Districts Surveys and Interviews

An Impact Evaluation of the Teacher Incentive Fund (TIF)

1850-0876 rev Appendix B

Districts Surveys and Interviews

OMB: 1850-0876

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APPENDIX B
DISTRICT SURVEY
1. District Letter
2. District Questionnaire

DISTRICT SURVEY COVER LETTER

Dear [DISTRICT NAME],
Congratulations on receiving a 2010 Teacher Incentive Fund (TIF) grant. As a recipient of 2010
TIF funds, you are required to participate in data collection associated with the National
Evaluation of TIF sponsored by the U.S. Department of Education. The main objective of this
evaluation is to estimate the impact of performance-based compensation in a subset of grantees
(receipts of grants through the evaluation competition) on student achievement and the mobility
and retention of teachers and principals. In addition, we are collecting general implementation
information—the subject of this survey—from all districts covered by FY10 grants (recipients of
grants from both the evaluation and main competitions).
A critical component of the evaluation is the administration of surveys to TIF districts three times
during the five-year grant. The enclosed district survey collects information on specific features of
your TIF program, including any applicable changes that occurred after your grant application was
submitted, approaches used to obtain buy-in from stakeholders, and any compromises you had to
make. Later district surveys—to be administered in fall 2012 and 2014—will focus on changes to
and outcomes of the program as well as plans for sustaining the incentive policies.
Please complete the enclosed questionnaire, which should not take more than 30 minutes. You
may use the enclosed postage-paid envelope to mail the completed questionnaire. The information
collected from districts like yours will be extremely important to the study’s findings. Completion
of this survey is a condition of your grant (EDGAR: part 75.591, Authority: 20 U.S.C. 1221e–3
and 3474).
The information you provide in this survey will be kept strictly confidential and will not be
shared with anyone outside the study team. Responses will be presented only in aggregate
form and will not identify any individual or district.
We have contracted with Mathematica Policy Research to conduct this evaluation. If you have any
questions about this survey or the study, please contact Jill Constantine, the project director, at
(609) 716-4391 or by email at jconstantine@mathematica-mpr.com. Alternatively, please feel free
to contact me at (202) 208-7169 or at elizabeth.warner@ed.gov.
Sincerely,

Elizabeth Warner, Ph.D.
Federal Project Officer

OMB Control No.: XXXX-XXXX
Expiration Date: XX/XX/20XX

[PROGRAM NAME]
FALL 2011
DISTRICT SURVEY
This survey is part of the national evaluation of the Teacher Incentive Fund (TIF), a federally funded
initiative on performance pay for educators. The survey includes questions about features of your
program, changes made to your program after you received the TIF grant, approaches to obtaining buy-in
from stakeholders, and information on educator payouts.
We would like you to know that:
1. Your response is critical for producing valid and reliable data. You may skip any questions you do not
wish to answer; however, we hope that you answer as many questions as you can. Your answers to
questions will not affect your grant—now or in future—and will not be shared with anyone else other
than the researchers. Participation in the district survey will not impose any risks to you as a
respondent. If you have any questions about your rights as a research participant, you can contact
Jennifer Stavrakos at Public/Private Ventures IRB, toll free 800-755-4778 x4410.
2. Responses to this data collection will be used only for statistical purposes. The reports prepared for
this study will summarize findings across the sample and will not associate responses with a specific
district or individual. We will not provide information that identifies you or your district to anyone
outside the study team, except as required by law. Additionally, no one in your district will see your
responses.
Thank you very much for your help with this survey.
Please return the completed form to:
Mathematica Policy Research, Inc.
707 Alexander Road
Building 3, Suite 304
Princeton, NJ 08540
ATTN:

If you have questions, please contact:
Ms. Xxxx
Phone: 866-xxx-xxxx (toll free)
FAX: 202-863-1763
E-mail: xxxx@mathematica-mpr.com

This survey is authorized by law: The ARRA, Division A, Title VIII, Pub. L. 111–5 and Departments of
Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2010,
Division D, Title III, Pub. L. 111–117.
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a
valid OMB control number. The valid OMB control number for this information collection is xxxx-xxxx. The time required to complete this
information collection is estimated to average 30 minutes per respondent, including the time to review instructions, gather the data needed,
and complete and review the information collected. 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, DC 20202. If you have comments or
concerns regarding the status of your individual submission of this form, write directly to: U.S. Department of Education, Institute of
Education Sciences, 555 New Jersey Avenue, NW, Washington, DC 20208.

TIF – Fall 2011 District Survey

1

DISTRICT SURVEY
This survey is about activities supported by the 2010 Teacher Incentive Fund (TIF) grant. If you
received a TIF grant before 2010, please answer only for the activities supported by the 2010 TIF
grant.
For the person answering these questions:
What is your position in this organization? ____________________________________
A. TIF PROGRAM BASIC FACTS
A1. Program name: ______________________________________________________
If you have more than one program supported by TIF funds, please write the name(s) of the other
program(s) below.
Program #2 _______________________________________________________________
Program #3 _______________________________________________________________
A2.

Month and year in which principals were first introduced to the design of the program:
_______ /________

A3.

Numbers of schools covered by the TIF grant, by grade span:
a. Elementary schools (PK /K – 5/6): ________________
b. Middle schools: ________________
c. High schools: ________________
d. Elementary/Middle schools (PK/K – 8 ) : ________________
e. Middle/High schools (5/6/7 – 12) : ________________
f.

All grades (PK/K – 12) : ________________

g. Other (Specify): ____________________________________________________

TIF – Fall 2011 District Survey

2

Ac tivitie s Be fo re Im p le m e n tin g [P ROGRAM NAME]
A4.

How important were the following factors in selecting schools that would participate in
the TIF program? Mark one box in each row.
 Check this box if ALL schools that qualified were included. Then go to Question A5.
Mark one box in each row.

NOT
IMP ORTANT

MODERATELY
IMP ORTANT

VERY
IMP ORTANT

a. Increase student achievement ...............

1



2



3



4



b. Motivate teachers ...................................

1



2



3



4



c. Increase graduation rates ......................

1



2



3



4



d. Increase student attendance..................

1



2



3



4



e. Retain teachers ......................................

1



2



3



4



f.

1



2



3



4



1



2



3



4



h. Principal’s interest in program ...............

1



2



3



4



i.

School’s location ....................................

1



2



3



4



Data management system capacity at
school .....................................................
k. Other (Specify): ________________ ...

1

Attract teachers in hard-to-staff
bj t
g. Attract administrators .............................

j.

A5.

S LIGHTLY
IMP ORTANT


1 


2 
2


3 


4 

3

4

Before schools started implementing the TIF program, how did you communicate
program information to stakeholders such as school staff, school board, parents,
teachers union?
Mark Yes or No in each row.

YES

NO

a. Through distribution of written material (e.g., fact sheets, letters,
brochures, flyers) ....................................................................................

1



0



b. Presentation(s) during regularly scheduled staff meetings ....................

1



0



1



0



d. Web site, e.g., school and district sites...................................................

1



0



e. E-mail ......................................................................................................

1



0



f.

School advisory council (SAC) meetings ................................................

1



0



g. Community outreach (e.g., through a public relations firm)....................

1



0



1



0



1



0



c. Presentation(s) at meetings specifically designed to discuss program ..

h. Social networking, e.g., Facebook, Twitter, MySpace, LinkedIn ............
i.

Other (Specify): ________________________ .................................

TIF – Fall 2011 District Survey

3

A6.

Were any of the following people involved in decision making about the TIF program
and its features?
Mark Yes or No in each row.

YES

a. District superintendent ...................................................................................

1



0



b. School principal(s) .........................................................................................

1



0



c. Leadership committee (i.e., a team that makes decisions on the school’s
strategies and programs; usually principal, teachers, support staff,
parents) .........................................................................................................

1



0



d. State education officials .................................................................................

1



0



e. Union representative(s)..................................................................................
f. Other (Specify): ________________________________ ..........................
A7.

NO

1
1




0
0




Did any of the following stakeholders have to vote on, or approve, your participation in
the TIF program?
For each Yes answer, indicate the percentage of affirmative votes required for approval in that
category.
AP P ROVAL REQUIRED?
YES

MINIMUM PERCENTAGE
REQUIRED

a. Leadership committee ....................................

1



0



________%

b. Teachers union representative(s) ..................

1



0



________%

c. Teachers association representative(s) .........

1



0



________%

d. Principal(s) .....................................................

1



0



________%

e. Teacher(s) ......................................................

1



0



________%

f.

School-based non-teaching staff ...................

1



0



________%

g. PTA representative(s) ....................................

1



0



________%

h. Local business(es) .........................................

1


0 

________%

i.

A8.

NO

Other (Specify): ________________ ...........


1 

0

________%

Did you make changes to the original grant proposal for any of the following reasons?
Mark Yes or No in each row.

YES

NO

a. To obtain buy-in from principals.....................................................

1



0



b. To obtain buy-in from a teachers union .........................................

1



0



c. To obtain buy-in from a teachers association ................................

1



0



d. To obtain buy-in from teachers in participating schools ................

1



0



e. To obtain buy-in from others (Specify): _________________ .....

1



0



f. To conform to/address budget limitations......................................

1



0



g. To accommodate data management systems...............................

1



0



h. In response to results from test run on who and what awards
would have been awarded .............................................................

1



0



i. Other reason (Specify): _____________________________ .....

1



0



TIF – Fall 2011 District Survey

4

A9.

Please indicate when you had the data-management capacity to link individual student
achievement to teacher and principal payroll and human resource systems.
Mark one box only.
Prior to receiving the 2010 TIF grant ..................................................

1



The system was developed during the 2010-2011 planning year .....

2



The system is still under development ...............................................

3



B. TIF-RELATED ACTIVITIES AND PROGRAMS
B1.

Before receiving the 2010 TIF grant, were any opportunities for additional pay available
to teachers OR principals in the schools included in this grant?
1  Yes
0  No

B2.

Go to Question B3.

Which of the following opportunities for additional pay were available to teachers OR
principals in schools supported by the 2010 grant before receiving the grant?
For each opportunity, indicate if additional pay was available
to teachers and principals.

B3.

TRUE FOR
TEACHERS ?

TRUE FOR
P RINCIP ALS ?

YES

YES

NO

a. Teaching high-need subjects (e.g., math, science, or special
education) ....................................................................................

1



0



b. Working in a hard-to-staff school (e.g., schools serving large
proportions of economically disadvantaged or low-performing
students). .....................................................................................

1



0



c. Assuming role of mentor teacher ................................................

1



0



d. Assuming role of master or lead teacher.....................................

1



0



e. Additional pay for performance tied to student achievement
growth ..........................................................................................

1



0

f. Additional pay for performance, not tied to student
achievement (Specify): ____________________________ ......

1



g. Attending professional development activities or enrolling in
graduate-level courses ................................................................

1

h. The Teacher Advancement Program (TAP) ................................
i. Other (Specify): _________________________________ ......

NO

1



0





1



0



0



1



0





0



1



0



1



0



1



0



1



0



1



0



Other than the TIF program, are there any federal, state, district, or privately sponsored
programs that offer additional compensation to teachers or principals during the
current school year in the schools covered by the 2010 TIF grant?
1  Yes

How many such programs are there? _______ (# of programs)

0  No

Go to Question B5.

TIF – Fall 2011 District Survey

5

B4.

Please list the name(s) of the program(s) in the spaces provide.
1. _______________________________ 2. ___________________________________
3. _______________________________ 4. ___________________________________

B5.

Which of the following statements best describes your current (2010) TIF program?
Mark one box only.
1



2



The program is a continuation of an existing program ...................................

3



None of the above. (Write your own description in the space below) ...........
__________________________________________________

4



The program is new and was developed for the TIF grant .............................
The program represents an adaptation of a previous program or programs

B6.

Were any of the following teachers’ representative groups substantively involved in
making decisions about teacher compensation in the schools participating in your TIF
program?

 Check this box if NO teacher groups were involved. Then skip to Section C.

B7.

Mark Yes or No in each row.

YES

a. AFT Union (American Federation of Teachers affiliate) ................

1



0



b. NEA Union (National Education Association affiliate) ...................

1



0



c. Other union (Specify): ______________________________ .....

1



0



d. Other teachers’ association, without collective bargaining............

1



0



e. Teachers’ committee or other representative group of teachers...

1



0



f. Other (Specify): ___________________________________ .....

1



0



NO

Were any of the teachers’ representatives listed above in Question B6 substantively
involved in the following ways in the development of the current 2010 TIF program
before the grant was awarded?
Mark Yes or No in each row.

YES

NO

a. Served on a formal design or planning committee ........................

1



0



b. Reviewed draft proposal documents .............................................

1



0



c. Approved program via letter of support, without collective
bargaining ......................................................................................

1



0



d. Approved program via collective bargaining..................................

1



0



e. Other (Specify): ___________________________________ .....

1



0



TIF – Fall 2011 District Survey

6

B8.

Were any of the teachers’ representatives listed above in Question B6 substantively
involved in the following ways in the development of the current 2010 TIF program after
the grant was awarded?

Mark Yes or No in each row.

YES

NO

a. Served on a formal design or planning committee ........................

1



0



b. Reviewed draft proposal documents .............................................

1



0



c. Approved program via letter of support, without collective
bargaining ......................................................................................

1



0



d. Approved program via collective bargaining..................................

1



0



e. Other (Specify): ___________________________________ .....

1



0



B9. Are any of the teachers’ representatives listed above in Question B6 substantively
involved with the ongoing operation of the current 2010 TIF program in the following
ways?

Mark Yes or No in each row.

YES

a. Serving on a formal design or planning committee .......................

1



0



b. Reviewing draft documents ...........................................................

1



0



c. Approving program features without collective bargaining............

1



0



d. Approving program features via collective bargaining...................

1



0



e. Other (Specify): ___________________________________ .....

1



0



NO

B10. If there is anything you would like to clarify or add about teacher involvement in the
development and/or governance of the TIF program, please indicate here, or check the
box to indicate no clarification.
 No additional clarification.
______________________________________________________________________________
______________________________________________________________________________

TIF – Fall 2011 District Survey

7

B11. Tell us about the professional development activities planned for teachers in schools
supported by the 2010 grant between July 1, 2011 and June 30, 2012.
These activities include courses they may take for recertification or advanced certification,
workshops sponsored by your school(s) or district, conferences, or any other training that is
relevant to their teaching at your school(s).
In each row, check the box if the activity is the focus of professional
development (PD), then write the proportion of teachers expected to
receive PD in that topic.
a.Understanding components of [Program Name] ........................................

FOCUS
OF P D

1



|

|

|

2



|

|

|

c. Direct feedback based upon individual performance ratings as
measured by [Program Name] ....................................................................... 3 

|

|

|

d.Differentiated instructional strategies based on student assessments .......

b.Understanding performance measure used as part of [Program Name]...

4



|

|

|

5



|

|

|

6



|

|

|

e.Instructional techniques and strategies .........................................................
f. Aligning curricula to state or district standards...........................................

C.

P ERCENT OF
TEACHERS

PERFORMANCE MEASUREMENT

The following set of questions asks about how teachers and principals in schools covered by your
2010 TIF grant will be evaluated.

Measures Based on Student Achievement
C1.

Do you, the district, have the capacity to link students’ standardized test scores in math
or reading to individual teachers in TIF schools?
1  Yes
0  No

Go to Question C3.

TIF – Fall 2011 District Survey

8

C2.

Please indicate by checking the appropriate box(es) in the chart below the year(s) and
grade(s) for which the district has the capacity to link students’ standardized test
scores in math or reading to individual teachers in TIF schools. If a grade is not included
in any TIF school, check the column titled NA.

2010-11
2011-12
(EXP ECTED) (EXP ECTED)

BEFORE
GRADE

C3.

NA

2005-06

2005-06

2006-07

2007-08

2008-09

2009-10

1st

0



1



2



3



4



5



6



7



8



2nd

0



1



2



3



4



5



6



7



8



3rd - 8th

0



1



2



3



4



5



6



7



8



9th

0



1



2



3



4



5



6



7



8



10th

0



1



2



3



4



5



6



7



8



11th

0



1



2



3



4



5



6



7



8



12th

0



1



2



3



4



5



6



7



8



Is student achievement used to evaluate teacher performance?
1  Yes
0  No

C4.

Go to Question C6.

What criteria are/will be used to measure teacher performance?
YES

Mark Yes or No in each row.

C5.

NO

a. Student achievement level (e.g., average scores, proficiency rates, or
Adequate Yearly Progress – AYP) .............................................................

1



0



b. Student achievement growth (e.g., value-added, average gains) at the
school level .................................................................................................

1



0



c. Student achievement growth in certain student groups (e.g., grade level,
team, subject area, etc.) .............................................................................

1



0



d. Student achievement growth in teachers’ individual classes ....................

1



0



e. Other (Specify): _____________________________ .............................

1



0



Please indicate the first school year in which such measures became available. If they
are not available, indicate if they are scheduled to become available in the future, and
when that will be (if known). Mark one box only, and indicate the school year by filling the
blanks.
1



Measures available, as of the school year 20____ - 20____

2



Measures not available, but expected for the school year 20____ - 20____

3



Measures not available, but expected to be sometime in the future

4



Measures not available, and no expectation about future availability

TIF – Fall 2011 District Survey

9

Measures Based on Classroom Observations
Note: For the following questions, please consider only instances of formal observations
conducted in teachers’ classrooms.
Formal observations are standardized by using a rubric or checklist and are usually given at
regular intervals. (Informal observations do not use a standardized rubric or checklist and are
not conducted on any set schedule.)
C6.

C7.

C8.

Before the 2010 TIF grant was awarded, were formal classroom observations being
conducted or planned in the schools included in the 2010 grant? Mark one box only.
1



Yes, in all schools

2



Yes, in some schools

0



No

With the TIF grant underway, are formal classroom observations being conducted in the
schools included in the 2010 grant?
1



Yes, in all schools

2



Yes, in some schools

0



No

Go to Question C12.

Please indicate the first school year in which formal classroom observations were
conducted, or are expected to be conducted, after the start of your 2010 grant. Mark the
box for the first year when formal classroom observations were, or will be, introduced. If they
will be phased in over time, then check all boxes representing a year in which new schools will
start using classroom observations.
2010-2011 .......................................

1



2011-2012 .......................................

2




2013-2014 or later ........................... 4 
2012-2013 .......................................

C9.

3

On average, how many formal classroom observations are conducted or planned for
each teacher in one school year?
_______ Number PER teacher

C10. What is (or will be) the approximate length of one typical formal classroom
observation?
_______ Minutes

TIF – Fall 2011 District Survey

10

C11. Who conducts or will conduct the formal classroom observations?
YES

Mark one box in each row.

NO

a. The principal at the teacher’s school ..............................................

1



0



b. Other administrator (e.g., assistant principal, department head)
at the teacher’s school ...................................................................

1



0



c. Mentor, master, or lead teacher at the teacher’s school ................

1



0



d. Mentor, master, or lead teacher from a different school in the
district .............................................................................................

1



0



e. Content specialist ...........................................................................

1



0



f. Other observer (Specify): ____________________________ ......

1



0



Other Performance Measures
C12. Are any of the factors listed below used to evaluate teacher performance?
YES

Mark one box in each row.

NO

a. Teacher attendance ...................................................................

1



0



b. Teacher participation in school activities ...................................

1



0



c. Principal’s or other administrator’s professional judgment ........

1



0



d. Reviews from other teachers .....................................................

1



0



e. Student attendance ....................................................................

1



0



f. Parent or student input...............................................................

1



0



g. Other 1 (Specify): _______________________________ ......

1



0



h. Other 2 (Specify): _______________________________ ......

1



0



C13. What criteria are/will be used to measure principal effectiveness?
YES

NO

Mark Yes or No in each row
a. Student achievement level (e.g., average scores, proficiency rates, or
Adequate Yearly Progress – AYP) ................................................

1



0



b. Student achievement growth (e.g., value-added, average gains) at
the school level ..............................................................................

1



0



c. Student achievement growth in certain student groups (e.g., grade
level, team, subject area, etc.) .......................................................

1



0



d. Teacher assessments of principal performance ............................

1



0



e. Parent input....................................................................................

1



0



f. Other 1 (Specify): _________________________________ .....

1



0



g. Other 2 (Specify): _________________________________ .....

1



0



TIF – Fall 2011 District Survey

11

D.

ADDITIONAL PAY FOR EDUCATORS

All questions in this section refer to all activities funded by your 2010 TIF grant.

Staff Eligibility

D1. Which of the school staff below are eligible for promotion or additional pay in your TIF
program?
In Column B, circle Yes or No to indicate whether the staff named are eligible to participate. Use
NA for any staff category that does not exist in the schools in your program.
In Columns C – E, for each Yes response in Column B, indicate the types of opportunities for
additional pay available to the staff named in Column A.
D. PERMANENT
A. S CHOOL S TAFF

B. ELIGIBLE ?

a. Principal ...............................................

Y

N

b. Assistant/vice principal ........................

Y

N

c. Other school administrators .................

Y

N

d. Full-time classroom teachers in tested
grade or subject ...................................

Y

e. Full-time classroom teachers in nontested grade or subject ........................

C. BONUS

SALARY
INCREASE

E. PROMOTION

1



2



3



NA

1



2



3



NA

1



2



3



N

1



2



3



Y

N

1



2



3



f. Other teaching staff (e.g., part-time
teachers, substitutes, teacher aides) ...

Y

N

NA

1



2



3



g. Non-teaching staff (e.g., counselors,
librarians, custodial staff) .....................

Y

N

NA

1



2



3



Teacher Eligibility for Additional Pay and Amounts
D2. Are teachers eligible for performance-based bonuses or awards?
1

 Yes

0

 No

Go to Question D10.

D3. Are teachers required to apply to be considered for a performance-based bonus or
award?
1

 Yes

0

 No

TIF – Fall 2011 District Survey

12

D4. Will performance-based bonuses or awards for teachers be based on one overall
performance rating, or separate ratings for each criterion? Mark one box only.
Awards will be based on one overall or combined rating ............

1



Go to D5

Awards will be based on separate ratings (e.g., an
observation rating and different student achievement ratings) ...

2



Go to D7

D5. For each of the criteria that will be used to measure teacher performance in tested
grades and subjects, how much weight will each one contribute to the overall or
combined rating? Mark Yes or No for each measure listed. For each Yes answer, write the
weight that it is given. Percents should sum to 100.

USED?
YES

PERCENTAGE

NO

WEIGHT

a. Student achievement level (e.g., average scores, proficiency
rates, or Adequate Yearly Progress – AYP)................................

1



0



______ %

b. Student achievement growth (e.g., value-added, average
gains) at the school level .............................................................

1



0



______ %

c. Student achievement growth in certain student groups (e.g.,
grade level, team, subject area, etc.) ..........................................

1



0



______ %

d. Student achievement growth in teachers’ individual classes .....

1



0



______ %

e. Formal observations ....................................................................

1



0



______ %

f. Other measure 1 (Specify): ____________________ ..............

1



0



______ %

g. Other measure 2 (Specify): ____________________ ..............

1



0



______ %
100 %

D6. What is the maximum amount of additional pay that a teacher could receive because of
her or her overall performance?
$ _____________

Go to Question D8.

D7. For which of the following performance criteria are teachers in tested grades and
subjects eligible to receive additional pay? Mark Yes or No for each measure listed. For
each Yes answer, write the maximum amount that a teacher could receive.

ELIGIBLE?
YES

NO

MAXIMUM
AMOUNT

a. Student achievement level (e.g., average scores, proficiency
rates, or Adequate Yearly Progress – AYP)................................

1



0



$_______

b. Student achievement growth (e.g., value-added, average
gains) at the school level .............................................................

1



0



$_______

c. Student achievement growth in certain student groups (e.g.,
grade level, team, subject area, etc.) ..........................................

1



0



$_______

d. Student achievement growth in teachers’ individual classes .....

1



0



$_______

e. Formal observations ....................................................................

1



0



$_______


0 

$_______


g. Other measure 2 (Specify): _______________________ ......... 1 
f. Other measure 1 (Specify): _______________________ .........

TIF – Fall 2011 District Survey

13

1

0

$_______

D8.

What percentage of teachers in tested grades and subjects are expected to receive
additional pay based on their performance? Please answer only about additional pay based
on performance, not for extra roles and responsibilities.
Enter a percentage in the second column for each amount listed in the first column, or zero if
no additional pay is offered. If the awards are determined by a percentage of teacher salary,
use your best estimate of the dollar amounts.
ADDITIONAL
P AY EARNED

P ERCENTAGE
OF TEACHERS

0

______ %

$1 - $999

______ %

$1,000 - $1,999

______ %

$2,000 - $3,999

______ %

$4,000 - $5,999

______ %

$6,000 - $7,999

______ %

$8,000 - $9,999

______ %

$10,000 - $11,999 ______ %
$12,000 - $14,999 ______ %
$15,000 or more
D9.

______ %

What percentage of teachers in non-tested grades or subjects are expected to receive
additional pay based on their performance? Please answer only about additional pay for
performance, not for extra roles and responsibilities.
Enter a percentage in the second column for each amount listed in the first column, or zero if
no additional pay is offered. If the awards are determined by percentage of teacher salary,
please use your best estimate of the dollar amounts.
ADDITIONAL
P AY EARNED

P ERCENTAGE
OF TEACHERS

0

______ %

$1 - $999

______ %

$1,000 - $1,999

______ %

$2,000 - $3,999

______ %

$4,000 - $5,999

______ %

$6,000 - $7,999

______ %

$8,000 - $9,999

______ %

$10,000 - $11,999 ______ %
$12,000 - $14,999 ______ %
$15,000 or more

TIF – Fall 2011 District Survey

______ %

14

D10. Do teachers receive additional pay for taking on added roles or responsibilities during
the regular school day?
1  Yes
0  No

Go to Question D13.

D11. For which of the roles listed below can teachers earn this additional pay? Mark Yes or
No for each role listed. For each Yes answer, write the maximum amount that a teacher could
receive.
YES

MAXIMUM
AMOUNT

NO

a. Mentor teacher ..............................................................

1



0



$________

b. Master or lead teacher ..................................................

1



0



$________

c. Department chair or head .............................................

1



0



$________

d. Lead curriculum specialist ............................................

1



0



$________

e. Serving on a school-wide committee or task force .......

1



0



$________

1



0



$________

1



0



$________

f.

Serving on a leadership team in some capacity
(Specify): _____________________________ ..........
g. Other (Specify): ________________________ ..........

D12. For which of the following additional factors are teachers eligible to receive additional
pay? Mark Yes or No for each factor listed. For each Yes answer, write the maximum amount
that a teacher could receive.
YES

a. Teaching in a hard-to-staff school (e.g., schools serving
large proportions of economically disadvantaged or lowperforming students) .........................................................
b. Teaching high-need subjects (e.g., math, science, or
special education) ...............................................................
c. Attending professional development activities or enrolling
in graduate-level courses .................................................
d. An automatic bonus for participating in [Program Name]
e. Other (Specify): __________________________ ............



0



$________

1



0



$________

1



0



$________


0 

$________
$________


1 
1

D13. Are principals eligible for performance-based bonuses or awards?

0  No

Go to Question D20.

TIF – Fall 2011 District Survey

15

MAXIMUM
AMOUNT

1

Principal Eligibility for Additional Pay and Amounts

1  Yes

NO

0

D14. Are principals required to apply to be considered for a performance-based bonus or
award?
1  Yes
0  No

D15. Will performance-based bonuses or awards for principals be based on one overall
performance rating or separate ratings for each criterion? Mark one box only.
Awards will be based on one overall or combined rating ............

1



Go to D16.

Awards will be based on separate ratings (e.g., an
observation rating and different student achievement ratings) ...

2



Go to D18.

D16. For each of the criteria that will be used to measure principal performance, how much
weight will each one contribute to the overall or combined rating? Mark Yes or No for
each measure listed. For each Yes answer, write the weight that it is given. Percents should
sum to 100.
USED?
YES

NO

PERCENTAGE
WEIGHT

a. Student achievement level (e.g., average scores, proficiency
rates, or Adequate Yearly Progress – AYP)................................

1



0



______ %

b. Student achievement growth (e.g., value-added, average
gains) at the school level .............................................................

1



0



______ %

c. Student achievement growth in certain student groups (e.g.,
grade level, team, subject area, etc.) ..........................................

1


0 
0 

______ %


d. Teacher assessments of principal performance ......................... 1 
e. Parent input ................................................................................. 1 

0

______ %
______ %

f. Other measure 1 (Specify): ____________________ ..............

1



0



______ %

g. Other measure 2 (Specify): ____________________ ..............

1



0



______ %
100 %

D17. What is the maximum amount of additional pay that a principal could receive because of
his or her overall performance?
$ ______________

Go to Question D19.

D18. For which of the following performance criteria are principals eligible to receive
additional pay? Mark Yes or No for each measure listed. For each Yes answer, write the
maximum amount that a principal could receive.
ELIGIBLE?
MAXIMUM
YES

NO

AMOUNT

a. Student achievement level (e.g., average scores, proficiency
rates, or Adequate Yearly Progress – AYP)................................

1



0



$_______

b. Student achievement growth (e.g., value-added, average
gains) at the school level .............................................................

1



0



$_______

TIF – Fall 2011 District Survey

16

ELIGIBLE?
YES

NO

MAXIMUM
AMOUNT

c. Student achievement growth in certain student groups (e.g.,
grade level, team, subject area, etc.) ..........................................

1



0



$_______

d. A combined measure of student achievement growth
(combination of student achievement growth or certain
student groups and school-wide growth, but not combined
with other criteria) ........................................................................

1



0



$_______

e. Other measure (Specify): ______________________ ..............

1



0



$_______

D19. What percentage of principals are expected to receive additional pay based on their
performance? Please answer only about additional pay based on performance, not for extra
roles and responsibilities.
Enter a percentage in the second column for each amount listed in the first column, or zero if
no additional pay is offered. If the awards are determined by a percentage of principal salary,
use your best estimate of the dollar amounts.
ADDITIONAL
P AY EARNED

P ERCENTAGE
OF P RINCIP ALS

0

______ %

$1 - $999

______ %

$1,000 - $1,999

______ %

$2,000 - $3,999

______ %

$4,000 - $5,999

______ %

$6,000 - $7,999

______ %

$8,000 - $9,999

______ %

$10,000 - $11,999 ______ %
$12,000 - $14,999 ______ %
$15,000 or more

______ %

D20. For which of the following additional factors are principals eligible to receive additional
pay? Mark Yes or No for each factor listed. For each Yes answer, write the maximum amount
that a teacher could receive.
YES

a. Working in a hard-to-staff school (e.g., schools serving
large proportions of economically disadvantaged or
low-performing students) ..................................................
b. Additional roles or responsibilities in the school or
district ................................................................................

NO

MAXIMUM
AMOUNT

1



0



$________

1



0



$________

1



0



$________

d. An automatic bonus for participating in [PROGRAM
NAME] ..............................................................................

1



0



$________

e. Other (Specify): __________________________ ...........

1



0



$________

c.

Attending professional development activities or
enrolling in graduate-level courses ...................................

TIF – Fall 2011 District Survey

17

D21. If you have any additional thoughts you would like to share about [Program Name],
please use the space below.

E.

CONTACT INFORMATION
Please provide your contact information below. We will use it to reach you in case we
need to clarify any of your responses.
Providing this information is voluntary.

Name: ________________________________________________________________
Street address: ________________________________________________________
City: _________________________

State: _____

Zip Code: _________

Home telephone: ___________________________
Cell phone: _______________________________
Work email:_______________________________________________________________
Home email:
_______________________________________________________________
Best time to reach you by phone (day and time):
_________________________________

THANK YOU VERY MUCH FOR COMPLETING THIS QUESTIONNAIRE.

TIF – Fall 2011 District Survey

18


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