Directions

Directions: Please answer the following questions to the best of your ability.

IRB/Human Subjects Information:

Taking this survey will take approximately 8-10 minutes of your time. Completion of this survey indicates voluntary consent to participate in this study. For information regarding your rights as a research participant, you may contact the Chair of the Institutional Review Board for Southeastern Louisiana University at (985)549-2077.This survey contains an identification number. This is done for research purposes. The information you provide will be completely confidential, the coding list will be destroyed after the data is collected. The information gained from this survey will only be reported as group data, at no time will your name be identified with any response. If you have any questions regarding this survey, please contact Dr. Hancock at (985) 515-8130 or the EDLT Chair , Dr. Dembowski, at (985)-549-5713.

Demographic Information

Optional: Providing your name will assist us in longitudinal analysis. Your name will be kept confidential and a unique tracking number will be assigned to your data. This will enable the researchers to compare your responses on this survey to surveys you may fill out in coming years. Your name will not be associated with any data and will not be reported with any data to any party. If you do not wish to provide your name, please leave these items blank.

First Name

Last Name

* 2. What is the name of your school?

* 3. What is your job role?

* 4. How many years of experience in the field of education do you have?

* 5. What is your gender?

* 6. Would you consider the population you serve to be "at risk"?

* 7. Does the population you serve consist of 70% or greater individuals who would be considered members of a traditional minority group?

Yes

No

* 8. What form of standardized assessment, if any, is used to assess students in your class? (Ex: The Iowa Test of Basic Skills)

* 9. What percentage of the students in your class "passed", showed acceptable overall progress, on their standardized exams last year? Please enter a value from 1-100 or N/A for your answer. Enter N/A if your students do not test.

* 10. What percentage of the students in your class demonstrated mastery of one or more subjects on their standardized exams last year? Please enter a value from 1-100 or N/A for your answer. Enter N/A if your students do not test.

11. Please indicate the broad subject matter focus of your class or classes. You may select more than one.

* 12. Please indicate the type of home network connection you have.

* Indicates Response Required