939)

i.

Computer printer

A

B

C

D

E

F

[4/8/12]

(VC311940)

j.

Hand-held devices (e.g.,
personal digital assistants such
as Palm Pilots or Pocket PCs)

A

B

C

D

E

F

[4/8/12]

(VC311941)

f. Projection device for projecting
images directly from a
computer

School Operational Grade 12
Mathematics

22
28

10. Approximately what percentage of students in this year’s graduating class has
enrolled in a distance education course for the following subjects?
(Distance education courses are defined for this survey as credit-granting courses in
which the teacher and student are in different locations. They can be delivered via
audio, video, or Internet or other computer technologies. They may originate from
your school or another entity.)
Fill in one oval on each line. (VC311359) [12]
None

1–
5%

6–
10%

11–
25%

26–
50%

51–
75%

76–
90%

Over
90%

[Same at:]

a. English/
language arts

A

B C

D

E

F

G

H

[12]

(VC311369)

b. Mathematics

A

B C

D

E

F

G

H

[12]

(VC311376)

c. Social studies

A

B C

D

E

F

G

H

[12]

(VC311371)

d. Science

A

B C

D

E

F

G

H

[12]

(VC311375)

e. Computer
science

A

B C

D

E

F

G

H

[12]

(VC311379)

f. Foreign
languages

A

B C

D

E

F

G

H

[12]

(VC311381)

A

B C

D

E

F

G

H

[12]

(VC311383)

A

B C

D

E

F

G

H

[12]

(VC311385)

g. Career and
technical/
vocational
h. Other
(specify):
__________

School Operational Grade 12
Mathematics

23
29

11.

Approximately what percentage of students in this year’s graduating class has
enrolled in an academic course for dual credit taught at the following locations?
(Dual credit is defined for this survey as a course or program where high school
students can earn both high school and postsecondary credits for the same courses.
Postsecondary institutions include public and private 2- or 4-year colleges or
universities, community colleges, and technical or vocational schools. The dual credit
options must either be legislated by your state or have an articulated or formal written
agreement between your school and a postsecondary institution. Do not include
Advanced Placement and International Baccalaureate courses).
Fill in one oval on each line. (VC311388) [12]

a. On your high
school campus
b. On a postsecondary
campus
c. Through
distance
learning
(Internet)
d. Other (specify)
____________

None

1–
5%

6–
10%

11–
25%

26–
50%

51–
75%

76–
90%

Over
90%

[Same at:]

A

B

C

D

E

F

G

H

[12]

(VC311394)

A

B

C

D

E

F

G

H

[12]

(VC311395)

A

B

C

D

E

F

G

H

[12]

(VC311396)

A

B

C

D

E

F

G

H

[12]

(VC311398)

School Operational Grade 12
Mathematics

24
30

12.

Approximately what percentage of students in this year’s graduating class has
enrolled in a career and technical/vocational course for dual credit taught at the
following locations?
(Dual credit is defined for this survey as a course or program where high school
students can earn both high school and postsecondary credits for the same courses.
Postsecondary institutions include public and private 2- or 4-year colleges or
universities, community colleges, and technical or vocational schools. The dual credit
options must either be legislated by your state or have an articulated or formal written
agreement between your school and a postsecondary institution. Do not include
Advanced Placement and International Baccalaureate courses).
Fill in one oval on each line. (VC311400) [12]

a. On your
high school
campus
b. On a postsecondary
campus
c. Through
distance
learning
(Internet)
d. Other
(specify)
__________

None

1–
5%

6–
10%

11–
25%

26–
50%

51–
75%

76–
90%

Over
90%

A

B C

D

E

F

G

H

[12]

(VC311401)

A

B C

D

E

F

G

H

[12]

(VC311402)

A

B C

D

E

F

G

H

[12]

(VC311404)

A

B C

D

E

F

G

H

[12]

(VC311410)

School Operational Grade 12
Mathematics

[Same
at:]

25
31

Part IV: Science
1. Beginning with ninth grade, how many years (or Carnegie-unit equivalents) of course work
in science does your school or district require for graduation? (VC304670) [12]
A None
B One-half year
C One year
D Two years
E Three years
F Four years
G More than four years

2. Does your school offer online science courses for credit? (VC304672) [12]
A Yes
B No

School Operational Grade 12
Science

26
32

3. Are courses of at least one semester in length taught in your school in each of the following
subjects? Fill in one oval on each line. (QK070745) [12]
Yes

No

[Same at:]

a. Advanced Placement Biology

A

B

[12]

(VC308200)

b. International Baccalaureate Biology

A

B

[12]

(VC312550)

c. Advanced biology (beyond an
introductory course)

A

B

[12]

(QK070746)

d. Advanced Placement Environmental
Science

A

B

[12]

(VC308202)

e. International Baccalaureate
Environmental Systems

A

B

[12]

(VC312552)

f. Advanced environmental science (beyond
an introductory course)

A

B

[12]

(VC308203)

g. Advanced Placement Chemistry

A

B

[12]

(VC308204)

h. International Baccalaureate Chemistry

A

B

[12]

(VC312554)

i. Advanced chemistry (beyond an
introductory course)

A

B

[12]

(QK00747)

j. Advanced Placement Physics B or C

A

B

[12]

(VC308206)

k. International Baccalaureate Physics

A

B

[12]

(VC312556)

l. Advanced physics (beyond an
introductory course)

A

B

[12]

(QK070748)

m. International Baccalaureate Design
Technology

A

B

[12]

(VC312557)

n. Advanced technology (beyond an
introductory course)

A

B

[12]

(VC312559)

4. Is there a science specialist or coach available (full- or part-time) to twelfth graders at your
school? (NEW) [12]
A Yes, available full-time to my school Æ Go to Question 5
B Yes, available part-time to my school Æ Go to Question 5
C No Æ Skip to Question 6

School Operational Grade 12
Science

27
33

5. To what extent are any of the following a responsibility of the science specialist or coach
available to twelfth graders at your school? Fill in one oval on each line. (NEW) [12]
Not
at all

Small
extent

Moderate
extent

Large
extent

[Same at:]

A

B

C

D

[4/8/12]

(NEW)

A

B

C

D

[4/8/12]

(NEW)

c. Provide science instruction to
students on various topics

A

B

C

D

[4/8/12]

(NEW)

d. Provide science instruction to
students at various grade levels

A

B

C

D

[4/8/12]

(NEW)

e. Provide science enrichment to
some student groups

A

B

C

D

[4/8/12]

(NEW)

a. Provide technical
assistance/support to individual
teachers about science content or
the teaching of science
b. Conduct professional development
for groups of teachers about
science content or the teaching of
science

6. To what extent is your school’s science program structured according to the following
resources? Fill in one oval on each line. (VC304219) [4/8/12]
Not
at all

Small
Extent

Moderate
Extent

Large
Extent

[Same at:]

a. State curriculum standards or
frameworks

A

B

C

D

[4/8/12]

(NEW)

b. District curriculum standards or
curriculum guides

A

B

C

D

[4/8/12]

(NEW)

c. Results from state/district
assessments

A

B

C

D

[4/8/12]

(NEW)

d. In school curriculum frameworks
and standards for learning

A

B

C

D

[4/8/12]

(NEW)

e. Results from school assessments

A

B

C

D

[4/8/12]

(NEW)

f. Recommendations from school
science department

A

B

C

D

[4/8/12]

(NEW)

g. Discretion of individual teachers

A

B

C

D

[4/8/12]

(NEW)

h. Commercially designed programs

A

B

C

D

[4/8/12]

(NEW)

School Operational Grade 12
Science

28
34

7. To what extent are any of the following available to twelfth-grade teachers who teach
science? Fill in one oval on each line. (NEW) [12]
Not
at all

Small
extent

Moderate
extent

Large
extent

[Same at:]

a. Science textbooks

A

B

C

D

[4/8/12]

(VC304710)

b. Science magazines and books

A

B

C

D

[4/8/12]

(VC304711)

c. Supplies or equipment for science
demonstrations

A

B

C

D

[4/8/12]

(VC304712)

d. Supplies or equipment for science
labs

A

B

C

D

[4/8/12]

(VC304713)

e. Student access to computers in class
for science instruction

A

B

C

D

[4/8/12]

(VC304715)

f. Student access to computer labs for
science instruction

A

B

C

D

[4/8/12]

(VC304716)

g. Teacher access to computers for
science instruction

A

B

C

D

[4/8/12]

(VC304717)

h.. Computerized science labs for
classroom use

A

B

C

D

[4/8/12]

(VC304718)

i.. Audiovisual materials for science
instruction

A

B

C

D

[4/8/12]

(NEW)

j. Science kits

A

B

C

D

[4/8/12]

(VC304720)

k. Scientific measurement instruments
(e.g., telescopes, microscopes,
thermometers, or weighing scales)

A

B

C

D

[4/8]

School Operational Grade 12
Science

(NEW)

29
35

8. Approximately what percentage of your school's classrooms has the following technological
resources for twelfth-grade science instruction? Fill in one oval on each line. (VC312508) [12]
0%

1–
25%

26–
50%

51–
75%

76–
99%

100%

[Same at:]

a. Desktop computer

A

B

C

D

E

F

[4/8/12]

(VC312509)

b. Laptop computer

A

B

C

D

E

F

[4/8/12]

(VC312511)

c. Tablet PC (notebook-like computer that
allows users to write or draw through the use
of a stylus or touch-screen)

A

B

C

D

E

F

[4/8/12]

(VC312512)

d. Digital projector (device that connects to a
computer to display presentations, or
demonstrate lessons, such as an LCD)

A

B

C

D

E

F

[4/8/12]

(VC312513)

e. CD-ROM

A

B

C

D

E

F

[4/8/12]

(VC312515)

f. Online software

A

B

C

D

E

F

[4/8/12]

(VC312517)

g. Digital music device (pocket-sized music
player used to listen to or create audio files,
such as an MP3 player)

A

B

C

D

E

F

[4/8/12]

(VC312526)

h. Cable/satellite/closed-circuit television

A

B

C

D

E

F

[4/8/12]

(VC312523)

i. DVD player and DVDs

A

B

C

D

E

F

[4/8/12]

(VC312528)

j. Digital camera

A

B

C

D

E

F

[4/8/12]

(VC312530)

k. Graphing calculator

A

B

C

D

E

F

[4/8/12]

(VC312533)

l. Handheld device (pocket-sized computing
device, such as personal digital assistant or
smartphone)

A

B

C

D

E

F

[4/8/12]

(VC312535)

m. Data collection sensors/probes (tool that
connects to a handheld device or graphing
calculator and detects motion, pH,
temperature, light)

A

B

C

D

E

F

[4/8/12]

(VC312536)

n. Online course management system (webbased software used to organize information,
assignments, grades, and discussions)

A

B

C

D

E

F

[4/8/12]

(VC312538)

o. Digital whiteboard (computerized display
panels that can respond to fingertip
command and creates a shared interactive
space, akin to traditional chalkboards)

A

B

C

D

E

F

[4/8/12]

(VC312539)

School Operational Grade 12
Science

30
36

Part V: Supplemental Charter School Questions
This section should be completed by the principal or the head of the school. If your
school is a charter school please continue. If your school is not a charter school, you have
finished the survey. Thank you for your time.
1.

Is your school a public charter school? (VC311248) [4/8/12]
(A charter school is a public school that, in accordance with an enabling state statute,
has been granted a charter exempting it from selected state or local rules and
regulations. A charter school may be a newly created school, or it may previously
have been a public or private school.)
A YesÆ Go to Question 2
B NoÆ You have finished the survey. Thank you for your time.

2.

In which year did your school start providing instruction as a charter school?
(VC104697) [4/8/12]

3.

How many times has your charter been renewed? (Enter 0 if you have not had to
renew your charter yet.) (VC311249) [4/8/12]
Times

4.

If “0 Times” skip to Question 6.

In which year was your charter most recently renewed? (VC104700) [4/8/12]

School Operational Grade 12
Charter School

31

37

5.

For how many years was your charter renewed? (VC104701) [4/8/12]
A 1 to 3 years
B 4 to 5 years
C 6 to 10 years
D 11 or more years

6.

Who granted your school’s original charter? (VC104703) [4/8/12]
A School district
B State Board of Education (includes State Board of Regents and District of
Columbia Board of Education)
C Postsecondary institution
D State charter-granting agency
E City or state public charter school board
F Other

7.

Is your charter school a newly created school or was it converted from a preexisting school? (VC104705) [4/8/12]
A Newly created school Æ Skip to Question 9
B Converted from a pre-existing school Æ Go to Question 8

8.

Was the pre-existing school a public school or a private school? (VC104756) [4/8/12]
A Public school
B Private school

School Operational Grade 12
Charter School

32

38

9.

Which one of the following best describes your charter school’s primary focus in
terms of program content? (VC104758) [4/8/12]
A We have a comprehensive curriculum with no specialized area of focus.
B We have a special curricular focus, for example, the arts, math/science, foreign
language immersion.
C Our curriculum is based on a particular educational theory, for example,
Montessori, open school, Core Knowledge.
D Our curriculum is based on a particular moral philosophy or set of values, for
example, African-centered education, character-based education, Eastern
philosophy.

10. Among twelfth-grade students who are new to your charter school this year,
approximately what percentage performs at or above average on your state
assessment? (VC104970) [4]
Percent

11. Does your school participate in the National School Lunch Program? (HE002094)
[4/8/12]
A Yes Æ Skip to Question 13
B No Æ Go to Question 12
12. Why does your school not participate in the National School Lunch Program?
(VC104793) [4/8/12]
A My school has eligible students but chooses not to participate in the program.
B My school does not have students who qualify for free or reduced-price lunches.
C My school does not have a cafeteria or does not serve lunch.
D Other

School Operational Grade 12
Charter School

33

39

13. What is the legal status of your school? (VC104799) [4/8/12]
A Officially part of the school district or local education agency (LEA)
B Independent from the school district or local education agency (LEA)
C A separate local education agency (LEA) as stipulated by state law
14. Who has primary control or authority over the following aspects of your school?
Fill in one oval on each line. (VC104818) [4/8/12]

Your
school

Management
company

District/
chartergranting
agency

A

B

C

D

E

[4/8/12]

(VC104825)

A

B

C

D

E

[4/8/12]

(VC104832)

A

B

C

D

E

[4/8/12]

(VC104838)

A

B

C

D

E

[4/8/12]

(VC104842)

A

B

C

D

E

[4/8/12]

(VC104844)

A

B

C

D

E

[4/8/12]

(VC104846)

a. Total budget
b. Purchase of
supplies and
equipment
c. School calendar
d. Student discipline
policies (e.g.,
suspension/expulsion)
e. Curriculum
f. Personnel,
including hiring
of teaching staff

School Operational Grade 12
Charter School

Governing
board/
board of
trustees

Other

[Same at:]

34

40

15. In which of the following areas is your school monitored/audited by the state or your
school’s charter-granting agency? Fill in one oval on each line. (VC319857) [4/8/12]

Yes, by
state

Yes, by
chartergranting
agency

Not
monitored

[Same at:]

a. Curriculum topics taught

A

B

C

[4/8/12]

(VC319867)

b. Teaching methods used

A

B

C

[4/8/12]

(VC319869)

c. Student achievement

A

B

C

[4/8/12]

(VC319870)

d. Student behavior

A

B

C

[4/8/12]

(VC319871)

e. Student attendance

A

B

C

[4/8/12]

(VC319873)

f. School governance

A

B

C

[4/8/12]

(VC319874)

g. School finances

A

B

C

[4/8/12]

(VC319875)

h. Compliance with state or
federal regulations

A

B

C

[4/8/12]

i.

A

B

C

[4/8/12]

Special education services

(VC319876)

(VC319878)

16. Are you required to report directly to any of the following groups on your school’s
progress? Fill in one oval on each line. (VC104905) [4/8/12]
Yes

No

[Same at:]

a. Chartering agency

A

B

[4/8/12]

(VC104943)

b. Parents

A

B

[4/8/12]

(VC104944)

c. Community/general public

A

B

[4/8/12]

(VC104945)

d. School governing board

A

B

[4/8/12]

(VC104946)

e. Private funders or donors

A

B

[4/8/12]

(VC104947)

f. State Board of Education

A

B

[4/8/12]

(VC104948)

g. State department of education (if this is not
the chartering agency)

A

B

[4/8/12]

(VC104949)

h. Legislature

A

B

[4/8/12]

(VC104950)

School Operational Grade 12
Charter School

35

41

17. Have you asked parents why they chose to send their children to your school this
year? (VC345938) [4/8/12]
A No Æ You have finished the survey. Thank you for your time.
B Yes, we have asked some parents about this. → Go to Question 18.
C Yes, we have asked all or most of the parents. → Go to Question 18.

18. Of the parents you asked, about how many indicated that they chose to send their
children to your school for the following reasons? Fill in one oval on each line.
(VC316408) [4/8/12]

None

Less
than
half

About
half

About
threequarters

All or
almost
all

Did
not
ask

[Same at:]

A

B

C

D

E

F

[4/8/12]

(VC316413)

A

B

C

D

E

F

[4/8/12]

(VC316414)

A

B

C

D

E

F

[4/8/12]

(VC316416)

A

B

C

D

E

F

[4/8/12]

(VC316418)

A

B

C

D

E

F

[4/8/12]

(VC316424)

f. They wanted
smaller class sizes.

A

B

C

D

E

F

[4/8/12]

(VC316428)

g. Other reason

A

B

C

D

E

F

[4/8/12]

(VC316431)

a. Their child was
performing poorly
in another school.
b. They wanted a
more rigorous
curriculum for
their child.
c. They wanted the
particular
curricular focus
this school has.
d. They wanted a
safer environment
for their child.
e. They were seeking
greater parental
involvement in
their child’s
education.

School Operational Grade 12
Charter School

36

42

THE NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS

Wave 3 Submittal for 2009
VOLUME II
Part 3c
BACKGROUND QUESTIONS
FOR 2009 ASSESSMENT

Pilot School Grade 12

Part 3c. contains:
Pilot School Grade 12:
School Characteristics & Policies
Reading & Mathematics
Social Studies
Charter School
The amount of time estimated to complete this form is 30 minutes.

July 18, 2008

1

43

SCHOOL QUESTIONNAIRES
OMB Information on School Questionnaire
Cover Page
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
numbers for this information collection are 1850-0790. The time
required to complete this information collection is estimated to
average 30 minutes per booklet, 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(s) or suggestions
for improving this form, please write to: U.S. Department of Education,
Washington, D.C. 20202-4651. 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.
This report is authorized by law (P.L.107-110, 20 U.S.C. §9010). While
your participation is voluntary, your cooperation is needed to make the
results of the survey comprehensive, accurate, and timely. All
responses that relate to or describe identifiable characteristics of
teachers or schools 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.
OMB OMB No. 1850-0790 Approval Expires 05/31/2010
Mark Reflex® forms by Pearson NCS EM-166###-001-1:654321
Printed in U.S.A.

School Pilot Grade 12

2
44

School Questionnaire
Grade 12
This questionnaire should be completed by the principal or the head of the school.

School Pilot Grade 12
School Characteristics and Policies

3
45

School Questionnaire
Grade 12
Part I: School Characteristics and Policies
1.

What grades are taught in your school? Fill in all ovals that apply. (VB337248) [4/8/12]
A Pre-kindergarten
B Kindergarten
C 1st grade
D 2nd grade
E 3rd grade
F 4th grade
G 5th grade
H 6th grade
I 7th grade
J 8th grade
K 9th grade
L 10th grade
M 11th grade
N 12th grade

School Pilot Grade 12
School Characteristics and Policies

4
46

2.

Do all students in your school follow the same calendar? (VB556165) [4/8/12]
A Yes Æ Go to Question 3
B No Æ Skip to Question 4

3.

Please indicate the number of hours of instruction that twelfth-grade students in your school
completed as of February 1, 2009. Fill in the blocks below and then skip to Question 5.
(VC346266) [12]
,

4.

5.

hours of instruction as of February 1, 2009

For each group of students following a separate calendar, please indicate the number of
hours of instruction that twelfth-grade students in your school completed as of February 1,
2009. (VB607892) [12]
First group:

,

hours of instruction as of February 1, 2009 [12]

(VB607893)

Second group:

,

hours of instruction as of February 1, 2009 [12]

(VB607894)

Third group:

,

hours of instruction as of February 1, 2009 [12]

(VB607895)

What is the current enrollment in your school? (VB337250) [4/8/12]
,

School Pilot Grade 12
School Characteristics and Policies

5
47

6.

Approximately what percentage of twelfth-graders in your school…
(Please be sure your answers sum to 100%.) (VC181111) [12]
[Same at:]

a. is new this year?

%

[12]

(VC181112)

b. has been attending your school for 1–2
years?

%

[12]

(VC181113)

c. has been attending your school for 3 or
more years?

%

[12]

(VC181114)

TOTAL

7.

1

0

0

%

Of the students currently enrolled in your school, what percentage has been identified as
limited-English proficient? (VB337256) [4/8/12]
A 0%
B 1–5%
C 6–10%
D 11–25%
E 26–50%
F 51–75%
G 76–90%
H Over 90%

8.

Is your school a public charter school? (VC310911) [4/8/12]
(A charter school is a public school that, in accordance with an enabling state statute, has
been granted a charter exempting it from selected state or local rules and regulations. A
charter school may be a newly created school, or it may previously have been a public or
private school.)
A Yes
B No

School Pilot Grade 12
School Characteristics and Policies

6
48

9.

What other type of school is this? Fill in one oval on each line. (VC311331) [4/8/12]
Yes

No

[Same at:]

a. Regular elementary school

A

B

[4]

b. A regular school with a magnet program

A

B

[4/8/12]

A

B

[4/8/12]

(VC311338)

A

B

[4/8/12]

(VC311343)

A

B

[4/8/12]

(VC311346)

A

B

[4/8/12]

(VC311350)

g. Private (independent)

A

B

[4/8/12]

(VC311351)

h. Private (religiously affiliated)

A

B

[4/8/12]

(VC311353)

i.

Privately run public school

A

B

[4/8/12]

(VC311354)

j.

Other

A

B

[4/8/12]

(VC311358)

c. A magnet school or a school with a special
program emphasis, e.g., science/math
school, performing arts school,
talented/gifted school, foreign language
immersion school, etc.
d. Special education: a school that primarily
serves students with disabilities
e. Vocational/technical: a school that
primarily serves students being trained for
occupations
f. Alternative: a school that offers a
curriculum designed to provide alternative
or nontraditional education, not clearly
categorized as regular or special education

(VC311335)
(VC311336)

10. About what percentage of your students is absent on an average day? (Include excused and
unexcused absences in calculating this rate.) (HE000917) [4/8/12]
A 0–2%
B 3–5%
C 6–10%
D More than 10%

School Pilot Grade 12
School Characteristics and Policies

7
49

11. About what percentage of your teachers is absent on an average day? (Include all absences
in calculating this rate.) (LC000488) [4/8/12]
A 0–2%
B 3–5%
C 6–10%
D More than 10%

12. About what percentage of students who are enrolled at the beginning of the school year is
still enrolled at the end of the school year? (Exclude students who transfer into the school
during the school year in figuring this rate.) (HE000918) [4/8/12]
A 98–100%
B 95–97%
C 90–94%
D 80–89%
E 70–79%
F 60–69%
G 50–59%
H Less than 50%

School Pilot Grade 12
School Characteristics and Policies

8
50

13. Of the full-time teachers who started in your school last year, what percentage left before
the end of the school year? (HE000920) [4/8/12]
A 0%
B 1–2%
C 3–5%
D 6–10%
E 11–15%
F 16–20%
G More than 20%
14. Does your school participate in the National School Lunch Program? (HE002094) [4/8/12]
A Yes Æ Go to Question 15
B No Æ Skip to Question 18
15. How does the school operate the program? (VB556173) [4/8/12]
A Student eligibility is determined individually, and eligible students receive free or
reduced-price lunch. Æ Skip to Question 17
B All students in school receive free lunch under special provisions (e.g., Provision 2 or
3). Æ Go to Question 16
16. If your school distributes free lunch to all students under Provision 2 or 3, what was the base
year during which individual student eligibility was collected? (NEW) [4/8/12]
A This school does not distribute free lunch to all students under Provision 2 or 3—
eligibility is determined annually.
B 2008
C 2007
D 2006
E 2005
F 2004
G 2003 or earlier

School Pilot Grade 12
School Characteristics and Policies

9
51

17. During this school year, about what percentage of students in your school was eligible to
receive a free or reduced-price lunch through the National School Lunch Program? (VB608487)
[4/8/12]
A 0%
B 1–5%
C 6–10%
D 11–25%
E 26–34%
F 35–50%
G 51–75%
H 76–99%
I 100%
18. Does your school receive Title I funding? (Title I is a federally funded program which
provides educational services, such as remedial reading or remedial math, to children who
live in areas with high concentrations of low-income families.) (VB608488) [4/8/12]
A No
B Yes, our school receives funds, which are targeted to eligible students.
C Yes, our school receives funds, which are used for schoolwide purposes.

School Pilot Grade 12
School Characteristics and Policies

10
52

19. Approximately what percentage of students in your school receives the following services?
Fill in one oval on each line. Students who receive more than one service should be counted
for each service they receive. Please report the percentage of students who receive each of
the following services as of the day you respond to this questionnaire. (VB485284) [4/8/12]

a. Targeted
Title I
services
b. Gifted and
talented
program
c. Instruction
provided
in
student’s
home
language
(nonEnglish)
d. Englishas-asecondlanguage
(not in a
bilingual
education
program)
e. Special
education

None

1–5%

6–10%

11–25%

26–50%

51–75%

76–90%

Over
90%

[Same at:]

A

B

C

D

E

F

G

H

[4/8/12]

(VB610145)

A

B

C

D

E

F

G

H

[4/8/12]

(VB485286)

A

B

C

D

E

F

G

H

[4/8/12]

(VB485287)

A

B

C

D

E

F

G

H

[4/8/12]

(VB485288)

A

B

C

D

E

F

G

H

[4/8/12]

(VB485289)

School Pilot Grade 12
School Characteristics and Policies

11
53

20. Of students in last year’s graduating class, approximately what percentage has gone on to
each of the following types of school? Fill in one oval on each line. (VB338407)

a. Two-year
colleges
b. Four-year
colleges or
universities
c. Vocational,
technical, or
business schools

None

1–5%

6–10%

11–
25%

26–
50%

51–
75%

76–
90%

Over
90%

A

B

C

D

E

F

G

H

(VB338408)

A

B

C

D

E

F

G

H

(VB338409)

A

B

C

D

E

F

G

H

(VB338410)

School Pilot Grade 12
School Characteristics and Policies

12
54

(Embedded Pilot Items: Form A)
Part V: English/Language Arts and Mathematics
The items in this section (Part V) are intended for the pilot testing of a new format. Although
some items in this section may have appeared in an earlier section, please answer all the items in
this section.
1. Is there a specialist in the following subjects available for twelfth-graders at your school? For
each line, fill in either “Yes” or “No” for each of the subjects. (NEW) [12]
Mathematics

English/
Language Arts
Yes

No

[Same at:]

a. Full-time specialist

A

B

[4/8/12]

b. Part-time specialist

A

B

[4/8/12]

School Pilot Grade 12
Pilot Language Arts and Mathematics

Yes

No

[Same at:]

(NEW)

A

B

[4/8/12]

(NEW)

(NEW)

A

B

[4/8/12]

(NEW)

13

55

2.

Does your school offer any of the following activities for twelfth-grade students who fall
behind or need extra help in the following subjects? For each line, fill in either “Yes” or
“No” for each of the subjects. (NEW) [12]
English/
Language Arts

Mathematics

Yes

No

[Same at:]

Yes

No

[Same at:]

a. Teacher tutoring

A

B

[4/8/12]

(NEW)

A

B

[4/8/12]

(NEW)

b. Peer tutoring

A

B

[4/8/12]

(NEW)

A

B

[4/8/12]

(NEW)

c. Volunteer tutoring

A

B

[4/8/12]

(NEW)

A

B

[4/8/12]

(NEW)

A

B

[4/8/12]

(VC311901)

A

B

[4/8/12]

(VC311923)

e. Use of instructional aides for
pull-out instruction

A

B

[4/8/12]

(VC311902)

A

B

[4/8/12]

(VC311924)

f. Enrichment courses

A

B

[4/8/12]

(VC311903)

A

B

[4/8/12]

(VC311925)

g. Extra subject period

A

B

[4/8/12]

(VC311904)

A

B

[4/8/12]

(VC311926)

h. Extra work or homework

A

B

[4/8/12]

(VC311905)

A

B

[4/8/12]

(VC311927)

A

B

[4/8/12]

(NEW)

A

B

[4/8/12]

(NEW)

j. Saturday classes

A

B

[4/8/12]

(NEW)

A

B

[4/8/12]

(NEW)

k. Summer school program

A

B

[4/8/12]

(NEW)

A

B

[4/8/12]

(NEW)

l. Tutoring on English for
English language learners

A

B

[4/8/12]

(NEW)

A

B

[4/8/12]

(NEW)

m. Other

A

B

[4/8/12]

(VC311907)

A

B

[4/8/12]

(VC311929)

d. Placement of instructional
aides in classrooms to
provide assistance

i.

Before- or after-school
programs

School Pilot Grade 12
Pilot Language Arts and Mathematics

14

56

3. Does your school offer any of the following English courses for twelfth-grade students? (NEW)
[12]
Yes

No

[Same at:]

A

B

[12]

(NEW)

A

B

[12]

(NEW)

A

B

[12]

(NEW)

A

B

[12]

(NEW)

e. Online English courses for credit

A

B

[12]

(NEW)

f. International Baccalaureate English
courses

A

B

[12]

(NEW)

a. Advanced Placement English Language
and Composition
b. Advanced English Language and
Composition (beyond an introductory
course)
c. Advanced Placement English Literature
and Composition
d. Advanced English Literature and
Composition (beyond an introductory
course)

School Pilot Grade 12
Pilot Language Arts and Mathematics

15

57

(Embedded Pilot Items Form B)
Part V: U.S. History, Civics, and Geography
1. At what grade do students in your school typically receive instruction with a primary focus
on the following subjects? Fill in all ovals that apply. (VB337329) [4/8/12]
9th
grade

10th
grade

11th
grade

12th
grade

This course is not
offered in my
school.

[Same at:]

a. State History

A

B

C

D

E

[12]

(NEW)

b. U.S. History

A

B

C

D

E

(VB338392)

c. European History

A

B

C

D

E

[12]
[12]

d. World History

A

B

C

D

E

[12]

(new)

e. Civics/Government

A

B

C

D

E

[12]

(VB608491)

f. Comparative
Government

A

B

C

D

E

[12]

(new)

g. Geography

A

B

C

D

E

[12]

(new)

h. Economics

A

B

C

D

E

[12]

(new)

School Pilot Grade 12
Pilot Social Studies

(new)

16

58

2.

To what extent have you emphasized each of the following topics in your twelfth-grade
U.S. history curriculum? Fill in one oval on each line. (NEW) [12]

Not at all

Small
extent

Moderate
extent

Large
extent

This
topic is
not
offered
in my
school.

a. Change and continuity in
American democracy

A

B

C

D

E

[8/12]

(NEW)

b. Gatherings and
interactions of people
from various cultures

A

B

C

D

E

[8/12]

(NEW)

c. Technological changes

A

B

C

D

E

[8/12]

(NEW)

d. Economic changes

A

B

C

D

E

[8/12]

(NEW)

e. Changing role of
America in the world

A

B

C

D

E

[8/12]

(NEW)

[Same at:]

3.To what extent have you emphasized each of the following topics in your twelfth-grade civics
or government curriculum? Fill in one oval on each line. (NEW) [12]

Not at all

Small
extent

Moderate
extent

Large
extent

This
topic is
not
offered
in my
school.

a. Politics and
government

A

B

C

D

E

[8/12]

(NEW)

b. Foundations of the
American political
system

A

B

C

D

E

[8/12]

(NEW)

c. The Constitution

A

B

C

D

E

[8/12]

(NEW)

d. World affairs

A

B

C

D

E

[8/12]

(NEW)

e. Roles of citizens in
American democracy

A

B

C

D

E

[8/12]

(NEW)

School Pilot Grade 12
Pilot Social Studies

[Same at:]

17

59

4. To what extent have you emphasized each of the following topics in your twelfth-grade
geography curriculum? Fill in one oval on each line. (NEW) [12]

Not at all

Small
extent

Moderate
extent

Large
extent

This
topic is
not
offered
in my
school.

[Same at:]

a.

Space and place

A

B

C

D

E

[8/12]

(NEW)

b.

Environment and
society

A

B

C

D

E

[8/12]

(NEW)

c. Spatial dynamics and
connections

A

B

C

D

E

[8/12]

(NEW)

5. Is there a social studies specialist (e.g., for U.S. history, civics, or geography) available for
twelfth-graders at your school? Fill in one oval on each line. (NEW) [12]
Yes

No

[Same at:]

a. Full-time specialist

A

B

[4/8/12]

(NEW)

b.

A

B

[4/8/12]

(NEW)

Part-time specialist

School Pilot Grade 12
Pilot Social Studies

18

60

6.

Does your school offer any of the following activities for twelfth-grade students who fall
behind or need extra help in social studies (e.g., U.S. history, civics, or geography)? Fill in
one oval on each line. (NEW) [12]
Yes

No

[Same at:]

a. Tutoring

A

B

[4/8/12]

(NEW)

b. Peer tutoring

A

B

[4/8/12]

(NEW)

c. Volunteer tutoring

A

B

[4/8/12]

(NEW)

d. Placement of instructional aides in
classrooms to provide assistance

A

B

[4/8/12]

(NEW)

e. Use of instructional aides for pullout instruction

A

B

[4/8/12]

(NEW)

f. Enrichment courses

A

B

[4/8/12]

(NEW)

g. Extra subject period

A

B

[4/8/12]

(NEW)

h. Extra work or homework

A

B

[4/8/12]

(NEW)

i.

A

B

[4/8/12]

(NEW)

j. Saturday classes

A

B

[4/8/12]

(NEW)

k. Summer school program

A

B

[4/8/12]

(NEW)

l. Tutoring on English for English
language learners

A

B

[4/8/12]

(NEW)

m. Other

A

B

[4/8/12]

(NEW)

Before- or after-school programs

School Pilot Grade 12
Pilot Social Studies

19

61

7.

To what extent is your school’s social studies program for twelfth-graders (e.g., U.S. history,
civics, or geography) structured according to the following resources? Fill in one oval on each
line. (NEW) [12]
Not at
all

Small
extent

Moderate
extent

Large
extent

[Same at:]

a. State curriculum standards or
frameworks

A

B

C

D

[4/8/12]

(NEW)

b. District curriculum standards or
curriculum guides

A

B

C

D

[4/8/12]

(NEW)

c. Results from state/district
assessments

A

B

C

D

[4/8/12]

(NEW)

d. In-school curriculum
frameworks and standards for
learning

A

B

C

D

[4/8/12]

(NEW)

e. Results from school assessments

A

B

C

D

[4/8/12]

(NEW)

f. Recommendations from school
social studies department

A

B

C

D

[4/8/12]

(NEW)

g. Discretion of individual teachers

A

B

C

D

[4/8/12]

(NEW)

h. Commercially designed
programs

A

B

C

D

[4/8/12]

(NEW)

School Pilot Grade 12
Pilot Social Studies

20

62

8. Does your school offer any of the following courses for twelfth-grade students? (NEW) [12]
Yes

No

[Same at:]

a. Advanced Placement United States History

A

B

[12]

(NEW)

b. Advanced Placement European History

A

B

[12]

(NEW)

c. Advanced Placement World History

A

B

[12]

(NEW)

d. Advanced Placement United States Government
and Politics

A

B

[12]

(NEW)

e. Advanced Placement Comparative Government
and Politics

A

B

[12]

(NEW)

f. Advanced Placement Human Geography

A

B

[12]

(NEW)

g. Advanced Placement Macroeconomics

A

B

[12]

(NEW)

h. Advanced Placement Microeconomics

A

B

[12]

(NEW)

i.

Online U.S. History courses for credit

A

B

[12]

(NEW)

j.

Online Civics/Government courses for credit

A

B

[12]

(NEW)

k. Online Geography courses for credit

A

B

[12]

(NEW)

l.

A

B

[12]

(NEW)

A

B

[12]

(NEW)

International Baccalaureate U.S. History courses

m. International Baccalaureate Geography courses

School Pilot Grade 12
Pilot Social Studies

21

63

Part VI: Supplemental Charter School Questions
This section should be completed by the principal or the head of the school. If your
school is a charter school please continue. If your school is not a charter school, you have
finished the survey. Thank you for your time.
1.

Is your school a public charter school? (VC311248) [4/8/12]
(A charter school is a public school that, in accordance with an enabling state statute,
has been granted a charter exempting it from selected state or local rules and
regulations. A charter school may be a newly created school, or it may previously
have been a public or private school.)
A YesÆ Go to Question 2
B NoÆ You have finished the survey. Thank you for your time.

2.

In which year did your school start providing instruction as a charter school?
(VC104697) [4/8/12]

3.

How many times has your charter been renewed? (Enter 0 if you have not had to
renew your charter yet.) (VC311249) [4/8/12]
Times

4.

If “0 Times” skip to Question 6.

In which year was your charter most recently renewed? (VC104700) [4/8/12]

School Pilot Grade 12
Charter School

22

64

5.

For how many years was your charter renewed? (VC104701) [4/8/12]
A 1 to 3 years
B 4 to 5 years
C 6 to 10 years
D 11 or more years

6.

Who granted your school’s original charter? (VC104703) [4/8/12]
A School district
B State Board of Education (includes State Board of Regents and District of
Columbia Board of Education)
C Postsecondary institution
D State charter-granting agency
E City or state public charter school board
F Other

7.

Is your charter school a newly created school or was it converted from a preexisting school? (VC104705) [4/8/12]
A Newly created school Æ Skip to Question 9
B Converted from a pre-existing school Æ Go to Question 8

8.

Was the pre-existing school a public school or a private school? (VC104756) [4/8/12]
A Public school
B Private school

School Pilot Grade 12
Charter School

23

65

9.

Which one of the following best describes your charter school’s primary focus in
terms of program content? (VC104758) [4/8/12]
A We have a comprehensive curriculum with no specialized area of focus.
B We have a special curricular focus, for example, the arts, math/science, foreign
language immersion.
C Our curriculum is based on a particular educational theory, for example,
Montessori, open school, Core Knowledge.
D Our curriculum is based on a particular moral philosophy or set of values, for
example, African-centered education, character-based education, Eastern
philosophy.

10. Among twelfth-grade students who are new to your charter school this year,
approximately what percentage performs at or above average on your state
assessment? (VC104970) [4]
Percent

11. Does your school participate in the National School Lunch Program? (HE002094)
[4/8/12]
A Yes Æ Skip to Question 13
B No Æ Go to Question 12
12. Why does your school not participate in the National School Lunch Program?
(VC104793) [4/8/12]
A My school has eligible students but chooses not to participate in the program.
B My school does not have students who qualify for free or reduced-price lunches.
C My school does not have a cafeteria or does not serve lunch.
D Other

School Pilot Grade 12
Charter School

24

66

13. What is the legal status of your school? (VC104799) [4/8/12]
A Officially part of the school district or local education agency (LEA)
B Independent from the school district or local education agency (LEA)
C A separate local education agency (LEA) as stipulated by state law
14. Who has primary control or authority over the following aspects of your school?
Fill in one oval on each line. (VC104818) [4/8/12]

a. Total budget
b. Purchase of
supplies and
equipment
c. School calendar
d. Student discipline
policies (e.g.,
suspension/expulsion)
e. Curriculum
f. Personnel,
including hiring
of teaching staff

School Pilot Grade 12
Charter School

Your
school

Management
company

District/
chartergranting
agency

Governing
board/
board of
trustees

Other

[Same at:]

A

B

C

D

E

[4/8/12]

(VC104825)

A

B

C

D

E

[4/8/12]

(VC104832)

A

B

C

D

E

[4/8/12]

(VC104838)

A

B

C

D

E

[4/8/12]

(VC104842)

A

B

C

D

E

[4/8/12]

(VC104844)

A

B

C

D

E

[4/8/12]

(VC104846)

25

67

15. In which of the following areas is your school monitored/audited by the state or your
school’s charter-granting agency? Fill in one oval on each line. (VC319857) [4/8/12]

Yes, by
state

Yes, by
chartergranting
agency

Not
monitored

[Same at:]

a. Curriculum topics taught

A

B

C

[4/8/12]

(VC319867)

b. Teaching methods used

A

B

C

[4/8/12]

(VC319869)

c. Student achievement

A

B

C

[4/8/12]

(VC319870)

d. Student behavior

A

B

C

[4/8/12]

(VC319871)

e. Student attendance

A

B

C

[4/8/12]

(VC319873)

f. School governance

A

B

C

[4/8/12]

(VC319874)

g. School finances

A

B

C

[4/8/12]

(VC319875)

h. Compliance with state or
federal regulations

A

B

C

[4/8/12]

i.

A

B

C

[4/8/12]

Special education services

(VC319876)

(VC319878)

16. Are you required to report directly to any of the following groups on your school’s
progress? Fill in one oval on each line. (VC104905) [4/8/12]
Yes

No

[Same at:]

a. Chartering agency

A

B

[4/8/12]

(VC104943)

b. Parents

A

B

[4/8/12]

(VC104944)

c. Community/general public

A

B

[4/8/12]

(VC104945)

d. School governing board

A

B

[4/8/12]

(VC104946)

e. Private funders or donors

A

B

[4/8/12]

(VC104947)

f. State Board of Education

A

B

[4/8/12]

(VC104948)

g. State department of education (if this is not
the chartering agency)

A

B

[4/8/12]

(VC104949)

h. Legislature

A

B

[4/8/12]

(VC104950)

School Pilot Grade 12
Charter School

26

68

17. Have you asked parents why they chose to send their children to your school this
year? (VC345938) [4/8/12]
A No Æ You have finished the survey. Thank you for your time.
B Yes, we have asked some parents about this. → Go to Question 18.
C Yes, we have asked all or most of the parents. → Go to Question 18.

18. Of the parents you asked, about how many indicated that they chose to send their
children to your school for the following reasons? Fill in one oval on each line.
(VC316408) [4/8/12]

None

Less
than
half

About
half

About
threequarters

All or
almost
all

Did
not
ask

[Same at:]

A

B

C

D

E

F

[4/8/12]

(VC316413)

A

B

C

D

E

F

[4/8/12]

(VC316414)

A

B

C

D

E

F

[4/8/12]

(VC316416)

A

B

C

D

E

F

[4/8/12]

(VC316418)

A

B

C

D

E

F

[4/8/12]

(VC316424)

f. They wanted
smaller class sizes.

A

B

C

D

E

F

[4/8/12]

(VC316428)

g. Other reason

A

B

C

D

E

F

[4/8/12]

(VC316431)

a. Their child was
performing poorly
in another school.
b. They wanted a
more rigorous
curriculum for
their child.
c. They wanted the
particular
curricular focus
this school has.
d. They wanted a
safer environment
for their child.
e. They were seeking
greater parental
involvement in
their child’s
education.

School Pilot Grade 12
Charter School

27

69

THE NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS

Wave 3 Submittal for 2009
VOLUME II

Part 3d
BACKGROUND QUESTIONS
FOR 2009 ASSESSMENT

High School Transcript Study Questions -- Grade 12

Part 3d. contains:
High School Transcript Study Questions/Forms -- Grade 12
The amount of time estimated to complete this form is 3 hours.

July 18, 2008
1

70

SCHOOL QUESTIONNAIRES
OMB Information on School Questionnaire Cover
Page
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 numbers for this information
collection are 1850-0790. The time required to complete this information
collection is estimated to average 3 hours for form completion, 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(s) or suggestions for
improving this form, please write to: U.S. Department of Education,
Washington, D.C. 20202-4651. 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.
This report is authorized by law (P.L.107-110, 20 U.S.C. §9010). While your
participation is voluntary, your cooperation is needed to make the results of
the survey comprehensive, accurate, and timely. All responses that relate to
or describe identifiable characteristics of teachers or schools 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.
OMB OMB No. 1850-0790 Approval Expires 05/31/2010
Mark Reflex® forms by Pearson NCS EM-166###-001-1:654321

Printed in U.S.A.

2009 OMB Wave III
HSTS

2
71

FORMS FOR THE 2009 HIGH SCHOOL
TRANSCRIPT STUDY

HSTS

3
72

Introduction

The School Information Form (SIF) for the 2009 HSTS includes two parts. Part 1
is completed by telephone with the NAEP school coordinator or person
designated by the NAEP school coordinator to be the school HSTS coordinator.
Part 2 of the SIF is sent is sent to the HSTS coordinator in advance of the
assessment day visit to help him/her prepare for the data collection interview.
The textbook forms are also sent in advance of the visit.

HSTS

4
73

A.

HSTS

Part 1 of School Information Form (SIF)

5
74

Instructions to Supervisors on filling out the School Information Form (SIF)

1.

The SIF is in two parts. Part 1 is to be filled out over the phone with the HSTS School Coordinator.
You will begin by calling the NAEP School Coordinator, telling him/her about HSTS, and then
identifying the best person to be the HSTS Coordinator at the school.

2.

Part 1 of the SIF is scripted, but you may deviate from the script to address specific aspects of the
study, answer questions in detail, etc.

3.

As mentioned in #1, you will ask the NAEP School Coordinator the name of a person at the school
who is very knowledgeable about the content of the course catalog, the transcript layout, and
details about classes offered at the school. Often, this person is the registrar. After you get this
person’s name, you should call him/her to let him/her know that you will be at the school and would
like to spend some time with him or her obtaining detailed information on the school’s courses.
Tell him/her that you will send a School Information Form (SIF) so that he/she will know what types
of questions to expect when you visit and to encourage the person to begin filling out the SIF prior
to your visit. They will be receiving only Part 2 of the SIF. On Part 2 of the SIF there are some
"field use only" questions that will be answered during the visit.

4.

In the advance letter, the school was asked to send its 2008-09 course catalog and the three prior
years’ catalogs to Westat. Westat will notify you prior to your call and prior to your visit which
catalogs have been received.
For any catalogs not received before your call, you will ask the HSTS coordinator to send copies
of those catalogs or course listings to Westat before your visit to the school.
For any catalogs not received by Westat before your visit date, you will need to pick them up on
your visit.

5.

You will visit the school on the agreed-upon date and you will meet with the HSTS School
Coordinator to complete information on the SIF (such as whether the HSTS School Coordinator
works in the summer, etc.), insert disclosure notices, and obtain a sample transcript.

6.

If necessary, after meeting with the HSTS School Coordinator, you will meet with the registrar or
other person knowledgeable about the school’s courses. You will spend some time reviewing
and/or completing Part 2 of the SIF.

HSTS

A-1
75

Part 1 of the 2009 HSTS School Information Form (SIF)
Territory: _______________ Region:_________________
NAEP School ID:_________ NAEP Supervisor:_________
Mark (

Area:___________________
NAEP AC:______________

) materials received at Westat prior to supervisor’s call:

2008-09 Catalog

2007-08 Catalog

2006-07 Catalog

2005-06 Catalog

School Name:______________________________ School Phone:_______________________
City, State:________________________________ Fax:_______________________________
Principal:_________________________________ Email:_____________________________
School Coordinator (SC):_____________________ Web Site:___________________________
SC Phone Number:_________________________ Grade Range of School:________________
Is School Participating in NAEP?_______________ Assessment Date:_____________________
Hello, this is [FIRST NAME, LAST NAME] from the National Assessment of Educational Progress or
NAEP. I’m calling to tell you about another aspect of NAEP. It is the High School Transcript Study or
HSTS. The HSTS is being conducted to provide educational policy makers with information regarding
current course offerings and course-taking patterns in secondary schools. This study will also permit
researchers to examine the relationship between course-taking patterns and educational achievements.
We would like to designate a HSTS School Coordinator for this portion of NAEP; it is usually the school
registrar, or someone who is knowledgeable about the courses offered at your school.
1.

Would you be the contact person or the School Coordinator for HSTS?
Yes [Go To #2]

No

If “No” Who will be the HSTS contact at the school? What is this person's position at the school?
And what is his/her telephone number and email address?
Name:________________________
Position: ___________________________________
Telephone number:____________________________ email: _____________________________
Thank you so much for your help. [END CALL]
PLACE CALL TO PERSON IDENTIFIED IN Q1 AND REFERENCE CALL WITH
NAEP SCHOOL COORDINATOR
2.

I’d like to explain a little bit about the HSTS to you. Do you have about 10 minutes to talk right
now?
Yes [Go to #3]

No

If “No” When is the best day and time for me to reach you to discuss this study? Again, I just
need about 10 minutes.
Date: ________________________ Time:_______________________________
Thank you so much. I will talk to you soon. [END CALL]

HSTS

A-2
76

3.

There are two phases to the High School Transcript Study. During phase 1, in January - March, I
would like to visit your school to collect information about your school, course catalogs and a
sample transcript that reflects the 2009 graduating class. For phase 2, in the summer, I or another
HSTS representative will return to the school to obtain transcripts of those students who were
selected for the math or science portion of NAEP. Absolutely no student time is involved in the
study and confidentiality of the materials we collect will be strictly maintained. You will be
reimbursed for all transcripts. Materials received at Westat are listed on page 1.
[IF ALL CATALOGS RECEIVED AT WESTAT, SKIP TO Q7]
[IF 2008-09 CATALOG WAS NOT RECEIVED BY WESTAT, CONTINUE WITH Q3A]
[IF 2008-09 CATALOG WAS RECEIVED, BUT OTHER CATALOGS WERE NOT RECEIVED BY
WESTAT, SKIP TO Q6]
3a.
At this time I’d like to talk about the 2008-09 catalog or course listing for your school.
Ideally, the catalog should contain all courses offered at the school including honors, vocational,
remedial, special education, and off-campus courses. We prefer to obtain a school-level catalog
with course names and content descriptions, if such a catalog is available. Is a copy of the 20082009 school-level catalog available?
Yes [Go to #4]

No

A 2008-09 catalog will not be produced [Go to #3c]

3b.

If “No”, When will the catalog be available? Date: _______________________[Go to #4]

3c.

[If 2008–2009 catalog will not be produced: READ LIST BELOW ONE ITEM AT A
TIME. ONCE AN ITEM HAS BEEN MARKED, STOP READING LIST. ]
Do you have any other type of catalog or course list, such as
one)
(Mark
district-level catalogs that provide course names and content descriptions?
school course lists that include general descriptions of course offerings?
school course lists without content descriptions?
district-level course lists?
NO OTHER CATALOGS OR LISTS ARE AVAILABLE [Go to #6]

4.

Is there any other documentation that contains course descriptions for the students that are not
included in the catalogs or course listings? (For example, classes taken off campus, special
education classes or additional program offerings)
Yes

HSTS

No

A-3
77

5.

What format type is the 2008-09 catalog in and any other documentation or materials that would be
useful in interpreting the transcripts such as codes or abbreviations?
Please check (

) all of the format types that apply.

Hardcopy [Go to #6]
On a web site (Record web site address: _____________________[Go to #6]
Electronic version
5a.

Would it be possible for you to email the electronic version to Westat? Westat's email
address is [EMAIL ADDRESS]

Materials received at Westat are listed on page 1
6.

[IF NO PRIOR YEARS' CATALOGS HAVE BEEN RECEIVED BY WESTAT]: Do you have copies
of the catalogs for [specify years needed]: (2007-08, 2006-07 and 2005-06) and/or course
listings?
Yes
6a.

No [Go to #7]

I don’t know [Go to #7]

If I send you a pre-addressed envelope, would you be able to mail these catalogs to
Westat?
Yes

No [Go to #7]

6b.
Please give me your mailing address: _________________________________
___________________________________________________________________
___________________________________________________________________
7.

As I mentioned earlier, when I visit your school, I would also like to obtain a sample transcript of a
regular diploma reflecting the 2009 graduating class. Before leaving the building, I will remove
identifying information from the transcript. Will I be able to obtain such a transcript when I visit?
Yes [Go to #8]

No

[IF NO, PROBE FOR REASON WHY NOT. FOR EXAMPLE:
ƒ

IF 2008-09 TRANSCRIPT NOT YET AVAILABLE, ASK FOR A COPY OF A 2007-08
REGULAR DIPLOMA TRANSCRIPT;

ƒ

IF WE NEED TO COMPLETE A FORM, ASK FOR THE FORM;

ƒ

IF WE NEED TO TALK TO SOMEONE ELSE, GET THAT PERSON’S NAME,
TELEPHONE NUMBER, AND EMAIL.]
[DESCRIBE PROBLEM WITH OBTAINING A SAMPLE TRANSCRIPT:]

__________________________________________________________________

HSTS

A-4
78

8.

In addition to collecting the course catalogs and/or course listings and a sample transcript, I will
need to spend some time with someone at your school who is very knowledgeable about the
details contained in the catalogs, the transcripts and related school information. If you are not that
person, can you tell me the best person to talk to about this information? I would like to give
him/her a call in advance of my visit and send him/her some information so he/she knows what to
expect when I visit.
Name: ________________________

Telephone Number: __________________________

HSTS Coordinator is best person.
During my initial visit, I would also like to insert disclosure notices as markers in these 12th grade student
files. After graduation, we will return to obtain transcripts of the 12th grade students who were selected for
NAEP mathematics or science. No student time is involved, confidentiality is strictly maintained, and you
will be reimbursed for all of the transcripts copied.
Comments: _____________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

9.

Our normal procedures for the transcript study, as specified by FERPA, is to provide FERPA
notices for each sampled student’s file, but not to notify parents of their child’s inclusion, because
no student time is involved and all transcript information is collected anonymously. Is there any
reason that we should use different procedures in your school?
Yes

No

[PARENT INFORMATION AND CONSENT LETTERS ARE AVAILABLE IF THE SCHOOL
INSISTS ON HAVING PARENTS LETTERS]
Comments:_______________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
10.

I plan to be at your school on [assessment date]. Will you [or person named in Q8] be available to
meet with me on that day?
Yes [Go to #11]

No

If "No”; What date would work for you in March? ______________________
And what time should I arrive? ___________________
11.

HSTS

As part of the HSTS this year, we are collecting information about what textbooks are being used
in high school mathematics and science courses. I will mail these forms to you in advance of my
visit and will ask you or someone else, such as the chairpersons for the mathematics and science
departments to fill them out and give them to me when I visit your school.

A-5
79

Thank you so much for speaking with me today. I will be sending you [read list of applicable items to
send]:
ƒ
ƒ
ƒ
ƒ

a summary of the High School Transcript Study,
the Textbook forms
an envelope for you to send Westat your catalogs or other course documentation
a list of questions that I will need to review with you during our visit.

[If necessary.] I will also be calling [REGISTRAR’S NAME] to let him/her know what kinds of questions
to expect from me when I visit your school. Good bye.
[END CALL]

HSTS

A-6
80

B.

Part 2 of School Information Form (SIF)

HSTS
81

Part 2 of the 2009 HSTS School Information Form (SIF)
Territory: _______________ Region:_________________
NAEP School ID:_________ NAEP Supervisor:_________
Mark (

Area:___________________
NAEP AC:______________

) materials received at Westat prior to supervisor’s call:

2008-09 Catalog

2007-08 Catalog

2006-07 Catalog

2005-06 Catalog

Be sure to collect any outstanding course catalogs/listings during the visit
School Name: ______________________________School Phone: ________________________
City, State:________________________________ Fax:_________________________________
Principal:_________________________________ Email:_______________________________
School Coordinator (SC):_____________________ Web Site:____________________________
SC Phone Number:_________________________ Grade Range of School:_________________
Is School Participating in NAEP?_______________ Assessment Date:______________________

A. Detailed Information on Course Catalogs
1.

Does this school include 9th -12th grades?
Yes

2.

No

Do the course catalogs and/or course listings contain information about the 9th – 12th grades?
Yes [GO TO #3]

No

If no, How can I obtain copies of catalogs and/or course listings with information about the courses
from grades not covered in the school catalog?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
3.

Are there courses that appear on the transcripts that are not in the catalogs and/or course listings
from grades 9th – 12th?
Yes

No [Go to #4]

[If yes, obtain any additional documentation covering the omitted information]
4.

Have there been substantial changes in your course offerings between 2005-2006 and the 20082009 school years?
Yes

5.

HSTS

No

Do the catalogs include the following course offerings?

B-1
82

5a.

Vocational courses [For example: Auto Mechanics, Drafting, Metalwork, Woodworking,
etc.]
Yes

No

If yes, how are vocational courses indicated in the catalog(s) and on the transcript?
______________________________________________________________________
5b.

Remedial courses [For example: Functional English, Basic Mathematics, General
Science, middle-school level social studies courses, etc.]
Yes

No

If yes, how are remedial courses indicated in the catalog(s) and on the transcript?
______________________________________________________________________
5c.

Honors courses [For example: AP Calculus AB, IB Biology 2, Honors English, etc.]
Yes

No

If yes, how are honors courses indicated in the catalog(s) and on the transcript?
______________________________________________________________________
5d.

Dual credit or College credit only courses [For example: a Western Civilization class
taught at the school by a local college professor, a Differential Equations class taken by
students at a local college, etc.]
Yes

No

If yes, how are they indicated in the catalog(s) and on the transcript?
______________________________________________________________________
5e.

Special Education courses [For example: Resource and Self-contained]
Yes

No

If yes, are different levels of special education courses indicated in the catalog(s) and
how are they indicated on the transcript?
______________________________________________________________________
5f.

Off-campus courses [For example: courses taught at a vocational or special education
center, video conferencing, web-based courses, etc. ]
Yes

No

If yes, how are off-campus courses indicated in the catalog(s) and on the transcript?

HSTS

B-2
83

5g.

ESL or bilingual courses [For example: courses taught in a language other than English]
Yes

No

If yes, how are ESL or bilingual courses indicated in the catalog(s) and on the
transcript? ____________________________________________________________
_____________________________________________________________________
5h.

Courses offered through distance learning [For example: courses in which the teacher
and student are in different locations, with the instructional content delivered via audio,
video, Internet, or other computer technologies]
Yes

No

If yes, how are distance learning courses indicated in the catalog(s) and on the
transcript?
____________________________________________________________________
____________________________________________________________________

HSTS

B-3
84

B. Other School Information
In responding to the questions in this section, think about the graduating Class of 2009 only.
1.

How many credits does a student earn for a year-long course; that is, a course taken for a single
period over the 2008-09 school year, or its block equivalent?
2008-2009
1a.

# of credits:____________________

Has this changed during the last four school years? (circle one)
Yes

1b.

2.

No [GO TO #2]

If yes, how many credits are earned for a year-long course or its block equivalent for the
following years?
2007-2008

# of credits:____________________

2006-2007

# of credits:____________________

2005-2006

# of credits:____________________

Are credits for honors/AP classes defined the same as in Question #1?
Yes

No

If no, describe any differences: _______________________________________________
________________________________________________________________________
3.

Are credits for special education classes defined the same as in Question #1?
Yes

No

If no, describe any differences: _______________________________________________
________________________________________________________________________
4.

Are credits for ESL classes defined the same as in Question #1?
Yes

No

If no, describe any differences: ________________________________________________
_________________________________________________________________________

HSTS

B-4
85

5.

How many hours of instruction does a student receive for a year-long course or its block
equivalent? (Please report using whole numbers)
# hours of instruction:____________________

6.

Please fill in the grid with the number of class periods per day for grades 9th-12th
Number of
class periods
per day

9th
Grade

Grade Level
10th
11th
Grade
Grade

12th
Grade

Minimum
Typical
Maximum

7.

What type of diplomas does this school offer?
Mark (

) all that apply.
Standard
Honors
Vocational
Special Education
Certificate of Attendance
Certificate of Completion
International Baccalaureate
Regents (NY State only)
Other (specify):_________________________________________________

HSTS

B-5
86

8.

What are the total graduation requirements for a Standard diploma?
Total credits required for graduation with a Standard diploma: _________ (credits).

9.

What are the graduation requirements for a Standard diploma in the following subject areas?
[Write NA on the credit line if the school does not offer the program.]
9a. English/Language Arts

_______ (credits required for graduation)

9b. Mathematics

_______ (credits required for graduation)

9c. Computer Science

_______ (credits required for graduation)

9d. Social Studies/History

_______ (credits required for graduation)

9e. Science

_______ (credits required for graduation)

9f. Foreign Language

_______ (credits required for graduation)

9g. Physical Education/Health

_______ (credits required for graduation)

9h. Other (specify___________)

_______ (credits required for graduation)

9i. Other (specify___________)

_______ (credits required for graduation)

9j. Other (specify___________)

_______ (credits required for graduation)

[NOTE: The sum of #9a through #9j should equal the total given in #8]

10.

Does the school exceed state or district requirements for the Standard diploma?
Yes

No

If yes, please specify: ____________________________________________________________
______________________________________________________________________________
11.

Do credits earned prior to 9th grade count toward graduation?
Yes

No

If yes, please specify: __________________________________________________________
12.

Are there any courses or activities required for graduation that do not receive credits?
Yes

No

If yes, please specify: ____________________________________________________________
______________________________________________________________________________

HSTS

B-6
87

13.

Do these graduation requirements cover courses taken in grades 9 through 12?
Yes

No

If yes, please specify: _______________________________________________________
________________________________________________________________________

14.

Are there grade point average (GPA) requirements for graduation?
Yes

No

If yes, please explain: ____________________________________________________________
______________________________________________________________________________

15.

Are there state or district competency tests or performance assessments that are required for
graduation with a Standard diploma?
Yes

No [Go to #14]

15a. If yes, in what content areas (e.g. Reading, Citizenship, Functional
Math):________________________________________________________________________
_____________________________________________________________________________

15b. If a student does not pass the test what is his/her graduation status?
_____________________________________________________________________________

16.

Does this school offer any special programs?
Yes
14a.
Mark (

No

What types of special programs are offered?
) all that apply:
International Baccalaureate
Performing Arts
Science/Technology
Continuing Education
Other (specify) ___________________________________

HSTS

B-7
88

17.

Does your school use a computerized student information system?
Yes

No [GO TO #18]

If Yes:
Products used:__________________________________________________________________
Product Name:__________________________________________________________________
Publisher or Developer (if developed in your state, district or school, so indicate):_____________
17a.
Mark (

Does your system
) all that apply.
Produce electronic transcripts?
Track attendance?
Record standardized test scores (ACT/SAT/AP)?
Record graduation dates?
Record diploma types?

18.

Who would be the best person to contact if the HSTS staff have questions about credits,
graduation requirements, special programs, or technology resources?
School Coordinator

Principal

Registrar

Other

Name: _____________________________________Title: ____________________________
Phone number:____________________________ Email: ______________________________

HSTS

B-8
89

C. Reviewing the Transcript: Please complete this section
The HSTS staff member will go over this section with you when they come to pick up the transcripts.
1.

What type of grading system is used (e.g. A, B, C or A+, A, A-, B+, etc.) at your school?
Mark (

) one:

A, B, C, etc.
A+, A, A-, B+, etc.
Pass/Fail
Satisfactory/Unsatisfactory
Other (please specify) ______________________________________________
________________________________________________________________________

2.

What is the lowest possible grade to pass?

3. What do the letter grades or other marks stand for numerically (example, A=90-100, B= 80-90, etc.)?
Letter Grade or Alternate Symbol

Range (or description, if range not
possible)

A+
A
AB+
B
BC+
C
CD+
D
DF
Pass
Fail
Satisfactory
Unsatisfactory

HSTS

B-9
90

4.

Is the grading system the same for all students (including special education, honors, etc.)?
Yes

No

If no, please explain: ____________________________________________________________
_____________________________________________________________________________
5

Do the course ID numbers in the catalog match the course ID numbers on the transcript?
Yes

No [Go to # 5c]

5a.
If yes, do the ID numbers on the transcripts contain numbers or letters that have a specific
meaning such as honors, remedial, special education, etc.?
Yes

No [Go to #6]

5b.
If yes, please you provide an explanation of these numbers or letters
_____________________________________________

5c.

Is there any source where we can obtain an explanation for the differences in the catalog
and course ID numbers?

Please specify the source: ______________________________________________
6.

Do the course titles in the catalog match the titles on the transcripts?
Yes [Go to #7]
6a.

No

Is there any source we can obtain for an explanation of the differences?
Yes

6b.

No [Go to #6c]

May we have a copy of that source?
Yes [Go to #7]

6c.

HSTS

No

Could you provide us with an explanation for the differences between the catalog titles and
course transcript titles?
________________________________________________________________________
________________________________________________________________________

B-10
91

7.

How are transfer courses identified on the transcripts?
Mark (

) all that apply.

By School name
By State name
By ID
By Special Code or Symbol
Other please specify:
______________________________________________________________________________
______________________________________________________________________________
8.

Are there abbreviations or symbols on the transcripts that are not self-evident?
Yes
8a.

No

If yes, please indicate and explain the symbols on transcript or provide us with
documentation that explains the symbols.

____________________________________________________________________________________
Mark (

) one

Explained abbreviations/symbols or have appropriate documentation
Explanation not known
THANK YOU FOR YOUR TIME
[Field use only]
9.

Are you available at the school in June, July, or August?
Yes (month available):______________

No

If No, who can we contact over the summer?
Name: __________________________________Title: _________________________
Phone number:_______________________ Email: ____________________________
10.

When will the final transcripts for the class of 2009 students be available?
Date:__________________

11.

When will be a convenient time to return to the school to pick up copies of the transcripts?
Date:__________________ Hours:_______________________

HSTS

B-11
92

C. Textbook Forms

93

School _________________________________ State ________
ID#__________________
Please return this form to:_________________by______________ or fax to: XXX-XXX-XXXX
Mathematics Textbook Form
Please list the textbooks used for all mathematics courses in your school and explain how the
textbooks are used. If you have an existing list of textbooks, you may send it to us. Please add any
information below that is not already included on your list. Bold fields are critical items.
Title of Course:
______________________________________________________________________
Level: |__| Remedial |__| Regular |__| Honors/AP/IB
|__| All
ISBN: ____________________
Textbook Full Title: _________________________________________________________________
Author(s)/Editor(s) _____________________________________________________________
Edition: ____________Publisher: _____________________________ Copyright: ___________
Chapters covered in course: All |___| Chapters Covered:_____________________________
Use of Textbook: |___| Major |___| Supplementary
Title of Course:
______________________________________________________________________
Level: |__| Remedial |__| Regular |__| Honors/AP/IB
|__| All
ISBN: ____________________
Textbook Full Title: _________________________________________________________________
Author(s)/Editor(s) _____________________________________________________________
Edition: ____________Publisher: _____________________________ Copyright: ___________
Chapters covered in course: All |___| Chapters Covered:_____________________________
Use of Textbook: |___| Major |___| Supplementary
Title of Course:
______________________________________________________________________
Level: |__| Remedial |__| Regular |__| Honors/AP/IB |__| All
ISBN: ____________________
Textbook Full Title: _________________________________________________________________
Author(s)/Editor(s) _____________________________________________________________
Edition: ____________Publisher: _____________________________ Copyright: ___________
Chapters covered in course: All |___| Chapters Covered:_____________________________
Use of Textbook: |___| Major |___| Supplementary

HSTS

C-1
94

Mathematics Textbook Form (continued)
Title of Course:
______________________________________________________________________
Level: |__| Remedial |__| Regular |__| Honors/AP/IB |__| All
ISBN: ____________________
Textbook Full Title: _________________________________________________________________
Author(s)/Editor(s) _____________________________________________________________
Edition: ____________Publisher: _____________________________ Copyright: ___________
Chapters covered in course: All |___| Chapters Covered: _____________________________
Use of Textbook: |___| Major |___| Supplementary
Title of Course:
______________________________________________________________________
Level: |__| Remedial |__| Regular |__| Honors/AP/IB
|__| All
ISBN: ____________________
Textbook Full Title: _________________________________________________________________
Author(s)/Editor(s) _____________________________________________________________
Edition: ____________Publisher: _____________________________ Copyright: ___________
Chapters covered in course: All |___| Chapters Covered: _____________________________
Use of Textbook: |___| Major |___| Supplementary
Title of Course:
______________________________________________________________________
Level: |__| Remedial |__| Regular |__| Honors/AP/IB |__| All
ISBN: ____________________
Textbook Full Title: _________________________________________________________________
Author(s)/Editor(s) _____________________________________________________________
Edition: ____________Publisher: _____________________________ Copyright: ___________
Chapters covered in course: All |___| Chapters Covered: _____________________________
Use of Textbook: |___| Major |___| Supplementary

HSTS

C-2
95

School _________________________________ State ________
ID#__________________
Please return this form to:___________________by______________ or fax to: XXX-XXX-XXXX
Science Textbook Form
Please list the textbooks used for all science courses in your school and explain how the textbooks are
used. If you have an existing list of textbooks, you may send it to us. Please add any information below
that is not already included on your list. . Bold fields are critical items
Title of Course:
______________________________________________________________________
Level: |__| Remedial |__| Regular |__| Honors/AP/IB |__| All
ISBN: ____________________
Textbook Full Title: _________________________________________________________________
Author(s)/Editor(s) _____________________________________________________________
Edition: ____________Publisher: _____________________________ Copyright: ___________
Chapters covered in course: All |___| Chapters Covered: _____________________________
Use of Textbook: |___| Major |___| Supplementary
Title of Course:
______________________________________________________________________
Level: |__| Remedial |__| Regular |__| Honors/AP/IB |__| All
ISBN: ____________________
Textbook Full Title: _________________________________________________________________
Author(s)/Editor(s) _____________________________________________________________
Edition: ____________Publisher: _____________________________ Copyright: ___________
Chapters covered in course: All |___| Chapters Covered: _____________________________
Use of Textbook: |___| Major |___| Supplementary
Title of Course:
______________________________________________________________________
Level: |__| Remedial |__| Regular |__| Honors/AP/IB |__| All
ISBN: ____________________
Textbook Full Title: _________________________________________________________________
Author(s)/Editor(s) _____________________________________________________________
Edition: ____________Publisher: _____________________________ Copyright: ___________
Chapters covered in course: All |___| Chapters Covered: _____________________________
Use of Textbook: |___| Major |___| Supplementary

HSTS

C-3
96

Science Textbook Form (continued)
Title of Course:
______________________________________________________________________
Level: |__| Remedial |__| Regular |__| Honors/AP/IB |__| All
ISBN: ____________________
Textbook Full Title: _________________________________________________________________
Author(s)/Editor(s) _____________________________________________________________
Edition: ____________Publisher: _____________________________ Copyright: ___________
Chapters covered in course: All |___| Chapters Covered: _____________________________
Use of Textbook: |___| Major |___| Supplementary
Title of Course:
______________________________________________________________________
Level: |__| Remedial |__| Regular |__| Honors/AP/IB |__| All
ISBN: ____________________
Textbook Full Title: _________________________________________________________________
Author(s)/Editor(s) _____________________________________________________________
Edition: ____________Publisher: _____________________________ Copyright: ___________
Chapters covered in course: All |___| Chapters Covered: _____________________________
Use of Textbook: |___| Major |___| Supplementary
Title of Course:
______________________________________________________________________
Level: |__| Remedial |__| Regular |__| Honors/AP/IB |__| All
ISBN: ____________________
Textbook Full Title: _________________________________________________________________
Author(s)/Editor(s) _____________________________________________________________
Edition: ____________Publisher: _____________________________ Copyright: ___________
Chapters covered in course: All|___ Chapters Covered: _____________________________
Use of Textbook: |___| Major |___| Supplementary

HSTS

C-4
97

THE NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS

Wave 3 Submittal for 2009
VOLUME II
Part 3e
BACKGROUND QUESTIONS
FOR 2009 ASSESSMENT
Student with Disabilities (SD) Questionnaire

Parts 3e. contains:
Student with Disabilities (SD) Questionnaire
The amount of time estimated to complete each of these forms is 20 minutes.

July 18, 2008

1

98

SD QUESTIONNAIRES
OMB Information on SD and ELL Questionnaire
Cover Page
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
numbers for this information collection are 1850-0790. The time
required to complete this information collection is estimated to
average 20 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(s) or suggestions
for improving this form, please write to: U.S. Department of Education,
Washington, D.C. 20202-4651. 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.
This report is authorized by law (P.L.107-110, 20 U.S.C. §9010). While
your participation is voluntary, your cooperation is needed to make the
results of the survey comprehensive, accurate, and timely. The
information you provide is being collected for research purposes only
and will be kept strictly confidential.
OMB OMB No. 1850-0790 Approval Expires 05/31/2010
Mark Reflex® forms by Pearson NCS EM-166###-001-1:654321

Printed in U.S.A.

SD Questionnaires
OMB Wave 3 Submission

2
99

Student with
Disabilities (SD)
Questionnaire
(For 2009)
Cover to come from Pearson

FRMS-SD

Page 1
100

FRMS-SD

Page 2

101

UNITED STATES DEPARTMENT OF EDUCATION

Dear Principal or Administrator:
Thank you for allowing your school to participate in the National Assessment of Educational
Progress (NAEP). These assessments are vital to measuring the academic skills and progress of the
students in our nation and in each state.
As you know, the Individuals with Disabilities Education Act (IDEA) requires that all students
with disabilities participate in state and district wide assessment programs through regular assessments,
including with appropriate accommodations when necessary, or alternate assessments. The No Child Left
Behind Act (NCLB) likewise requires the participation of students with disabilities in the student
academic assessments required under that Act, and also requires that English language learners, as well as
other groups of students, participate in those state assessments. NCLB allows for reasonable
accommodations on assessments administered to English language learners. Although federal law does
not explicitly specify similar requirements regarding the participation of students with disabilities and
English language learners in NAEP, the NAEP program has been working very hard to make its sample
of students taking the assessments as representative as possible of all students. We are asking you to
ensure that the greatest possible number of students with disabilities and English language learners in
your school, who are selected to participate, do in fact take the assessments.
Please keep in mind that NAEP does not produce results for individual students or schools, as
your state or district tests might. All results are summarized only at the national and state levels (and for a
few large urban districts). In other words, the NAEP assessments do not impose consequences for the
student or the school, and are instead intended purely to provide a picture of educational performance and
progress.
We want to include as many students as possible in the picture NAEP provides for us. For this
reason, we ask you to do all you can to help ensure the participation of students who are selected for
NAEP whenever possible, including students with disabilities and English language learners. Students
taking the NAEP are able to use most of the testing accommodations they usually receive in other tests
(e.g., extended time, small group testing). Most students with disabilities and English language learners
are indeed able to participate in NAEP with their fellow students.
NAEP is one of the most visible and important indicators of educational performance in this
country, and we very much appreciate your support in making NAEP as inclusive as possible.

Richard L. Smith
Acting Assistant Deputy Secretary
Office of English Language Acquisition

William K. Knudsen
Acting Director
Office of Special Education Programs

400 MARYLAND AVE. S.W., WASHINGTON, DC 20202-6510
FRMS-SD

Page 3

www.ed.gov
Our mission is to ensure equal access to education and to promote educational excellence throughout the Nation.

102

GENERAL DIRECTIONS FOR COMPLETING THIS QUESTIONNAIRE
The student named on the front cover of this questionnaire has been selected to
participate in the National Assessment of Educational Progress (NAEP) and has been
identified as a student with disabilities (SD). NAEP’s definition of SD includes only:
• students with an Individualized Educational Program (IEP), for reasons other than
being gifted or talented; or
• students with a Section 504 Plan.
Please answer the following questions about this student and return the completed
questionnaire to the NAEP school coordinator. Refer to A Guide for Completing the
Student with Disabilities (SD) and English Language Learner (ELL) Questionnaires for
additional information about how to complete this questionnaire.

NEW

1. Why is this student classified as SD? (Fill in one oval.)

A This student has a disability and has an IEP. ➔ Continue with Question 2.
B This student has a Section 504 Plan. ➔ Continue with Question 2.
C This student has a disability, but the student’s IEP or Section 504 Plan is in

process and/or the student’s status is unclear. ➔ Continue with Question 2.

D This student does not have an IEP or Section 504 plan, but requires an
accommodation to be tested. ➔ Continue with Question 2.

E This student has an IEP because he/she is classified as gifted and talented. ➔ Do

not complete the remainder of this questionnaire. Return it to the NAEP school
coordinator.

F This student no longer has an IEP or Section 504 Plan. ➔ Do not complete the
remainder of this questionnaire. Return it to the NAEP school coordinator.

FRMS-SD

Page 4

103

DIRECTIONS. The decision tree below illustrates the steps in determining how best to
include this student in NAEP. By answering the questions that follow, you will provide the
information needed to make this determination.
For NAEP, each student takes the assessment in only one subject. The subject this
student has been selected to take is identified on the front cover in the box labeled
“Directions for School Staff.” Refer to this subject when answering the questions below.
If the subject is reading or mathematics, refer to the state assessment used for reporting
adequate yearly progress under No Child Left Behind. If the subject is not reading or
mathematics, refer to the state assessment, if available; otherwise, refer to local testing or
instructional practice when answering Questions 3–6.
NEW

2. This student has been selected to take the NAEP assessment in (refer to front cover
and fill in one subject oval below).

A Mathematics

B Reading

CScience

D U.S history, or
geography, or civics

SD DECISION TREE
How does this student participate in your state academic assessment in the NAEP subject
that the student has been selected to take as identified in the subject marked above?

A
Takes the
regular academic
assessment
with no
accommodations

B
Takes the
regular academic
assessment
with
accommodations

C
Takes an
alternate or
modified
assessment

Assess the
student on
NAEP with no
accommodations

Determine whether
the accommodations
that this student
needs are allowed on
NAEP

Determine if
this student can
be included on
NAEP
NEW

3. How does this student participate in your state academic assessment in the NAEP
subject you marked in Question 2? (Fill in one oval.)

A This student takes the regular academic assessment in this subject with no
accommodations. ➔ Skip to Question 7.

B This student takes the regular academic assessment in this subject with
accommodations. ➔ Continue with Question 4.

C This student takes an alternate or modified state academic assessment in this
subject. ➔ Skip to Question 6.

FRMS-SD

Page 5

104

NEW

4. Fill in the oval in Column A for each accommodation that this student receives on your
state assessment in the NAEP subject you marked in Question 2. The information in
Column B will help you answer Questions 5 and 6. Column C is for your information.
COLUMN A
On state assessment in the NAEP subject marked in Question 2,
this student:

COLUMN B

COLUMN C

Accommodations allowed on NAEP
(only if received on state assessment)
Reading

Math

Science

If allowed on

NAEP, who provides
U.S. history or
accommodation?
geography or civics

Presentation Format
Has directions read aloud/repeated in English or receives
assistance to understand directions
Has directions only signed
Has test items signed
Has occasional words or phrases read aloud
Has all or most of the test materials read aloud
Uses a Braille version of the test
Uses a large print version of the test
Uses magnifying equipment

Standard NAEP practice

\
\
\
\
\
\
\
\

NAEP provides

Y

Y

Y

Y

School provides

N

Y

Y

Y

School provides

N

Y

Y

Y

NAEP provides

N

Y

Y

Y

NAEP provides

Y

Y

Y1

Y2

NAEP provides

Y

Y

Y1

Y

NAEP provides

Y

Y

Y1

Y

School provides

Response Format

\
\
\
\
\

Responds in sign language
Uses a Braille typewriter to respond
Points to answers or responds orally to a scribe
Tape records answers
Uses a computer or typewriter to respond

Y

Y

Y

Y

School provides

Y

Y

Y

Y

School provides
School provides

Y

Y

Y

Y

N

N

N

N

NA

Y

Y

Y

Y

School provides

Spell/grammar check not allowed

\
\
\

Uses a template to respond
Uses a large marking pen or special writing tool
Writes directly in the test booklet

Y

Y

Y

Y

School provides

Y

Y

Y

Y

School provides

Standard NAEP practice

NA

Setting Format
Takes the test in a small group3
Takes the test one-on-one3
Takes the test in a study carrel
Receives preferential seating, special lighting, or furniture
Must have test administered by familiar person

\
\
\
\
\

Y

Y

Y

Y

Y

Y

Y

Y

NAEP provides
NAEP provides

Y

Y

Y

Y

School provides

Y

Y

Y

Y

School provides

Y

Y

Y

Y

School provides

Timing Accommodations (Note: NAEP takes only 90 minutes.)

\
\
\

Receives extended time4
Is given breaks during the test
Must be allowed to take subject test over several days

Y

Y

Y

Y

NAEP provides

Y

Y

Y

Y

NAEP provides

N

N

N

N

NA

NA

N5

NA

NA

NA

NA

N

NA

NA

NA

N

N

N

N

NA

Other Accommodations
Uses a calculator, including talking or Braille calculator
for computation tasks
Uses an abacus, arithmetic tables, graph paper
Uses dictionary, thesaurus, or spelling/grammar-checking
software or devices
Receives the following accommodation(s) not listed above.

1

2

\
\
\
\

Check with your NAEP representative

NA = not applicable

3

Braille, large-print, and magnifying devices are not provided or allowed for Science
Hands-on Tasks and Interactive Computer Tasks

4

Students selected for U.S. history, civics, or geography will be assigned a Braille
civics booklet.

FRMS-SD

5

NAEP provides staff to conduct small group or one-on-one sessions after
regular sessions.
If state test is untimed, student may require extended time on NAEP,
which is a timed but not a speeded test.
Calculators are allowed on some sections of the NAEP mathematics
assessment - check with your NAEP representative.

Page 6

105

NEW

5. Looking at Columns A and B on page 6, are all of the accommodations this student
receives on the state assessment in the NAEP subject you marked in Question 2 allowed on
NAEP? (Fill in one oval.)

A Yes. This student should be assessed with these accommodations, as allowed on
NAEP. ➔ Skip to Question 7.

B No. But this student can be assessed with only the accommodations allowed on
NAEP. ➔ Skip to Question 7.

c No. This student should not be assessed on NAEP. ➔ Skip to Question 7.
NEW

6. For students who take an alternate or modified state assessment in the NAEP subject
you marked in Question 2, could the student participate in NAEP with any of the
accommodations allowed on NAEP as listed in Column B on page 6? (Fill in one oval.)

A Yes. List the accommodations allowed on NAEP and include the student in NAEP.

B No. This student should not be assessed on NAEP.
NEW

7. Which of the following IDEA categories describe this student’s identified disability(ies)?
(Fill in all ovals that apply.)

A Specific learning disability
B Hearing impairment/deafness
C Visual impairment/blindness
D Speech or language impairment
E Mental retardation
F Emotional disturbance
G Orthopedic impairment
H Traumatic brain injury
I Autism
J Developmental delay (age 9 or
younger)

K Other health impairment
L Other (specify)

FRMS-SD

Page 7

106

VC188552

8. What is the degree of this student’s disability(ies)?

A Profound/Severe
B Moderate
C Mild
NEW

9. At what grade level does this student perform in the NAEP subject you marked in
Question 2?

A This student performs at or above grade level.
B This student performs one year below grade level.
C This student performs two or more years below grade level.
D This student is currently not receiving instruction in this subject.
E I don’t know.

FRMS-SD

Page 8

107

FRMS-SD

Page 9

108

THE NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS

Wave 3 Submittal for 2009
VOLUME II
Parts 3f
BACKGROUND QUESTIONS
FOR 2009 ASSESSMENT
English Language Learner (ELL) Questionnaires

Part 3f. contains:
English Language Learner (ELL) Questionnaire
The amount of time estimated to complete each of these forms is 20 minutes.

July 18, 2008

1

109

ELL QUESTIONNAIRES
OMB Information on SD and ELL Questionnaire
Cover Page
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
numbers for this information collection are 1850-0790. The time
required to complete this information collection is estimated to
average 20 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(s) or suggestions
for improving this form, please write to: U.S. Department of Education,
Washington, D.C. 20202-4651. 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.
This report is authorized by law (P.L.107-110, 20 U.S.C. §9010). While
your participation is voluntary, your cooperation is needed to make the
results of the survey comprehensive, accurate, and timely. The
information you provide is being collected for research purposes only
and will be kept strictly confidential.
OMB OMB No. 1850-0790 Approval Expires 05/31/2010
Mark Reflex® forms by Pearson NCS EM-166###-001-1:654321

Printed in U.S.A.

ELL Questionnaires
OMB Wave 3 Submission

2
110

English Language
Learner (ELL)
Questionnaire
(For 2009)
Cover to come from Pearson

FRMS–ELL

Page 1
111

FRMS–ELL

Page 2

112

UNITED STATES DEPARTMENT OF EDUCATION

Dear Principal or Administrator:
Thank you for allowing your school to participate in the National Assessment of Educational
Progress (NAEP). These assessments are vital to measuring the academic skills and progress of the
students in our nation and in each state.
As you know, the Individuals with Disabilities Education Act (IDEA) requires that all students
with disabilities participate in state and district wide assessment programs through regular assessments,
including with appropriate accommodations when necessary, or alternate assessments. The No Child Left
Behind Act (NCLB) likewise requires the participation of students with disabilities in the student
academic assessments required under that Act, and also requires that English language learners, as well as
other groups of students, participate in those state assessments. NCLB allows for reasonable
accommodations on assessments administered to English language learners. Although federal law does
not explicitly specify similar requirements regarding the participation of students with disabilities and
English language learners in NAEP, the NAEP program has been working very hard to make its sample
of students taking the assessments as representative as possible of all students. We are asking you to
ensure that the greatest possible number of students with disabilities and English language learners in
your school, who are selected to participate, do in fact take the assessments.
Please keep in mind that NAEP does not produce results for individual students or schools, as
your state or district tests might. All results are summarized only at the national and state levels (and for a
few large urban districts). In other words, the NAEP assessments do not impose consequences for the
student or the school, and are instead intended purely to provide a picture of educational performance and
progress.
We want to include as many students as possible in the picture NAEP provides for us. For this
reason, we ask you to do all you can to help ensure the participation of students who are selected for
NAEP whenever possible, including students with disabilities and English language learners. Students
taking the NAEP are able to use most of the testing accommodations they usually receive in other tests
(e.g., extended time, small group testing). Most students with disabilities and English language learners
are indeed able to participate in NAEP with their fellow students.
NAEP is one of the most visible and important indicators of educational performance in this
country, and we very much appreciate your support in making NAEP as inclusive as possible.

Richard L. Smith
Acting Assistant Deputy Secretary
Office of English Language Acquisition

William K. Knudsen
Acting Director
Office of Special Education Programs

400 MARYLAND AVE. S.W., WASHINGTON, DC 20202-6510
FRMS–ELL

Page 3

www.ed.gov
Our mission is to ensure equal access to education and to promote educational excellence throughout the Nation.

113

GENERAL DIRECTIONS FOR COMPLETING THIS QUESTIONNAIRE
The student named on the front cover of this questionnaire has been selected to
participate in the National Assessment of Educational Progress (NAEP) and has been
identified as an English Language Learner (ELL).
Please answer the following questions about this student and return the completed
questionnaire to the NAEP school coordinator. Refer to A Guide for Completing the Student
with Disabilities (SD) and English Language Learner (ELL) Questionnaires for additional
information about how to complete this questionnaire.

NEW

1. What is this student’s ELL classification? (Fill in one oval.)

A The student is currently classified as ELL and is receiving services. ➔ Continue with
Question 2.

B This student is currently classified as formerly ELL and is included in ELL
reporting for adequate yearly progress (AYP) for No Child Left Behind (NCLB).
➔ Do not complete the remainder of this questionnaire. Return it to the NAEP
school coordinator.

C This student is no longer classified as ELL and is not included in ELL reporting for

adequate yearly progress (AYP) for No Child Left Behind (NCLB). ➔ Do not complete
the remainder of this questionnaire. Return it to the NAEP school coordinator.

VB338430

1a. What is this ELL student’s first or native language? (Fill in one oval.)

A Spanish
B Other language (specify)

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114

DIRECTIONS. The decision tree below illustrates the steps in determining how best to
include this student in NAEP. By answering the questions that follow, you will provide the
information needed to make this determination.
For NAEP, each student takes the assessment in only one subject. The subject this student
has been selected to take is identified on the front cover in the box labeled “Directions for
School Staff.” Refer to this subject when answering the questions below.
If the subject is reading or mathematics, refer to the state assessment used for reporting
adequate yearly progress under No Child Left Behind. If the subject is not reading or
mathematics, refer to the state assessment, if available; otherwise, refer to local testing or
instructional practice when answering Questions 3–6.
NEW

2. This student has been selected to take the NAEP assessment in (refer to front cover and
fill in one subject oval below).

A Mathematics

B Reading

C Science

D U.S history, or
geography, or civics

ELL DECISION TREE
How does this student participate in your state academic assessment in the NAEP subject
that the student has been selected to take as identified in the subject marked above?

A
Takes the
regular academic
assessment
with no
accommodations

Assess the
student on
NAEP with no
accommodations

B
Takes the
regular academic
assessment
with
accommodations

C
Takes simplified
English, or
native language
state academic
assessment

Determine whether the
accommodations that this student
needs are allowed on NAEP

D
Does not take the state academic
assessment

Determine if this student can be
included on NAEP

NEW

3. How does this student participate in your state academic assessment in the NAEP subject
you marked in Question 2? (Fill in one oval.)

A This student takes the regular academic assessment in this subject with no
accommodations. ➔ Skip to Question 7.

B This student takes the regular academic assessment in this subject with
accommodations. ➔ Continue with Question 4.

C This student takes a simplified English or native language state academic assessment
in this subject. ➔ Continue with Question 4.

D This student does not take the state academic assessment in this subject.
➔ Skip to Question 6.

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115

NEW

4. Fill in the oval in Column A for each accommodation that this student receives on your
state assessment in the NAEP subject you marked in Question 2. The information in
Column B will help you answer Questions 5 and 6. Column C is for your information.
COLUMN A

COLUMN B

COLUMN C

Accommodations allowed on NAEP
(only if received on state assessment)
On state assessment in the NAEP subject marked in Question 2, this student:
Reading

Math

Science

U.S. history or
geography or civics

If allowed on
NAEP, who provides
accommodation?

Direct Linguistic Support
Has directions read aloud/repeated in English
or receives assistance in English to understand directions

\

Has directions only read aloud in native language

\

Standard NAEP practice

NAEP provides
Spanish/English Only

Y

Y

Y1

Y

NAEP provides
translated materials
Spanish/English Only

\

Has test materials read aloud in native language

N

Y2,3

Y2,3,4

N

NAEP provides
translated materials
Spanish/English Only

\

Uses a bilingual version of the test

N

Y3

Y3,4

N

NAEP provides
translated materials

Uses a bilingual word-for-word dictionary without definitions

\

N

Y

Y

Y

School provides

Has occasional words or phrases read aloud in English

\

N

Y

Y

Y

NAEP provides

Has all or most of the test materials read aloud in English

\

N

Y

Y

Y

NAEP provides

Has oral or written responses in native language
translated into written English

\

N

N

N

N

NA

Indirect Linguistic Support (Note: NAEP takes only 90 minutes.)
Takes the test in a small group5

\

Y

Y

Y

Y

NAEP provides

Takes the test one-on-one5

\

Y

Y

Y

Y

NAEP provides

Receives preferential seating

\

Y

Y

Y

Y

School provides

Must have test administered by familiar person

\

Y

Y

Y

Y

School provides

Receives extended time6

\

Y

Y

Y

Y

NAEP provides

Is given breaks during the test

\

Y

Y

Y

Y

NAEP provides

Must be allowed to take subject test over several days

\

N

N

N

N

NA

Receives the following accommodation(s) not listed above.

\

1
2
3
4
5
6

Check with your NAEP representative

NA = Not applicable
Bilingual Direction Read Aloud is not available for Science Interactive Computer Tasks or Hands-On Tasks.
The bilingual booklet is used.
Spanish/English bilingual booklets are not provided at grade 12.
Bilingual booklets are not provided for Science Interactive Computer Tasks or Hands-On Tasks.
NAEP provides staff to conduct small group or one-on-one sessions after regular sessions.
If state test is untimed, students may require extended time on NAEP, which is timed but not a speeded test.

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116

NEW

5. Looking at Columns A and B on page 6, are all of the accommodations this student
receives on the state assessment in the NAEP subject you marked in Question 2 allowed
on NAEP? (Fill in one oval.)

A Yes. This student should be assessed with these accommodations, as allowed on
NAEP. ➔ Skip to Question 7.

B No. But the student can be assessed with only the accommodations allowed on
NAEP. ➔ Skip to Question 7.

C No, and this student should not be assessed on NAEP. ➔ Skip to Question 8.

NEW

6. For students who do not take the state assessment in the NAEP subject you marked in
Question 2, could the student participate in NAEP with any of the accommodations
allowed on NAEP as listed in Column B on page 6? (Fill in one oval.)

A Yes. List the accommodations allowed on NAEP and include the student in NAEP.

B No. This student should not be assessed on NAEP.

NEW

7. Including the current school year, how long has this student been receiving academic
instruction primarily in English? (Fill in one oval.)

A This student does not receive academic instruction primarily in English.
B Less than 1 year
C 1 to 2 years
D 2 to 3 years
E 3 years or more
F I don’t know.

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NEW

8. At what grade level does this student perform in the NAEP subject you marked in
Question 2?

A This student performs at or above grade level.
B This student performs one year below grade level.
C This student performs two or more years below grade level.
D This student is currently not receiving instruction in this subject.
E I don’t know.

VC188373

9. How would you characterize this student’s English proficiency? (Fill in one oval in
each row.)
ELL
advanced

ELL
intermediate

ELL
beginning

No
proficiency

I don’t
know.

a. Listening
comprehension
in English

A

B

C

D

E

VC188374

b. Speaking English

A

B

C

D

E

VC188375

c. Reading English

A

B

C

D

E

VC188385

d. Writing English

A

B

C

D

E

VC188388

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