National Teacher and Principal Survey of 2019-2020 (NTPS 2019-20) Teacher Focus Groups Update

NCES Cognitive, Pilot, and Field Test Studies System

Appendix C NTPS 2019-2020 Teacher Focus Group Sample Questionnaire

National Teacher and Principal Survey of 2019-2020 (NTPS 2019-20) Teacher Focus Groups Update

OMB: 1850-0803

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The National Teacher and Principal Survey (NTPS)
Teacher Focus Groups

Appendix C
2015/16 NTPS Teacher Questionnaire

OMB #1850-0803 v.237
(unchanged from v.235)

National Center for Education Statistics
Institute of Education Sciences
U.S. Department of Education
Washington, D.C.

July 2018
revised September 2018

14416010
OMB No. xxxx-xxxx: Approval Expires xx/xx/xxxx

Conducted by:

U.S. DEPARTMENT OF EDUCATION
NATIONAL CENTER FOR EDUCATION STATISTICS

Collected by:

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

TEACHER QUESTIONNAIRE
NATIONAL TEACHER AND PRINCIPAL SURVEY
2015-16 SCHOOL YEAR

THIS SURVEY HAS BEEN ENDORSED BY:
American Association of School Administrators
American Association of School Librarians
American Federation of Teachers
American Montessori Society
Association for Middle Level Education (formerly National Middle School Association)
Association for Supervision and Curriculum Development
Association of American Educators
Council of the Great City Schools
National Association of Elementary School Principals
National Association of Secondary School Principals
National Parent Teacher Association
Please return your completed questionnaire in the pre-addressed,
postage-paid envelope or mail it to:
U.S. CENSUS BUREAU
ATTN: DCB/PCSPU, BUILDING 60A
1201 E. 10TH STREET
JEFFERSONVILLE, IN 47132-0001

NOTICE:
This survey is authorized by the Education Sciences Reform Act of
2002, 20 U.S. Code §9541(b) and §9543(a). The results will only be
produced as statistical summaries.
FORM NTPS-4
(05-21-2015)

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14416028

INSTRUCTIONS AND DEFINITIONS
The data you enter on this form will be captured through the use of imaging technology. Please print all
information clearly in ordinary characters, using a blue or black ballpoint pen.
CORRECT marking example –
(Use care to keep characters
in their designated spaces.)

INCORRECT marking example –

35

35
x Yes

X

No

35

Yes

Yes
OR

No

No

a. If you are the teacher named on the cover page label, please complete the questionnaire.
b. Please do not write any comments near the answer boxes.
c. If you are unsure about how to answer a question, please give the best answer you can rather than
leaving it blank.

d. If you have any questions, call the U.S. Census Bureau at 1-888-595-1338. Someone will be
available to take your call Monday through Friday, between 8:00 a.m. and 8:00 p.m. (Eastern Time).
The U.S. Census Bureau is also available to answer your questions via e-mail at:
addp.education.surveys@census.gov.
Teachers who teach in multiple schools: Please respond to questions as they apply to the school
where you received this questionnaire.
Grades K-12 and comparable ungraded levels. This survey focuses on schools offering any of
grades K-12 or comparable ungraded levels at the elementary, middle, or secondary level. The term
“ungraded levels” refers to schools that classify students by an alternative means other than particular
grade levels (e.g., Kindergarten, 1st grade, 2nd grade, etc.).

Paperwork Burden Statement
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 voluntary information collection is XXXX-XXXX. The time required
to complete this information collection is estimated to average 40 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, suggestions for improving this collection, or comments or concerns about the contents or the status
of your individual submission of this questionnaire, please e-mail: addp.education.surveys@census.gov, or write directly to: National
Teacher and Principal Survey, National Center for Education Statistics, 1990 K Street, N.W., #9046, Washington, DC 20006.
FORM NTPS-4

2

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14416036

1. GENERAL INFORMATION
1-1.

How do you classify your position at THIS school, that is, the activity at which you spend
most of your time during this school year?
Mark (X) only one box.

0100

1-2.
0101

Regular full-time teacher (in any of grades K-12 or comparable ungraded levels)

2

Regular part-time teacher (in any of grades K-12 or comparable ungraded levels)

3

Itinerant teacher (i.e., your assignment requires you to provide instruction at more than
one school)

4

Long-term substitute (i.e., your assignment requires that you fill the role of a regular teacher
on a long-term basis, but you are still considered a substitute)

5

Short-term substitute

6

Student teacher

7

Teacher aide

8

Administrator (e.g., principal, assistant principal, director, school head)

9

Library media specialist or Librarian

10

Other professional staff (e.g., counselor, curriculum coordinator, social worker)

11

Support staff (e.g., secretary)

Which box did you mark in item 1-1 above?
GO TO item 1-5 on page 4.

1

Box 1 ➔

2

Box 2, 3, or 4 ➔

GO TO item 1-4 on page 4.

3

Box 5, 6, or 7 ➔

Please STOP now and return this questionnaire to
the U.S. Census Bureau. Thank you for your time.

4

Box 8, 9, 10, or 11

1-3.

0102

1

Do you TEACH one or more classes at THIS school, at least once per week, in any of grades
K-12 or comparable ungraded levels?
If you work as a library media specialist or librarian at this school, do not include classes in which
you teach students how to use the library (e.g., library skills or library research).
If you teach a particular specialty either within or outside of a regular classroom (e.g., reading
specialist, special education teacher, English as a Second Language teacher), include that time
as a regularly scheduled class.
GO TO item 1-4 on page 4.

1

Yes ➔

2

Please STOP now and return this questionnaire to
No ➔ the U.S. Census Bureau. Thank you for your time.

FORM NTPS-4

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3

0101

14416044

1-4.

How much time do you work as a TEACHER in any of grades K-12 or comparable ungraded
levels at THIS school?
Mark (X) only one box.

0103

1

Full time

2

3/4 time or more, but less than full-time

3

1/2 time or more, but less than 3/4 time

4

1/4 time or more, but less than 1/2 time

5

Less than 1/4 time

6

I do not teach any of grades K-12
or comparable ungraded levels ➔

1-5.

When did you begin teaching, either full-time or part-time, at THIS school?
Do NOT include time spent as a student teacher.
Enter the month AND year. Report month as a number, that is, 01 for January, 02 for February, etc.
Month
Year

0104

0105

1-6.

0106

4

Please STOP now and return this questionnaire to
the U.S. Census Bureau. Thank you for your time.

LAST school year (2014-15), what was your MAIN activity?
Mark (X) only ONE box which best applies to how you spent the MOST time LAST school year.
If you were a substitute or itinerant teacher, please mark (X) the box which best applies to your
MAIN activity LAST school year.
1

Teaching in this school

2

Teaching in another public elementary, middle, or secondary school IN THIS SCHOOL SYSTEM

3

Teaching in a public elementary, middle, or secondary school IN A DIFFERENT SCHOOL
SYSTEM IN THIS STATE

4

Teaching in a public elementary, middle, or secondary school IN ANOTHER STATE

5

Teaching in a PRIVATE elementary, middle, or secondary school

6

Teaching in a preschool

7

Teaching at a college or university

8

Student at a college or university

9

Working in a position in the field of education, but not as a teacher

10

Working in a position outside the field of education

11

On leave (e.g., maternity or paternity leave, disability leave, sabbatical)

12

Caring for family members, but not on leave (e.g., homemaking, childrearing)

13

Military service

14

Unemployed and seeking work

15

Retired from another job

16

Other – please specify ➔

5106

FORM NTPS-4

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14416051

1-7.

When did you FIRST begin teaching, either full-time or part-time, at the K-12 or comparable
ungraded level?
Do NOT include time spent as a student teacher.
Enter the month AND year. Report month as a number, that is, 01 for January, 02 for February, etc.
Month

0107

1-8.

0109

1-9.

0110

Year
0108

In how many schools have you taught, either full-time or part-time, at the K-12 or comparable
ungraded level?
Do NOT include time spent as a student teacher.
Schools

Excluding time spent on maternity/paternity leave or sabbatical, how many school years
have you worked, either full-time or part-time, as a K-12 or comparable ungraded level
teacher in public, public charter, or private schools?
Include the current school year.
Do NOT include time spent as a student teacher.
Report years to the nearest whole year, not fractions or months.
School years

FORM NTPS-4

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5

14416069

2. CLASS ORGANIZATION
2-1.

Do you currently teach students in any of these grades at THIS school?
Please mark (X) Yes or No for each grade level.

0200

Prekindergarten

1

Yes

2

No

0201

Kindergarten

1

Yes

2

No

0202

1st

1

Yes

2

No

0203

2nd

1

Yes

2

No

0204

3rd

1

Yes

2

No

0205

4th

1

Yes

2

No

0206

5th

1

Yes

2

No

0207

6th

1

Yes

2

No

0208

7th

1

Yes

2

No

0209

8th

1

Yes

2

No

0210

9th

1

Yes

2

No

0211

10th

1

Yes

2

No

0212

11th

1

Yes

2

No

0213

12th

1

Yes

2

No

0214

Ungraded

1

Yes

2

No

2-2.

0215

Of all the students you teach at THIS school, how many have an Individualized Education
Program (IEP) because they have disabilities or are special education students?
Do NOT include students who have only a 504 plan.
If none, please mark (X) the box.
0

None

or

Students

FORM NTPS-4

6

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14416077

2-3.

0216

Of all the students you teach at THIS school, how many are of limited-English proficiency (LEP)
or are English-language learners (ELLs)?
(Students of limited-English proficiency [LEP] or English-language learners [ELLs] are those
whose native or dominant language is other than English and who have sufficient difficulty speaking,
reading, writing, or understanding the English language as to deny them the opportunity to learn
successfully in an English-speaking-only classroom.)
If none, please mark (X) the box.
0

2-4.

None

Main Teaching
Assignment Code

2-5.

Main Teaching
Assignment Label

5217

Are you intentionally assigned to instruct the same group of students for more than one year
(e.g., looping)?
1

Yes

2

No

2-6a.
0219

Students

Using Table 1 on page 10, this school year, in what subject is your MAIN teaching assignment
at THIS school, that is, the subject matter in which you teach the most classes?
Record one of the main teaching assignment codes and labels from Table 1 on page 10.

0217

0218

or

During any of your classes, do you have students use instructional software to learn some
or all of their lessons?
1

Yes

2

No ➜

GO TO item 2-7 on page 8.

b. Does any of the instructional software the students use AUTOMATICALLY ADJUST the level
of instruction to an individual student’s performance?

0220

1

Yes

2

No

FORM NTPS-4

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7

14416085

2-7.

Which statement best describes the way YOUR classes at THIS school are organized?
Mark (X) only one box.

0221

1

You instruct several classes of different students most or all of the day in one or more
subjects (sometimes called Departmentalized Instruction).

2

You are an elementary school teacher who teaches only one subject to different classes of
students (sometimes called an Elementary Subject Specialist).

3

You instruct the same group of students all or most of the day in multiple subjects
(sometimes called a Self-Contained Class).

4

5

2-8.
0222

2-9.

0223

2-10.

0224

You are one of two or more teachers, in the same class, at the same time, and are jointly
responsible for teaching the same group of students all or most of the day (sometimes
called Team Teaching).
You instruct a small number of selected students released from or in their regular classes in
specific skills or to address specific needs (sometimes called a "Pull-Out" Class or "Push-In"
Instruction).

Which box did you mark in item 2-7 above?
1

Box 1 or 2 ➔

2

Box 3 or 4

3

Box 5 ➔

GO TO item 2-12 on page 11.

GO TO item 2-10 below.

During your most recent FULL WEEK of teaching at THIS school, what is the total number of
students enrolled in the class you taught?
If you teach more than one self-contained class, report the number from your class with the most
students.
Students ➔

GO TO item 2-11 on page 9.

During your most recent FULL WEEK of teaching at THIS school, what is the average number
of students you taught at any one time?
Students

FORM NTPS-4

8

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14416093

2-11.

During your most recent FULL WEEK of teaching, approximately how many hours did YOU
spend teaching each of the following subjects at THIS school?
If you taught two or more subjects at the same time, apportion the time to each subject the best
you can.
Report hours to the nearest whole hour; do not record fractions of an hour or minutes.
If you did not teach a particular subject during the week, mark (X) the "None" box.
a. English, reading, or language arts (including reading and writing)
0225

0

None

or

Hours per week

(1) Of these hours, how many were designated for reading instruction?
0226

None

0

or

Hours per week

GO TO item 2-11b below.

b. Arithmetic or mathematics
0227 0

None

or

Hours per week

c. Social studies or history
0228 0

None

or

Hours per week

or

Hours per week

d. Science
0229 0

None

GO TO Section 3 on page 12.

FORM NTPS-4

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9

14416101

Table 1. Main Teaching Assignment and Subject-matter Codes and Labels
For Questions 2-4 and 2-13
General Education Codes and Labels
Special Education
110
Special education, any

Elementary Education
101
Early childhood or pre-K, general
102
Elementary grades, general
103
Middle grades, general

Subject-matter Specific Codes and Labels
Arts and Music
141
Art or arts and crafts
142
Art history
143
Dance
144
Drama or theater
145
Music
English and Language Arts
151
Communications
152
Composition
153
English
154
Journalism
155
Language arts
157
Literature or literary criticism
158
Reading
159
Speech
English as a Second Language (ESL)
160
ESL or bilingual education: General
161
ESL or bilingual education: Spanish
162
ESL or bilingual education: Other
languages
Foreign Languages
171
French
172
German
173
Latin
174
Spanish
175
Other foreign language
Health Education
181
Health education
182
Physical education
Mathematics and Computer Science
191
Algebra I
192
Algebra II
193
Algebra III
194
Basic and general mathematics
195
Business and applied math
196
Calculus and pre-calculus
197
Computer science
198
Geometry
199
Pre-algebra
200
Statistics and probability
201
Trigonometry
Natural Sciences
210
Science, general
211
Biology or life sciences
212
Chemistry
213
Earth sciences
214
Engineering
215
Integrated science
216
Physical sciences
217
Physics
218
Other natural sciences

Social
220
221
222
225
226
227
228
231
232
233
234
235
Career
241
242
243
244
245
246
247
249
250
253

254
255
256

or Technical Education
Agriculture and natural resources
Business management
Business support
Marketing and distribution
Healthcare occupations
Construction trades, engineering, or
science technologies (including CADD
and drafting)
Mechanics and repair
Manufacturing or precision production
(electronics, metalwork, textiles, etc.)
Communications and related technologies
(including design, graphics, or printing; not
including computer science)
Personal and public services
(including culinary arts, cosmetology, child
care, social work, protective services,
custodial services, and interior design)
Family and consumer sciences education
Industrial arts or technology education
Other career or technical education

Miscellaneous
Driver education
262
Library or information science
264
Military science or ROTC
265
Philosophy
266
Religious studies, theology, or divinity
267
Other
Other
268

FORM NTPS-4

10

Sciences
Social studies, general
Anthropology
Area or ethnic studies (excluding
Native American studies)
Economics
Geography
Government or civics
History
Native American studies
Political Science
Psychology
Sociology
Other social sciences

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14416119

NOTE: Items 2-12 and 2-13 are for teachers who marked box 1 or 2 for item 2-7 on page 8.
If you marked box 3, 4, or 5 for item 2-7 ➔

2-12.

How many separate class periods or sections do you currently teach at THIS school?
Do NOT include homeroom periods or study halls.
(Example: If you teach 2 classes or sections of chemistry I, a class or section of physics I, and
a class or section of physics II, you would report 04 classes or sections.)

0230

2-13.

Number of classes or sections
Using Table 1 on page 10, for EACH class period or section that you reported in item 2-12,
record the subject-matter code, subject-matter label, grade level code, and number of students.
If you teach a class or section with more than one grade level, list the grade level with the most
students in column C and record the total number of students in column D.
If you reported more than 10 periods or sections in item 2-12, report on only 10 of those periods
or sections.

A.
Subject-Matter Code
from Table 1
Example

GO TO Section 3 on page 12.

B.
Subject-Matter Label
from Table 1

1 9 2

C.
Grade Level Code
from list below

Algebra II

D.
Number of Students

1 1

3 3

(1)

0240

5240

0250

0260

0241

5241

0251

0261

0242

5242

0252

0262

0243

5243

0253

0263

0244

5244

0254

0264

0245

5245

0255

0265

0246

5246

0256

0266

0247

5247

0257

0267

0248

5248

0258

0268

5249

0259

0269

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

0249

Grade Level Codes
If your class period or section has students from more than one grade level
(i.e., MIXED GRADES), please list the grade with the most students.
PK
KG
01
02
03
04
05
06

Prekindergarten
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
FORM NTPS-4

07
08
09
10
11
12
UG

7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Ungraded

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11

14416127

3. EDUCATION AND TRAINING
3-1a.
0300

Do you have a bachelor’s degree?
If you have more than one bachelor’s degree, information about additional degrees will be asked
in item 3-3 on page 15.
1

Yes

2

No ➔

b.

GO TO item 3-3 on page 15.

What is the name of the college or university where you earned this degree?
Name of college or university

5301

In what city and state is it located?
City

State
5303

5302
0304 1

c.

Located outside the United States
In what year did you receive your bachelor’s degree?
Year

0305

d. Which of the following best describes your bachelor’s degree?
0306 1
2

Mark (X) only one box.
It was awarded by your school’s College of Education, School of Education, or Department
of Education
It was awarded by another college, school, or department, not in education

e. Using Table 2 on page 13, what was your major field of study?
Major Field
of Study Code

0307

f.
0308

Major Field
of Study Label

5307

Did you have a second major field of study?
Do NOT report academic minors or concentrations.
1

Yes

2

No ➔

GO TO item 3-1h on page 14.

g. Using Table 2 on page 13, what was your second major field of study?
Do NOT report academic minors or concentrations.

0309

Major Field
of Study Code

Major Field
of Study Label

5309

FORM NTPS-4

12

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14416135

Table 2. Major and Minor Fields of Study Codes and Labels
For Questions 3-1e, 3-1g, 3-1i, 3-2e, and 3-3b
General Education Codes and Labels
Elementary Education
101
Early childhood or pre-K, general
102
Elementary grades, general
Secondary Education
103
Middle grades, general
104
Secondary grades, general
Special Education
110
Special education, any

Other
131
132
133
134
135
136

Education
Administration
Counseling and guidance
Educational psychology
Policy studies
School psychology
Other non-subject-matter-specific education

Subject-matter Specific Codes and Labels
Arts and Music
141
Art or arts and crafts
142
Art history
143
Dance
144
Drama or theater
145
Music
English and Language Arts
151
Communications
152
Composition
153
English
154
Journalism
155
Language arts
156
Linguistics
157
Literature or literary criticism
158
Reading
159
Speech
English as a Second Language (ESL)
160
ESL or bilingual education: General
161
ESL or bilingual education: Spanish
162
ESL or bilingual education: Other
languages
Foreign Languages
171
French
172
German
173
Latin
174
Spanish
175
Other foreign language
Health Education
181
Health education
182
Physical education
Mathematics and Computer Science
190
Mathematics
197
Computer science
200
Statistics and probability
Natural Sciences
211
Biology or life sciences
212
Chemistry
213
Earth sciences
214
Engineering
217
Physics
218
Other natural sciences
Social Sciences
220
Social studies, general
221
Anthropology

222

Area or ethnic studies (excluding Native
American studies)
223
Criminal justice
224
Cultural studies
225
Economics
226
Geography
227
Government or civics
228
History
229
International studies
230
Law
231
Native American studies
232
Political science
233
Psychology
234
Sociology
235
Other social sciences
Career or Technical Education
Agriculture and natural resources
241
Business management
242
Business support
243
Marketing and distribution
244
Healthcare occupations
245
Construction trades, engineering, or
246
science technologies (including CADD and
drafting)
Mechanics and repair
247
Manufacturing or precision production
249
(electronics, metalwork, textiles, etc.)
Communications and related technologies
250
(including design, graphics, or printing; not
including computer science)
Personal and public services
253
(including culinary arts, cosmetology, child
care, social work, protective services,
custodial services, and interior design)
Family and consumer sciences education
254
Industrial arts or technology education
255
Other career or technical education
256
Miscellaneous
261
Architecture
263
Humanities or liberal studies
264
Library or information science
265
Military science or ROTC
266
Philosophy
267
Religious studies, theology, or divinity
Other
268
Other
FORM NTPS-4

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13

14416143

3-1h. Did you have a minor field of study?
0310

1

Yes

2

No ➔

i.

Using Table 2 on page 13, what was your minor field of study?
Minor Field
of Study Code

0311

3-2a.
0312

GO TO item 3-2a below.

Minor Field
of Study Label

5311

Do you have a master’s degree?
If you have more than one master’s degree, information about additional degrees will be asked
in item 3-3 on page 15.
1

Yes

2

No ➔

GO TO item 3-3 on page 15.

b. Was at least a portion of the cost of your master’s degree paid for by a STATE, SCHOOL, or
SCHOOL DISTRICT in which you taught?

0313 1
2

Yes
No

c. In what year did you receive your master’s degree?
Year

0314

d. Which of the following best describes your master’s degree?
Mark (X) only one box.

0315 1
2

It was awarded by your school’s College of Education, School of Education, or Department
of Education
It was awarded by another college, school, or department, not in education

e. Using Table 2 on page 13, what was your major field of study for your master’s degree?
0316

Major Field
of Study Code

Major Field
of Study Label

5316

FORM NTPS-4

14

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14416150

3-3.
0317

Have you earned any of the degrees or certificates listed below?
1

Yes

2

No ➔

a. Degree or
certificate

GO TO item 3-4 on page 16.

b. Using Table 2 on page 13, what was
your major field of study for each
degree or certificate?

c. Which of the following best
describes each degree or
certificate?

d. In what
year?

Major Field of Study Code
0319 Year

(1) Vocational
certificate

0318

Major Field of Study Label
5318

Major Field of Study Code
0321 Year

(2) Associate’s
degree

0320

Major Field of Study Label
5320

Major Field of Study Code

(3) SECOND
Bachelor’s
degree

1

0322

0323

Major Field of Study Label
2

It was awarded by another
college, school, or department,
not in education

1

It was awarded by your
school’s College of Education,
School of Education, or
Department of Education

5322

Major Field of Study Code

(4) SECOND
Master’s
degree

0325

Major Field of Study Label

0326
2

It was awarded by another
college, school, or department,
not in education

1

It was awarded by your
school’s College of Education,
School of Education, or
Department of Education

5325

(5) Educational
specialist or
professional 0328
diploma (at
least one year
beyond a
master’s level)

Major Field of Study Code

0329

Major Field of Study Label
2

It was awarded by another
college, school, or department,
not in education

1

It was awarded by your
school’s College of Education,
School of Education, or
Department of Education

5328

Major Field of Study Code

(6) Certificate of
Advanced 0331
Graduate
Studies

Major Field of Study Label

0332
2

It was awarded by another
college, school, or department,
not in education

1

It was awarded by your
school’s College of Education,
School of Education, or
Department of Education

5331

Major Field of Study Code

(7) Doctorate or
first
0334
professional
degree (Ph.D.,
Ed.D., M.D.,
J.D., D.D.S.)

Major Field of Study Label

0335
2

5334

FORM NTPS-4

It was awarded by your
school’s College of Education,
School of Education, or
Department of Education

0324 Year

0327 Year

0330 Year

0333 Year

0336 Year

It was awarded by another
college, school, or department,
not in education

§/J^S¤

15

14416168

3-4.

1

Yes

2

No ➔

3-5.
0339

3-6.

▲

0337

Have you ever taken any graduate or undergraduate courses that focused SOLELY on
teaching methods?
Do NOT include student teaching (sometimes called practice teaching).
Do NOT include professional development courses, workshops, or seminars.

GO TO item 3-6 below.

0338

How many courses?
Mark (X) only one box.

1

1 or 2 courses

2

3 or 4 courses

3

5 to 9 courses

4

10 or more courses

Did you take any of the courses you marked in 3-4 before your first year of teaching?
1

Yes

2

No
BEFORE your first year of teaching, did you take any graduate or undergraduate courses
which taught you —

a. Classroom management techniques?
0340 1
2

Yes
No

b. Lesson planning?
0341

1

Yes

2

No

c. How to assess learning?
0342

1

Yes

2

No

d. How to use student performance data to inform instruction?
0343

1

Yes

2

No

e. How to serve students from diverse economic backgrounds?
0344

1

Yes

2

No

FORM NTPS-4

16

§/J^e¤

14416176

3-6.

Continued – BEFORE your first year of teaching, did you take any graduate or undergraduate
courses which taught you —

f.

How to serve students with special needs?

0345 1

Yes
No

2

g. How to teach students who are limited-English proficient (LEP) or English-language
learners (ELLs)?

0346 1

Yes
No

2

3-7a.

0347

Did you have any student teaching (sometimes called practice teaching)?
1

Yes

2

No ➔

GO TO Section 4 on page 18.

b. In how many different classrooms did you student teach?
Mark (X) only one box.
0348 1

1

2

2

3

3 or more

c.

0349

How long did your student teaching last?
If you student taught in more than one classroom, report the total amount of time spent student
teaching across all assignments.
Mark (X) only one box.
1

4 weeks or less

2

5-7 weeks

3

8-11 weeks

4

12 weeks or more

FORM NTPS-4

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17

14416184

4. CERTIFICATION
4-1.

Did you enter teaching through an alternative route to certification program?
(An alternative route to certification program is a program that was designed to expedite the transition
of nonteachers to a teaching career, for example, a state, district, or university alternative route to
certification program.)

0400 1
2

Yes
No

The next series of questions is about state certification. Please read the questions carefully. This section
allows teachers to report UP TO TWO current teaching certificates in the state where they are teaching,
plus several content areas per certificate, if applicable. Those who have only one certificate that applies to
only one content area DO NOT have to fill out the entire section and should follow the GO TO instructions.

4-2a.

Which of the following describes the teaching certificate you currently hold that certifies you
to teach in THIS state?
Mark (X) only one box.
If you currently hold more than one of the following, a second certification may be listed in item 4-3.

0401 1

Regular or standard state certificate or advanced professional certificate

2

Certificate issued after satisfying all requirements except the completion of a probationary
period (in some states this is called a probationary certificate)

3

Certificate that requires some additional coursework, student teaching, or passage of a test
before regular certification can be obtained (in some states this is called a temporary or
provisional certificate)

4

Certificate issued to persons who must complete a certification program in order to continue
teaching (in some states this is called a waiver or emergency certificate)

5

I do not hold any of the above certifications in THIS state ➔

b.

Using Table 3 on page 19, in what content area(s) and grade range(s) does the teaching
certificate marked above certify you to teach in THIS state?
(For some teachers, the content area may be special education or the grade level.)
If this certificate certifies you to teach in more than one content area, you may report additional
content areas in later items.
If your certificate does not restrict you to a specific grade range(s), mark (X) all three grade ranges.
(1) Content Area

(2) Grade Range of Certificate (mark (X) all that apply)

Content Area Code
0402

0403
1

Early childhood, preschool, or at least one of grades K-5

1

At least one of grades 6-8

1

At least one of grades 9-12

0404

Content Area Label
5402

c.
0406

18

GO TO Section 5 on page 22.

0405

Does this certificate marked in item 4-2a certify you to teach in additional content areas?
1

Yes ➔

2

No ➔

GO TO item 4-2d on page 20.
GO TO item 4-3a on page 20.

FORM NTPS-4

§/J^u¤

14416192

Table 3. Certification Content Area Codes and Labels For Questions 4-2b, 4-2d, 4-3c, and 4-3e
General Education Codes and Labels
Elementary Education
Special Education – Continued
101
Early childhood or Pre-K, general
Learning disabilities
117
Intellectual disabilities
118
102
Elementary grades, general
Mildly or moderately disabled
119
103
Middle grades, general
Orthopedically impaired
120
Secondary Education
Severely or profoundly disabled
121
Middle grades, general
103
Speech or language impaired
122
Secondary grades, general
104
Traumatically brain-injured
123
Visually impaired
124
Special Education
Other special education
125
111
Special education, general
112
Autism
General Administration
113
Deaf and hard-of-hearing
131
Administration
114
Developmentally delayed
132
Counseling and guidance
115
Early childhood special education
116
Emotionally disturbed or behavior disorders
Subject-matter Specific Codes and Labels
Arts and Music
Social Sciences
141
Art or arts and crafts
220
Social studies, general
142
Art History
221
Anthropology
143
Dance
222
Area or ethnic studies (excluding Native
American studies)
144
Drama or theater
225
Economics
145
Music
226
Geography
English and Language Arts
227
Government or civics
Communications
151
228
History
Composition
152
231
Native American studies
English
153
232
Political Science
Journalism
154
233
Psychology
Language arts
155
234
Sociology
Literature or Literary Criticism
157
235
Other social sciences
Reading
158
Career or Technical Education
Speech
159
Agriculture and natural resources
241
English as a Second Language
Business management
242
ESL or bilingual education: General
160
Business support
243
ESL or bilingual education: Spanish
161
Marketing and distribution
244
ESL or bilingual education: Other
162
Healthcare occupations
245
languages
Construction trades, engineering, or science
246
technologies (including CADD and drafting
Foreign Languages
Mechanics and repair
247
French
171
Manufacturing or precision production
249
German
172
(electronics, metalwork, textiles, etc.)
Latin
173
Communications and related technologies
250
Spanish
174
(including design, graphics or printing; not
Other foreign language
175
including computer science)
Personal and public services
253
Health Education
(including culinary arts, cosmetology, child
Health education
181
care, social work, protective services,
Physical education
182
custodial services, and interior design)
Mathematics and Computer Science
Family and consumer sciences education
254
Mathematics
190
Industrial arts or technology education
255
Computer science
197
Other career or technical education
256
Statistics and probability
200
Miscellaneous
Driver education
262
Natural Sciences
Humanities or Liberal studies
263
Science, general
210
Library or Information science
264
Biology or life sciences
211
Military science or ROTC
265
Chemistry
212
Philosophy
266
Earth sciences
213
Religious studies, theology or divinity
267
Physical sciences
216
Physics
Other
217
Other
Other natural sciences
268
218
FORM NTPS-4

§/J^}¤

19

14416200

4-2.
d.

Continued –
Using Table 3 on page 19, please record all ADDITIONAL content areas and grade ranges
in which this certificate certifies you to teach:
If your certificate does not restrict you to a specific range(s), mark (X) all three ranges.
Additional Content Area

(1)

Content Area Code

0408

0407

1

At least one of grades 6-8

1

At least one of grades 9-12

1

Early childhood, preschool, or at least one of grades K-5

1

At least one of grades 6-8

1

At least one of grades 9-12

1

Early childhood, preschool, or at least one of grades K-5

1

At least one of grades 6-8

1

At least one of grades 9-12

1

Early childhood, preschool, or at least one of grades K-5

1

At least one of grades 6-8

1

At least one of grades 9-12

Content Area Code

0412

0411

0413

Content Area Label

0414

5411

0416

Content Area Code

0415

0417

Content Area Label

0418

5415

(4)

Early childhood, preschool, or at least one of grades K-5
0410

5407

(3)

1

0409

Content Area Label

(2)

Grade Range of Certificate (mark (X) all that apply)

0420

Content Area Code

0419

0421

Content Area Label

0422

5419

4-3a.
0423

Do you have another current teaching certificate that certifies you to teach in THIS state?
1

Yes

2

No ➔

GO TO Section 5 on page 22.

b. Which of the following describes this current teaching certificate you hold in THIS state?
Mark (X) only one box.

0424 1

Regular or standard state certificate or advanced professional certificate

2

Certificate issued after satisfying all requirements except the completion of a probationary
period (in some states this is called a probationary certificate)

3

Certificate that requires some additional coursework, student teaching, or passage of a test
before regular certification can be obtained (in some states this is called a temporary or
provisional certificate)

4

Certificate issued to persons who must complete a certification program in order to continue
teaching (in some states this is called a waiver or emergency certificate)

FORM NTPS-4

20

§/J_!¤

14416218

4-3.
c.

Continued –
Using Table 3 on page 19, in what content area(s) and grade range(s) does the teaching
certificate marked in question 4-3b on page 20 certify you to teach in THIS state?
(For some teachers, the content area may be the grade level.)
If this certificate certifies you to teach in more than one content area, you may report additional
content areas in later items.
If your certificate does not restrict you to a specific grade range(s), mark (X) all three grade ranges.
(1) Content Area

(2) Grade Range of Certificate (mark (X) all that apply)

Content Area Code

0426

0425

1

Early childhood, preschool, or at least one of grades K-5

1

At least one of grades 6-8

1

At least one of grades 9-12

0427

Content Area Label

0428

5425

d. Does this certificate marked in item 4-3b certify you to teach in additional content areas?
0429

1

Yes

2

No ➔

GO TO Section 5 on page 22.

e. Using Table 3 on page 19, please record all ADDITIONAL content areas and grade ranges

in which this certificate certifies you to teach:
If your certificate does not restrict you to a specific grade range(s), mark (X) all three grade ranges.

Additional Content Area
(1)
0430

5430

5434

At least one of grades 6-8

1

At least one of grades 9-12

1

Early childhood, preschool, or at least one of grades K-5

1

At least one of grades 6-8

1

At least one of grades 9-12

1

Early childhood, preschool, or at least one of grades K-5

1

At least one of grades 6-8

1

At least one of grades 9-12

1

Early childhood, preschool, or at least one of grades K-5

1

At least one of grades 6-8

1

At least one of grades 9-12

0433

0435

0437

Content Area Code

0438

0439
0440

Content Area Label
5438

0441

Content Area Code

0442

0443
0444

Content Area Label
5442

1

0436

Content Area Label

(4)

Early childhood, preschool, or at least one of grades K-5

Content Area Code

0434

(3)

0431

1

0432

Content Area Label

(2)

Grade Range of Certificate (mark (X) all that apply)

Content Area Code

0445

FORM NTPS-4

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21

14416226

5. EARLY CAREER EXPERIENCES
5-1.

Was your FIRST year of teaching before the 2011-2012 school year?

1500 1
2

5-2.

Yes ➔

GO TO Section 6 on page 26.

No
What was your MAIN activity the year before you began teaching at the K-12 or comparable
ungraded level?
Mark (X) only one box.

1501 1

Student at a college or university

2

Working as a substitute teacher

3

Teaching in a preschool

4

Teaching at a college or university

5

Working in a position in the field of education, but not as a teacher

6

Working in an occupation outside the field of education

7

Caring for family members

8

Military service

➔

➔
9
10

5-3a.

GO TO item 5-4 on page 23.

GO TO item 5-4 on page 23.

Unemployed and seeking work
Retired from another job
What kind of work did you do, that is, what was your occupation?
Please record your job title; for example, electrical engineer, cashier, typist, farmer, loan officer.

5502

b. What were your most important activities or duties on that job?
For example, typing, selling cars, driving delivery truck, caring for livestock.
5503

c. How would you classify yourself on that job?
Mark (X) only one box.
1504 1

An employee of a PRIVATE company, business, or individual for wages, salary, or commission

2

A FEDERAL government employee

3

A STATE government employee

4

A LOCAL government employee

5

SELF-EMPLOYED in your own business, professional practice, or farm

6

Working WITHOUT PAY in a family business or farm

7

Working WITHOUT PAY in a volunteer job
FORM NTPS-4

22

§/J_;¤

14416234

5-4.

In your FIRST year of teaching, how well prepared were you to —
If you are in your first year of teaching, please answer for THIS school year.
Not at all
prepared
a. Handle a range of classroom management
1505
or discipline situations?

1

2

3

4

b. Use a variety of instructional methods?

1506

1

2

3

4

c. Teach your subject matter?

1507

1

2

3

4

d. Use computers in classroom instruction?

1

2

3

4

e. Assess students?

1509

1

2

3

4

1510

1

2

3

4

g. Use data from student assessments to
inform instruction?

1511

1

2

3

4

h. Teach to state content standards?

1512

1

2

3

4

Teach students who are limited-English
proficient [LEP]or English-language
learners [ELLs]?

1513

1

2

3

4

Teach students with special needs?

1514

1

2

3

4

1508

f.

i.

j.

5-5.

1515

Mark (X) one box on each line.
Somewhat
Well
Very well
prepared
prepared
prepared

Differentiate instruction in the
classroom?

In your FIRST year of teaching, did you participate in a formal schoolwide or districtwide
program for beginning teachers aimed to enhance teachers’ effectiveness by providing
systematic support (sometimes called a teacher induction program)?
If you are in your first year of teaching, please answer for THIS school year.
1

Yes

2

No

FORM NTPS-4

§/J_C¤

23

14416242

5-6.

Did you receive the following kinds of support during your FIRST year of teaching?
If you are in your first year of teaching, please answer for THIS school year.
a. Reduced teaching schedule or number of preparations
1516 1
2

Yes
No

b. Common planning time with teachers in your subject
1517 1
2

Yes
No

c. Seminars or classes for beginning teachers
1518 1
2

Yes
No

d. Extra classroom assistance (e.g., teacher aides)
1519

1

Yes

2

No

e. Regular supportive communication with your principal, other administrators, or
department chair
1520

1

Yes

2

No

f.

Observation and feedback on your teaching aimed at helping you develop and refine
your teaching practice BEYOND any formal administrative observation and feedback
you may have received

1521 1
2

Yes
No

g. Release time to participate in support activities for new or beginning teachers
1522 1
2

Yes
No

FORM NTPS-4

24

§/J_K¤

14416259

5-7a.

In your FIRST year of teaching, were you assigned a master or mentor teacher by your
school or district?
1
If you are in your first year of teaching, please answer for THIS school year.

1523
1

Yes

2

No ➔

GO TO Section 6 on page 26.

b. How frequently did you work with your assigned master or mentor teacher during your
first year of teaching?

1524

1

At least once a week

2

Once or twice a month

3

A few times a year

4

Never

c. Had your assigned master or mentor teacher ever instructed students in the same subject
area(s) as yours?

1525

1

Yes

2

No

5-8.

Did your assigned master or mentor teacher provide the following types of support during
your FIRST year of teaching?
If you are in your first year of teaching, please answer for THIS school year.
a. Helped with paperwork or record keeping
1526 1
2

Yes
No

b. Demonstrated lessons
1527 1
2

Yes
No

c. Helped you prepare lessons that address learning standards
1528 1
2

Yes
No

d. Helped you develop student assessment tools
1529 1
2

5-9.
1530

Yes
No

Overall, to what extent did your assigned master or mentor teacher improve your teaching
in your first year of teaching?
Mark (X) only one box.
1

Not at all

2

To a small extent

3

To a moderate extent

4

To a great extent
FORM NTPS-4

§/J_\¤

25

14416267

6. TEACHER WORKING CONDITIONS
For questions 6-1 to 6-3 please report to the nearest whole hour; do not record fractions of an hour or
minutes.

6-1.

1600

6-2.

1601

6-3.

1602

How many hours does your contract require you to work during a typical FULL WEEK at
THIS school?
This would be base contract hours, or the equivalent, NOT including stipends or extra pay for
extra duty.
Total WEEKLY hours required to work
Of the hours you are CONTRACTED to work, how many hours during a typical full week do
you DELIVER INSTRUCTION to students in THIS school?
This number should be less than the reported number of hours in 6-1.
"PULL-OUT" or "PUSH-IN" TEACHERS: Please include the number of hours you instruct
individual students or small groups of students.
Exclude time spent planning and monitoring students outside of class.
Total WEEKLY hours delivering instruction
Including hours spent during the school day, before and after school, and on the weekends,
how many hours do you spend on ALL teaching and other school-related activities during a
typical FULL WEEK at THIS school?
Total WEEKLY hours spent on all teaching and school-related activities

FORM NTPS-4

26

§/J_d¤

14416275

6-4.

During this school year, do you or will you do the following for this school or district —

a. Coach a sport?
1603

1

Yes

2

No

b. Sponsor any student groups, clubs, or organizations?
1604

1

Yes

2

No

c. Serve as a department lead or chair?
1605

1

Yes

2

No

d. Serve as a lead curriculum specialist?
1606 1
2

Yes
No

e. Serve on a schoolwide or districtwide committee or task force?
1607

1

Yes

2

No

f.

Serve as an assigned mentor or mentor coordinator for teachers?

1608 1
2

6-5.

Yes
No

In the LAST SCHOOL YEAR (2014-15), how much of your own money did you spend on
classroom supplies, without reimbursement?
Please use your best estimate for costs incurred, in whole dollars.
If none, please mark (X) the box.
None

0

or
1609

$

,

.00

FORM NTPS-4

§/J_l¤

27

14416283

7. SCHOOL CLIMATE AND TEACHER ATTITUDES
7-1.

How much actual influence do you think teachers have over school policy AT THIS SCHOOL
in each of the following areas?
No
influence

Mark (X) one box on each line.
Minor
Moderate A great deal
influence
influence
of influence

a. Setting performance standards for
students at this school

1700

1

2

3

4

b. Establishing curriculum

1701

1

2

3

4

c. Determining the content of in-service
professional development programs 1702

1

2

3

4

d. Evaluating teachers

1703

1

2

3

4

e. Hiring new full-time teachers

1704

1

2

3

4

f. Setting discipline policy

1705

1

2

3

4

g. Deciding how the school budget
will be spent

1706

1

2

3

4

7-2. How much actual control do you have IN YOUR CLASSROOM at this school over the
following areas of your planning and teaching?

No
control
a. Selecting textbooks and
other instructional materials

1707

1

2

3

4

b. Selecting content, topics, and
skills to be taught

1708

1

2

3

4

c. Selecting teaching techniques

1709

1

2

3

4

d. Evaluating and grading students

1710

1

2

3

4

e. Disciplining students

1711

1

2

3

4

f. Determining the amount of
homework to be assigned

1712

1

2

3

4

FORM NTPS-4

28

Mark (X) one box on each line.
Minor
Moderate A great deal
control
control
of control

§/J_t¤

14416291

7-3.

To what extent do you agree or disagree with each of the following statements?
Mark (X) one box on each line.
Strongly Somewhat Somewhat Strongly
agree
disagree
agree
disagree

a. The school administration’s behavior
toward the staff is supportive and
encouraging.

1713

1

2

3

4

b. I am satisfied with my teaching salary.

1714

1

2

3

4

c. The level of student misbehavior in this
school (such as noise, horseplay or
fighting in the halls, cafeteria, or student
lounge) interferes with my teaching.

1715

1

2

3

4

d. I receive a great deal of support
from parents for the work I do.

1716

1

2

3

4

e. Necessary materials such as textbooks,
supplies, and copy machines are
available as needed by the staff.

1717

1

2

3

4

f. Routine duties and paperwork interfere
with my job of teaching.

1718

1

2

3

4

g. My principal enforces school rules
for student conduct and backs me
up when I need it.

1719

1

2

3

4

h. Rules for student behavior are
consistently enforced by teachers in
this school, even for students who are
not in their classes.

1720

1

2

3

4

i. Most of my colleagues share my
beliefs and values about what the
central mission of the school should be.

1721

1

2

3

4

j. The principal knows what kind of
school he or she wants and has
communicated it to the staff.

1722

1

2

3

4

k. There is a great deal of cooperative
effort among the staff members.

1723

1

2

3

4

l. In this school, staff members are
recognized for a job well done.

1724

1

2

3

4

m. I worry about the security of my job
because of the performance of my
students or my school on state and/or
local tests.

1725

1

2

3

4

n. State or district content standards
have had a positive influence on my
satisfaction with teaching.

1726

1

2

3

4

o. I am given the support I need to teach
students with special needs.

1727

1

2

3

4

p. The amount of student tardiness and
class cutting in this school interferes
with my teaching.

1728

1

2

3

4

1

2

3

4

1

2

3

4

q. I am generally satisfied with being a
teacher at this school.

1729

r. I make a conscious effort to coordinate
the content of my courses with that of
other teachers.

1730

FORM NTPS-4

§/J_|¤

29

14416309

7-4.

To what extent is each of the following a problem in this school?
Mark (X) one box on each line.
Serious
Moderate
Minor
Not a
problem
problem
problem
problem
a. Student tardiness

7-5.

1731

1

2

3

4

b. Student absenteeism

1732

1

2

3

4

c. Student class cutting

1733

1

2

3

4

d. Teacher absenteeism

1734

1

2

3

4

e. Students dropping out

1735

1

2

3

4

f. Student apathy

1736

1

2

3

4

g. Lack of parental involvement

1737

1

2

3

4

h. Poverty

1738

1

2

3

4

i. Students come to school unprepared
to learn

1739

1

2

3

4

j. Poor student health

1740

1

2

3

4

To what extent do you agree or disagree with each of the following statements?
Strongly
agree
a. The stress and disappointments involved in
teaching at this school aren’t really worth it. 1741

1

2

3

4

b. The teachers at this school like being here;
I would describe us as a satisfied group. 1742

1

2

3

4

c. I like the way things are run at this school.

1

2

3

4

d. If I could get a higher paying job I’d leave
teaching as soon as possible.

1

2

3

4

e. I think about transferring to another school.

1

2

3

4

f. I don’t seem to have as much enthusiasm
1746
now as I did when I began teaching.

1

2

3

4

g. I think about staying home from school
because I’m just too tired to go.

1

2

3

4

1743

1744

1745

1747

FORM NTPS-4

30

Mark (X) one box on each line.
Somewhat Somewhat Strongly
agree
disagree
disagree

§/J‘*¤

14416317

7-6.
1748

How long do you plan to remain in teaching?
Mark (X) only one box.
1

As long as I am able

2

Until I am eligible for retirement benefits from this job

3

Until I am eligible for retirement benefits from a previous job

4

Until I am eligible for Social Security benefits

5

Until a specific life event occurs (e.g., parenthood, marriage, retirement of spouse or partner)

6

Until a more desirable job opportunity comes along

7

Definitely plan to leave as soon as I can

8

Undecided at this time

7-7a.
1749

Has a student FROM THIS SCHOOL ever threatened to injure you?
1

Yes

2

No ➔

GO TO item 7-8a below.

b. Has a student FROM THIS SCHOOL threatened to injure you IN THE PAST 12 MONTHS?
1750

1

Yes

2

No ➔

c.

In the past 12 months, how many times has a student FROM THIS SCHOOL threatened
to injure you?

1751

Times

7-8a.
1752

GO TO item 7-8a below.

Has a student FROM THIS SCHOOL ever physically attacked you?
1

Yes

2

No ➔

GO TO Section 8 on page 32.

b. Has a student FROM THIS SCHOOL physically attacked you IN THE PAST 12 MONTHS?
1753

c.
1754

1

Yes

2

No ➔

GO TO Section 8 on page 32.

In the past 12 months, how many times has a student FROM THIS SCHOOL physically
attacked you?
Times

FORM NTPS-4

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31

14416325

8. GENERAL EMPLOYMENT AND BACKGROUND INFORMATION
The following questions refer to your BEFORE-TAX earnings from teaching and other employment.

8-1.

DURING THE SUMMER OF 2015, did you have any earnings from —
Report amounts in whole dollars.

a. Teaching summer school in this school or any other school?
0900 1
2

Yes ➔

How much?

,

$

0901

No

.00

(1) Did all of these earnings come from your current
school?
0902 1

Yes
No

2

GO TO item 8-1b below.

b. Working in a non-teaching job in this school or any other school?
0903 1
2

Yes ➔

How much?

0904

,

$

No

.00

(1) Did all of these earnings come from your current
school?
0905 1
2

Yes
No

GO TO item 8-1c below.

c. Working in any NONSCHOOL job?
0906 1
2

Yes ➔

How much?

0907

$

,

No

.00

GO TO item 8-2 below.

8-2.

How many days are covered by your contract, per contract year?
Include professional development, student contact days, and any other days covered by
your contract.

0908

8-3.

0909

Days per contract year
DURING THE CURRENT SCHOOL YEAR, what is your base teaching salary for the entire
school year?
Report amounts in whole dollars.
$

,

.00

For the entire school year

FORM NTPS-4

32

§/J‘:¤

14416333

8-4.

0910

DURING THE CURRENT SCHOOL YEAR, do you, or will you, earn any additional compensation
from this school system for extracurricular or additional activities such as coaching, student
activity sponsorship, mentoring teachers, or teaching evening classes?
Report amounts in whole dollars.
1

Yes ➔

2

No

How much? 0911 $

,

.00

GO TO item 8-5 below.

8-5.

0912

DURING THE CURRENT SCHOOL YEAR, do you, or will you, earn any additional compensation
from this school system based on your students’ performance (e.g., through a merit pay or
pay-for-performance agreement)?
Report amounts in whole dollars.
1

Yes ➔

2

No

How much? 0913 $

,

.00

GO TO item 8-6 below.

8-6.

0914

DURING THE CURRENT SCHOOL YEAR, have you earned income from any OTHER sources
from this school system, such as a state supplement, etc.?
Do NOT report any earnings already reported.
Report amounts in whole dollars.
1

Yes ➔

2

No

How much? 0915 $

,

.00

GO TO item 8-7a below.

8-7a. DURING THE CURRENT SCHOOL YEAR, do you, or will you, earn additional compensation
from working in any job OUTSIDE this school system?
Report amounts in whole dollars.

0916

1

Yes ➔

How much? 0917 $

,

.00

GO TO item 8-7b below.
2

No ➔

GO TO item 8-8
on page 34.

b. Which of these best describes this job OUTSIDE this school system?
Mark (X) only one box.
0918 1

Teaching or tutoring

2

Non-teaching, but related to teaching field

3

Other

FORM NTPS-4

§/J‘B¤

33

14416341

8-8.

During the CURRENT SCHOOL YEAR do you, or will you, receive a retirement pension check
paid from a teacher retirement system?
Report amounts in whole dollars.

0919

1

Yes ➔

2

No

How much? 0920 $

,

.00

GO TO item 8-9 below.

8-9.

Are you a member of a teachers’ union or an employee association similar to a union?

0921

1

Yes

2

No

8-10a. Does your school, district, or school system offer tenure?
0922

1

Yes

2

No ➔

GO TO item 8-11 below.

b. Are you tenured at your current school?
0923

1

Yes

2

No

8-11.
0924

Are you male or female?
1

Male

2

Female

8-12a. What is your current marital status?
Mark (X) only one box.
0925

1

Now married ➔

2

Widowed

3

Separated

4

Divorced

5

Never married

GO TO item 8-13 on page 35.

b. Are you currently living with a boyfriend/girlfriend or partner?
0926

1

Yes

2

No ➔

GO TO item 8-13 on page 35.

c. Are you currently living in a registered domestic partnership or civil union?
0927

1

Yes

2

No

FORM NTPS-4

34

§/J‘J¤

14416358

8-13. Are you of Hispanic or Latino origin?
0928 1

Yes
No

2

8-14.

What is your race?
Mark (X) one or more races to indicate what you consider yourself to be.

0929 1

White

0930 1

Black or African-American

0931 1

Asian

0932 1

Native Hawaiian or Other Pacific Islander

0933 1

American Indian or Alaska Native

8-15.
0934

What is your year of birth?
1 9

FORM NTPS-4

§/J‘[¤

35

14416366

9. CONTACT INFORMATION
9-1.

The survey you have completed may involve a brief follow-up next school year in order to
gain information on teachers’ movements in the labor force. The following information would
assist us in contacting you if you have moved or changed jobs. Please keep in mind that all
information provided here is strictly confidential and will only be used in the event that we
need to contact you for follow-up. Your responses are protected from disclosure by federal
statute (20 U.S.C., §9573). All responses that relate to or describe identifiable characteristics
of individuals 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.
Please PRINT your name, your spouse’s name (if applicable), your home address, your home
and cell phone numbers, the most convenient time to reach you, and your work and home
e-mail addresses.
a. First name
9000

Middle name
9001

Last name

Suffix

9002

9003

b. Spouse’s First Name
9004

Spouse’s Middle Name
9005

Spouse’s Last Name
9006

c. Street Address
9007

d. City
9008

e. State
9009

f.
9010

ZIP Code + 4
—

FORM NTPS-4

36

§/J‘c¤

14416374

g. Cell phone number
AREA CODE

TELEPHONE NUMBER

—

9011

—

h. Home phone number
AREA CODE

—

9012

i.
0013

TELEPHONE NUMBER

Best day(s) to reach you
Mark (X) all that apply.
1

Monday

1

Tuesday

1

Wednesday

1

Thursday

0017

1

Friday

0018

1

Saturday

0019

1

Sunday

0014
0015
0016

j.
0020

—

Best time of the day to reach you
Mark (X) only one box.
1

a.m.

2

p.m.

k. Work e-mail address
9021

l.

Home e-mail address

9022

FORM NTPS-4

§/J‘k¤

37

14416382

9-2.

What are the names and addresses of two other people who would know where to get in
touch with you during the coming years? Please do not list more than one person who now
lives with you. Please inform these individuals that you have provided their names and
someone from the U.S. Census Bureau may contact them in the coming years if we are
unable to locate you.
Please PRINT contact’s name, contact’s relationship to you, and contact’s cell and home
phone numbers.
(1) First Contact Person
a. First name
9023

Last name
9024

b. Relationship to you
9025

c. Cell phone number
AREA CODE
9026

TELEPHONE NUMBER

—

—

d. Home phone number
AREA CODE
9027

TELEPHONE NUMBER

—

—

What is the name and address of another person who would know where to get in touch with
you during the coming years?
Please PRINT contact’s name, contact’s relationship to you, and contact’s cell and home
phone number.
(2) Second Contact Person
a. First name
9028

Last name
9029

b. Relationship to you
9030

c. Cell phone number
AREA CODE
9031

TELEPHONE NUMBER

—

—

d. Home phone number
AREA CODE
9032

—

TELEPHONE NUMBER

—
FORM NTPS-4

38

§/J‘s¤

14416390

9-3.

0033

9-4.
0036

Please enter the date you completed this questionnaire.
Report month as a number, that is, 01 for January, 02 for February, etc.
Month
Day
Year
0035

0034

2 0 1

Please indicate how much time it took you to complete this form, not counting interruptions.
Please record the time in minutes, e.g., 50 minutes, 65 minutes, etc.
Minutes

Thank you very much for your participation
in this survey. If you have any questions,
please contact us, toll-free, at: 1-888-595-1338
or by e-mail at: addp.education.surveys@census.gov.

Please return your completed questionnaire
in the enclosed pre-addressed, postage-paid
envelope or mail it to:

U.S. CENSUS BUREAU
ATTN: DCB/PCSPU, BUILDING 60A
1201 E. 10TH STREET
JEFFERSONVILLE, IN 47132-0001

FORM NTPS-4

§/J‘{¤

39

14416408

To learn more about this survey and to
access reports from earlier collections, see the
National Teacher and Principal Survey (NTPS) website at:
http://nces.ed.gov/surveys/ntps
Additional data collected by the National
Center for Education Statistics (NCES) on
a variety of topics in elementary,
secondary, postsecondary, and
international education are available
from NCES’ website at:
http://nces.ed.gov
For additional data collected by various
Federal agencies, including the
Department of Education, visit the
Federal Statistics clearinghouse at:
http://www.fedstats.sites.usa.gov

FORM NTPS-4

40

§/Ja)¤


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AuthorCailin Jason
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