2020-21 National Teacher and Principal Survey (NTPS 2020-21) Testing Questions on the Teacher Questionnaire on Sexual Orientation and Gender Identity (SOGI), and Branding Changes

NCES System Clearance for Cognitive, Pilot, and Field Test Studies 2019-2022

NTPS 0803 v.277 Attachment 1

2020-21 National Teacher and Principal Survey (NTPS 2020-21) Testing Questions on the Teacher Questionnaire on Sexual Orientation and Gender Identity (SOGI), and Branding Changes

OMB: 1850-0803

Document [pdf]
Download: pdf | pdf
2020-21 National Teacher and Principal Survey
(NTPS 2020-21)

Attachment 1: Protocols and Materials Teacher Questionnaire
Testing Questions on the Teacher Questionnaire on Sexual Orientation
and Gender Identity (SOGI), and Branding Changes

OMB# 1850-0803 v.277

National Center for Education Statistics (NCES)
U.S. Department of Education

October 2020
NOTE: see p. 38 of this document to observe the site of the changes
described on pp. 4-5 of Volume I.

14411011

TEACHER QUESTIONNAIRE

(Please correct any errors in name, address, and ZIP Code.)

NATIONAL TEACHER AND PRINCIPAL SURVEY
2020-21 SCHOOL YEAR

The coronavirus pandemic has affected the way many schools provide instruction. To help
us understand your responses to this survey, please select the option that best describes
the current effect of the coronavirus pandemic on your teaching at THIS school:
I am currently only teaching with distance-learning instruction because of the coronavirus
pandemic.
I am currently teaching with a hybrid of in-person and distance-learning instruction
(some students or classes may be remote, while others are in person) because of the
coronavirus pandemic.
I am currently teaching only in person with additional safety precautions because of the
coronavirus pandemic.
There is currently no effect on how I deliver instruction because of the coronavirus
pandemic.
I am not currently teaching because of the coronavirus pandemic ➔

Please continue with the survey.

Please turn to the next page to begin the survey.
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

The National Center for Education Statistics (NCES), within the U.S.
Department of Education, is authorized to conduct this survey by the
Education Sciences Reform Act of 2002 (ESRA 2002, 20 U.S.C. §9543).
Conducted by:

U.S. DEPARTMENT OF EDUCATION
NATIONAL CENTER FOR EDUCATION STATISTICS
FORM NTPS-4A
(07-28-2020) Draft 9

Collected by:

U.S. DEPARTMENT OF COMMERCE
U.S. CENSUS BUREAU

OMB No. 1850-0598: Approval Expires 03/31/2023

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14411029

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.)

35

x

Yes
No

INCORRECT marking example –

35
X

3 5

Yes
No

Yes
OR
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: ntps@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.).

All of the information you provide may be used only for statistical purposes and may not be disclosed,
or used, in identifiable form for any other purpose except as required by law (20 U.S.C. §9573 and
6 U.S.C. §151).
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 1850-0598. 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: ntps@census.gov, or write directly to: National Teacher
and Principal Survey (NTPS), National Center for Education Statistics, Potomac Center Plaza, 550 12th Street, SW, Room 4035,
Washington, DC 20202.

2

FORM NTPS-4A

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14411037

1. GENERAL INFORMATION
1-1.

1-2.

How do you classify your position at THIS school?
If you have more than one position, consider the one at which you spend most of your time.
Mark (X) only one box.
1

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?
Box 1 ➔

GO TO item 1-5 on page 4.

Box 2, 3, or 4 ➔

GO TO item 1-4 on page 4.

Please STOP now and return this questionnaire to

Box 5, 6, or 7 ➔ the U.S. Census Bureau. Thank you for your time.
Box 8, 9, 10, or 11

1-3.

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.
Yes ➔

GO TO item 1-4 on page 4.

Please STOP now and return this questionnaire to

No ➔ the U.S. Census Bureau. Thank you for your time.

FORM NTPS-4A

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3

14411045

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.
Full time
3/4 time or more, but less than full-time
1/2 time or more, but less than 3/4 time
1/4 time or more, but less than 1/2 time
Less than 1/4 time
I do not teach any of grades K-12
or comparable ungraded levels ➔

1-5.

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

During the LAST school year (2019-20), 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.
Teaching in this school
Teaching in another public elementary, middle, or secondary school IN THIS SCHOOL SYSTEM
Teaching in a public elementary, middle, or secondary school IN A DIFFERENT SCHOOL
SYSTEM IN THIS STATE
Teaching in a public elementary, middle, or secondary school IN ANOTHER STATE
Teaching in a PRIVATE elementary, middle, or secondary school
Teaching in a preschool
Teaching at a college or university
Student at a college or university
Working in a position in the field of education, but not as a teacher
Working in a position outside the field of education
On leave (e.g., maternity or paternity leave, disability leave, sabbatical)
Caring for family members, but not on leave (e.g., homemaking, childrearing)
Military service
Unemployed and seeking work
Retired from another job
Other – please specify ➔

4

FORM NTPS-4A

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14411052

1-6.

When did you begin teaching, either full-time or part-time, at THIS school?
Do NOT include time spent as a student teacher or a substitute teacher.
Enter the month AND year.
MM

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 or a substitute teacher.
Enter the month AND year.
MM

1-8.

YYYY

YYYY

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 or a substitute teacher.
Report years to the nearest whole year, not fractions or months.
School years

1-9.

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 or a substitute teacher.
Schools

FORM NTPS-4A

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5

14411060

2. CLASS ORGANIZATION
2-1.

Do you currently teach students in any of these grades at THIS school?
Please mark (X) for all that apply.
Prekindergarten
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Ungraded

2-2.

Of all the students you teach at THIS school, how many have an Individualized Education
Plan (IEP) because they have disabilities or have special needs?
Do NOT include students who have only a 504 plan.
Write ’0’ if you do NOT teach any students with an IEP.
Students with IEPs

2-3.

Of all the students you teach at THIS school, how many have been identified as Englishlanguage learners (ELL), also known as limited-English proficiency (LEP)?
(English-language learners [ELLs] or limited-English proficiency [LEP] refers to students 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.)
Write ’0’ if you do NOT teach any students that are ELL or LEP.
ELL or LEP Students

2-4.

Using Table 1 on page 9, this school year, in what subject is your MAIN teaching
assignment at THIS school?
(Your main teaching assignment 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 9.
Main Teaching
Assignment Code

6

Main Teaching
Assignment Label
FORM NTPS-4A

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14411078

2-5.

Are you intentionally assigned to instruct the same group of students for more than one year
(e.g., looping)?
Yes
No

2-6a.

During any of your classes, do you have students use instructional software to learn some
or all of their lessons?
Yes
No ➔

GO TO item 2-7 below.

b. Does any of the instructional software the students use AUTOMATICALLY ADJUST the level
of instruction to an individual student’s performance?
Yes
No

2-7.

2-8.

Which statement best describes the way YOUR classes at THIS school are organized?
Mark (X) only one box.
1

You instruct several classes of different students most or all of the day in one or more
subjects.

2

You are an elementary school teacher who teaches only one subject to different classes of
students.

3

You instruct the same group of students all or most of the day in multiple subjects.

4

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.

5

You instruct a small number of selected students released from or in their regular classes in
specific skills or to address specific needs.

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

GO TO item 2-12 on page 10.

Box 3 or 4
Box 5 ➔

2-9.

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 ➔

2-10.

GO TO item 2-11 on page 8.

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-4A

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7

14411086

2-11.

During your most recent FULL WEEK of teaching, approximately how many minutes did YOU
spend teaching each of the following subjects at THIS school?
If you taught two or more subjects at the same time, divide the time between each subject the
best you can.
Write ’0’ in the "Minutes per day" box if you did not teach a particular subject during the week.

a. English, reading, or language arts (including reading and writing)
Minutes
per day

Days
per week
for

b. Of these English, reading, or language arts (including reading and writing) minutes, how
many were designated for reading instruction?
Minutes
per day

Days
per week
for

c. Arithmetic or mathematics
Minutes
per day

Days
per week
for

d. Social studies or history
Minutes
per day

Days
per week
for

e. Science
Minutes
per day

Days
per week
for

GO TO Section 3 on page 11.

8

FORM NTPS-4A

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14411094

Table 1. Main Teaching Assignment and Subject-matter Codes and Labels
For Questions 2-4 and 2-13
General Education Codes and Labels
Elementary Education
Special Education
101
Early childhood or pre-K, general
110
Special education, any
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

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

FORM NTPS-4A

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9

14411102

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

2-12.

GO TO Section 3 on page 11.

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.)
Number of classes or sections

2-13.

Using Table 1 on page 9, 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

B.
Subject-Matter Label from Table 1,
one for EACH class period

1 9 2

C.
Grade Level Code
from list below

1 1

Algebra II

D.
Number of Students

3 3

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

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
10

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

07
08
09
10
11
12
UG

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

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14411110

3. EDUCATION AND TRAINING
3-1a.

Do you have a bachelor’s degree?
Yes
No ➔

GO TO item 3-3 on page 14.

b. What is the name of the college or university where you earned this degree?
If you have more than one bachelor’s degree, information about additional degrees will be asked
in item 3-3 on page 14.
Name of college or university

In what city and state is it located?
City

State

Located outside the United States

c.

In what year did you receive your bachelor’s degree?
Year

d. Was your bachelor’s degree awarded by the College of Education, School of Education, or
Department of Education at the college or university you attended?
Yes
No

e. Using Table 2 on page 12, what was your major field of study?
Major Field
of Study Code

f.

Major Field
of Study Label

Did you have a second major field of study?
Do NOT report academic minors or concentrations.
Yes
No ➔

GO TO item 3-1h on page 13.

g. Using Table 2 on page 12, what was your second major field of study?
Do NOT report academic minors or concentrations.
Major Field
of Study Code

Major Field
of Study Label

FORM NTPS-4A

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11

14411128

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
137

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

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

12

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-4A

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14411136

3-1h. Did you have a minor field of study?
Yes
No ➔

i.

GO TO item 3-2a below.

Using Table 2 on page 12, what was your minor field of study?
Minor Field
of Study Code

3-2a.

Minor Field
of Study Label

Do you have a master’s degree?
Yes
No ➔

GO TO item 3-3 on page 14.

b. Was at least a portion of the cost of your master’s degree paid for by a STATE, SCHOOL
DISTRICT, or SCHOOL in which you taught?
If you have more than one master’s degree, information about additional degrees will be asked
in item 3-3 on page 14.
Yes
No

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

d. Was your master’s degree awarded by the College of Education, School of Education, or
Department of Education at the college or university you attended?
Yes
No

e. Using Table 2 on page 12, what was your major field of study for your master’s degree?
Major Field
of Study Code

Major Field
of Study Label

FORM NTPS-4A

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14411144

3-3.

Have you earned any of the degrees or certificates listed below?
Yes
No ➔

a. Degree or
certificate

GO TO item 3-4 on page 15.

b. Using Table 2 on page 12, 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
Year

(1) Vocational
certificate

Major Field of Study Label

Major Field of Study Code
Year

(2) Associate’s
degree

Major Field of Study Label

Major Field of Study Code

(3) SECOND
Bachelor’s
degree

Was your degree awarded by the
College of Education, School of
Education, or Department of
Education at the college or
university you attended?

Major Field of Study Label

Yes

(4) SECOND
Master’s
degree

Yes

No

Was your degree awarded by the
College of Education, School of
Education, or Department of
Education at the college or
university you attended?

Year

Major Field of Study Label
No

Was your degree awarded by the
College of Education, School of
Education, or Department of
Education at the college or
university you attended?

Major Field of Study Code

14

Year

Major Field of Study Label

Yes

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

No

Was your degree awarded by the
College of Education, School of
Education, or Department of
Education at the college or
university you attended?

Major Field of Study Code

Major Field of Study Code

(6) Certificate of
Advanced
Graduate
Studies

Year

Major Field of Study Label
Yes

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

No

Was your degree awarded by the
College of Education, School of
Education, or Department of
Education at the college or
university you attended?

Major Field of Study Code

Year

Year

Major Field of Study Label
Yes

FORM NTPS-4A

No

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14411151

3-4a.

Have you ever taken any undergraduate or graduate 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.
Yes
No ➔

b.

GO TO item 3-5 below.

How many undergraduate or graduate courses focused SOLELY on teaching methods?
Mark (X) only one box.
1 or 2 courses
3 or 4 courses
5 to 9 courses
10 or more courses

c.

Did you take any of these courses before your first year of teaching?
Yes
No

3-5.

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

a. Classroom management techniques?
Yes
No

b. Lesson planning?
Yes
No

c. How to assess learning?
Yes
No

d. How to use student performance data to inform instruction?
Yes
No

e. How to serve students from diverse economic backgrounds?
Yes
No

FORM NTPS-4A

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3-5.

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?
Yes
No

g. How to teach students who are English-language learners (ELLs) or limited-English
proficient (LEP)?
Yes
No

3-6a.

Did you spend time student teaching (sometimes called practice teaching)?
Yes
No ➔

GO TO Section 4 on page 17.

b. In how many different classrooms did you student teach?
Mark (X) only one box.
1
2
3 or more

c.

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.
4 weeks or less
5-7 weeks
8-11 weeks
12 weeks or more

16

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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.)
Yes
No

The next series of questions is about state certification. 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.
Regular or standard state certificate or advanced professional certificate
Certificate issued after satisfying all requirements except the completion of a probationary
period (in some states this is called a probationary certificate)
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)
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)
I do not hold any of the above certifications in THIS state ➔

b.

GO TO Section 5 on page 21.

Using Table 3 on page 18, 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

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12

c. Does this certificate marked in item 4-2a certify you to teach in additional content areas?
Yes ➔
No ➔

GO TO item 4-2d on page 19.
GO TO item 4-3a on page 19.

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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
102
Elementary grades, general
Intellectual disabilities
118
103
Middle grades, general
Mildly or moderately disabled
119
Orthopedically impaired
120
Secondary Education
Severely or profoundly disabled
121
103
Middle grades, general
Speech or language impaired
122
104
Secondary grades, general
Traumatically brain-injured
123
Special Education
Visually impaired
124
111
Special education, general
Other special education
125
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
144
Drama or theater
American studies)
145
Music
225
Economics
226
Geography
English and Language Arts
227
Government or civics
151
Communications
228
History
152
Composition
231
Native American studies
153
English
232
Political Science
154
Journalism
233
Psychology
155
Language arts
234
Sociology
157
Literature or literary criticism
235
Other social sciences
158
Reading
Career or Technical Education
159
Speech
241
Agriculture and natural resources
English as a Second Language (ESL)
242
Business management
160
ESL or bilingual education: General
243
Business support
161
ESL or bilingual education: Spanish
244
Marketing and distribution
162
ESL or bilingual education: Other
245
Healthcare occupations
languages
246
Construction trades, engineering, or science
technologies (including CADD and drafting
Foreign Languages
247
Mechanics and repair
171
French
249
Manufacturing or precision production
172
German
(electronics, metalwork, textiles, etc.)
173
Latin
250
Communications and related technologies
174
Spanish
(including design, graphics or printing; not
175
Other foreign language
including computer science)
253
Personal and public services
Health Education
(including culinary arts, cosmetology, child
181
Health education
care, social work, protective services,
182
Physical education
custodial services, and interior design)
Mathematics and Computer Science
254
Family and consumer sciences education
190
Mathematics
255
Industrial arts or technology education
197
Computer science
256
Other career or technical education
200
Statistics and probability
Miscellaneous
262
Driver education
Natural Sciences
263
Humanities or liberal studies
210
Science, general
264
Library or information science
211
Biology or life sciences
265
Military science or ROTC
212
Chemistry
266
Philosophy
213
Earth sciences
267
Religious studies, theology, or divinity
216
Physical sciences
217
Physics
Other
218
Other natural sciences
268
Other
18

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NOTE: Item 4-2d is for teachers who marked Yes for item 4-2c on page 17.
If you marked No for item 4-2c ➔ GO TO item 4-3a below.

4-2.

Continued –

d.

Using Table 3 on page 18, 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)

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

Content Area Code

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12
(2)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12
(3)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12
(4)

Content Area Code

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12

4-3a.

Do you have another current teaching certificate that certifies you to teach in THIS state?
Yes
No ➔

GO TO Section 5 on page 21.

b. Which of the following describes this current teaching certificate you hold in THIS state?
Mark (X) only one box.
Regular or standard state certificate or advanced professional certificate
Certificate issued after satisfying all requirements except the completion of a probationary
period (in some states this is called a probationary certificate)
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)
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)

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14411201

4-3.
c.

Continued –
Using Table 3 on page 18, in what content area(s) and grade range(s) does the teaching
certificate marked in question 4-3b on page 19 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

Early childhood, preschool, or at least one of grades K-5
At least one of grades 6-8

Content Area Label

At least one of grades 9-12

d. Does this certificate marked in item 4-3b certify you to teach in additional content areas?
Yes
No ➔

GO TO Section 5 on page 21.

e. Using Table 3 on page 18, 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)

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

Content Area Code

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

At least one of grades 6-8
At least one of grades 9-12

(2)

Content Area Code

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

At least one of grades 6-8
At least one of grades 9-12

(3)

Content Area Code

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

At least one of grades 6-8
At least one of grades 9-12

(4)

Content Area Code

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

At least one of grades 6-8
At least one of grades 9-12

20

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5. EARLY CAREER EXPERIENCES
5-1.

Was your FIRST year of teaching before the 2016-2017 school year?
Do NOT include time spent as a student teacher or a substitute teacher.
Yes ➔

GO TO Section 6 on page 25.

No

5-2.

What was your MAIN activity the year before you began teaching at the K-12 or comparable
ungraded level?
Mark (X) only one box.
Student at a college or university
Working as a substitute teacher
➔

GO TO item 5-4 on page 22.

Teaching in a preschool
Teaching at a college or university
Working in a position in the field of education, but not as a teacher
Working in an occupation outside the field of education
Caring for family members
Military service
➔

GO TO item 5-4 on page 22.

Unemployed and seeking work
Retired from another job

5-3a.

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.

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

c. How would you classify yourself on that job?
Mark (X) only one box.
An employee of a PRIVATE company, business, or individual for wages, salary, or commission
A FEDERAL government employee
A STATE government employee
A LOCAL government employee
SELF-EMPLOYED in your own business, professional practice, or farm
Working WITHOUT PAY in a family business or farm
Working WITHOUT PAY in a volunteer job
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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.
Mark (X) one box on each line.
Not at all
prepared

Somewhat
prepared

Well
prepared

Very well
prepared

a. Handle a range of classroom management
or discipline situations?
b. Use a variety of instructional methods?
c.

Teach your subject matter?

d. Use computers in classroom instruction?
e. Assess students?
f.

Differentiate instruction in the classroom?

g. Use data from student assessments to
inform instruction?
h. Teach to state content standards?

5-5.

i.

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

j.

Teach students with special needs?

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.
Yes
No

22

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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
Yes
No

b. Common planning time with teachers in your subject
Yes
No

c. Seminars or classes for beginning teachers
Yes
No

d. Extra classroom assistance (e.g., teacher aides)
Yes
No

e. Regular supportive communication with your principal, other administrators, or
department chair
Yes
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
Yes
No

g. Release time to participate in support activities for new or beginning teachers
Yes
No

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14411243

5-7a.

In your FIRST year of teaching, were you ASSIGNED a master or mentor teacher by your
school or district?
If you are in your first year of teaching, please answer for THIS school year.
Yes
No ➔

GO TO Section 6 on page 25.

b. How frequently did you work with your assigned master or mentor teacher during your
first year of teaching?
At least once a week
Once or twice a month
A few times a year
Never

c. Had your assigned master or mentor teacher ever instructed students in the same subject
area(s) as yours?
Yes
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
Yes
No

b. Demonstrated lessons
Yes
No

c. Helped you prepare lessons that address learning standards
Yes
No

d. Helped you develop student assessment tools
Yes
No

5-9.

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.
Not at all
To a small extent
To a moderate extent
To a great extent

24

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6. TEACHER WORKING CONDITIONS
6-1.

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.
Report to the nearest whole hour.
Total WEEKLY hours required to work

6-2.

Of the hours you are CONTRACTED to work, excluding time spent on planning, lunch,
break/recess, arrival/dismissal of students, and otherwise NOT delivering instruction, 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.
Report to the nearest whole hour.
Total WEEKLY hours delivering instruction

6-3.

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?
This number should be greater than or equal to the reported number of hours in 6-1.
Report to the nearest whole hour.
Total WEEKLY hours spent on all teaching and school-related activities

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6-4.

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

a. Coach a sport?
Yes
No

b. Sponsor any student groups, clubs, or organizations?
Yes
No

c. Serve as a department lead or chair?
Yes
No

d. Serve as a lead curriculum specialist?
Yes
No

e. Serve on a schoolwide or districtwide committee or task force?
Yes
No

f.

Serve as an assigned mentor or mentor coordinator for teachers?
Yes
No

6-5.

In the LAST SCHOOL YEAR (2019-20), 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 write ’0’.

$

26

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.00

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7. SCHOOL CLIMATE AND TEACHER ATTITUDES
7-1.

During the 2019-20 school year, how did the coronavirus pandemic affect how you delivered
instruction in this school?
Mark (X) for all that apply.
I was not a teacher at this school during the 2019-20 school year ➔

GO TO item 7-5 on page 28.

There was no change in how my classes were taught because of the coronavirus pandemic
All or some of my classes normally taught in person at the school were canceled
All or some of my classes normally taught in person moved to a distance-learning format using
online resources, either self-paced or real-time
All or some of my classes normally taught in person moved to a distance-learning format using
paper materials sent home with students
All or some of my classes normally taught in person changed in some other way
Please specify ➔

7-2.

To what extent do you agree or disagree with the following statement: I had the support
and resources I needed to be effective as a teacher at this school during the coronavirus
pandemic in the 2019-20 school year.
Strongly disagree
Somewhat disagree
Somewhat agree
Strongly agree

7-3.

During the coronavirus pandemic in the 2019-20 school year, what kinds of real-time
interactions, if any, did you have with your students at this school?
Mark (X) for all that apply.
I had no real-time interactions with students during
the coronavirus pandemic in the 2019-20 school year ➔

GO TO item 7-5 on page 28.

I taught scheduled real-time lessons to classes who could ask questions during the lesson
through a video or audio call
I held scheduled sessions with groups of students to provide support through a video or
audio call
I held scheduled one-on-one sessions with individual students to teach lessons or provide
support through a video or audio call
I held scheduled office hours where students could ask questions through a video or audio call
I had unscheduled sessions with students as needed through a video or audio call

7-4.

What percentage of your students at this school did you have any real-time interaction with
during the coronavirus pandemic in the 2019-20 school year?
1-25%
26-50%
51-75%
76-100%

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7-5.

How much actual influence do you think teachers have over school policy AT THIS SCHOOL
in each of the following areas?
Mark (X) one box on each line.
No
influence

Minor
influence

Moderate
influence

A great deal
of influence

a. Setting performance standards for
students at this school

b. Establishing curriculum
c. Determining the content of in-service
professional development programs

d. Evaluating teachers
e. Hiring new full-time teachers
f. Setting discipline policy
g. Deciding how the school budget
will be spent

7-6. How much actual control do you have IN YOUR CLASSROOM at this school over the
following areas of your planning and teaching?
Mark (X) one box on each line.
No
control

Minor
control

Moderate
control

A great deal
of control

a. Selecting textbooks and other
instructional materials

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

c. Selecting teaching techniques
d. Evaluating and grading students
e. Disciplining students
f. Determining the amount of
homework to be assigned

28

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7-7.

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

Somewhat
disagree

Somewhat
agree

Strongly
agree

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

b. I am satisfied with my teaching salary.
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.

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

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

f.

Routine duties and paperwork interfere
with my job of teaching.

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

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

i.

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

j.

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

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

l.

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

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.

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

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

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

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

r.

I make a conscious effort to coordinate the
content of my courses with that of other
teachers.
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7-8.

To what extent is each of the following a problem in THIS school?
Mark (X) one box on each line.
Not a
problem

Minor
problem

Moderate
problem

Serious
problem

a. Student tardiness
b. Student absenteeism
c. Student class cutting
d. Teacher absenteeism
e. Students dropping out
f.

Student apathy

g. Lack of parental involvement
h. Poverty

7-9.

i.

Students come to school unprepared to learn

j.

Poor student health

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

Somewhat
disagree

Somewhat
agree

Strongly
agree

a. The stress and disappointments involved in

teaching at this school aren’t really worth it.

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

c. I like the way things are run at this school.
d. If I could get a higher paying job I’d leave
teaching as soon as possible.

e. I think about transferring to another school.
f.

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

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

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7-10.

Which statement best describes how long you plan to remain in teaching?
Mark (X) only one box.
As long as I am able
Until I am eligible for retirement benefits from this job
Until I am eligible for retirement benefits from a previous job
Until I am eligible for Social Security benefits
Until a specific life event occurs (e.g., parenthood, marriage, retirement of spouse or partner)
Until a more desirable job opportunity comes along
Definitely plan to leave as soon as I can
Undecided at this time

7-11.

Has a student FROM THIS SCHOOL ever threatened to injure you?
Yes
No ➔

GO TO item 7-12a below.

b. Has a student FROM THIS SCHOOL threatened to injure you IN THE PAST 12 MONTHS?
Yes
No ➔

c.

GO TO item 7-12a below.

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

7-12a. Has a student FROM THIS SCHOOL ever physically attacked you?
Yes
No ➔

GO TO item 7-13 on page 32.

b. Has a student FROM THIS SCHOOL physically attacked you IN THE PAST 12 MONTHS?
Yes
No ➔

c.

GO TO item 7-13 on page 32.

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

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7-13.

In general, would you say that your health is: Excellent, Very good, Good, Fair, or Poor?
Excellent
Very good
Good
Fair
Poor

7-14.

On average, how many hours of sleep do you get in a typical school night?
Report to the nearest whole hour.
Total average hours sleeping

32

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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 2020, did you have any earnings from –
Report amounts in whole dollars.

a. Teaching summer school in this school or any other school?
Yes ➔

How much?

$

No

.00

,

(1) Did all of these earnings come from your current
school?
Yes
No
GO TO item 8-1b below.

b. Working in a non-teaching job in this school or any other school?
Yes ➔

How much?

$

No

.00

,

(1) Did all of these earnings come from your current
school?
Yes
No
GO TO item 8-1c below.

c. Working in any NONSCHOOL job?
Yes ➔

How much?

$

,

.00

No
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.
Days per contract year

8-3.

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

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8-4.

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.
Yes ➔

How much?

$

,

.00

No
GO TO item 8-5 below.

8-5.

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.
Yes ➔

How much?

$

,

.00

No
GO TO item 8-6 below.

8-6.

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.
Yes ➔

How much?

$

,

.00

No
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.
Yes ➔

How much?

$

,

.00

GO TO item 8-7b below.

No ➔

GO TO item 8-8 on page 35.

b. Which of these best describes this job OUTSIDE this school system?
Mark (X) only one box.
Teaching or tutoring
Non-teaching, but related to teaching field
Other

34

FORM NTPS-4A

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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.
Yes ➔

How much?

$

,

.00

No
GO TO item 8-9 below.

8-9.

Other than money you may have borrowed from family or friends, did you take out any type
of student loans to help pay for your undergraduate or graduate education?
Yes
No ➔

8-10.

GO TO item 8-14 on page 36.

Do you still owe all, some, or none of the amount that you borrowed?
All
Some
None ➔

8-11.

How much do you typically pay each month on your student loans?
Please provide the amount you pay each month, even if it is different from your minimum monthly
payment.
Please answer based on any federal, private, state, and school loans you have, including loans
for your bachelor’s degree and for any education since your bachelor’s degree. If the amount
changes, please report the most recent amount.

$
8-12.

GO TO item 8-13 on page 36.

,

.00

per month

Please indicate your level of stress regarding your student loan debt. Would you say your
level of stress is:
Very low
Low
Moderate
High
Very high

FORM NTPS-4A

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14411367

8-13.

Please indicate whether your student loan debt has influenced your employment plans and
decisions in any of the following ways. Did you —

a. Have to work at more than one job at the same time because of your student loan debt?
Yes
No

b. Take a less desirable job because of your student loan debt?
Yes
No

8-14.

Are you a member of a teachers’ union or an employee association similar to a union?
Yes
No

8-15a. Does your school, district, or school system offer tenure?
Yes
No ➔

GO TO Section 9 on page 37.

b. Are you tenured at your current school?
Yes
No

36

FORM NTPS-4A

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14411375

9. TEACHER DEMOGRAPHIC INFORMATION
9-1.

Are you male or female?

NOTE: Question will be removed for SOGI treatment group

Male
Female

9-2.

Are you of Hispanic or Latino origin?
Yes
No

9-3.

What is your race?
Mark (X) one or more races to indicate what you consider yourself to be.
White
Black or African-American
Asian
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native

9-4.

What is your year of birth?

NOTE: Experimental questions on sex at birth, gender, and
sexual orientation will be inserted here for SOGI treatment
group

FORM NTPS-4A

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14411383

10. CONTACT INFORMATION
10-1.

Please enter the date you completed this questionnaire.
MM

DD

YYYY
2 0

10-2.

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

10-3.

Please PRINT your name, your home address, your cell and home telephone numbers,
the most convenient time to reach you, and your work and home e-mail addresses. This
information would only be used in the event that we need to contact you for follow-up.
All of the information you provide may be used only for statistical purposes and may not
be disclosed, or used, in identifiable form for any other purpose except as required by
law (20 U.S.C. §9573 and 6 U.S.C. §151).

a. First name

Middle name

Last name

Suffix

b. Street Address

c. City

d. State

e. ZIP Code

38

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14411391

f.

Cell phone number
Area code

Number
–

–

I consent to receive text messages for follow-up purposes only.

g. Home phone number
Area code

Number
–

–

h. Best day(s) to reach you
Mark (X) for all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

i.

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

j.

Work e-mail address

k. Home e-mail address

FORM NTPS-4A

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39

14411409

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: ntps@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

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:
https://www.usa.gov/statistics

40

FORM NTPS-4A

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