School Characteristics and Policies Questionnaire

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1 School haracteristics and Policies Questionnaire This questionnaire should be completed by the principal or the head of the school. Some of the questions that follow ask you to fill in specific numbers. or those questions, please print the appropriate numbers in the boxes provided. Please PRINT LILY. Using one number per box, fill in every box. Keep all printing within the boxes. o not make any stray marks. Use only a No. 2 pencil. xample: 150 would be written as, xamples of numerals are: Z1SQS Page 3 9/13/02 PM

2 1. What grades are taught at your school? ill in all ovals that apply. V I J K L M N Pre-kindergarten Kindergarten 1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade 7th grade 8th grade 9th grade 10th grade 11th grade 12th grade Z1SQS Page 4 9/13/02 PM

3 2. s of ebruary 1, 2003, how many days of instruction will students in your school have had this school year? (If your school has multiple tracks with different schedules, please answer separately for each track.) V days of instruction in first (or only) track V days of instruction in second track V days of instruction in third track V What is the current enrollment in your school? V337250, 4. Of the students currently enrolled in your school, what percentage has been identified as limited-nglish proficient? 0% V % 6-10% 11-25% 26-50% 51-75% 76-90% Over 90% Z1SQS Page 5 9/13/02 PM

4 5. What type of school is this? ill in ovals for all that apply. QK Regular elementary school regular school with a magnet program magnet school or a school with a special program emphasis, e.g., science/ math school, performing arts school, talented/gifted school, foreign language immersion school, etc. Special education: a school that primarily serves students with disabilities lternative: a school that offers a curriculum designed to provide alternative or nontraditional education, not clearly categorized as regular or special education I J Private (independent) Private (religiously affiliated) harter school Privately run public school Other Which of the following best describes how the fourth grades in your school are organized for instruction? ill in one oval. Self-contained. Students stay with the same teacher for all academic subjects. epartmentalized. Students have different teachers in most or all academic subjects. Regrouped. Students remain with one teacher for most subjects but may have a different teacher for one or two subjects. Z1SQS Page 6 9/13/02 PM

5 re fourth graders typically assigned to classes by ability and/or achievement levels (so that some classes are higher in average ability and/or achievement levels than others)? Yes, by mathematics ability Yes, by reading ability Yes, by general ability No 8. uring each week, how much time does the typical student in grade 4 in your school receive instruction in each of these subjects? ill in one oval on each line. QK Less than 1 hour t least 1 hour but less than 2 hours t least 2 hours but less than 3 hours 3 hours or more a. Mathematics QK b. Reading QK QK o fourth graders in your school participate in school-sponsored extracurricular activities such as clubs, competitions, fairs, or exhibits in any of the following areas? ill in one oval on each line. Yes No a. Mathematics QK b. Reading QK Z1SQS Page 7 9/13/02 PM

6 oes your school do any of the following to involve parents? ill in one oval on each line. Yes, routinely Yes, occasionally No a. Use parents as aides in classrooms b. ave parents review or sign students homework L c. ssign homework for students to do with parents L d. ave a parent volunteer program L e. Offer special classes or workshops for parents QK f. ave parents as guest teachers QK In your school, approximately what percentage of the parents do each of the following? ill in one oval on each line % 26-50% 51-75% % a. Participate in a parent-teacher organization b. Participate in open houses or back-to-school nights c. Participate in parent-teacher conferences d. re involved in making school curriculum decisions e. Participate in volunteer programs Z1SQS Page 8 9/13/02 PM

7 To what degree is each of the following a problem in your school? ill in one oval on each line. Not a Problem Minor Moderate Serious a. Student absenteeism b. Student tardiness c. Physical conflicts among students d. Teacher absenteeism e. Racial or cultural conflicts f. Student health problems g. Lack of parent involvement h. ang activities i. Student misbehavior in class j. heating k. Physical conflicts between students and teachers I l. Vandalism I Z1SQS Page 9 9/13/02 PM

8 13. ow would you characterize each of the following within your school? ill in one oval on each line Very Negative Somewhat Negative Somewhat Positive Very Positive a. Morale of teachers b. Students attitudes toward academic achievement c. Parental support for student achievement d. Teachers expectations for student achievement I e. Regard for school property bout what percentage of your students is absent on an average day? (Include excused and unexcused absences in calculating this rate.) % 3-5% 6-10% More than 10% 15. bout what percentage of your teachers is absent on an average day? (Include all absences in calculating this rate.) L % 3-5% 6-10% More than 10% Z1SQS Page 10 9/13/02 PM

9 bout what percentage of students who are enrolled at the beginning of the school year is still enrolled at the end of the school year? (xclude students who transfer into the school during the school year in figuring this rate.) % 95-97% 90-94% 80-89% 70-79% 60-69% 50-59% Less than 50% bout what percentage of this year s fourth graders was held back and is repeating fourth grade? 0% 1-2% 3-5% 6-10% More than 10% Z1SQS Page 11 9/13/02 PM

10 Of the full-time teachers who started in your school last year, what percentage left before the end of the school year? 0% 1-2% 3-5% 6-10% 11-15% 16-20% More than 20% 19. oes your school participate in the National School Lunch Program? Yes No Z1SQS Page 12 9/13/02 PM

11 20. uring this school year, about what percentage of students in your school was eligible to receive a free or reduced-price lunch through the National School Lunch Program? I % 1-5% 6-10% 11-25% 26-50% 51-75% 76-99% 100% I oes your school receive Title I funding? (Title I is a federally funded program which provides educational services, such as remedial reading or remedial math, to children who live in areas with high concentrations of low-income families.) Yes No V Z1SQS Page 13 9/13/02 PM

12 22. pproximately what percentage of students in your school receives the following services? ill in one oval on each line. Students who receive more than one service should be counted for each service they receive. Please report the percentage of students who receive each of the following services as of the day you respond to this questionnaire. Over None 1-5% 6-10% 11-25% 26-50% 51-75% 76-90% 90% a. Title I funding V b. ifted and talented program V c. Instruction provided in student s home language (non-nglish) V d. nglish-as-a-second language instruction (not in a bilingual education program) V e. Special education V Z1SQS Page 14 9/13/02 PM

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