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Career Ladder Participant Questionnaire

THANK YOU very much for taking the time to fill out this questionnaire.  This survey is part of an ongoing evaluation process being conducted by the Center for the Education and Study of Diverse Populations (CESDP) and the Center for Positive Practices (CPP).  Only CESDP, CPP, and you personally will be privileged to see your individual responses.  The U.S. Department of Education, the state's districts and schools, and the public will only receive reports of group-level data, if any at all, in order to protect your individual privacy.  The evaluation team is asking for your name so that we can track whether participants experience varying levels of professional growth over the course of the program.

The information you provide on this survey may be used to as continuous improvement feedback to the CESDP for improving the program, and to assess evidence of program effectiveness.  Filling in the form below affirms that you are over 18 years of age, and that you consent to have your answers to this questinnaire included in the overall program evaluation.  ¡Muchas Gracias!

Please scroll below to begin answering questions...

Page Contents

Section I: Personal Information   dot   Section II: Professional Information   dot   Section III: Personal Beliefs   dot   Section IV: Personal Efficacy   dot   Section V: Previous Related Training, Experience, and/or Education   dot   Section VI: Comments   dot   Submit your completed questionnaire!


Section I: Personal Information

1. Your Name:

2. Position/Title (if employed in education, or student):

3. Home Mailing Address:

4. City, State, Zip:

5. Telephone:

6. Fax:

7. Email:

Please re-enter your email:
8. Signed: Not Required
9. Date: Not Required

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Section II: Professional Information

10. Grade(s) you teach (including as teacher assistant)(if applicable): Check all that apply:

pre-K  |   K  |   1  |   2  |   3  |   4  |   5  |
6  |   7  |   8  |   9  |   10  |   11  |   12

Grade 1 was pre-selected as an example.
Click on its checkbox again to deselect it if you do not teach first grade.


11. Years of teaching experience:

12. Years of Bilingual/ESL teaching experience (including as teacher assistant):

13. Do you have a valid NM teaching license?

Yes  |   No

14. Have you formally enrolled into the present Career Ladder professional development program?

Yes  |   No  |   Don't Know

15. Do you have certification from another country?

Yes  |   No

16. List any other special certifications you may have (e.g. ESL, Special Education, TESOL, etc. separated by commas):


17. List any languages other than English for which you have oral proficiency:


18. Present school OR district where you are a teacher, teacher's aide, or administrator(if applicable):

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Section III: Personal Beliefs

Instructions On the following pages, there are survey questions which have very clear answers, and some which require your subjective answers.  Please try to answer every question, and give the best possible answer that makes sense to you.

ExampleI believe that my district is investing sufficient resources to adequately serve its English Language Learners:
(1) Not-at-All  |  (2) Slightly  |  (3) More-or-Less  |  (4) Mostly  |  (5) Totally

19.  I believe that my participation in the present professional development program will result in my employment/placement in a Bilingual/ESL teaching or administrative position within the District where I reside:

(1) Not-at-All  |  (2) Slightly  |  (3) More-or-Less  |  (4) Mostly  |  (5) Totally

20. I believe that my school (or local district if not presently teaching) maintains a strong and coherent commitment to English Language Learners:

(1) Not-at-All  |  (2) Slightly  |  (3) More-or-Less  |  (4) Mostly  |  (5) Totally

21. I believe that my school (or local district if not presently teaching) has a system is in place for the identification and reclassification of English Language Learners:

(1) Not-at-All  |  (2) Slightly  |  (3) More-or-Less  |  (4) Mostly  |  (5) Totally

22. I believe that English Language Learners are adequately served within my school (or local district if not presently teaching):

(1) Not-at-All  |  (2) Slightly  |  (3) More-or-Less  |  (4) Mostly  |  (5) Totally

23. I believe that my school (or local district if not presently teaching) has a plan to increase its sensitivity to the needs of English Language Learners:

(1) Not-at-All  |  (2) Slightly  |  (3) More-or-Less  |  (4) Mostly  |  (5) Totally

24. I believe that my school (or local district if not presently teaching) has teacher mentors who support Bilingual/ESL teachers and guide the implementation of Bilingual/ESL services at my school:

(1) Not-at-All  |  (2) Slightly  |  (3) More-or-Less  |  (4) Mostly  |  (5) Totally

25. I believe that I will teach within my local district for many years to come:

(1) Not-at-All  |  (2) Slightly  |  (3) More-or-Less  |  (4) Mostly  |  (5) Totally

26. I believe that English Language Learners are capable of achieving at the highest academic levels:

(1) Not-at-All  |  (2) Slightly  |  (3) More-or-Less  |  (4) Mostly  |  (5) Totally

27. I believe that well-trained teachers can help all students, including English Language Learners, to rise above all social challenges in order to academically achieve at grade level and above:

(1) Not-at-All  |  (2) Slightly  |  (3) More-or-Less  |  (4) Mostly  |  (5) Totally


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Section IV: Personal Efficacy

Example  I feel confident that I can convince parents to set aside adequate time for their children to do their homework:

 (1) Very Little Confidence  |   (2) Little Confidence  |   (3) Some Confidence  |   (4) Much Confidence  |   (5) Complete Confidence

28. I feel confident that I can positively affect the academic achievement of English Language Learners in my classroom (future classroom if not presently teaching, for all classroom questions below):

 (1) Very Little Confidence  |   (2) Little Confidence  |   (3) Some Confidence  |   (4) Much Confidence  |   (5) Complete Confidence


29. I feel confident that I can positively influence the academic attitudes of English Language Learners in my classroom:

 (1) Very Little Confidence  |   (2) Little Confidence  |   (3) Some Confidence  |   (4) Much Confidence  |   (5) Complete Confidence


30. I feel confident that I can completely manage the disciplined behavior of English Language Learners in my classroom:

 (1) Very Little Confidence  |   (2) Little Confidence  |   (3) Some Confidence  |   (4) Much Confidence  |   (5) Complete Confidence


31. I feel confident that I can fulfill all of the requirements for obtaining bilingual/ESL classroom certification or endorsement as a result of participation in the present professional development program:

 (1) Very Little Confidence  |   (2) Little Confidence  |   (3) Some Confidence  |   (4) Much Confidence  |   (5) Complete Confidence


32. I feel confident that I can develop effective curricula and instruction for improving the education of English Language Learners:

 (1) Very Little Confidence  |   (2) Little Confidence  |   (3) Some Confidence  |   (4) Much Confidence  |   (5) Complete Confidence


33. I feel confident that I can facilitate a strong collaboration between parents and families of my English Language Learners and my school:

 (1) Very Little Confidence  |   (2) Little Confidence  |   (3) Some Confidence  |   (4) Much Confidence  |   (5) Complete Confidence


34. I feel confident that I can facilitate effective cooperative and collaborative group work between English Language Learners and Native English speakers:

 (1) Very Little Confidence  |   (2) Little Confidence  |   (3) Some Confidence  |   (4) Much Confidence  |   (5) Complete Confidence


35. I feel confident that I can use effective "hands on" academic classroom strategies to improve the academic achievement of English Language Learners:

 (1) Very Little Confidence  |   (2) Little Confidence  |   (3) Some Confidence  |   (4) Much Confidence  |   (5) Complete Confidence


36. I feel confident that I can effectively use the principles of bilingual education to significantly impact the academic achievement of English Language Learners:

 (1) Very Little Confidence  |   (2) Little Confidence  |   (3) Some Confidence  |   (4) Much Confidence  |   (5) Complete Confidence


37. I feel confident that I can positively improve my personal and professional attitudes toward providing a better education for English language Learners in my classroom:

 (1) Very Little Confidence  |   (2) Little Confidence  |   (3) Some Confidence  |   (4) Much Confidence  |   (5) Complete Confidence


38. I feel confident that I can positively enhance my knowledge and appreciation of diverse cultures:

 (1) Very Little Confidence  |   (2) Little Confidence  |   (3) Some Confidence  |   (4) Much Confidence  |   (5) Complete Confidence


39. I feel confident that I can positively facilitate the English Language Development (ELD) of my English Language Learners in my classroom:

 (1) Very Little Confidence  |   (2) Little Confidence  |   (3) Some Confidence  |   (4) Much Confidence  |   (5) Complete Confidence


40. I feel confident that I can directly and positively affect the academic achievement of my English Language Learners in my classroom:

 (1) Very Little Confidence  |   (2) Little Confidence  |   (3) Some Confidence  |   (4) Much Confidence  |   (5) Complete Confidence


41. I feel confident that I can increase my formal collegial interaction and collaboration with other school staff:

 (1) Very Little Confidence  |   (2) Little Confidence  |   (3) Some Confidence  |   (4) Much Confidence  |   (5) Complete Confidence


42. I feel confident that I can effectively serve as a mentor to other Bilingual Education/ESL teachers for identifying materials and methods, developing lesson plans, and adapting curricula:

 (1) Very Little Confidence  |   (2) Little Confidence  |   (3) Some Confidence  |   (4) Much Confidence  |   (5) Complete Confidence

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Section V: Previous Related Training, Experience, and/or Education

Instructions Although this section may at first appear complicated, it is really quite simple. For each numbered item, there are three columns, and thus three answers. In Column A, put the number of HOURS for which you've had formal training (e.g. 3 for two 90-minute training sessions). In Column B, put the number of YEARS of PROFESSIONAL experience (e.g. 2 for 2 years as a bilingual teacher). In Column C, put the number of college or university CREDIT HOURS you've had related to each question (e.g. 6 for two 3-credit-hour courses). It's okay to guess or estimate, as this section is simply to generally inform the program administrators about the level of exposure participants have had on each item. Also, feel free to discuss how you would answer questions to this section with others in the room.

EXAMPLE
Description
A.
Formal Training (Hours)
B.
Professional Experience (Years)
C.
Formal Education (Credit Hours)
Example: Language: Hmong
Example: Language: Spanish
What the above example means: Regarding Hmong, I have 3 hours of formal training (such as a professional development session). Regarding Spanish, I have 2 years of professional experience and 3 credit hours of formal education.

Description
A.
Formal Training (Hours)
B.
Professional Experience (Years)
C.
Formal Education (Credit Hours)
43. Language Competency: English
44. Language Competency: Spanish
45. Language Competency: American Indian dialect
46. Language Competency: Other
47. Methods, strategies, and materials for bilingual/ESL classrooms.
48. Foundations of bilingual/ESL instruction
49. Understanding language acquisition and cognition
50. Assessment of linguistically diverse populations
51. Integrating language acquisition into content instruction
52. Parent and community involvement in education
53. Sheltered English or ESL instruction
54. Teacher mentoring in education
55. Peer coaching, cognitive coaching, and/or peer tutoring
56. Working with tribal students
57. Working with recent immigrant students
58. Working with English Language Learners
59. Dual Language bilingual education

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Section VI: Comments

60. Please use this space to add any comments or suggestions:

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Submit your completed questionnaire!

Click here when you are ready to submit this form.

Thank you very much for your participation. Good luck in your studies!


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Updated: Tuesday, March 29, 2005
10:16:41 AM