# §0,?-¤ FORMPSS-1 (02-27-2013) Draft 1 U.S. DEPARTMENT OF EDUCATION NATIONAL CENTER FOR EDUCATION STATISTICS 

# PRIVATE SCHOOL SURVEY 2013-14 SCHOOL YEAR

PLEASE NOTE: OMB No. 1850-0641: Approval Expires xx/xx/20xx Conducted by: U.S. DEPARTMENT OF COMMERCE Economics and Statistics Administration U.S. CENSUS BUREAU 15113012



### SCHOOLS that teach ANY of the following - 

## •▲ At leastone of grades 1 - 12 

## • Ungraded students between 5 and 18 years old 

## • Kindergarten - traditional year of school primarily for 5-year-olds prior to first grade 

## • Transitional (or readiness) kindergarten - extra year of school for kindergarten-age children who are judged not ready for kindergarten 

## • Transitional first (or prefirst) grade - extra year of school for children who have attended kindergarten but have been judged not ready for first grade 

### EARLY CHILDHOOD PROGRAMS AND DAY CARE CENTERS that have ANY of the following - 

## •▲ Kindergarten 

## • Transitional (or readiness) kindergarten 

## • Transitional first (or prefirst) grade For example: An early childhood center that has a nursery school, a prekindergarten program, and a kindergarten would be eligible for this survey, since it includes a kindergarten. But an early childhood center that has a nursery school and a prekindergarten program ONLY would NOT be eligible for this survey, since it does not include a kindergarten. You would mark box 2 in item 2b. 

### PLEASE CONTINUE WITH ITEM 1 ON PAGE 3. The 2013-14 Private School Survey is intended to include all private -DEAR ADMINISTRATOR: The National Center for Education Statistics (NCES) of the U.S. Department of Education requests your participation in the 2013-14 Private School Survey, a national data collection that is very valuable to private schools across the country. NCES is authorized to conduct this survey under the Education Sciences Reform Act of 2002 (ESRA: 20 U.S.C., § 9543). WHY IS NCES SPONSORING THIS SURVEY? The purpose of this data collection effort is to obtain current information about private schools, such as type of school, length of school year, number of students and teachers, and number of high school graduates, if any. We will use the data to produce a web-based private school search tool and statistical summaries about the providers of private education in the United States. WHO SHOULD PARTICIPATE IN THIS SURVEY? The 2013-14 Private School Survey includes all private schools and early childhood programs that provide educational instruction to students in kindergarten orat leastone of grades 1-12. WHY SHOULD YOUR SCHOOL PARTICIPATE IN THIS SURVEY? Private schools are a significant segment of the nation’s educational system. Results from previous surveys show that approximately 25 percent of all elementary and secondary schools in the United States are private; these schools enroll approximately 10 percent of the nation’s children and employ 13 percent of the nation’s teachers. NCES has instituted this survey in recognition of the importance of private education in the United States. While there is no penalty for not responding, a high response rate is very important to the success of the survey. We encourage you to participate in this voluntary survey. WHERE SHOULD YOU MAIL YOUR COMPLETED QUESTIONNAIRE? Please return your completed questionnaire using the enclosed envelope. If you do not have the return envelope, mail your questionnaire to:

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# §0,?5¤ FORM PSS-1 COMMISSIONER FOR EDUCATION STATISTICS NATIONAL CENTER FOR EDUCATION STATISTICS JACK BUCKLEY SINCERELY,

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is 1850-0641. The time required to complete this information collection is estimated to average 20 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(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, DC 20202-4537. If you have comments or concerns about the contents of this questionnaire, write directly to: Private School Survey, National Center for Education Statistics, 1990 K Street, N.W., #9012, Washington, DC 20006-5651. Paperwork Burden Statement THANK YOU FOR YOUR COOPERATION IN THIS VERY IMPORTANT EFFORT. U.S. CENSUS BUREAU ATTN: DCB 60A 1201 E. 10TH STREET JEFFERSONVILLE, IN 47132-000115113038

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# §0,?G¤ FORM PSS-1 Please print your name, title, and school telephone number. 

### 1. 050 YOUR NAME 051 TITLE SCHOOL TELEPHONE NUMBER 052

– –

115 Yes➜ 1 No 2

Is this a private school or program?For this survey, all non-public elementary or secondary schools are considered private schools. For example, Roman Catholic schools, Hebrew day schools, Lutheran schools, private boarding schools, nonsectarian private schools, private schools that provide special education services to public school districts, private schools that receive tuition for some students from public school districts. 

### c. Is this institution or organization still in operation? 

### 2a. 100 Yes 1 2



### ➜ Are any of grades K to 12 or comparable ungraded levels taught by this institution or organization? 

### b.

130 Yes 1 No ➜ 2

131 101 Month 102 Day 103 Year GO TO item 3 below. 

### ➜ No -Please record the date when closed. Which grades? Mark (X) all that apply, then GO TO item 2c below. Kindergarten 1 1st 1 2nd 1 3rd 1 4th 1 5th 1 6th 1 7th 1 8th 1 1 10th 1 11th 1 Which of the following describes the reason(s) this institution or organization does NOT teach any of grades K-12 or comparable ungraded levels? (1)
075 Adult education or postsecondary education 1 Mark (X) all that apply, then GO TO item 3 below. Tutoring program or before and after school program 1 Prekindergarten, nursery school, early childhood center, or day care center 1 Other -Please describe. 1 079 9th 12th 1 Ungraded 1

Which of the following best describes your school or program? Mark (X) only one box, then GO TO item 3 below. 132 Public school, including public charter, state-run, Bureau of Indian Education, or Department of Defense school 1 Other➜ 2 Please describe the type of school or program. If you marked "No" for any of items 2a-c, do not complete this questionnaire. Please return it in the enclosed envelope. If you do not have the return envelope, mail your questionnaire to: 

### 3.
If you marked "Yes" for all of items 2a-c above, continue with item 4 on page 4. U.S. CENSUS BUREAU ATTN: DCB 60A 1201 E. 10TH STREET JEFFERSONVILLE, IN 47132-0001 C 

### ➜

055 056 057 058 059 060 061 062 063 064 065 066 067 068

076 077 07815113046

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# §0,?O¤ FORM PSS-1 

### INSTRUCTIONS

b. If you have any questions, call the U.S. Census Bureau at 1-888-329-5890. Someone will be available to take your call Monday through Friday, between 8:30 a.m. and 5:00 p.m. (Eastern Time). If you are unsure about how to answer a question, please give the best answer you can rather than leaving it blank. 

### a. Yes 1 No 2 Yes 1 No 2 OR Yes 1 No 2 

# X 

# 35 3 5 3 5 x INCORRECTmarking example – CORRECTmarking example – (Use care to keep characters in their designated spaces.)



### 4. At the end of this questionnaire, you will be asked how long it took to complete this questionnaire. To help you with this, please record the time you begin. Time started 

## : 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 black ballpoint pen.



### 5. How many students were enrolled in each of the following grade levels around the first of October? Report only for the school or program named on the front of this questionnaire.

140 

## , Yes➜ 1 Do NOT include postsecondary or adult education students. In column (1), mark (X) “Yes” or “No” for each grade level. In column (2), record the number of students for each grade level with “Yes” marked in column (1).

135 No 2 Does this school or program have students in this grade? Number of students in this grade (1) (2)
Ungraded (including ungraded special education students) 

### a. Grade levels Do NOT include children who are enrolled only in day care at this school or program. Ungraded levels.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.)

150 

## , Yes➜ 1 145 No 2 Nursery and prekindergarten 

### b. 160 

## , Yes➜ 1 155 No 2 Kindergarten**(traditional year of school primarily for 5-year-olds prior to first grade)**  

### c. 170 

## , Yes➜ 1 165 No 2 Transitional (or readiness) kindergarten**(extra year of school for kindergarten-age children**  **who are judged not ready for kindergarten)** 

### d.

180 

## , Yes➜ 1 175 No 2 Transitional first (or prefirst) grade**(extra year of school for children who have attended**  **kindergarten but have been judged not ready for first grade)**  

### e.15113053

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# §0,?V¤ FORM PSS-1 

### 5. Continued – How many students were enrolled in each of the following grade levels around the first of October?

190 

## , Yes➜ 1 185 No 2Does this school or program have students in this grade? Number of students in this grade (1) (2)

1st 

### f. Grade levels

200 

## , Yes➜ 1 195 No 2 2nd 

### g. 210 

## , Yes➜ 1 205 No 2 3rd 

### h. 220 

## , Yes➜ 1 215 No 2 4th 

### i. 230 

## , Yes➜ 1 225 No 2 5th 

### j. 240 

## , Yes➜ 1 235 No 2 6th 

### k. 250 

## , Yes➜ 1 245 No 2 7th 

### l. 260 

## , Yes➜ 1 255 No 2 8th 

### m. 270 

## , Yes➜ 1 265 No 2 9th 

### n. 280 

## , Yes➜ 1 275 No 2 10th 

### o. 290 

## , Yes➜ 1 285 No 2 11th 

### p. 300 

## , Yes➜ 1 295 No 2 12th 

### q. 6. What was the total number of students enrolled in this school or program around the first of October? Please sum lines 5(a) through 5(q). 305 

## , Students15113061

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# §0,?^¤ FORM PSS-1 

### 7. Around the first of October, how many students enrolled in grades K-12 and comparable ungraded levels were –

Do NOT include nursery, prekindergarten, postsecondary, or adult education students. If none, please mark (X) the box.

Hispanic or Latino, regardless of race? White, not of Hispanic or Latino origin? Black or African American, not of Hispanic or Latino origin? Asian, not of Hispanic or Latino origin? Native Hawaiian or other Pacific Islander, not of Hispanic or Latino origin? 

### a. b.

c. d.

e. None or 0 320 Students 

## , None or 0 330 Students 

## , None or 0 325 Students 

## , None or 0 316 Students 

## , None or 0 318 Students 

## , American Indian or Alaska Native, not of Hispanic or Latino origin? 

### f. None or 0 310 Students 

## , Do NOT include children who are enrolled only in day care at this school or program.

Two or more races, not of Hispanic or Latino origin? 

### g. None or 0 332 Students 

## , 8a. Is this school or program coeducational? 335 Yes 1 No, it is an all-female school 2 GO TO item 9a on page 7. No, it is an all-male school 3 

# } b. Around the first of October, how many MALE students in grades K-12 and comparable ungraded levels were enrolled in this school or program? Do NOT include nursery, prekindergarten, postsecondary, or adult education students. If none, please mark (X) the box. None or 0 340 Male students 

## , Do NOT include children who are enrolled only in day care at this school or program.15113079

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# §0,?p¤ FORM PSS-1 

### 9a. LAST school year (2012-13), were any students enrolled in 12th grade? Yes 1 No➜ 2 345 GO TO item 10a below.



## ,

GO TO item 10a below. 

### b. How many students were enrolled in 12th grade around October 1, 2012? 350 12th graders 

### c. How many students graduated from the 12th grade with a diploma LAST school year (2012-13)?
None➜ 0


### d. Of those who graduated with a diploma LAST school year (2012-13), approximately what percentage went to four-year colleges? Include 2013 summer graduates. Do not include students who received only vocational certificates, certificates of attendance, or certificates of completion. If none, please mark (X) the box. 355



## , Graduates
Round to the nearest whole percent. Percent If none, please mark (X) the box. None or 0 360 

### 10a. How long is the school day for a kindergarten, transitional kindergarten, or transitional first grade student? Mark (X) only one box. 365 Full day (4 hours or more per day) 1 Half day (less than 4 hours per day) 2 Both offered 3 

### b. How many days per week does a kindergarten, transitional kindergarten, or transitional first grade student attend? If the number of days per week varies (e.g., some students attend 3 days per week and some attend 5 days per week), record the most days that a student would attend in a week. 370 Days per week School or program does not offer kindergarten, transitional kindergarten, or transtional first grade➜ 0 GO TO instructions for item 11 at top of page 8. 

# {15113087

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# §0,?x¤ FORM PSS-1 INSTRUCTIONS AND AN EXAMPLE FOR ITEM 11 In item 11, we ask for the number of teachers for grades K-12 by the amount of time they teach at THIS school or program. Example: The following is an example to illustrate how to report teachers in this item for a school or program that includes prekindergarten through grade 8. If this school or program has eight full-time teachers for grades 1-8, one full-time teacher who teaches kindergarten 1⁄2 time and prekindergarten 1⁄2 time, a music teacher who teaches two days each week, a physical education teacher who teaches three days each week, and a teaching principal who teaches one 30-minute class each day, you would complete item 11 as follows: None or 0 Full-time teachers

None or 0 Teach at least 3⁄4 time but less than full time ✗

None or 0 Teach at least 1⁄2 time but less than 3⁄4 time This number includes the one full-time teacher who teaches kindergarten 1⁄2 time and prekindergarten 1⁄2 time. The time he or she spends teaching prekindergarten is not counted in item 11. This number also includes the physical education teacher who teaches three days a week. None or 0 Teach at least 1⁄4 time but less than 1⁄2 time This includes the music teacher who teaches two days a week. None or 0 Teach less than 1⁄4 time This includes the principal who teaches one 30-minute class each day. The time he or she spends working as a principal is not included in item 11. TOTAL TEACHERS 

## 8

2

1
1
2 115113095

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# §0,?¢¤ FORM PSS-1 

### 11. Around the first of October, how many persons were teaching in grades K-12 and/or COMPARABLE ungraded levels at this school or program in the following time categories? Consider only the amount of time an individual works as a teacher during a typical week at THIS school or program. Include: • Regular classroom teachers • Teachers who teach subjects such as music, art, physical education, and special education • Teaching principals or administrators who teach a regularly scheduled class at this school or

program Do NOT include: • Teachers who teach ONLY nursery, prekindergarten, postsecondary, or adult education • Student teachers, teacher aides, day care aides, or short-term substitute teachers • Counselors, library media specialists or librarians, speech therapists, social workers, or

administrators UNLESS they also teach a regularly scheduled class at THIS school or program If none, please mark (X) the box. None or 0 Full-time teachers

None or 0 Teach at least 3⁄4 time but less than full time

None or 0 Teach at least 1⁄2 time but less than 3⁄4 time

None or 0 Teach at least 1⁄4 time but less than 1⁄2 time

None or 0 Teach less than 1⁄4 time

TOTAL TEACHERS 385

390

395

400

405

41015113103



# §0,@$¤ FORM PSS-1 10 

### 13a. Which of the following best describes this school or program? Mark (X) only one box. REGULAR school – elementary or secondary 1 SPECIAL PROGRAM EMPHASIS school – such as a science or math school, performing arts school, talented or gifted school, foreign language immersion school, etc. 3 SPECIAL EDUCATION school – primarily serves students with disabilities 4 CAREER/TECHNICAL/VOCATIONAL school – primarily serves students being trained for occupations 5 EARLY CHILDHOOD PROGRAM OR DAY CARE CENTER – such as kindergarten only, prekindergarten and kindergarten only, kindergarten and transitional first grade only, day care and transitional kindergarten only, etc. 7 415 MONTESSORI school 2

ALTERNATIVE/OTHER school – offers a curriculum designed to provide alternative or nontraditional education; does not specifically fall into the categories of regular, special program emphasis, special education, or vocational school – Please describe. 6 416



### b. Is a major role of this school or program to support homeschooling? 

### 12.

Is this school or program located in a private home that is used primarily as a family residence? Yes 1 420 No 2 Yes 1 425 No 2 

### 14a. Does this school or program have a religious orientation or purpose? 430 Yes 1 No➜ 2 GO TO item 15 on page 12. 

### b. Is this school or program affiliated with a religious organization or institution? Yes 1 435 No 2 C15113111

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# §0,@,¤ FORM PSS-1 

### 14c. What is this school’s or program’s religious orientation or affiliation? Mark (X) only one box. Roman Catholic 1 440 African Methodist Episcopal 2 Amish 3 Assembly of God 4 Baptist 5 Brethren 6 Calvinist 7 Christian (no specific denomination) 8 Church of Christ 9 Church of God 10 Church of God in Christ 11 Church of the Nazarene 12 Disciples of Christ 13 Episcopal 14 Friends 15 Greek Orthodox 16 Islamic 17 Jewish 18 Latter Day Saints 19 Lutheran Church – Missouri Synod 20 Evangelical Lutheran Church in America (formerly AELC, ALC, or LCA) 21 Wisconsin Evangelical Lutheran Synod 22 Other Lutheran 23 Mennonite 24 Methodist 25 Pentecostal 26 Presbyterian 27 Seventh-Day Adventist 28 Other – Specify 29 441 Mark (X) only one box. Is this school – Parochial (or inter-parochial) 1 445 Diocesan 2 Private 3

C15113129



# §0,@>¤ FORM PSS-1 12 

### 15. To which of the following associations or organizations does this school or program belong? 450 This school or program does NOT belong to ANY associations or organizations 1 Mark (X) all that apply. RELIGIOUS 455 Accelerated Christian Education (ACE) (or School of Tomorrow) 1 460 American Association of Christian Schools (AACS) 1 465 Association of Christian Schools International (ACSI) 1 467 Association of Christian Teachers and Schools (ACTS) 1 468 Association of Classical and Christian Schools (ACCS) 1 470 Christian Schools International (CSI) 1 480 Evangelical Lutheran Education Association (ELEA) 1 485 Friends Council on Education (FCE) 1 490 General Conference of the Seventh-Day Adventist Church (GCSDAC) 1 492 Islamic School League of America (ISLA) 1 495 Jesuit Secondary Education Association (JSEA) 1 500 National Association of Episcopal Schools (NAES) 1 505 National Catholic Educational Association (NCEA) 1 510 National Christian School Association (NCSA) 1 515 National Society for Hebrew Day Schools (Torah U’Mesorah) 1 520 Oral Roberts University Educational Fellowship (ORUEF) 1 522 The Jewish Community Day School Network (RAVSAK) 1 525 Solomon Schechter Day School Association (SSDSA) 1 530 Southern Baptist Association of Christian Schools (SBACS) 1 535 Other religious school association(s) – Specify 1 536 C15113137

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# §0,@F¤ FORM PSS-1 

### 15. Continued –To which of the following associations or organizations does this school or program belong? Mark (X) all that apply. American Montessori Society (AMS) 1 540

606 SPECIAL EMPHASIS Association Montessori International (AMI) 1 542 Other Montessori association(s) 1 545 Association of Military Colleges and Schools (AMCS) 1 550 Association of Waldorf Schools of North America (AWSNA) 1 555 National Association of Private Special Education Centers (NAPSEC) 1 575 Other association(s) for exceptional children 1 580 European Council for International Schools (ECIS) 1 585 National Association for the Education of Young Children (NAEYC) 1 590 National Association of Laboratory Schools (NALS) 1 600 National Coalition of Girls Schools (NCGS) 1 602 Other special emphasis association(s) – Specify 1 605

Alternative School Network (ASN) 1 610 National Association of Independent Schools (NAIS) 1 620 State or regional independent school association 1 622 National Coalition of Alternative Community Schools (NCACS) 1 625 National Independent Private Schools Association (NIPSA) 1 630 The Association of Boarding Schools (TABS) 1 635 Other school association(s) – Specify 1 640 OTHER SCHOOL ASSOCIATIONS OR ORGANIZATIONS

641 C

C15113145



# §0,@N¤ FORM PSS-1 14 

### 16. How many days are in the school YEAR for students in this school or program? 645 Days per school YEAR



### 17. How long is the school DAY for students in this school or program? Report BOTH hours and minutes, e.g., 06 hours and 00 minutes, 05 hours and 45 minutes, etc. If the length of day varies by grade level, record the longest day.



### 19. Not counting interruptions, how many minutes did it take to complete this questionnaire? 665 Minutes 650 Hours AND 655 Minutes



### 18. Does this school or program have a library media center? (A library media center is an organized collection of printed and/or audiovisual and/or computer resources which is administered as a unit, is located in a designated place or places, and makes resources and services available to students, teachers, and administrators. A library media center may be called a school library, media center, resource center, information center, instructional materials center, learning resource center, or any other similar name.) Yes 1 No 2 660

670 Please enter the date you completed this questionnaire. 

### 20. Report month as a number, i.e., 01 for January, 02 for February, etc. Month 671 Day 672 Year15113152

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# §0,@U¤ FORM PSS-1 700



### 21. Please verify this school’s or program’s name and mailing address that are printed below. If any part of the name and mailing address is incorrect, enter the correction(s), as necessary, in the appropriate space(s) below. School or program name

701 Mailing address

702 City

703 State 704

– ZIP Code + 4

706 Street

707 City

708 State 709 ZIP Code 

### b. Please print this school’s or program’s physical or street address. 

### 22a. Is the physical or street address of this school or program the same as the mailing address? 705 Yes 1 No 2



### THANK YOU FOR PARTICIPATING IN THIS IMPORTANT SURVEY. YOUR TIME AND EFFORT ARE APPRECIATED. PLEASE RETURN THE QUESTIONNAIRE IN THE ENCLOSED ENVELOPE. IF YOU DO NOT HAVE THE RETURN ENVELOPE, MAIL YOUR QUESTIONNAIRE TO: U.S. CENSUS BUREAU ATTN: DCB 60A 1201 E. 10TH STREET JEFFERSONVILLE, IN 47132-000115113160



# §0,@]¤ FORM PSS-1 16 

## To learn more about the Private School Survey (PSS) and to access reports from earlier collections, see the PSS website at: http://nces.ed.gov/surveys/pss 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.gov