## 1 **GRANTEE SURVEY QUESTIONS Survey Instructions**  The Corporation for National and Community Service (CNCS), with its contractor [TBD] , is conducting a study of the School Turnaround AmeriCorps program, a partnership between CNCS and the Department of Education. The purpose of the study is to learn about how AmeriCorps programs are being implemented and how they are helping schools improve. You have been selected to c omplete a survey as part of the study. Your perspective is very important, so please answer honestly. Your participation in this study is completely voluntary. Refusing to participate will not involve any penalty or affect your [AmeriCorps status] [ employment ] in any way. It also will have no effect on your relationship with your school. It should take you approximately 30 minutes to complete the survey. We understand that your organization may run multiple AmeriCorps progra ms. Answer the questions based only on your experience [with your School Turnaround AmeriCorps program] [at your school] this year. All responses are anonymous and your responses will be kept confidential to the extent provided by l aw. Under no circumstan ces will anyone from your [AmeriCorps program] [ school ] have access to any information that can be attributable to you. The information you provide in the survey will be summarized with the information from other respondents and included in a report that will be shared with your School Turnaround AmeriCorps program and with CNCS. Please contact XXXXX, at XXX-XXX-XXXX or XXXXX, if you have any questions regarding this research.

## 2

**1. Did your organization’s relationship with the school(s) exist before you established a partnership agreement for the**  **School Turnaround AmeriCorps program?**

____ Yes

____ No
**a. If yes,**  **how long have you been collaborating with the school(s)?**

____ Less than 6 months

____6 months to less than one year

____ One year

____ Two years

____ Three or more years **2. To the best of your knowledge, did**  **School Turnaround AmeriCorps members provide direct services to individual**  **students or to the whole**  **classroom or school? (Check all that apply.)**  __ AmeriCorps programming was targeted to individual students __ AmeriCorps programming supported the whole classroom __ AmeriCorps programming supported all students in the school **3. Do you know which students w** **ere served by School Turnaround**  **AmeriCorps members?** Yes : _____ No: _____ Sometimes but not always: _____ **4. For the purpose of**  **the School Turnaround**  **AmeriCorps program**  **, how does your organization define program completion for a**  **particular student?**

__________________________________________________________________________________________________

__________________________________________________________________________________________________ **5. Please review the list below to confi**  **rm the schools where your organization assigned**  **School Turnaround AmeriCorps**  **members. Fill in the number of members,**  **who served at each school, and the targeted number of students served and**  **completing the program. Which schools**  **were served by the**  **AmeriCo rps**  **membe rs engaged by**  **your organization? Number of**  **AmeriCorps members**  **Target number of students to be directly served by**  **AmeriCorps Target number of students to**  **complete an AmeriCorps program** 

**6. Please**  **fill in the following**  **information on the characteristics of School Turnaround**  **AmeriCorps program s at each school**  **served by your organization. Which schools**  **were served by the**  **AmeriCorps members engaged by your**  **organization ?**  **Number of AmeriCorps**  **members Average number** 

**of hours AmeriCorps**  **members spend per week in**  **this school**  **N umber of** 

**weeks AmeriCorps**  **members spent in**  **this school N**  **umber of**

**students directly**  **served by**  **AmeriCorps members**  **in this school**  **N umber of** 

**students completing**  **2 an**  **AmeriCorps program** 

## 3 **TOTAL ALL SCHOOLS**  **AVERAGE ALL**

**SCHOOLS AVERAGE ALL** 

**SCHOOLS TOTAL ALL** 

**SCHOOLS TOTAL ALL** 

**SCHOOLS 7.**  **On average, h ow**  **often do the**  **School Turnaround AmeriCorps members meet with**  **school staff to discuss data on the progress of all students?**  ____ Once a week ____Twice a month ____ Once a month ____ Once every six months ____ Once a year ____ Very different from school to school (please explain):

_____________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________ **8. To the best of your knowledge,**  **what mechanisms did the school use to identify students for activities led by**  **School Turnaround**  **AmeriCorps members? (**  **Check all that apply .)** 

___ Teacher recommendation

___ Counselor recommendation

___ Parent request

___ Student request

_ __ Standardized test scores

_ __ Performance in class and on homework

___ Other : ______________________________ **9. To the best of your knowledge,**  **w hat are the reasons**  **that students were identified**  **to participate in**  **School Turnaround AmeriCorps programming?**  **(Check all that apply.)** __ Improve academic achievement (standardized test scores and/or grades) __ Improve academic engagement (attendance, interest in school) __ Assist students at risk of dropping out __ Improve self
- esteem or so cio
- emotional health __ Improve behavior __ Sustain performance __ Other: _______________________________ **10. What do you**  **consider to be the most important**  **school turnaround outcomes for students**  **over the next two years ?**  **(Check all that apply.)** ___ Enhanced academic achievement ___Improved grades ___Improved completion of assignments ___Increased motivation ___Increased self
- esteem ___ Improved attendance ___Improved socio
- emotional health ___Improved behavior ___Other. If other, please specify ______________

____ **11. Please fill in the following table about**  **s chool**  **t urnaround outcomes for students.** 

## 4 Was there improvement in this area in one or more of the schools served by your grantee this year ? If you marked “Yes,” w hat were the outcomes with the greatest degree of improvement, across schools? Rank, with 1=Greatest improvement. Do not rank outcomes where you marked “No.” Enhanced academic achievement, as measured by interim progress or unit assessments ___Yes ___No Improved grades ___Yes ___No Improved completion of assignments ___Yes ___No Increased motivation ___Yes ___No Increased self
- esteem ___Yes ___No Improved attendance ___Yes ___No Improved socio
- emotional health ___Yes ___No Improved behavior ___Yes ___No Other : __________________________ ___Yes ___No
**12. Please indicate your level of agreement** **/disagreement about your organization’s collaboration with**  **your school**  **partner(s) for each element listed below:**  **Strongly Disagree**  **Disagree Agree**  **Strongly Agree**  **Very**

**different school to**  **school Not** 

**Applicable a.**  It is easy for me to get in touch with someone from the school **b.** There is frequent communication between my organization and the school (e.g., visits to each other’s offices, meetings, written information and telephone communications) **c.** The school follows
- up, if needed, when I make contact **d.** The school is committed to making our collaboration a success **e.** The school has the ability to accomplish the goals it sets **f.** The school puts forth effort to maintain its relationship with my organization **g.** My organization perceives our relationship with the school as a priority **13. For the items**  **in #12 where you marked “Very**  **different school to school ,” please explain below:**  **#___**

**_____________________________________________________________________________________________________ #___** 

**_____________________________________________________________________________________________________ #___** 

**_____________________________________________________________________________________________________ #___** 

**_____________________________________________________________________________________________________ #___** 

**_____________________________________________________________________________________________________ #___** 

**________________________________ _____________________________________________________________________**  **#___**

**_____________________________________________________________________________________________________ 14.**  **For this school year, please indicate how satisfied you are with each of the elements listed below:**  **Very Dissatisfied**  **Dissatisfied Satisfied**  **Very Satisfied**  **Very**

**different Not** 

**Applicable**

## 5 **school to school**  **a.** Communication between school and grantee **b.** Communication and collaboration between teachers and AmeriCorps members **c.** Communication and collaboration between school le adership and AmeriCorps members **d.** Implementation of the roles and responsibilities outlined in the school partnership agreements **e.** Placement of members in meaningful service activities **f.** Referral of students to receive services offered by AmeriCorps members **g.** Matching of members to students in need of academic strengthening and social/emotional supports **h.** Alignment of activities with school turnaround plans **i.** Sharing of outcome data by the school/district **15. For the items**  **in #**  **14 where you marked “Very different school to school,” please explain below:**  **#___**

**_____________________________________________________________________________________________________ #___** 

**_____________________________________________________________________________________________________ #___** 

**_____________________________________________________________________________________________________ #___** 

**___________________________ __________________________________________________________________________**  **#___**

**_____________________________________________________________________________________________________ #___** 

**___________________________________________________________ __________________________________________**  **#___**

**_____________________________________________________________________________________________________ 16.**  **How important**  **are the following characteristic s**  **to successfully**  **implementing your**  **School Turnaround AmeriCorps**  **program? Not at All**  **Important Somewhat** 

**Important Important**  **Very Important**  **Not**

**Applicable a.**  Orientation and training of AmeriCorps members before they serve at the school **b.** Comprehensive trainings of AmeriCorps members and program support staff during their year(s) of service **c.** Multi
- layered supervisory structure to ensure fidelity of program implementation **d.** Defined framework (e.g., RTI ) to guide objective instructional choices and allow for the assessment of program effectiveness **e.** Limited set of highly scripted interventions that have been shown to be effective (i.e. research based) in achieving desired student
- level outcomes **f.** Recruitment and selection process that is effective in identifying members with characteristics that correspond with the programs objectives