### B - 1 

# Appendix B **District Survey**

### B - 2 

### OMB#: XXXX-XXXX Expi ra tion D ate: XX/XX/20XX 

# Implementation of Title **I/II Program**

**Initiatives**

**District Su r** **ve y**  **2013 -**  **2014**

**Paperwork Reduction Act of 1995** 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. Public reporting burden for this collection of information is estimated to average 60 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completin g and reviewing the collection of information. The obligation to respond to this collection is required to obtain or retain benefit (Education Department General Administrative Regulations, Sections 75.591 and 75.592) . Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Dep artment of Education, 400 Maryland Ave., SW, Washington, DC 20210-4537 or email ICDocketMgr@ed.gov and reference the OMB Control Nu mber XXXX-XXXX. Note: Please do not return the completed survey to this address. **Notice of Confidentiality** Information collected for this study comes under the confidentiality and data protection requirements of the Institute of Education Sciences (The E ducation Sciences Reform Act of 2002, Title I, Part E, Section 183) . Responses to this data collection will be used only for statistical purposes . The reports prepared for the study will summarize findings across the sample and will not associate responses with a specific district or individual. We will not provide information that identifies you or your district to anyone outside the study team, except as required by law. District Name: City: State:**District Survey** 



### 9/17/2013 B - 3 **Introduction** The **Implementation of Title I/II Program Initiatives** st udy will examine the implementation of policies promoted through the Elementary and Secondary Education Act (ESEA) at the state, district and school levels, in four core areas: state content standards, assessments, school accountability, and teacher and pr incipal evaluation . The study will serve as an update on implementation of the Title I and Title II provisions since the last national assessment that concluded in 2006 . The study includes surveys of officials from all state education agencies and district officials, school principals, and core academic and special education teachers from nationally representative samples . The United States (U.S.) Department of Education, Institute of Education Sciences (IES) is sponsoring t his stu dy.

 This survey i ncludes four sections aligned with district policies and practices in four core areas. G iven the scope of topics, the survey will likely require more than one respondent.  Y our district’s responses a re critical to d ra wing lessons about the implementation of ESEA .  All survey results will be p resen ted as agg re ga te findings a n d no ind ividual districts will be named or otherwise identified in a ny stu dy reports or other communicati o ns that use survey data.  We will survey your district again at a later date to examine changes over time. The stu dy , including this survey

, is being conducted by Westat and its partners, Mathematica Policy Research, and edCount.**District Survey** 



### 9/17/2013 B -4

**[WEB PROGRAMMING NOTE: SOME TEXT IN THIS SURVEY**  **WILL BE CUSTOMIZED AS FOLLOWS DEPENDING ON WHETHER THE DISTRICT IS IN A STATE THAT ADOPTED THE COMMON CORE STATE**  **STANDARDS (CCSS) IN ENGLISH**  **LANGUAGE ARTS (ELA) OR MATH. IF THE DISTRICT IS IN A STATE THAT ADOPTED THE CCSS**  **IN ELA OR MATH, DISPLAY “COMMON CORE**  **STATE STANDARDS (CCSS) FOR**  **ELA OR MATH”**  **OR “CCSS” WHERE NOTED.**  **IF THE DISTRICT IS IN A STATE THAT DID NOT**  **AD OPT THE CCSS**  **IN ELA OR MATH, DISPLAY “** **CURRENT STATE CONTENT STANDARDS FOR**  **ELA OR MATH” OR “CURRENT STATE CONTENT STANDARDS”**  **WHERE NOTED. DEFINITIONS FOR USE THROUGHOUT THIS S**  **URVEY :**  **Summative assessments** are state - or district- mandated tests that are intended to measure students' knowledge and skills at (or near) the end of a school year or course relative to grade - level content standards . **D iagnostic**  **assessments** are assessments that measure students’ knowledge and skills at interim points during the school year to provide timely feedback on their progress toward grade - level content standards so that instruction can be adjusted or other support can be provided. **Student achievement**  **growth** is the change in student achievement for an individual student between two or more points in time, and may be measured using student growth percentiles, value added, or other measures of change in student achievement over time. **Standardized assessments**  are assessments consistently administered and scored for all students in the same grades and subjects, districtwide. These might include required state summative assessments, assessments purchased from testing companies, or district - developed assessments that are administered districtwide.**District Survey** 



### 9/17/2013 B - 5 

### Section 1. State Content Standards **Many states have**  **recently adopted the Common Core State Standards (CCSS)**  **— that is, content standards for English language**  **arts (ELA) and Math that are shared across these states. Other states have substantially**  **revised their own**  **state content standards for ELA and Math in recent years.**  **This section includes questions about mate rials** **, professional development** **, and resources**  **your district has used**  **to support the implementation of the [**  **COMMON CORE STATE STANDARDS (CCSS) FOR ENGLISH**  **LANGUAGE ARTS (ELA) OR MATH** **/ CURRENT STATE CONTENT**  **STANDARDS FOR ENGLISH**  **LANGUAGE ARTS (ELA) OR MATH ]**  **. 1**  **- 1.**  **During this school year (**  **2013 -**  **14 )** **, which**  **grade levels in your district**  **are fully implementing**  **the [COMMON CORE STATE**  **STANDARDS (CCSS) FOR ELA**  **OR MATH/ CURRENT STATE CONTENT STANDARD** **S FOR E**  **LA OR MATH]**  **?** SELECT ALL GRADES THAT APPLY IN EACH ROW

**GRADE** a. English language arts (ELA) ...... Pre - K K 1 2 3 4 5 6 7 8 9 10 11 12 b. Math ................................ ........ Pre - K K 1 2 3 4 5 6 7 8 9 10 11 12 **1 -** **2. Has your district supplemented the**  **[COMMON CORE STATE STANDARDS (CCSS) FOR ELA OR MATH/ CURRENT STATE CONTENT STANDARDS FOR ENGLISH LANGUAGE ARTS (ELA) OR MATH]**  **with additional standards of its own ?**  Yes, in ELA only ................................ ................................ ................................ ................. 1 Yes, in Math only ................................ ................................ ................................ .............. 2 Yes, in both ELA and Math ................................ ................................ ................................ 3 No, neither subject ................................ ................................ ................................ ........... 0 Skip to 1 -4

**1 -** **3. For which of the following reasons did your district supplement the sta** **te content standards in ELA ,**  **M ath, or both**  **subjects? For each reason, please indicate whethe r the reason applies to ELA**  **only, M**  **ath only, both subjects, or neither subj**  **ect.** SELECT ONE RESPONSE IN EACH ROW **ELA ONLY MATH** 

**ONLY BOTH ELA** 

**AND MATH NEITHER** 

**SUBJECT** a. Key content areas were missing ................................ .......... 1 2 3 0 b. Certain concepts needed to be covered in earlier grades ... 1 2 3 0 c. Certain concepts needed to be covered in later grades ...... 1 2 3 0 d. To increase rigor ................................ ................................ .. 1 2 3 0 e . Something else ( specify) ................................ ...................... 1 2 3 0

________________________________ _____________**District Survey** 



### 9/17/2013 B - 6 **1 -** **4 .**  **During this school year (2013 -**  **14), which of the following materials has your district used to revise curriculum to align with**  **the [COMMON CORE STATE STANDARDS (CCSS) FOR ELA OR MATH/ CURRENT STATE CONTENT STANDARDS FOR**  **ELA OR MATH] and/or plan lessons based on these standards?** SELECT ONE RESPONSE IN EACH ROW **YES NO**  **Materials to help align curriculum and instruction with**  **the content standards**  a. Documents showing alignment between the previous state standards and the [CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ ................................ ............ 1 0 b. Documents showing alignment between required state summative assessments and the [CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ .......................... 1 0 c. Tools or guidance on providing instruction aligned with the [CCSS/ CURRENT STATE CONTENT STANDARDS] such as scope and sequence, curriculum maps, or frameworks .. 1 0 d. A state - developed model curriculum for ELA or Math instruction for each grade or course ................................ ................................ ................................ ................................ .. 1 0 e. Sample lesson plans consistent with the [CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ ................................ ................................ ....................... 1 0 f. Examples or videos of instruction consistent with the [CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ ................................ ................................ ....................... 1 0 g. Sample student work ................................ ................................ ................................ .......... 1 0 h. Sample performance tasks for formative assessment purposes including rubrics or scoring guides ................................ ................................ ................................ ..................... 1 0 i. Banks of diagnostic assessment items aligned with the [CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ ................................ ................................ ....... 1 0 j. Textbooks or other instructional materials aligned with the [CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ ................................ ................................ ....... 1 0 **Materials to facilitate instruction**  **for special populations** k. Documents showing alignment between the [CCSS/ CURRENT STATE CONTENT STANDARDS] and the state’s English Language Proficiency standards ( standards for the progression of English language development for English l earners) ................................ .. 1 0 l. Materials for understanding how to adapt instruction to help English learners meet the [CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ ................................ 1 0 m. Materials for understanding how to adapt instruction to help students with disabilities meet the [CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ ................. 1 0 **Other materials**  n. Walk-through or observation protocols to aid in monitoring the alignment of instruction to the [CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ ... 1 0

**IF YES IS SELECTED FOR ANY ROW ABOVE, PROCEED TO QUESTION 1 -** **5.**

**OTHERWISE, SKIP TO QUESTION 1 -** **6. District**  **Survey**



### 9/17/2013 B - 7 **1 -** **5 .**  **Indicate to what extent your district found the**  **materials described**  **in the previous question (by category)**  **useful to help**  **revise curriculum to align with the**  **[COMMON CORE STATE STANDARDS (CCSS) FOR ELA**  **OR MATH/ CURRENT STATE**  **CONTENT STANDARDS FOR ELA**  **OR MATH ]**  **and/or plan lessons**  **based on the se**  **standards .**  **( S** **elect NA if your district did not use**  **th at type of**  **material .** **)** SELECT ONE RESPONSE IN EACH ROW **NOT USEFUL**  **AT ALL SOMEWHA** 

**T USEFUL MODERATELY** 

**USEFUL VERY** 

**USEFUL NA**  a. Materials to help align curriculum and instruction with [ CCSS/ CURRENT STATE CONTENT STANDARDS] ............................ 0 1 2 3 na b. Materials to facilitate instruction for special populations ................................ .. 0 1 2 3 na **1 -** **6. During this school year (2013**  **- 14) and including last summer (2013),**  **which of the following topics**  **related to the [**  **COMMON CORE STATE STANDARDS (CCSS) FOR ELA OR MATH/ CURRENT STATE CONTENT STANDARDS FOR ELA OR MATH**  **] have been covered in professional development offered to school leaders and/or teachers in your district**  **?** SELECT ONE RESPONSE IN EACH ROW **YES NO**  **Professional development topics** a. Information about the [CCSS/ CURRENT STATE CONTENT STANDARDS ], such as content covered at each grade level and instructional changes or shifts required ................................ ................................ ................................ ................. 1 0 b. Instructional strategies consistent with the [CCSS/ CURRENT STATE CONTENT STANDARDS ], such as model lessons or designing student work ......................... 1 0 c. Adapting instruction to help English learners meet the [CCSS/ CURRENT STATE CONTENT STANDARDS ] ................................ ................................ ......................... 1 0 d. Adapting instruction to help students with disabilities meet the [CCSS/ CURRENT STATE CONTENT STANDARDS ] ................................ .............................. 1 0 e. Using student assessment data to improve instruction ................................ ........ 1 0 f. Monitoring alignment of instruction with the [CCSS/ CURRENT STATE CONTENT STANDARDS ], such as the use of observation protocols ................................ ....... 1 0**District Survey** 



### 9/17/2013 B - 8 **1 -** **7 .**  **Through which**  **methods has**  **the professional development on the topics listed above been provided to school leaders**  **and/or teachers in your district ?**  SELECT ONE RESPONSE IN EACH ROW **YES NO**  **Method of delivery of professional development**  a. Statewide or regional/county conference(s) on these topics ............................... 1 0 b. Presentation(s) via webinar or video recording(s) on these topics ....................... 1 0 c. Instructional coaches worked with teachers or teams of teachers on these topics ................................ ................................ ................................ ..................... 1 0 d. “Turnkey” t raining of selected district staff, who provide d the information to others in the district on these topics ................................ ................................ .... 1 0 e. Required in - service professional development on these topic s ........................... 1 0 f. Teachers worked in teams to develop curriculum and lessons aligned with the [CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ .................. 1 0 g. Teachers worked with a content area coordinator, a team leader, or a specialist on these topics ................................ ................................ ...................... 1 0 h. Some other mode ................................ ................................ ................................ .. 1 0 **1 -** **8 .**  **Which one of these methods was the predominant method for delivering**  **professional development related to the [**  **COMMON CORE STATE STANDARDS (CCSS) FOR ELA OR MATH/ CURRENT STATE CONTENT STANDARDS FOR ELA OR MATH**  **] ?**  SELECT ONE ONLY Statewide or regional/county conference(s) on these topics ................................ .......... 1 Presentation(s) via webinar or video recording(s) on these topics ................................ .. 2 Instructional coaches worked with teachers or teams of teachers on these topics ........ 3

“T urnkey” t raining of selected district staff, who provide d the information to others in the district on these topics ................................ ................................ ........................... 4 Required in - service professional development on these topics ................................ ...... 5 Teachers worked in teams to develop curriculum and lessons aligned with the [CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ ................................ ......... 6 Teachers worked with a content area coordinator, a team leader, or a specialist on these topics ................................ ................................ ................................ ...................... 7 Some other mode ................................ ................................ ................................ ............. 8**District Survey** 



### 9/17/2013 B - 9 **1 -** **9 .**  **During this school year (2013 -**  **14), has your district engaged in any of the following activities to align instruction with the [COMMON CORE STATE STANDARDS (CCSS)**  **FOR ELA OR MATH/ CURRENT STATE CONTENT STANDARDS IN ELA OR**  **MATH]?** SELECT ONE RESPONSE IN EAC H ROW **YES NO**  a. District staff have used walk-throughs or school visits to monitor alignment of instruction with the [CCSS/ CURRENT STATE CONTENT STANDARDS] .................... 1 0 b. S chool leaders are required to monitor alignment of instruct ion to the [CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ ................................ 1 0 c. P erformance evaluation s for teachers in your district include evidence of teaching approaches consistent with the [ CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ ................................ ................................ ........... 1 0 d. P erformance evaluation for school leaders in your district include evidence that the [CCSS/ CURRENT STATE CONTENT STANDARDS] have been implemented ..... 1 0 e. P ublic recognition has been given to schools that are making progress in impleme nting the [CCSS/ CURRENT STATE CONTENT STANDARDS] ....................... 1 0 f. Schools have u sed the state - developed model curriculum aligned with the [CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ ................... 1 0 g. Staff d eveloped district curriculum to align with the [CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ ................................ ........................... 1 0 h. Staff c ollaborated with other districts to revise curriculum and/or instructional materials ................................ ................................ ............................ 1 0 i. The district u sed special strategies to recruit teachers with skills needed to teach advanced courses or more rigorous content, such as advertising earlier than usual, offering higher pay, or offering other incentives ................................ . 1 0 j. The district p artnered with postsecondary institutions to develop or offer more rigorous courses ................................ ................................ ................................ ...... 1 0**District Survey** 



### 9/17/2013 B - 10 **1 -**  **10 .**  **To what extent would you describe the following as challenges**  **to implementing the [COMMON CORE STATE STANDARDS**  **(CCSS) FOR**  **ELA OR MATH/ CURRENT STATE CONTENT STANDARDS IN ELA OR MATH]**  **in your district?** SELECT ONE RESPONSE IN EACH ROW **NOT A CHALLENGE**  **MINOR**

**CHALLENGE MAJOR** 

**CHALLENGE** a. Insufficient federal, state, or local funding ............................. 1 2 3 b. Insufficient time for professional development ..................... 1 2 3 c. Insufficient information available about how to revise lessons and instructional materials to meet the [CCSS/ C URRENT STATE CONTENT STANDARDS] ................................ 1 2 3 d. Lack of district staff who can mentor or serve as a resource to teachers about the [CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ ................................ ........... 1 2 3 e. Lack of guidance or support from the state ............................ 1 2 3 f. Lack of instructional materials aligned with the [CCSS/ CURRENT STATE CONTENT STANDARDS] ............................... 1 2 3 g. The additional work required to modify curriculum and lesson plans within tight timeframes ................................ ...... 1 2 3 h. Community concerns or opposition to the [CCSS/ CURRENT STATE CONTENT STANDARDS] ................................ ............... 1 2 3**District Survey** 



### 9/17/2013 B - 11 

### Section 2. Assessments

**In this section of the survey, we will ask about the summative and diagnostic assessments that your district administers, any materials or professional development that you have received from the state or**  **other sources to help with assessment activities, and how your district uses information from assessments.**  **2 -**  **1. During this**  **school year (2013 -**  **14), did schools in your district assess children at kindergarten entry? By kindergarten entry**  **assessment, we mean any test, survey, observation, or formal collection of quantitative data about the child’s development and achievement at about the time of kindergarten entry.**  Yes ................................ ................................ ................................ ................................ .... 1 No ................................ ................................ ................................ ................................ ..... 0 **DEFINITIONS FOR USE THROUGHOUT THIS S ECTION**  **: Summative assessments**  are state - or district- mandated tests that are intended to measure students' knowledge and skills at (or near) the end of a school year or course relative to grade - level content standards . **Diagnostic assessments**  are assessments that measure students’ knowledge and skills at interim points during the school year to provide timely feedback on their progress toward grade - level content standards so that instruction can be adjusted or other supp ort can be provided. **Student achievement**  **growth** is the change in student achievement for an individual student between two or more points in time, and may be measured using student growth percentiles, value added, or other measures of change in student achievement over time. **Standardized assessments**  are assessments consistently administered and scored for all students in the same grades and subjects, districtwide. These might include required state summative assessments, assessments purchased from testing companies, or district - developed assessments that are administered districtwide.**District Survey** 



### 9/17/2013 B - 12 **2 -** **2. In addition to summative**  **assessments required by the state, during this school year ( 2013** **- 14** **), is the district administering**  **additional summative assessments or**  **additional summative**  **assessment items to students districtwide in**  **any of the following subjects and grades? (Include on** **ly district summative assessments or district summative**  **assessment items that have been added to the required state summative assessments.**  **If district**  **assessments or assessment items are**  **administered in any high school course, select**  **HS .** **)** SELECT ALL GRADES THAT APPLY IN EACH ROW OR SELECT “0” INDICATING NO DISTRICT SUMMATIVE ASSESSMENT OR ITEMS

ADDED TO STATE SUMMATIVE ASSESSMENTS

**GRADE LEVEL ANY HIGH**  **SCHOOL GRADES**  **NO ADDITIONAL**

**DISTRICT SUMMATIVE ASSESSMENT OR**  **ADDITIONAL ITEMS** a. English language arts (ELA) ............................... K 1 2 3 4 5 6 7 8 HS 0 b. Math ............................... K 1 2 3 4 5 6 7 8 HS 0 c. Science ............................ K 1 2 3 4 5 6 7 8 HS 0 d. Social Studies .................. K 1 2 3 4 5 6 7 8 HS 0

**2 -** **3. During this school year (2013**  **- 14), is the district administering**  **diagnostic assessments**  **in any of the following subjects and grades?**  ( **Include all diagnostic assessments given districtwide, whether they come from the state or are developed or**  **purchased by the district.**) **(If diagnostic assessments are**  **administered in any high school course, select HS.)**  SELECT ALL GRADE S THAT APPLY IN EACH ROW OR SELECT “0” INDICATING NO DIAGNOSTIC ASSESSMENTS

**GRADE LEVEL ANY HIGH**  **SCHOOL GRADES**  **NO DI AGNOSTIC** 

**ASSESSMENT S**  a. ELA ................................ .. K 1 2 3 4 5 6 7 8 HS 0 b. Math ............................... K 1 2 3 4 5 6 7 8 HS 0 c. Science ............................ K 1 2 3 4 5 6 7 8 HS 0 d. Social Studies .................. K 1 2 3 4 5 6 7 8 HS 0**District Survey** 



### 9/17/2013 B - 13 **2 -** **4. In which**  **subjects , if any,**  **does your district**  **administer districtwide final exams for high school courses? Please do not include any required state end**  **- of** **- course assessments or required state exit exams.**  

## □ **Check box if your district does not administer any districtwide final exams for high school co urse** **s, other than those that may be required by the state,**  **and skip to 2 -** **5 .**  SELECT ONE RESPONSE IN EACH ROW **YES NO**  a. ELA ................................ ................................ ................................ ......................... 1 0 b. Math ................................ ................................ ................................ ...................... 1 0 c. Science ................................ ................................ ................................ .................. 1 0 d. Social Studies ................................ ................................ ................................ ......... 1 0

**2 -** **5 .**  **During this school year (2013 -**  **14), has your district done any of the following to prepare students for required state**  **summative assessments in ELA or Math?** SELECT ONE RESPONSE IN EACH ROW **YES NO**  a. Strengthened coursework in areas with statewide assessments ........................... 1 0 b. Provided resources for targeted assistance to struggling students outside school hours ................................ ................................ ................................ ....................... 1 0 c. Required targeted assistance to struggling students in place of a class during the school day (e.g., pull - out programs) ................................ ................................ ....... 1 0 d. Reduced class sizes for ELA or Math ................................ ................................ ....... 1 0 e. Encouraged assignment of struggling students to high - performing teachers ........ 1 0 f. Encouraged high - performing teachers to teach grades and subjects tested fo r state accountability purposes ................................ ................................ ................. 1 0 g. Taught test taking skills to students ................................ ................................ ........ 1 0 h. Provided opportunities for students to take practice statewide assessment on paper ................................ ................................ ................................ ....................... 1 0 i. Provided opportunities for students to take practice statewide assessments online ................................ ................................ ................................ ...................... 1 0 j. Identified students likely to score below state proficiency levels for additional help ................................ ................................ ................................ ......................... 1 0**District Survey** 



### 9/17/2013 B - 14 **2 -** **6 .**  **Next spring (2015), will students in your district take required state summative assessments using computers?** Yes ................................ ................................ ................................ ................................ .... 1 No ................................ ................................ ................................ ................................ ..... 0 Skip to Intro before 2 -8 Don’t know ................................ ................................ ................................ ....................... d

**2 -** **7 .**  **As of today, does your district have sufficient technological resources to conduct re** **quired state summative assessments**  **using computers?** SELECT ONE RESPONSE IN EACH ROW **YES NO**  a. Sufficient number of computers (desktops, laptops, or tablets) ............................ 1 0 b. Sufficient internet bandwidth ................................ ................................ ................. 1 0 **Now we**  **w ill**  **ask you about access to data in your district, as well as the resources and supports related to data use for the schools**  **in your district. 2** **- 8**  **. During this school year (2013**  **- 14), does your district have access to data or reports from the state that provide any of the**  **following information?** SELECT ONE RESPONSE IN EACH ROW **YES NO**  **DON’T**

**KNOW** a. Prior achievement on required state summative assessments for individual students transferring into the district from elsewhere in the state ................ 1 0 d b. Schoolwide student achievement growth for the ind ividual schools in the district (for example, student growth percentiles, value added) .................... 1 0 d c. Teacher- specific student achievement growth for individual teachers in the district (for example, student growth percentiles, value added) .................... 1 0 d**District Survey** 



### 9/17/2013 B - 15 **Next we will ask about the use of a student -**  **level data system. By student** **- level data system, we mean any technology** **- based tool**  **that provides school leaders and teachers with data that can be used to monitor the achievement of individual students.**  **2 -** **9. During this school year (2013**  **- 14), do school leaders and teachers in the district have**  **electronic access to a student** **- level**  **data system that includes any of the following types of data?**  

## □ **Check box if your district does not have**  **electronic access to a st** **udent -** **level data system and skip to 2 -** **1 1**  SELECT ONE RESPONSE IN EACH ROW **Data System Includes YES**  **NO** a. Past achievement of currently enrolled individual students on required state summative assessments ................................ ................................ .......................... 1 0 b. Past achievement of currently enrolled individual students on districtwide summative assessments ................................ ................................ .......................... 1 0 c. Achievement of individual students on districtwide diagnostic assessments ......... 1 0 d. Achievement growth for individual students on state or districtwide summative assessments ................................ ................................ ................................ ............. 1 0 e. Achievement growth associated with individual teachers (for example, student growth percentiles, value added) ................................ ................................ ............ 1 0 f. Past course grades for currently enrolled individual students ................................ 1 0 g . Attendance of individual students ................................ ................................ ........... 1 0 h . Behavior/discipline info rmation on individual students ................................ .......... 1 0 i . Readiness of individual students for grade promotion or graduation (“on track” measures) ................................ ................................ ................................ ................ 1 0 j . Indicator of whether individual students graduated or dropped out prior to graduation ................................ ................................ ................................ ................ 1 0**District Survey** 



### 9/17/2013 B - 16 **2 -**  **1 0**  **. During this**  **school year ( 2013**  **- 14** **), has your district used a student -**  **level data system for any of the following purposes?** SELECT ONE RESPONSE IN EACH ROW **YES NO**  a. To set goals for school performance ................................ ................................ ....... 1 0 b. To monitor the progress of English learners ................................ ........................... 1 0 c. To monitor the progress of students with disabilities ................................ ............ 1 0 d. To evaluate the effectiveness of instructional interventions or initiatives ............. 1 0 e. To plan districtwide professional development such as identifying specific content or skills where teachers need assistance or support ................................ . 1 0 f. To evaluate the effectiveness of professional development programs .................. 1 0 g. To identify schools for additional support or resources ................................ ........ 1 0 h. To identify schools that may serve as models for other schools ............................ 1 0 i. To identify schools that should receive different levels of oversight or operational flexibility ................................ ................................ .............................. 1 0

**2 -**  **1 1**  **. Do staff in your district have access to any of the following types of postsecondary data on your district’s graduates? If**  **so, has your district used those data during the 2013** **- 14 school year to monitor their progress?**  **Please address both the district’s access to data and its use of the data during**  **this school year.**  **DISTRICT CAN ACCESS DATA**  **DISTRICT USED DATA T HIS** 

**SCHOOL YEAR** SELECT ONE RESPON SE IN EACH ROW SELECT ONE RESPONSE IN EACH ROW **YES NO**  **YES NO**  **DON’T KNOW**  a. Enrollment in postsecondary education for your district’s graduates ................................ ....................... 1 0 1 0 d b. Rates at which postsecondary students from your district take remedial courses ................................ ...... 1 0 1 0 d c. Postsecondary persistence rates for your district’s graduates (percentage of college students who continue to be enrolle d in any college the next year) . 1 0 1 0 d d. Postsecondary degree attainment (two - and fouryear programs ) for your district’s graduates ............... 1 0 1 0 d**District Survey** 



### 9/17/2013 B - 17 **2 -**  **12 .**  **During this school year (2013 -**  **14), has your district received any of the following materials or technical assistance to support the use of**  **data to improve school performance and instruction?** SELECT ONE RESPONSE IN EACH ROW **YES NO**  a . Materials or documents on the use of da ta for school improvement plans .......... 1 0 b . Materials or documents on the use of data for instructional planning or improvement ................................ ................................ ................................ .......... 1 0 c . Technical assistance and/or support on hardware or software issues, such as technical systems or computer networks experts ................................ .................. 1 0

**2 -**  **1 3**  **. To what extent would you describe the following as challenges to using assessment data to inform instruction in your**  **district?** SELECT ONE RESPONSE IN EACH ROW **NOT A CHALLENGE**  **MINOR**

**CHALLENGE MAJOR** 

**CHALLENGE** a. Limited access to data from prior years on this year’s students ................................ ................................ ............. 1 2 3 b. Timeliness of the data on student achievement from prior years ................................ ................................ ......... 1 2 3 c. Teachers’ level of understanding of how to analyze information from diagnostic assessments to inform instruction ................................ ................................ ......... 1 2 3 d. Providing sufficient training so teachers can analyze student assessment data to identify instructional changes ................................ ................................ .............. 1 2 3 e . Lack of district staff who can assist teachers with questions about analyzing student data ........................... 1 2 3 f. The ability to schedule regular time for teachers to meet in teams to discuss student achievement data and instruction ................................ ................................ ......... 1 2 3 g . Assessments are not well aligned with the curriculum ..... 1 2 3 h . Available assessment data do not accurately measure students’ knowledge and skills ................................ .......... 1 2 3**District Survey** 



### 9/17/2013 B - 18 

### Section 3: **School Accountability [**  **WEB PROGRAMMING NOTE : IF THE DISTRICT IS**  **IN A STATE THAT HAS AN**  **APPROVED ESEA FLEXIBILITY WAI**  **VER DISPLAY THE FOLLOWIN** **G NOTE:] NOTE: Questions in this section**  **refer to high -**  **and low -**  **performing schools in your district as identified by your state’s federally** **- approved school accountability system**  **. High -**  **performing schools are those identified by the state as Reward**  **schools (i.e., highest** **- performing**  **or high -**  **progress schools)**  **. Low** **- performing schools are those identified as Priority**  **schools or Focus schools. This section asks about school improvement efforts for any low -**  **performing schools and for other schools in your district.**  **[WEB PROGRAMMING NOTE: FOR DISTRICTS IN ALL OTHER STATES, DISPLAY THE FOLLOWING NOTE:]**  **NOTE: Questions in this section refer to high -**  **and low -**  **performing schools in your district as identified by your state’s federally** **- approved school accountability system**  **. The No Child Left Behind Act (NCLB) req**  **uires states to identify schools not making Adequate Yearly Progress (AYP) as in Need of Improvement, in Corrective Action, or in**  **Restructuring. This section asks about school improvement efforts for any schools in these categories in your district.**  **[WEB PROGRAMMING NOTE: QUESTION 3**  **- 1 ASKED OF DISTRICTS IN FLEXIBILITY STATES**  **. ALL GET ASKED 3**  **- 2**  **QUESTIONS 3 -**  **5 and**  **3 -** **6 ASKED OF DISTRICTS IN NON**  **- FLEXIBILITY STATES.**  **ALL RESPONDENTS ARE ASKED QUESTION 3 -**  **7 THEN SPLIT AGAIN BASED ON FLEXIBILITY STATUS.** 

**DEFINITIONS FOR USE THROUGHOUT THIS SECTION: Cohort** **- to** **- cohort improvement**  is the change in school wide proficiency rates, attendance, or other group - level measures of academic performance from one year to the next (for example, last year’s fourth grade proficiency rate compared with this year’s fourth grade proficiency rate). **Student achievement**  **growth** is the change in student achievement for an individual student between two or more points in time, and may be measured using student growth percentiles, value added, or other measures of change in student achievement over time. **Summative assessments** are state - or district- mandated tests that a re intended to measure students’ knowledge and skills at (or near) the end of a school year or course relative to grade - level content standards .**District Survey** 



### 9/17/2013 B - 19 **HIGH -**  **PERFORMING SCHOOLS (FLEXIBILITY STATES)**  **3 -**  **1. During this school year (2013**  **- 14), has your state identified any schools in your district as “Reward” schools (i.e.**  **“highest -**  **performing ” or “high**  **- progress” schools), based on student outcomes measured by required state summative**  **assessments and other data collected through the end of the 2012** **- 13 school year?**  Yes ................................ ................................ ................................ ................................ .... 1 No ................................ ................................ ................................ ................................ ..... 0 

### Achievement of Subgroups **3 -** **2 .**  **During this school year (2013 -**  **14) ,**  **do schools in your district monitor the achievement of the following student**  **subgroups?** 

## □ **Select NA (not applicable) ,**  **if none of the schools in your district have a sufficient number of students in a subgroup (e.g.,**  **American Indian or Alaska Native** **s , English learners, or students with disabilities).**  

## □ **Check box if you do not monitor any subgroup achievement**

SELECT ONE RESPONSE IN EACH ROW **SUBGROUP ACHIEVEMENT MONITORED YES**  **NO NA**  a. White ................................ ................................ .............................. 1 0 na b. Black or African American ................................ .............................. 1 0 na c. Hispanic ................................ ................................ .......................... 1 0 na d. Asian ................................ ................................ ............................... 1 0 na e. American Indian or Alaska Native ................................ ................... 1 0 na f. Native Hawaiian or Other Pacific Islander ................................ ...... 1 0 na g. Economically disadvantaged ................................ .......................... 1 0 na h. English learners ................................ ................................ .............. 1 0 na i. Students with disabilities ................................ ................................ 1 0 na j. Low academic performance (for example, lowest 25 percent based on proficiency) ................................ ................................ ..... 1 0 na k . A combined subgroup (specify) ................................ ...................... 1 0 na

________________________________ _____________________ l . Another combined subgroup (specify) ................................ ........... 1 0 na

________________________________ _____________________ **[WEB PROGRAMMING NOTE: QUESTION**  **S 3** **- 3**  **AND 3 -** **4 SHOULD ONLY BE ASKED OF DISTRICTS THAT ANSWER YES (1) TO**  **3 -** **2k .**  **ALL OTHER DISTRICTS IN NON**  **- FLEXIBILITY STATE** **S GO TO 3 -** **5, AND OTHER DISTRICTS IN FLEXIBILITY STATES GO TO INTRO BEFORE 3** **- 7**  **.] [WEB PROGRAMMING NOTE:**  **IF SECOND CHECK BOX MARKED ABOVE, SKIP TO 3 -** **5 IF DISTRICT IS IN A NON**   ** FLEXIBILITY STATE OR TO INTRO BEFORE 3****- 7 IF DISTRICT IS IN A FLEXIBILITY STATE]** **District Survey** 



### 9/17/2013 B - 20 **3 -** **3 .**  **Did any schools in your district fall short of Annual Measurable Objectives (AMOs) for a state**  **- designated combined**  **subgroup in 2012 -**  **13?** Yes ................................ ................................ ................................ ................................ .... 1 No ................................ ................................ ................................ ................................ ..... 0 Skip to programming box before 3 - 5 **3 -** **4 .**  **What actions were taken by school leaders in schools that fell short of Annual Measurable Objectives (AMOs) for a state** **- designated combined subgroup in 2012** **- 13?**  SELECT ONE RESPONSE IN EACH ROW **YES NO**  a. They developed a school improvement plan ................................ .......................... 1 0 b. They examined the reasons for low achievement of that combined subgroup ................................ ................................ ................................ ................. 1 0 c. They implemented interventions to address the reasons for low achievement of the combined subgroup ................................ ................................ 1 0 d. They reported on the interim progress of the combined subgroup to the district or state more than once during this school year (2013 - 14) ....................... 1 0 e. They examined the reasons for low achievement of each constituent subgroup within that combined subgroup ................................ ............................. 1 0 f. They implemented interventions to address the reasons for low achievement of each constituent subgroup within that combined subgroup ....... 1 0 g. They reported on the interim progress of each constituent subgroup within that combined subgroup to the district or state more than once during this school year (2013 - 14) ................................ ................................ ............................. 1 0

**HIGH -**  **PERFORMING SCHOOLS (NON**  **- FLEXIBILITY STATES)**  **3 -** **5 .**  **During this school year (2013 -**  **14), has your state identified any schools in your district as high**  **- performing**  **or as making**  **high progress**  **(i.e., substantially improving), based on student outcomes measured by required state summative**  **assessments and/or graduation rates through the end of the 2012** **- 13 school year?**  **( Include Title I Distinguished Schools and other state recognition programs.**  **Do not include**  **National Blue Ribbon Schools**  **( as designated by the U.S.**  **Department of Education) unless**  **they have also been designated as high -** **performing or high**  **- progress schools as part of a state program.)**  Yes ................................ ................................ ................................ ................................ .... 1 No ................................ ................................ ................................ ................................ ..... 0 Skip to Intro before 3 - 7 **[WEB PROGRAMMING NOTE: ALL DISTRICTS IN FLEXIBILITY STATES GO TO INTRO BEFORE QUESTION 3** **- 7**  **. OTHER DISTRICTS IN NON**  **- FLEXIBILITY STATES**  **CONTINUE TO 3 -**  **5 ]** **District Survey** 



### 9/17/2013 B - 21 **3 -** **6 .**  **How many of your district’s schools are currently identified by the state as high**  **- performing or high**  **- progress schools**  **based on student outcomes measured through the end o f the 2012** **- 13 school year?**  **(Enter the number of schools for each category or NA (not appli cable) if the category does not exist in your district.)**  NUMBER OF SCHOOLS **HIGH -**  **PERFORMING BASED ON STATE**  **DEFINITION HIGH**  **- PROGRESS**  **BASED ON STATE DEFINITION**  **TITLE I SCHOOLS** a. Elementary/middle schools ................................ ....... _______ _______ b. High schools ................................ ............................... _______ _______ TOTAL

_______ _______ **NON -** **TITLE I SCHOOLS** c . Elementary/middle schools ................................ ....... _______ _______ d . High schools ................................ ............................... _______ _______ TOTAL

_______ _______**District Survey** 



### 9/17/2013 B - 22 **Low -**  **Performing Schools**

**3 -** **7 .**  **During this scho ol year (2013**  **- 14),**  **are any Title I and N on**  **- Title I**  **schools in your district in the following categories?**

**TITLE I SCHOOLS NON**  **- TITLE I** 

**SCHOOLS** SELECT ONE RESPONSE IN EACH ROW SELECT ONE

RESPONSE IN EACH ROW **YES NO**  **YES NO**  a. Priority schools ................................ ................................ ..................... 1 0 1 0 b. Focus schools ................................ ................................ ....................... 1 0 1 0 c. Schools with federal School Improvement Grant (SIG) funding .......... 1 0 1 0 d. Schools in Restructuring ................................ ................................ ...... 1 0 1 0 e. Schools in Corrective Action ................................ ................................ 1 0 1 0 **[ WEB PROGRAMMING NOTE**  **: IF THE DISTRICT IS IN A STATE THAT HAS**  **AN APPROVED**  **ESEA FLEXIBILITY WAIVER, DISPLAY THE**  **FOLLOWING NOTE:] NOTE:**  **States with**  **ESEA Flexibility**  **waivers have**  **identified low** **- performing**  **schools as**  **Priority schools**  **and Focus**  **schools for**  **interventions. States**  **must also**  **monitor whether**  **schools meet**  **annual measurable**  **objectives (AMOs).**  **The questions**  **in this**  **section ask**  **about interventions**  **and assistance provided to these schools. [WEB PROGRAMMING NOTE: FOR DISTRICTS IN ALL OTHER STATES, DISPLAY THE FOLLOWING NOTE:]**  **NOTE: The**  **No Child**  **Left Behind**  **(NCLB) Act**  **requires states**  **to identify**  **chronically low** **- performing**  **schools as**  **in Restructuring,**  **in Corrective**  **Action, or**  **in Need**  **of Improvement.**  **The questions**  **in this section ask about interventions and assistance provided to these schools.**

**[WEB PROGRAMMING NOTE: DISPLAY ONLY THE FIRST THREE ROWS IF THE DISTRICT IS IN A STATE WITH ESEA FLEXIBILITY. OTHERWISE, DISPLAY THE THIRD THROUGH**  **FIFTH ROWS.] District**  **Survey**



### 9/17/2013 B - 23 WEB PROGRAMMING NOTE: IF THIS DISTRICT IS IN A FLEXIBILITY STATE AND:

 HAS NO PRIORITY OR FOCUS SCHOOLS (3 - 7A FIRST COLUMN = 0 AND 3 - 7A SECOND COLUMN =0 AND 3 - 7B FIRST COLUMN = 0 AND 3 - 7B SECOND COLUMN =0) SKIP TO 3 - 34.  HAS PRIORITY SCHOOLS, BUT NO FOCUS SCHOOLS (3 - 7A FIRST COLUMN = 1 OR 3 - 7A SECOND COLUMN = 1) AND (3 - 7B FI RST COLUMN = 0 AND 3 - 7B SECOND COLUMN =0) CONTINUE TO QUESTION 3 - 8. o FOR QUESTIONS 3 - 8 THROUGH 3 - 2 1 , DISPLAY QUESTIONS ABOUT TITLE I AND/OR NON -TITLE I PRIORITY SCHOOLS BASED ON RESPONSES TO 3 - 7A FIRST AND SECOND COLUMNS o THEN SKIP RESPONDENT TO 3 - 3 1 THROU GH 3 - 33 AND DISPLAY QUESTIONS ABOUT TITLE I AND/OR NON -TITLE I PRIORITY SCHOOLS BASED ON RESPONSES TO 3 - 7A FIRST AND SECOND COLUMNS.  HAS PRIORITY AND FOCUS SCHOOLS (3 - 7A FIRST COLUMN = 1 OR 3 - 7A SECOND COLUMN = 1) AND (3 - 7B FIRST COLUMN = 1 OR 3 - 7B SECOND COLUMN =1) CONTINUE TO QUESTION 3 - 8 o FOR QUESTIONS 3 - 8 THROUGH 3 - 33, DISPLAY QUESTIONS ABOUT TITLE I AND/OR NON -TITLE PRIORITY SCHOOLS BASED ON RESPONSES TO 3 - 7A FIRST AND SECOND COLUMNS. DISPLAY QUESTIONS ABOUT TITLE I AND/OR NON TITLE I FOCUS SCHOOLS BAS ED ON RESPONSES TO 3 - 7B FIRST AND SECOND COLUMNS.  HAS FOCUS SCHOOLS, BUT NO PRIORITY SCHOOLS (3 - 7A FIRST COLUMN = 0 AND 3 - 7A SECOND COLUMN = 0) AND (3 - 7B FIRST COLUMN = 1 OR 3 - 7B SECOND COLUMN =1) SKIP TO 3 - 2 2 . o FOR QUESTIONS 3 - 21 THROUGH 3 - 33, DISPLAY QUESTIONS ABOUT TITLE I AND/OR NON -TITLE I FOCUS SCHOOLS BASED ON RESPONSES TO 3 - 7B FIRST AND SECOND COLUMNS. IF THIS DISTRICT IS IN A NON - FLEXIBILITY STATE AND:

 HAS NO SCHOOLS IN RESTRUCTURING OR IN CORRECTIVE ACTION (3 - 7D FIRST COLUMN = 0 AND 3 - 7D SECOND COLUMN =0 AND 3 - 7E FIRST COLUMN = 0 AND 3 - 7E SECOND COLUMN =0) SKIP TO 3 - 6 7 .  HAS SCHOOLS IN RESTRUCTURING, BUT NO SCHOOLS IN CORRECTIVE ACTION (3 - 7D FIRST COLUMN = 1 OR 3 - 7D SECOND COLUMN = 1) AND (3 - 7E FIRST COLUMN = 0 AND 3 - 7E SECOND COLUMN =0) SKIP TO QUESTION 3 - 39. o FOR QUESTIONS 3 - 39 THROUGH 3 -49 , DISPLAY QUESTIONS ABOUT TITLE I AND/OR NON -TITLE I SCHOOLS IN RESTRUCTURING BASED ON RESPONSES TO 3 - 7D FIRST AND SECOND COLUMNS. o THEN SKIP RESPONDENT TO 3 - 60 TH ROUGH 3 - 6 6 AND DISPLAY QUESTIONS ABOUT TITLE I AND/OR NON -TITLE I SCHOOLS IN RESTRUCTURING BASED ON RESPONSES TO 3 - 7D FIRST AND SECOND COLUMN.  HAS SCHOOLS IN RESTRUCTURING AND IN CORRECTIVE ACTI O N (3 - 7D FIRST COLUMN = 1 OR 3 - 7D SECOND COLUMN = 1) AND (3 - 7E FIRST COLUMN = 1 OR 3 - 7E SECOND COLUMN =1) SKIP TO QUESTION 39. o FOR QUESTIONS 3 - 39 THROUGH 3 - 6 6, DISPLAY QUESTIONS ABOUT TITLE I AND/OR NON -TITLE I SCHOOLS IN RESTRUCTING BASED ON RESPONSES TO 3 - 7D FIRST AND SECOND COLUMNS. DISPLAY QUESTIONS ABOUT TITLE I AND/OR NON -TITLE I SCHOOLS IN CORRECTIVE ACTION BASED ON RESPONSES TO 3 - 7E FIRST AND SECOND COLUMNS  HAS SCHOOLS IN CORRECTIVE ACTION, BUT NO SCHOOLS IN RESTRUCTURING (3 - 7D FIRST COLUMN = 0 AND 3 - 7D SECOND COLUMN = 0) AND (3 - 7E FIRST COLUMN = 1 OR 3 - 7E SE COND COLUMN =1) SKIP TO 3 - 39, THEN SKIP TO 3 - 50 . o FOR QUESTIONS 3 - 50 THROUGH 3 - 6 6, DISPLAY QUESTIONS ABOUT TITLE I AND/OR NON -TITLE I SCHOOLS IN CORRECTIVE ACTION BASED ON RESPONSES TO 3 - 7E FIRST AND SECOND COLUMNS.**District Survey** 



### 9/17/2013 B - 24 **NOTE TO REVIEWER**  **: This set of questions (3** **- 8**  **thru 3 -** **33 )**  **is only**  **for districts in Flexibility**  **states that have Priority or Focus**  **schools .**  **The next questions pertain to your district’s Title I and Non**  **- Title I Priority schools**  **. 3** **- 8**  **. Among the schools in your district that**  **were designated as Priority schools during the last school year (2012 -**  **13), how many were closed after the 2012** **- 13 school**  **year for performance reasons? (**  **Enter ‘NA’, where appropriate, if your district had no Priority schools during 2012** **- 13. Enter**  **‘0’ if no schools were closed.)** 

________ NUMBER OF TITLE I PRIORITY SCHOOLS CLOSED AFTER THE 2012 - 13 SCHOOL YEAR

________ NUMBER OF NON -TITLE I PRIORITY SCHOOLS CLOSED AFTER THE 2012 - 13 SCHOOL YEAR

**3 -** **9 .**  **D uring this school year (2013**  **- 14)** **, what interventions, if**  **any, are being implemented for Priority schools**  **? TITLE I**  **PRIORITY SCHOOLS**  **NON -** **TITLE I**

**PRIORITY SCHOOLS**  SELECT ONE RESPONSE IN EACH ROW SELECT ONE

RESPONSE IN EACH ROW **Interventions for Priority**  **schools: YES**  **NO YES**  **NO** a. Schools prepare a school improvement plan that focuses on subjects and/or subgroups that are falling short of AMOs ....... 1 0 1 0 b. School improvement plans are made available to the public ... 1 0 1 0 c. Schools are implementing and monitoring an instructional program that supports subgroups of students not showing sufficient growth toward AMOs ................................ ................ 1 0 1 0 d. Schools and/or the district are providing professional development to staff that supports interventions for subgroups of students not showing sufficient growth toward AMOs ................................ ................................ ......................... 1 0 1 0**District Survey** 



### 9/17/2013 B - 25 **3 -**  **10 .**  **Among Priority schools in your district, how many are implementing each of the following initiatives during this**  **school year (2013** **- 14)?**  **(Enter the number of Priority schools implementing each initiative. If “none”, enter 0.)** NUMBER OF SCHOOLS

**School Initiatives TITLE I PRIORITY**  **SCHOOLS IMPLEMENTING**  **INITIATIVE NON**  **- TITLE I PRIORITY**  **SCHOOLS IMPLEMENTING**  **INITIATIVE** a . Implementing a “restart” model as defined in U.S. Department of Education regulations ..................... _________ _________ b . Implementing a “transformation” model as defined in U.S. Department of Education regulations .......... _________ _________ c . Implementing a “turnaround” model as defined in U.S. Department of Education regulations .............. _________ _________**District Survey** 



### 9/17/2013 B - 26 **Please answer the questions below for Title I**  **P riority schools**  **in your district. 3** **- 1**  **1 .**  **Are all, some, or no Title I Priority schools in your district implementing any of the following academic initiatives during this**  **school year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **TITLE I PRIORITY SCHOOLS Academic Initiatives**  **ALL SOME**  **NONE** a . Implementing a compre hensive schoolwide reform model .................. 2 1 0 b . Providing intensive intervention to struggling students during the school day (for example, respon se to intervention) .............................. 2 1 0

**3 -**  **1 2**  **. Are all, some, or no Title I Priority schools in your district implementing the following structural changes during th**  **is school year (2013** **- 14)?**  SELECT ONE RESPONSE IN EACH ROW **TITLE I PRIORITY SCHOOLS School Structural**  **Changes ALL**  **SOME NO**  **NE** a . Adjusting the school schedule without changing the overall number of school hours ................................ ................................ ..................... 2 1 0 b . O perating an extended school day, week, or year ............................... 2 1 0 c . Making class sizes smaller than typical in other schools ...................... 2 1 0 d . Providing extra academic services for struggling students outside of the school day ( for example, supplemental educational services) ...... 2 1 0 e . Offering students the option to attend a different school (school choice) ................................ ................................ ................................ .. 2 1 0

**3 -**  **1 3**  **. Do all, some, or no Title I Priority schools in your district have staffing**  **authority of the following types during**  **this school**  **year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **TITLE I PRIORITY SCHOOLS Staffing**  **authority ALL**  **SOME NO**  **NE** a . School has more flexibility in, or exemptions from, collective bargaining agreements or district policies/regulations that guide teacher staffing decisions compared to other schools in the district .. 2 1 0 b . School has the authority to make final decisions on teacher hiring ..... 2 1 0**District Survey** 



### 9/17/2013 B - 27 **3 -**  **1 4**  **. Are all, some, or no Title I Priority schools in your district implementing new programs of the following types during**  **this school year (2013** **- 14)?**  SELECT ONE RESPONSE IN EACH ROW **TITLE I PRIORITY SCHOOLS School is**  **implementing new programs... ALL**  **SOME NO**  **NE** a . To provide ongoing mechanisms for family and community engagement ................................ ................................ ........................... 2 1 0 b . To address students’ social, emotional, or health needs ...................... 2 1 0 c . To improve student behavior, discipline, or safety ............................... 2 1 0

**Please answer the questions below for Non**  **- Title I**  **P riority schools**  **in your district. 3** **- 1**  **5 .**  **Are all, some, or no Non**  **- Title I**  **Priority schools in your district implementing any of the following academic initiatives during**  **this school year (2013** **- 14)?**  SELECT ONE RESPONSE IN EACH ROW **NON -** **TITLE I PRIORITY SCHOOLS Academic Initiatives**  **ALL SOME**  **NONE** a . Implementing a compre hensive schoolwide reform model ................... 2 1 0 b . Providing intensive intervention to struggling students during the school day (for exa mple, response to intervention) ............................... 2 1 0**District Survey** 



### 9/17/2013 B - 28 **3 -**  **1 6**  **. Are all, some, or no Non**  **- Title I Priority schools in your district implementing the following structural changes during**  **this school year (2013** **- 14)?**  SELECT ONE RESPONSE IN EACH ROW **NON -** **TITLE I PRIORITY SCHOOLS School Structural Changes**  **ALL SOME**  **NONE** a . Adjusting the school schedule without changing the overall number of school hours ................................ ................................ ...................... 2 1 0 b . Operating an extended school day, week, or year ................................ 2 1 0 c . Making class sizes smaller than typical in other schools ....................... 2 1 0 d . Providing extra academic services for struggling students outside of the school day (for example, supplemental educational services) ....... 2 1 0 e . Offering students the option to attend a different school (school choice) ................................ ................................ ................................ ... 2 1 0

**3 -**  **1 7**  **. Do all, some, or no Non**  **- Title I Priority schools in your district have staffing**  **authority of the following types during**  **this school year (2013** **- 14)?**  SELECT ONE RESPONSE IN EACH ROW **NON -** **TITLE I PRIORITY SCHOOLS Staffing authority**  **ALL SOME**  **NONE** a . School has more flexibility in, or exemptions from, collective bargaining agreements or district policies/regulations that guide teacher staffing decisions compared to other schools in the district .. 2 1 0 b . School has the authority to make final decisions on teacher hiring ..... 2 1 0 **3 -**  **1 8**  **. Are all, some, or no Non**  **- Title I Priority schools in your district implementing new programs of the following types during**  **this school year (2013** **- 14)?**  SELECT ONE RESPONSE IN EACH ROW **NON -** **TITLE I PRIORITY SCHOOLS**  **School is implementing new programs... ALL**  **SOME NONE**  a . To provide ongoing mechanisms for family and community engagement ................................ ................................ ........................... 2 1 0 b . To address students’ social, emotional, or health needs ...................... 2 1 0 c . To improve student behavior, discipline, or safety ............................... 2 1 0**District Survey** 



### 9/17/2013 B - 29 **Please answer the questions below for Title I and Non**  **- Title I Priority schools**  **in your district. 3** **- 1**  **9 .**  **Are any of the Priority schools in your district under the following forms of management during the 2013 -**  **14 school year ?**  **TITLE I PRIORITY**  **SCHOOLS NON**  **- TITLE I** 

**PRIORITY SCHOOLS**  SELECT ONE RESPONSE IN EACH ROW SELECT ONE

RESPONSE IN EACH ROW **YES NO**  **YES NO**  a. Direct state control or st atewide accountability district ........................... 1 0 1 0 b. Converted to charter school ................................ ................................ ...... 1 0 1 0 c. Managed by a school management organization, either for- profit or nonprofit ................................ ................................ ................................ ... 1 0 1 0 **3 -** **20 .**  **How many Priority schools in your district have been**  **removed by the state from district control since the**  **beginning of the**  **2012 -**  **13 school year?**

________ NUMBER OF TITLE I PRIORITY SCHOOLS REMOVED FROM DISTRICT CONTROL

________ NUMBER OF NON -TITLE I PRIORITY SCHOOLS REMOVED FROM DISTRICT CONTROL **3 -** **2 1**  **. To what extent were changes in personnel used to turn around Priority schools in your district before the start of this**  **school year (2013 -**  **14)? (Enter the number of Priority schools in which the principal was replaced or in which half or more of the**  **teaching staff was replaced before the start of the 2013** **- 14 school year as part of the school improvement plan. If “none”, enter 0.)**  NUMBER OF SCHOOLS **TITLE I PRIORITY SCHOOLS**  **NON -** **TITLE I**

**PRIORITY SCHOOLS** a. Principal replaced ................................ ................................ ............. _______ _______ b. Half or more of the teaching staff replaced ................................ ..... _______ _______**District Survey** 



### 9/17/2013 B - 30 **The next questions pertain to your district’s Title I and Non**  **- Title I Focus schools**  **. 3** **- 2**  **2 .**  **D uring this school year (2013**  **- 14)** **, what interventions, if any, are being implemented**  **for Focus schools in your district ?**  **TITLE I FOCUS**  **SCHOOLS NON**  **- TITLE I**  **FOCUS SCHOOLS**  SELECT ONE RESPONSE IN EACH ROW SELECT ONE

RESPONSE IN EACH ROW **Interventions for Focus**  **schools: YES**  **NO YES**  **NO** a. Schools prepare a school improvement plan that focuses on subjects and/or subgroups that are falling short of AMOs .............. 1 0 1 0 b. School improvement plans are made available to the public .......... 1 0 1 0 c. Schools are implementing and monitoring an instructional program that supports subgroups of students not showing sufficient growth toward AMOs ................................ ....................... 1 0 1 0 d. Schools and/or the district are providing professional development to staff that supports interventions for subgroups of students not showing sufficient growth toward AMOs .................... 1 0 1 0**District Survey** 



### 9/17/2013 B - 31 **Please answer the questions below for Title I**  **Focus schools**  **in your district. 3** **- 2**  **3 .**  **Are all, some, or no Title I Focus schools in your district implementing any of the following academic initiatives during this**  **school year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **TITLE I FOCUS SCHOOLS Academic Initiatives**  **ALL SOME**  **NONE** a . Implementing a compre hensive schoolwide reform model .................. 2 1 0 b . Providing intensive intervention to struggling students during the school day (for exa mple, response to intervention) .............................. 2 1 0 **3 -** **2 4**  **. Are all, some, or no Title I**  **Focus schools in your district implementing the following structural changes during**  **this school**  **year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **TITLE I FOCUS**  **SCHOOLS School Structural Changes**  **ALL SOME**  **NONE** a . Adjusting the school schedule without changing the overall number of school hours ................................ ................................ ..................... 2 1 0 b . Operating an extended school day, week, or year ............................... 2 1 0 c . Making class sizes smaller than typical in other schools ...................... 2 1 0 d . Providing extra academic services for struggling students outside of the school day (for example, supplemental educational services) ...... 2 1 0 e . Offering students the option to attend a different school (school choice) ................................ ................................ ................................ .. 2 1 0

**3 -** **2 5**  **. Do all, some, or no Title I**  **Focus schools in your district have staffing**  **authority of the following types during**  **this school**  **year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **TITLE I FOCUS SCHOOLS Staffing authority**  **ALL SOME**  **NONE** a . School has more flexibility in, or exemptions from, collective bargaining agreements or district policies/regulations that guide teacher staffing decisions compared to other schools in the district .... 2 1 0 b . School has the authority to make final decisions on teacher hiring ....... 2 1 0**District Survey** 



### 9/17/2013 B - 32 **3 -** **2 6**  **. Are all, some, or no Title I**  **Focus schools in your district implementing new programs of the following types during**  **this school year (2013** **- 14)?**  SELECT ONE RESPONSE IN EACH ROW **TITLE I FOCUS SCHOOLS School is implementing new programs...**  **ALL SOME**  **NONE** a . To provide ongoing mechanisms for family and community engagement ................................ ................................ ............................. 2 1 0 b . To address students’ social, emotional, or health needs ........................ 2 1 0 c . To improve student behavior, discipline, or safety ................................ . 2 1 0 **Please answer the questions below for Non**  **- Title I**  **Focus schools**  **in your district. 3** **- 2**  **7 Are all, some, or no Non**  **- Title I Focus schools in your district implementing any of the following academic initiatives**  **during this**  **school year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **NON -** **TITLE I FOCUS SCHOOLS**  **Academic Initiatives ALL**  **SOME NONE**  a . Implementing a comprehensive schoolwide reform model .................... 2 1 0 b . Providing intensive intervention to struggling students during the school day (for example, response to intervention) ................................ 2 1 0

**3 -** **2 8**  **. Are all, some, or no Non**  **- Title I**  **Focus schools in your district implementing the following structural changes during**  **this school year (2013** **- 14)?**  SELECT ONE RESPONSE IN EACH ROW **NON -** **TITLE I FOCUS SCHOOLS School Structural Changes**  **ALL SOME**  **NONE** a . Adjusting the school schedule without changing the overall number of school hours ................................ ................................ ............................ 2 1 0 b . Operating an extended school day, week, or year ................................ .. 2 1 0 c . Making class sizes smaller than typical in other schools ......................... 2 1 0 d . Providing extra academic services for struggling students outside of the school day (for example, supplemental educational services) ......... 2 1 0 e . Offering students the option to attend a different school (school choice) ................................ ................................ ................................ ..... 2 1 0**District Survey** 



### 9/17/2013 B - 33 **3 -** **2 9**  **. Do all, some, or no Non**  **- Title I**  **Focus schools in your district have staffing**  **authority of the following types during**  **this school year (2013** **- 14)?**  SELECT ONE RESPONSE IN EACH ROW **NON -** **TITLE I FOCUS SCHOOLS Staffing authority**  **ALL SOME**  **NONE** a . School has more flexibility in, or exemptions from, collective bargaining agreements or district policies/regulations that guide teacher staffing decisions compared to other schools in the district ..... 2 1 0 b . School has the authority to make final decisions on teacher hiring ........ 2 1 0

**3 -** **30 .**  **Are all, some, or no Non -** **Title I Focus**  **schools in your district implementing new programs of the following types during this**  **school year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **NON -** **TITLE I FOCUS SCHOOLS School is implementing new programs...**  **ALL SOME**  **NONE** a . To provide ongoing mechanisms for family and community engagement ................................ ................................ ............................. 2 1 0 b . To address students’ social, emotional, or health needs ........................ 2 1 0 c . To improve student behavior, discipline, or safety ................................ . 2 1 0**District Survey** 



### 9/17/2013 B - 34 **The next questions are about your district’s**  **Title I Priority and Focus schools .**  **3 -** **3 1**  **. D**  **uring this school year (2013 -**  **14) and including last summer (2013)** **, what**  **additional professional development or**  **technical assistance was provided to principals in Title I Priority and Focus schools in your district, beyond what is**  **available to any Title I school ?**  **PROVIDED TO**  **TITLE I PRIORITY SCHOOLS**  **PROVIDED TO**

**TITLE I FOCUS SCHOOLS**  SELECT ONE RESPONSE IN EACH ROW SELECT ONE

RESPONSE IN EACH ROW **Additional professional development or assistance for principal s**  **on... YES**  **NO YES**  **NO** a. S chool improvement planning, identifying interventions, or budgeting effectively ................................ ................................ ................................ 1 0 1 0 b. Acting as instructional leaders ................................ ................................ 1 0 1 0 c. R ecruiting, retaining, and developing more effective teachers .............. 1 0 1 0

**3 -** **3 2**  **. Thinking now**  **about teachers, d uring this school year (2013** **- 14) and including last summer (2013),**  **what additional**  **professional development or technical assistance was provided to teachers**  **in Title I Priority and Focus schools in your district,**  **beyond what is available to any Title I school ?**  **PROVIDED TO**  **TITLE I PRIORITY SCHOOLS**  **PROVIDED TO**

**TITLE I FOCUS SCHOOLS**  SELECT ONE RESPONSE IN EACH ROW SELECT ONE

RESPONSE IN EACH ROW **Additional professional development or assistance for teachers**  **on... YES**  **NO YES**  **NO** a . Analyzing student assessment data to improve instruction ................. 1 0 1 0 b . W orking effectively in teacher teams to improve instruction .............. 1 0 1 0 c . I dentifying and implementing strategies to address the needs of English learners ................................ ................................ ..................... 1 0 1 0 d . I dentifying and implementing strategies to address the needs of students with disabilities ................................ ................................ ...... 1 0 1 0**District Survey** 



### 9/17/2013 B - 35 **3 -** **3 3**  **. During this school year (2013**  **- 14), what**  **additional resources has the state provided to Title I Priority and Focus schools in**  **your district, beyond what is available to any Title I school**  **? PROVIDED**  **TO TITLE I PRIORITY**  **SCHOOLS PROVIDED TO** 

**TITLE I FOCUS SCHOOLS**  SELECT ONE RESPONSE IN EACH ROW SELECT ONE

RESPONSE IN EACH ROW **YES NO**  **YES NO**  a. Additional resources to be used for purposes specified in the school improvement plan ................................ ................................ ................... 1 0 1 0 b. Additional resources to be used to reduce class sizes ............................ 1 0 1 0 c. Additional resources to be used to add instructional time (extended day or extended school year) ................................ ................................ .. 1 0 1 0

**F or the next set of questions, please consider**  **Title I and Non -** **Title I schools**  **in your district that are NOT**  **Priority or Focus schools. 3** **- 34**  **. Apart from Priority and Focus schools, did any school in your district**  **(either Title I or N on**  **- Title I)**  **fall short of Annual Measurable Objective (AMO) targets for the previous school year (2012**  **- 13)?**  Yes ................................ ................................ ................................ ................................ .... 1 No ................................ ................................ ................................ ................................ ..... 0 Skip to 3 - 7 1 **3 -** **35 .**  **What type of schools in your district (excluding Priority and Focus) fell short of AMO targets for the previous school year**  **(2012 -**  **13)?** SELECT ONE RESPONSE IN EACH ROW **YES NO**  a. Title I schools (excluding Priority and Focus schools ) ................................ ............. 1 0 b. Non -Title I schools (excluding Priority and Focus schools ) ................................ ..... 1 0 **[WEB PROGRAMMING NOTE: IF ’NO’ ENTERED IN BOTH RESPONSES IN 3 -** **35, SKIP TO 3 -**  **71.] District**  **Survey**



### 9/17/2013 B - 36 **3 -** **36 .**  **For schools**  **in your district that did not meet AMOs for 2012** **- 13 (excluding Priority and Focus schools), what**  **interventions, if any, are being implemented during this school year (2013 -**  **14)? TITLE I**  **SCHOOLS NOT MEETING AMO**  **s NON**  **- TITLE I** 

**SCHOOLS NOT MEETING AMO**  **s** SELECT ONE RESPONSE IN EACH ROW SELECT ONE

RESPONSE IN EACH ROW **Interventions for schools not meeting AMOs (excluding Priority and Focus schools):**  **YES NO**  **YES NO**  a. Schools prepare a school improvement plan that focuses on subjects and/or subgroups that are falling short of AMOs ............ 1 0 1 0 b. School improvement plans are made available to the public ........ 1 0 1 0 c. Schools are implementing and monitoring an instructional program that supports subgroups of students not showing sufficient growth toward AMOs ................................ ..................... 1 0 1 0 d. Schools and/or the district are providing professional development to staff that supports interventions for subgroups of students not showing sufficient growth toward AMOs ............. 1 0 1 0 e. District must offer students the opportunity to attend other schools (school choice) ................................ ................................ ... 1 0 1 0 f. District must offer low- income students the opportunity to enroll in after- school supplemental educational services .............. 1 0 1 0 g. School s have smaller class sizes than last year ............................... 1 0 1 0 h. Additional instructional time (extended day or extended school year) ................................ ................................ ................................ 1 0 1 0**District Survey** 



### 9/17/2013 B - 37 **The next questions pertain to your district’s Title I schools**  **that did not meet AMOs for 2012 -**  **13. 3** **- 37**  **. During this school year (2013**  **- 14) and including**  **last summer (2013),**  **what additional**  **professional development or technical assistance was provided to**  **principals in Title I**  **schools in your district that did not meet AMOs for 2012 -**  **13 (excluding Priority and Focus schools)** **, beyond what is available to any Title I school?** SELECT ONE RESPONSE IN EACH ROW **TITLE I SCHOOLS NOT MEETING AMO**  **s Additional professional development or assistance for principals on...**  **YES NO**  a. School improvement planning, identifying interventions, or budgeting effectively ................................ ................................ ................................ ....... 1 0 b. Acting as instructional leaders ................................ ................................ ...... 1 0 c. Recruiting, retaining, and developing more effective teachers ..................... 1 0

**3 -** **38 .**  **Thinking now about teachers, d uring this school year (2013** **- 14) and including last summer (2013),**  **what additional**  **professional development or technical assistance was provided to teachers in Title I schools in your district that did not meet AMOs for 2012** **- 13 (excluding Priority and Focus schools), beyond what is available to any Title I school?**  SELECT ONE RESPONSE IN EACH ROW **TITLE I SCHOOLS NOT MEETING AMO**  **s Additional professional development or assistance for teachers on...**  **YES NO**  a. Analyzing student assessment data to improve instruction ......................... 1 0 b. Working effectively in teacher teams to improve instruction ...................... 1 0 c. Identifying and implementing strategies to address the needs of English learners ................................ ................................ ................................ ......... 1 0 d. Identifying and implementing strategies to address the needs of students with disabilities ................................ ................................ ............................. 1 0 **[WEB PROGRAMMING NOTE: SKIP TO 3 -**  **71 .]**  **(ALL DISTRICTS IN FLEX STATES) District**  **Survey**



### 9/17/2013 B - 38 **NOTE TO REVIEWER**  **: This set of questions (3** **- 39**  **thru 3 -** **6 6**  **) is for districts in**  **n on**  **- Flexibility**  **states that have schools in Restructuring and/or Corrective Action**  **. The next questions pertain to your district’s**  **Title I and Non**  **- Title I**  **schools in Restructuring and Corrective Action .**  **3 -** **39 .**  **Among the schools that were in Restructuring and Corrective Action in your district**  **during the last school year (2012 -**  **13), how many were closed after the 2012**  **- 13 school y** **ear for performance reasons?**  **(Enter ‘NA’, where appropriate, if you r district**  **had no schools in Restructuring or Corrective Action during 2012 -** **13. Enter**  **“0” if no schools were closed )**  

### Title I Schools

________ NUMBER OF TITLE I SCHOOLS IN RESTRUCTURING THAT CLOSED AFTER THE 2012 - 13 SCHOOL YEAR

________ NUMBER OF TITLE I SCHOOLS IN CORRECTIVE ACTION THAT CLOSED AFTER THE 2012 - 13 SCHOOL YEAR 

### Non **- Title I Schools** 

________ NUMBER OF NON -TITLE I SCHOOLS IN RESTRUCTURING THAT CLOSED AFTER THE 2012 - 13 SCHOOL YEAR

________ NUMBER OF NON -TITLE I SCHOOLS IN CORRECTIVE ACTION THAT CLOSED AFTER THE 2012 - 13 SCHOOL

YEAR**District Survey** 



### 9/17/2013 B - 39 **The following question**  **s pertain to**  **Title I and Non -** **Title I S**  **chools in Restructuring in your district**  **. 3** **- 40**  **. For**  **Title I and Non -** **Title I S chools in**  **Restructuring in**  **your district ,**  **what interventions, if any, are being implemented during this school year (2013** **- 14)?**  **TITLE I SCHOOLS IN**  **RESTRUCTURING NON**  **- TITLE I**  **SCHOOLS IN RESTRUCTURING**  SELECT ONE RESPONSE IN EACH ROW SELECT ONE RESPONSE IN EACH ROW **Interventions for S** **chools in Restructuring**  **: YES**  **NO YES**  **NO** a. Schools prepare d a school improvement plan that focuses on subjects and/or subgroups that are falling short of AMOs ................................ ............................... 1 0 1 0 b. School improvement plans are made available to the public ................................ ................................ ............ 1 0 1 0 c. Schools are implementing and monitoring an instructional program that supports students not showing sufficient growth toward AMOs ..................... 1 0 1 0 d. Schools and/or the district provide professional development to staff that supports interventions for subgroups of students not showing sufficient growth toward AMOs ................................ ................................ 1 0 1 0 e. District must offer students the opportunity to attend other schools (school choice) ................................ ....... 1 0 1 0 f. District must offer low- income students the opportunity to enroll in after- school supplemental educational services ................................ ..................... 1 0 1 0 g. Schools have smaller class sizes than last year ............. 1 0 1 0 h. Schools are implementing a dditional instructional time (extended day or extended school year) .............. 1 0 1 0**District Survey** 



### 9/17/2013 B -40 **3 -** **4 1**  **. Among**  **Title I and Non -** **Title I S** **chools in Restructuring in your district, how many are implementing each of the following initiatives during**  **this school year (2013** **- 14)?**  **(Enter the number of S chools in Restructuring**  **i mplementing each initiative. If “none”, enter 0.)**  NUMBER OF SCHOOLS

**School Initiatives TITLE I SCHOOLS IN**  **RESTRUCTURING IMPLEMENTING**  **INITIATIVE NON**  **- TITLE I**  **SCHOOLS IN RESTRUCTURING**  **IMPLEMENTING INITIATIVE**  a . Implementing a “restart” model as defined in U.S. Department of Education regulations ............ _________ _________ b . Implementing a “transformation” model as defined in U.S. Department of Education regulations ................................ ............................. _________ _________ c . Implementing a “turnaround” model as defined in U.S. Department of Education regulations ........ _________ _________**District Survey** 



### 9/17/2013 B -41 **Please answer the questions below for Title I**  **S chools in Restructuring**  **in your district. 3** **- 4** **2 .**  **Are all, some, or no Title I**  **S chools in Restructuring in your district implementing any of the following academic initiatives**  **during this**  **school year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **TITLE I SCHOOLS IN RESTRUCTURING Academic Initiatives**  **ALL SOME**  **NONE** a . Implementing a comprehensive schoolwide reform model .................... 2 1 0 b . Providing intensive intervention to struggling students during the school day (for exa mple, response to intervention) ................................ 2 1 0 **3 -** **4 3**  **. Are all, some, or no Title I S** **chools in Restructuring in your district implementing the following structural changes during this**  **school year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **TITLE I SCHOOLS IN RESTRUCTURING**  **School Structural Changes ALL**  **SOME NONE**  a . Adjusting the school schedule without changing the overall number of school hours ................................ ................................ ............................ 2 1 0 b . Operating an extended school day, week, or year ................................ .. 2 1 0 c . Making class sizes smaller than typical in other schools ......................... 2 1 0 d . Providing extra academic services for struggling students outside of the school day (for example, supplemental educational services) ......... 2 1 0 e . Offering students the option to attend a different school (school choice) ................................ ................................ ................................ ..... 2 1 0

**3 -** **4 4**  **. Do all, some, or no Title I S** **chools in Restructuring**  **in your district have staffing authority**  **of the following types during this**  **school year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **TITLE I SCHOOLS**  **IN RESTRUCTURING Staffing authority**  **ALL SOME**  **NONE** a . School has more flexibility in, or exemptions from, collective bargaining agreements or district policies/regulations that guide teacher staffing decisions compared to other schools in the district ..... 2 1 0 b . School has the authority to make final decisions on teacher hiring ........ 2 1 0**District Survey** 



### 9/17/2013 B -42 **3 -** **4 5**  **. Are all, some, or no Title I S** **chools in Restructuring in**  **your district implementing new programs of the following types during**  **this school year (2013** **- 14)?**  SELECT ONE RESPONSE IN EACH ROW **TITLE I SCHOOLS IN RESTRUCTURING**  **School is implementing new programs... ALL**  **SOME NONE**  a . To provide ongoing mechanisms for family and community engagement ................................ ................................ ............................. 2 1 0 b . To address students’ social, emotional, or health needs ........................ 2 1 0 c . To improve student behavior, discipline, or safety ................................ . 2 1 0 **Please answer the questions below for Non**  **- Title I**  **S chools in**  **Restructuring in**  **your district. 3** **- 4** **6 .**  **Are all, some, or no Non**  **- Title I S** **chools in Restructuring in**  **your district implementing any of the following academic initiatives during**  **this school year (2013** **- 14)?**  SELECT ONE RESPONSE IN EACH ROW **NON -** **TITLE I SCHOOLS IN**  **RESTRUCTURING Academic Initiatives**  **ALL SOME**  **NONE** a . Implementing a comprehensive schoolwide reform model .................... 2 1 0 b . Providing intensive intervention to struggling students during the school day (for example, response to intervention) ................................ 2 1 0 **3 -** **4 7**  **. Ar** **e all, some, or no Non -** **Title I S chools**  **in Restructuring in your district implementing the following structural changes**  **during this**  **school year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **NON -** **TITLE I SCHOOLS IN**  **RESTRUCTURING School Structural Changes**  **ALL SOME**  **NONE** a . Adjusting the school schedule without changing the overall number of school hours ................................ ................................ ............................ 2 1 0 b . Operating an extended school day, week, or year ................................ .. 2 1 0 c . Making class sizes smaller than typical in other schools ......................... 2 1 0 d . Providing extra academic services for struggling students outside of the school day (for example, supplemental educational services) ......... 2 1 0 e . Offering students the option to attend a different school (school choice) ................................ ................................ ................................ ..... 2 1 0**District Survey** 



### 9/17/2013 B -43 **3 -** **4 8**  **. D** **o all, some, or no Non -** **Title I S chools in**  **Restructuring in your district have staffing**  **authority of the following types**  **during this**  **school year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **NON -** **TITLE I SCHOOLS IN RESTRUCTURING**  **Staffing authority ALL**  **SOME NONE**  a . School has more flexibility in, or exemptions from, collective bargaining agreements or district policies/regulations that guide teacher staffing decisions compared to other schools in the district ..... 2 1 0 b . School has the authority to make final decisions on teacher hiring ........ 2 1 0

**3 -** **4 9**  **. Are all, some, or no Non**  **- Title I**  **S chools in**  **Restructuring in your district implementing new programs of the following**  **types during this**  **school year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **NON -** **TITLE I SCHOOLS IN RESTRUCTURING**  **School is implementing new programs... ALL**  **SOME NONE**  a . To provide ongoing mechanisms for family and community engagement ................................ ................................ ............................. 2 1 0 b . To address students’ social, emotional, or health needs ........................... 2 1 0 c . To improve student behavior, discipline, or safety ................................ . 2 1 0**District Survey** 



### 9/17/2013 B -44 **The following question**  **s pertain to**  **Title I and Non**  **- Title I**  **S chools in Corrective Action**  **in your district .**  **3 -** **50 .**  **For Title I and Non**  **- Title I S** **chools in Corrective Action in your district** **, what interventions, if any, are being implemented during this school year (2013** **- 14)?**  **TITLE I SCHOOLS IN**  **CORRECTIVE ACTION**  **NON -** **TITLE I SCHOOLS IN**  **CORRECTIVE ACTION** SELECT ONE RESPONSE IN EACH ROW SELECT ONE RESPONSE IN EACH ROW **Interventions for Schools in Corrective Action**  **: YES**  **NO YES**  **NO** a. Schools prepare d a school improvement plan that focuses on subjects and/or subgroups that are falling short of AMOs ................................ ................................ .... 1 0 1 0 b. School improvement plans are made available to the public ................................ ................................ ................. 1 0 1 0 c. Schools are implementing and monitoring an instructional program that supports students not showing sufficient growth toward AMOs .......................... 1 0 1 0 d. Schools and/or the district provide professional development to staff that supports interventions for subgroups of students not showing sufficient growth toward AMOs ................................ ................................ ..... 1 0 1 0 e. District must offer students the opportunity to attend other schools (school choice) ................................ ............ 1 0 1 0 f. District must offer low- income students the opportunity to enroll in after- school supplemental educational services ................................ ................................ .............. 1 0 1 0**District Survey** 



### 9/17/2013 B -45 **3 -** **51 .**  **Among Title I and Non**  **- Title I**  **S chools in Corrective Action in your district, how many are implementing each of the**  **following initiatives during this**  **school year (2013 -**  **14)? (Enter the number of S** **chools in Corrective Action implementing each initiative. If “none ”, enter 0.)**  NUMBER OF SCHOOLS

**School Initiatives TITLE I SCHOOLS IN**  **CORRECTIVE ACTION IMPLEMENTING**  **INITIATIVE NON**  **- TITLE I SCHOOLS** 

**IN CORRECTIVE ACTION**  **IMPLEMENTING INITIATIVE**  a . Implementing a “restart” model as defined in U.S. Department of Education regulations ................................ ... _________ _________ b . Implementing a “transformation” model as defined in U.S. Department of Education regulations ................................ ... _________ _________ c . Implementing a “turnaround” model as defined in U.S. Department of Education regulations ................................ ... _________ _________ **Please answer the questions below for Title I**  **S chools in Corrective Action**  **in your district. 3** **- 5**  **2 .**  **Are all, some, or no Title I**  **S chools in Corrective Action in your district implementing any of the following academic**  **initiatives during this**  **school year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **TITLE I SCHOOLS IN CORRECTIVE ACTION**  **Academic Initiatives ALL**  **SOME NONE**  a . Implementing a comprehensive schoolwide reform model .................... 2 1 0 b . Providing intensive intervention to struggling students during the school day (for example, response to intervention) ................................ 2 1 0**District Survey** 



### 9/17/2013 B -46 **3 -** **5 3**  **. Are all, some, or no Title I S** **chools in Corrective Action in your district implementing the following structural changes during**  **this school year (2013** **- 14)?**  SELECT ONE RESPONSE IN EACH ROW **TITLE I SCHOOLS IN CORRECTIVE ACTION**  **School Structural Changes ALL**  **SOME NONE**  a . Adjusting the school schedule without changing the overall number of school hours ................................ ................................ ............................ 2 1 0 b . Operating an extended school day, week, or year ................................ .. 2 1 0 c . Making class sizes smaller than typical in other schools ......................... 2 1 0 d . Providing extra academic services for struggling students outside of the school day (for example, supplemental educational services) ......... 2 1 0 e . Offering students the option to attend a different school (school choice) ................................ ................................ ................................ ..... 2 1 0

**3 -** **5 4**  **. Do all, some, or no Title I S** **chools in Corrective Action in your district have staffing authority**  **of the following types during this**  **school year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **TITLE I SCHOOLS IN CORRECTIVE ACTION**  **Staffing authority ALL**  **SOME NONE**  a . School has more flexibility in, or exemptions from, collective bargaining agreements or district policies/regulations that guide teacher staffing decisions compared to other schools in the district ..... 2 1 0 b . School has the authority to make final decisions on teacher hiring ........ 2 1 0**District Survey** 



### 9/17/2013 B -47 **3 -** **5 5**  **. Are all, some, or no Title I**  **S chools in Corrective Action in your district implementing new programs of the following types**  **during this**  **school year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **TITLE I SCHOOLS IN CORRECTIVE ACTION**  **School is implementing new programs... ALL**  **SOME NONE**  a . To provide ongoing mechanisms for family and community engagement ................................ ................................ ............................. 2 1 0 b . To address students’ social, emotional, or health needs ........................... 2 1 0 c . To improve student behavior, discipline, or safety ................................ . 2 1 0

**Please answer the questions below for Non**  **- Title I**  **S chools in Corrective Action**  **in your district. 3** **- 5**  **6 .**  **Ar e all, some, or no**  **Non -** **Title I S** **chools in Corrective Action in your district implementing any of the following academic initiatives during**  **this school year (2013** **- 14)?**  SELECT ONE RESPONSE IN EACH ROW **NON -** **TITLE I SCHOOLS IN CORRECTIVE ACTION**  **Academic Initiatives ALL**  **SOME NONE**  a . Implementing a compre hensive schoolwide reform model .................... 2 1 0 b . Providing intensive intervention to struggling students during the school day (for example, response to intervention) ................................ 2 1 0**District Survey** 



### 9/17/2013 B -48 **3 -** **5 7**  **. Ar** **e all, some, or no Non -** **Title I S chools in Corrective Action in your district implementing the following structural changes**  **during this**  **school year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **NON -** **TITLE I SCHOOLS IN CORRECTIVE ACTION**  **School Structural Changes ALL**  **SOME NONE**  a . Adjusting the school schedule without changing the overall number of school hours ................................ ................................ ............................ 2 1 0 b . Operating an extended school day, week, or year ................................ .. 2 1 0 c . Making class sizes smaller than typical in other schools ......................... 2 1 0 d . Providing extra academic services for struggling students outside of the school day (for example, supplemental educational services) ......... 2 1 0 e . Offering students the option to attend a different school (school choice) ................................ ................................ ................................ ..... 2 1 0

**3 -** **5 8**  **. Do all, some, or no Non**  **- Title I**  **S chools in Corrective Action in your district have staffing**  **authority of the following types**  **during this**  **school year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **NON -** **TITLE I SCHOOLS IN CORRECTIVE ACTION**  **Staffing authority ALL**  **SOME NONE**  a . School has more flexibility in, or exemptions from, collective bargaining agreements or district policies/regulations that guide teacher staffing decisions compared to other schools in the district ..... 2 1 0 b . School has the authority to make final decisions on teacher hiring ........ 2 1 0 **3 -** **5 9**  **. Are all, some, or no Non**  **- Title I**  **S chools in Corrective Action in your district implementing new programs of the following**  **types during this**  **school year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **NON -** **TITLE I SCHOOLS IN**  **CORRECTIVE ACTION School is implementing new programs...**  **ALL SOME**  **NONE** a . To provide ongoing mechanisms for family and community engagement ................................ ................................ ............................. 2 1 0 b . To address students’ social, emotional, or health needs ........................ 2 1 0 c . To improve student behavior, discipline, or safety ................................ . 2 1 0**District Survey** 



### 9/17/2013 B -49 **The next questions pertain to Title I and Non**  **- Title I Schools in Restructuring and Corrective Action**  **in your district. 3** **- 60**  **. Are any of the**  **Title I and Non -** **Title I Schools in Restructuring in your district**  **under the following forms of management**  **during the 2013** **- 14 school year?**  **TITLE I SCHOOLS IN RESTRUCTURING**  **NON -** **TITLE I SCHOOLS IN**  **RESTRUCTURING** SELECT ONE RESPONSE IN EACH ROW SELECT ONE

RESPONSE IN EACH ROW **YES NO**  **YES NO**  a. Direct state control or statewide accountability distr ict ............... 1 0 1 0 b. Converted to charter school ................................ .......................... 1 0 1 0 c. Managed by a school management organization, either forprofit or nonprofit ................................ ................................ .......... 1 0 1 0

**3 -** **61 .**  **And are**  **any of the Title I and Non**  **- Title I**  **S chools in Corrective Action in your district**  **under the following forms of management for the 2013**  **- 14 school year?**  **TITLE I SCHOOLS IN CORRECTIVE ACTION**  **NON -** **TITLE I SCHOOLS IN**  **CORRECTIVE ACTION** SELECT ONE RESPONSE IN EACH ROW SELECT ONE

RESPONSE IN EACH ROW **YES NO**  **YES NO**  a. Direct state control or st atewide accountability district ............... 1 0 1 0 b. Converted to charter school ................................ .......................... 1 0 1 0 c. Managed by a school management organization, either forprofit or nonprofit ................................ ................................ .......... 1 0 1 0**District Survey** 



### 9/17/2013 B - 50 **3 -** **6 2**  **. How many schools in Restructuring and Corrective Action in your district**  **have been removed by the state from district**  **control since the beginning of the 2012** **- 13 school year**  **?** 

### Title I Schools

________ NUMBER OF TITLE I SCHOOLS IN RESTRUCTURING REMOVED FROM DISTRICT CONTROL

________ NUMBER OF TITLE I SCHOOLS IN CORRECTIVE ACTION REMOVED FROM DISTRICT CONTROL 

### Non **- Title I Schools** 

________ NUMBER OF NON -TITLE I SCHOOLS IN RESTRUCTURING REMOVED FROM DISTRICT CONTROL

________ NUMBER OF NON -TITLE I SCHOOLS IN CORRECTIVE ACTION REMOVED FROM DISTRICT CONTROL

**3 -** **6 3**  **. To what extent were changes in personnel used to turn around schools in Restructuring or Corrective Action in your**  **district before the start of this school year (2013 -**  **14)? (Enter the number of scho** **ols in Restructuring and in Corrective Action in which the principal was replaced or in which half or more of the teaching staff was replaced before the start of the 2013** **- 14 school year as part of the school improvement**  **plan. If “none”, enter 0.)** NUMBER OF SCHOOLS **TITLE I SCHOOLS NON**  **- TITLE I SCHOOLS**  **SCHOOLS IN RESTRUCTURING**  **SCHOOLS IN**

**CORRECTIVE ACTION**  **SCHOOLS IN**

**RESTRUCTURING SCHOOLS IN** 

**CORRECTIVE ACTION** 

a. Principal replaced .................... _______ _______ _______ _______ b. Half or more of the teaching staff replaced ........................... _______ _______ _______ _______**District Survey** 



### 9/17/2013 B - 51 **The next questions pertain to Title I Schools in Restructuring and Corrective Action**  **in your district. 3** **- 6** **4 .**  **During this school year (2013 -**  **14) and including last summer (2013)** **, what**  **additional professional development or**  **technical assistance was provided to principals in Title I schools in Restructuring or Corrective Action in your district, beyond what is available to any Title I school**  **? PROVIDED TO**  **TITLE I SCHOOLS IN**  **RESTRUCTURING PROVIDED**  **TO**

**TITLE I SCHOOLS IN CORRECTIVE**  **ACTION** SELECT ONE RESPONSE IN EACH ROW SELECT ONE

RESPONSE IN EACH ROW **Additional professional development or assistance for principals on...**  **YES NO**  **YES NO**  a. School improvement planning, identifying interventions, or budgeting effectively ................................ ................................ .. 1 0 1 0 b. Acting as instructional leaders ................................ .................... 1 0 1 0 c. Recruiting, retaining, and developing more effective teachers .. 1 0 1 0 **3 -** **6 5**  **. Thinking now about teachers, d**  **uring this school year (2013 -**  **14) and including last summer (2013), what**  **additional professional development or technical assistance was provided to teachers in Title I schools in Restructuring or**  **Corrective Action in your district, beyond what is available to any Title I school**  **? PROVIDED TO**  **TITLE I SCHOOLS IN**  **RESTRUCTURING PROVIDED TO** 

**TITLE I SCHOOLS IN CORRECTIVE**  **ACTION** SELECT ONE RESPONSE IN EACH ROW SELECT ONE

RESPONSE IN EACH ROW **Additional professional development or assistance for teachers on...**  **YES NO**  **YES NO**  a. Analyzing student assessment data to improve instruction ...... 1 0 1 0 b. Working effectively in teacher teams to improve instruction ... 1 0 1 0 c. Identifying and implementing strategies to address the needs of English learners ................................ ................................ ...... 1 0 1 0 d. Identifying and implementing strategies to address the needs of students with disabilities ................................ ....................... 1 0 1 0**District Survey** 



### 9/17/2013 B - 52 **3 -** **6 6**  **. During this school year (2013**  **- 14), what**  **additional resources has the state provided to Title I schools in Restructuring or**  **Corrective Action in your district, beyond what is available to any Title I**  **school ?**  **PROVIDED TO TITLE I SCHOOLS**  **IN RESTRUCTURING**  **PROVIDED TO**

**TITLE I SCHOOLS IN CORRECTIVE**  **ACTION** SELECT ONE RESPONSE IN EACH ROW SELECT ONE

RESPONSE IN EACH ROW **YES NO**  **YES NO**  a. Additional resources to be used for purposes specified in the school improvement plan ................................ ............................... 1 0 1 0 b. Additional resources to be used to reduce class sizes .................... 1 0 1 0 c. Additional resources to be used to add instructional time (extended day or extended school year) ................................ ........ 1 0 1 0 **For the next set of questions, please consider Title I and Non**  **- Title I**  **schools in your state that are identified as in Need of**  **Improvement but**  **NOT in Restructuring or Corrective Action. 3** **- 6** **7 .**  **During this school year, are there any**  **Title I or**  **non -** **Title I schools in your district in each of the following categories**  **based on 2012 -**  **13 student achievement? TITLE I SCHOOLS**  **NON -** **TITLE I SCHOOLS** SELECT ONE RESPONSE IN EACH ROW SELECT ONE RESPONSE IN EACH ROW **YES NO**  **YES NO**  a. Schools not meeting adequate yearly progress (AYP) for 2012 - 13 only (i.e., not identified as in Need of Improvement) ................................ .............................. 1 0 1 0 b. Schools in Need of Improvement, Year 1 (i.e., has missed AYP for two years) ................................ ........... 1 0 1 0 c. Schools in Need of Improvement, Year 2 (i.e., has missed AYP for three years) ................................ ......... 1 0 1 0

**[WEB PROGRAMMING NOTE: SKIP TO 3** **- 71**  **IF NO SCHOOLS IN NEED OF IMPROVEMENT (**  **RESPONSE TO 3**  **- 67b AND 3**  **- 67c IS ‘0’ IN BOTH COLUMNS)**  **.] District**  **Survey**



### 9/17/2013 B - 53 **3 -** **6 8**  **. For**  **schools in your district identified as in Need of Improvement (excluding schools in**  **Restructuring or Corrective Action)** **, what interventions, if any, are being implemented during this school year (2013 -**  **14)? TITLE I**  **SCHOOLS IN NEED OF IMPROVEMENT**  **NON -** **TITLE I SCHOOLS IN NEED OF**  **IMPROVEMENT** SELECT ONE RESPONSE IN EACH ROW SELECT ONE RESPONSE IN EACH ROW **Interventions for schools in Need of Improvement**  **: YES**  **NO YES**  **NO** a. Schools prepare d a school improvement plan that focuses on subjects and/or subgroups that are falling short of AMOs ................................ .................. 1 0 1 0 b. School improvement plans are made available to the public ................................ ................................ .......... 1 0 1 0 c. Schools are implementing and monitoring an instructional program that supports students not showing sufficient growth toward AMOs ................... 1 0 1 0 d. Schools and/or the district provide professional development to staff that supports interventions for subgroups of students not showing sufficient growth toward AMOs ................................ .............................. 1 0 1 0 e. District must offer students the opportunity to attend other schools (school choice) .......................... 1 0 1 0 f. District must offer low- income students the opportunity to enroll in after- school supplemental educational services ................................ ................... 1 0 1 0 g. Schools have smaller class sizes than last year ........... 1 0 1 0 h. Schools are implementing a dditional instructional time (extended day or extended school year) ............ 1 0 1 0**District Survey** 



### 9/17/2013 B - 54 **The next questions pertain to your district’s Title I Schools in Need of Improvement**  **3 -** **6 9**  **. During this school year (2013**  **- 14) and including**  **last summer (2013) ,**  **what additional**  **professional development or technical assistance was provided to principals in schools ident**  **ified as in Need of Improvement in your district,**  **beyond what is available to**  **any Title I s** **chool ?**  SELECT ONE RESPONSE IN EACH ROW **TITLE I SCHOOLS IN NEED OF**  **IMPROVEMENT Additional professional development or assistance for principals on...**  **YES NO**  a. School improvement planning, identifying interventions, or budgeting effectively ................................ ................................ ................................ ......... 1 0 b. Acting as instructional leaders ................................ ................................ ......... 1 0 c. Recruiting, retaining, and developing more effective teachers ....................... 1 0 **3 -** **70 .**  **Thinking now about teachers, d uring this school year (2013** **- 14) and including last summer (2013),**  **what additional**  **professional development or technical assistance was provided to teachers in schools identified as in N eed of**  **Improvement for 2012 -**  **13 in your district,**  **beyond what is available to any Title I**  **s chool**  **?** SELECT ONE RESPONSE IN EACH ROW **TITLE I SCHOOLS**  **IN NEED OF IMPROVEMENT**  **Additional professional development or assistance for teachers on... YES**  **NO** a. Analyzing student assessment data to improve instruction ........................... 1 0 b. Working effectively in teacher teams to improve instruction ........................ 1 0 c. Identifying and implementing strategies to address the needs of English learners ................................ ................................ ................................ ............ 1 0 d. Identifying and implementing strategies to address the needs of students with disabilities ................................ ................................ ................................ 1 0**District Survey** 



### 9/17/2013 B - 55 **NOTE TO REVIEWER: This set of questions (3 -** **7 1**  **thr ough**  **3 -** **7 3**  **) is for all districts. DISTRICT ACCOUNTABILITY SYSTEMS**  **3 -** **7 1**  **. Has your district classified its schools for its**  **own accountability or performance management purposes (based on**  **2012 -**  **13 or earlier student achievement data) using a set of categories or performance measures that diffe**  **r from those**  **used by the state?** Yes ................................ ................................ ................................ ................................ .... 1 No ................................ ................................ ................................ ................................ ..... 0 Skip to 3 - 7 3 **3 -** **7 2**  **. How many school performance categories are defined in your**  **district’s school accountability system?**  **(Enter the number)**

_________ NUMBER OF CATEGORIES

**3 -** **7 3**  **. To what extent would you describe the following as challenges to improving the performance of schools in your district?**  SELECT ONE RESPONSE IN EACH ROW **NOT A CHALLENGE**  **MINOR**

**CHALLENGE MAJOR** 

**CHALLENGE** a. Difficulty finding, hiring, or retaining teachers with the skills needed ................................ ................................ ........................ 1 2 3 b. Difficulty finding, hiring, or retaining principals with the skills needed ................................ ................................ ........................ 1 2 3 c . Lack of staff who can mentor or serve as a resource to teachers about instructional strategies for struggling students . 1 2 3 d . Lack of guidance or support from the state ............................... 1 2 3 e. Insufficient resources for personnel and/or materials .............. 1 2 3 f. Lack of effective methods/interventions to improve student achievement ................................ ................................ ............... 1 2 3 g. Curricula not aligned with the required state summative assessments ................................ ................................ ................ 1 2 3 h. Teacher concerns or opposition to implementing school interventions ................................ ................................ .............. 1 2 3 i . Community concerns or opposition to implementing school interventions ................................ ................................ .............. 1 2 3 j. Lack of parent involvement / participation in children’s education ................................ ................................ .................... 1 2 3**District Survey** 



### 9/17/2013 B - 56 

### Section 4. Teacher and **Principal Evaluation**

**Teacher Evaluation** In this section, we want to gather information on the status of and requirements for teacher evaluation practices in your district during this school year (2013 - 14). Many states are implementing new teacher evaluation policies or systems based on new laws or regul ations adopted since 20 09 . Districts in states that are implementing new evaluation systems are in various stages of implementation, including planning, piloting in a few schools or grade levels, piloting districtwide with no consequences, and fully implem enting districtwide. Some districts are taking the lead in implementing new evaluation systems without state requirements to do so. 

## □ **Check box**  **if your**  **district is**  **piloting or**  **implementing a**  **teacher evaluation**  **system that**  **is newly** 

**established since**  **20 09**  **.** P lease answer the questions in this section based on the new teacher evaluation practices as they are being piloted or implemented in the 2013 - 14 school year . For example, if a new system is being piloted during the 2013 - 14 school year in only a few schools, respond only about the components being piloted this year in those schools. **Go to question 4 -**  **1.** 

## □ **Check box if**  **your district is not piloting or implementing**  **a newly established teacher evaluation system.** P lease respond about the requirements of teacher evaluation practices in your district during the 2013 - 14 school year . **Go to question 4 -** **3. DEFINITIONS FOR USE THROUGHOUT THIS SECTION:**  **Summative assessments** are state - or district- mandated tests that are intended to measure students' knowledge and skills at (or near) the end of a school year or course relative to grade - level content standards . **Diagnostic assessments**  are assessments that measure students’ knowledge and skills at interim points during the school year to provide timely feedback on their prog ress toward grade - level content standards so that instruction can be adjusted or other support can be provided. **Student achievement**  **growth** is the change in student achievement for an individual student between two or more points in time, and may be measured using student growth percentiles, value added, or other measures of change in student achievement over time. **S tandardized assessments**  are assessments consistently administered and scored for all students in the same grades and subjects, districtwide. These might include required state summative assessments, assessments purchased from testing companies, or district - developed assessments that are administered districtwide.**District Survey** 



### 9/17/2013 B - 57 **4 -**  **1. During this school year (2013**  **- 14), what is the status of the new teacher evaluation system in your district?**  SELECT ONE ONLY The system is in the planning stage and no components are being implemented .......... 1 Skip to 4- 3 The system is in the piloting stage and some, but not all, components are being implemented ................................ ................................ ................................ .................... 2 The system is in the piloting stage and all components are being implemented ............ 3 The system is being implemented districtwide, and some but not all components are being implemented ................................ ................................ ................................ .......... 4 Skip to 4- 3 The system is fully implemented districtwide ................................ ................................ .. 5 Skip to 4- 3 **4 -** **2. During this school year (2013**  **- 14), in how many schools is the district piloting the teacher evaluation system?** 

_________ NUMBER OF SCHOOLS

**4 -** **3 .**  **During this school year (2013 -**  **14), how many rating categories or levels (such as highly effective, effective,**  **satisfactory, needs improvement** **) does your district use in its teacher evaluation system**  **to describe overall teacher performance? (As a reminder, if your district is piloting or implementing a teacher evaluation system that is newly established since**  **20 09**  **, please refer to the new teacher evaluation practices when responding to this and other questions in this section.)**

_________ NUMBER OF RATING CATEGORIES**District Survey** 



### 9/17/2013 B - 58 **This question and the next several questions ask about the use of standardized assessments**  **to m easure**  **student achievement growth**  **.**

**4 -** **4. During this**  **school year (2013 -**  **14), does your district use student achievement growth on standardized assessments as one component of the performance evaluation of all, some, or no teachers?**  **This can include student achievement**  **growth for the teacher’s own students and /or teamwide, gradewide, or schoolwide student achievement growth.**  **(Note: If your district is piloting a new system in some schools, then this question refers to teachers in the pilot schools. In**  **order to report “all teachers,” student achievement growth on standardized assessments would need to be used with all**  **teachers, including teachers of art, music, physical education, and special populations such as English learners or students with disabilities.)**  SELECT ONE ONLY The district uses student achieveme nt growth on standardized assessments in the evaluation of all teachers across all grades (K- 12), all subjects, and special education .. 1 The district uses student achievement growth on standardized assessments in the evaluation of some but not all teachers ................................ ................................ ........... 2 The district does not use student achievement growth on standardized assessments in teacher evaluations ................................ ................................ ................................ ...... 3 Skip to 4- 11

**4 -** **5. What kinds of standardized assessments are used by your district to measure student achievement growth for purposes**  **of evalua ting teachers?**  SELECT ONE RESPONSE IN EACH ROW **YES NO**  a. Required state summative assessments ................................ ............................... 1 0 b. Commercially- available assessments (such as Northwest Evaluation Association (NWEA) assessments, the Stanford Achievement Test, or the TerraNova Assessments) purchased by the district from a testing company and used districtwide ................................ ................................ ............................ 1 0 c. Other assessments consistently administered and scored for all students in the same grades and subjects districtwide ................................ ....................... 1 0 **As a reminder, student achievement growth**  **is the change in student**  **achievement for an individual**  **student between two or more points in time, and may be measured using student growth percentiles, value added, or other measures of change**  **in student achievement over time.**  **Standardized assessments are assessments consistently administered and scored for**  **all students in the same grades and subjects, districtwide. These might include required state**  **summative assessments, assessments purchased from testing companies, or district****** **developed assessments that are administered districtwide. District**  **Survey**



### 9/17/2013 B - 59 **4 -** **6. This question focuses on teachers of English language arts (ELA) and/or Math in grades 4 through 8. Indicate whether**  **during this school year (2013 -**  **14) your district’s teacher evaluation includes student**  **achievement growth on**  **standardized assessments**  **for th**  **e teacher’s own students and/or teamwide, gradewide, or schoolwide student achievement growth.** SELECT ONE RESPONSE IN EACH ROW **The district’s evaluation for teachers of ELA and Math in grades 4 through 8 includes:**  **YES NO**  a. Student a chievement growth for the teacher’s own students on standardized assessments ................................ ................................ ................................ ............ 1 0 b. Achievement growth of students within a teacher team or grade on standardized assessments ................................ ................................ ...................... 1 0 c. Achievement growth of students schoolwide on standardized assessments ........ 1 0

**4 -** **7. This question focuses on teachers of Science in grades 6 through 8. Indicate whether during this school year (2013**  **- 14)**  **your district’s teacher evaluation includes student**  **achievement growth on standardized assessments**  **for the teacher’s own students and/or**  **teamwide, gradewide, or schoolwide student achievement growth. (For each measure of achievement growth, select**  **all grades in which your district uses standardized assessments to estimate student achievement growth for use in Science teacher evaluations. S** **elect NA (not applicable) for each measure of achievement growth that is not used for Science teachers’ evaluations in any of grades 6** **- 8.)** 

**The district’s evaluation for teachers of Science in grades 6 through 8 includes:**  **NA SELECT GRADES IN WHI**  **CH EACH MEASURE OF STUDENT A** **CHIEVEMENT GROWTH ON STANDARDIZ**  **ED ASSESSMENTS IS USED**  **IN SCIENCE TEACHER EVALUATIONS**  a. Student a chievement growth for the teacher’s own students on standardized assessments ..................... na 6 7 8 b. Achievement growth of students within a teacher team or grade on standardized assessments ............. na 6 7 8 c. Achievement growth of students schoolwide on standardized assessments ................................ ......... na 6 7 8**District Survey** 



### 9/17/2013 B - 60 **4 -** **8. This question focuses on teachers of Social Studies in grades 6 through 8. Indicate whether during this school year (2013** **- 14) your district’s teacher evaluation includes**  **student achievement growth on**  **standardized assessments for the**  **teacher’s own students and/or teamwide, gradewide, or schoolwide student achievement growth.**  **(For each measure of achievement growth, select all grades in which your district uses standardized assessments to**  **estimate student achievement growth for use in Social Studies teacher evaluations. Select NA for each measure of achievement growth that is not used for Social Studies teachers’ evaluation** **s in any of grades 6 -** **8.) The district’s evaluation for teachers of Social Studies**  **in grades 6 through 8 includes: NA**  **SELECT GRADES IN WHI CH EACH MEASURE**  **OF STUDENT ACHIEVEME NT GROWTH ON**  **STANDARDIZED ASSESSM ENTS IS USED IN**  **SOCIAL STUDIES TEAC HER**  **EVALUATIONS** a. Student a chievement growth for the teacher’s own students on standardized assessments ..................... na 6 7 8 b. Achievement growth of students within a teacher team or grade on standardized assessments ............. na 6 7 8 c. Achievement growth of students schoolwide on standardized assessments ................................ ......... na 6 7 8

**4 -** **9. This questi**  **on focuses on early elementary teachers in grades K through 3. Indicate whether during**  **this school year (2013** **- 14),**  **your district’s teacher evaluation include**  **s student**  **achievement growth on standardized assessments**  **for the teacher’s own students and/or teamwide, gradewide, or schoolwide student achievement growth.**  **(For each measure of achievement growth, select all grades in which your district uses standardi**  **zed assessments to estimate student achievement growth for use in teacher evaluations. Select NA for each measure of achievement growth**  **that is not used for teachers’ evaluations in any of grades K -** **3.) The district’s evaluation for early elementary teacher** **s includes:**  **NA SELECT GRADES IN WHI**  **CH EACH MEASURE OF STUDENT ACHIEVEMENT**  **GROWTH ON STANDARDIZED ASSESSM**  **ENTS IS USED IN EARLY ELEMENTARY**  **TEACHER EVALUATIONS** a. Student a chievement growth for the teacher’s own students on standardized assessments ..................... na K 1 2 3 b. Achievement growth of students within a teacher team or grade on standardized assessments ................................ ............................... na K 1 2 3 c. Achievement growth of students schoolwide on standardized assessments ................................ .... na K 1 2 3**District Survey** 



### 9/17/2013 B - 61 **4 -**  **10. During this school year (2013**  **- 14), does your**  **district’s teacher evaluation include student achievement growth on**  **standardized assessments for**  **the teacher’s own students as a component of the evaluations of high school teachers in any of the following subjects and courses?**  **(For each subject, select the name of each course for which your district uses standardized assessments to estimate student achievement growth of the teacher’s own students for use in**  **high school teacher evaluations. Select NA if**  **student achievement growth of the teacher’s own students on standardized assessments is not part of high school**  **teachers’ evaluations in any course in that subject.)**

**NA SELECT COURSES IN WH**  **ICH STUDENT ACHIEVEM ENT GROWTH OF THE**  **TEACHER’S OWN STUDEN TS ON STANDARDIZED A** **SSESSMENTS IS USED IN**  **TEACHER EVALUATIONS** a. High school ELA teachers ........... na English 9 English 10 English 11 English 12 Other ELA b. High school Math teachers ........ na Algebra I Geometry Algebra II Other Math c. High school Science teachers ..... na Biology Chemistry Physics Other Science d. High school Social Studies teachers ................................ ...... na Civics U.S. History Other s chool Social Studies

**4 -**  **11. During this school year (2013**  **- 14), does your district use ”student learning objectives” or “student growth objectives,”**  **— i.e., specific achievement targets for classes taught by each individual teacher, determined at the beginning of the school**  **year by the teacher (perhaps in consultation with the principal)**  **— in the evaluations of any of the following types of**  **teachers?** SELECT ONE RESPONSE IN EACH ROW **Student learning objectives (SLOs) or student growth objectives (SGOs) are used to evaluate:**  **YES NO**  a. Teachers in early elementary grades that lack standardized assessments .............. 1 0 b. Teachers of ELA and/or M ath in grades 4- 8 ................................ ............................ 1 0 c. Teachers of S cience and/or S ocial Studies in grades 6 - 8 ................................ ......... 1 0 d. Teachers of ELA and/or M ath in high school ................................ ........................... 1 0 e. Teachers of S cience and/or Social Studies in high school ................................ ........ 1 0 f. Any teachers of non - core subjects, such as art, music, or physical education ........ 1 0**District Survey** 



### 9/17/2013 B - 62 **4 -**  **12. During this school year (2013**  **- 14), which of the following sources of information on teacher performance**  **does the district use in teacher evaluations?**  SELECT ONE RESPONSE IN EACH ROW **USED IN EVALUATING**  **TEACHERS NO** **T USED IN**

**EVALUATING TEACHERS**  a. Classroom observations using a teacher professional practice rubric, conducted by the principal or other school administrator ...... 1 0 b. Classroom observations using a teacher professional practice rubric, conducted by someone other than a school administrator (such as a peer or mentor teacher, instructional coach, central office staff member, or an observer from outside the school or district) ................................ ................................ ................................ 1 0 c. Teacher s elf- assessment ................................ ................................ ..... 1 0 d. Portfolios or other artifacts of teacher professional practice ............. 1 0 e. Assessments by a peer or mentor teacher not based on a teacher professional practice rubric ................................ ................... 1 0 f. Student work samples ................................ ................................ ......... 1 0 g. Student surveys or other student feedback ................................ ....... 1 0 h. Parent surveys or other parent feedback ................................ ........... 1 0

**4 -**  **1 3**  **. How frequently must**  **non -**  **probationary or tenured teachers be evaluated?** SELECT ONE RESPONSE IN EACH ROW **FREQUENCY OF EVALUAT IONS**  **Non -**  **probationary or tenured teacher whose previous performance was:**  **EVERY YEAR**  **EVERY 2**

**YEARS EVERY 3** 

**YEARS EVERY 4** 

**YEARS EVERY 5** 

**YEARS** a. Rated effective, satisfactory, proficient, or better ..... 1 2 3 4 5 b. Rated unsatisfactory (or the equivalent) .................... 1 2 3 4 5**District Survey** 



### 9/17/2013 B - 63 **4 -**  **14. For the evaluation of a non**  **- probationary or tenured teacher, how many formal observations must be completed during**  **the evaluation period or cycle?**  **(Enter the number in each row. Please consider only instances of formal observations**  **conducted in the classroom. Formal**  **observations are standardized using an instrument, rubric, or checklist.)** 

**Non -**  **probationary or tenured teacher whose previous performance was...**  **NUMBER OF FORMAL**  **OBSERVATIONS REQUIRED** 

a. Rated effective, sati sfactory, proficient, or better ................................ ...................... _______ b . Rated uns atisfactory (or the equivalent) ................................ ................................ .... _______

**4 -**  **1 5**  **. Thinking now about first** **- year**  **teachers, for the evaluation of a first -** **year teacher, how many formal observations must be completed (at a minimum)**  **during this school year (2013 -**  **14) ?**  **(Please consider only instances of formal observations**  **conducted in the classroom. Formal observations**  **are standardized using an instrument, rubric, or checklist.)**  __________ NUMBER OF REQUIRED FORMAL OBSERVATIONS OF FIRST-YEAR TEACHERS**District Survey** 



### 9/17/2013 B - 64 **4 -**  **1 6**  **. Based on the most recent evaluations completed (for example, 2012**  **- 13), please indicate the percentage of teache**  **rs in your district who fell into each of the performance evaluation rating categories, from the highest to lowest**  **category. (**  **If your district has adopted new policies or practices for teacher evaluation since 2009, please refer to the teacher evaluation**  **practices being piloted or implemented during the most recent evaluation year. Please select the column that matches the number of rating categories in your district**  **in place for the most recent completed evaluations** **. Write in the percentage of teachers in each category. If no teachers fell into a category, please**  **enter a “0”. Your best estimate for percentages is fine.)**  

## □ **Check box if you are unable to estimate the percentages. TWO RATING CATEGORIE** **S THREE RATING CATE**  **GORIES FOUR RATING CATEGORI**  **ES FIVE RATING CATEGORI**  **ES CATEGORY**  **% OF ALL**

**TEACHERS CATEGORY**  **% OF ALL TEACHERS**  **CATEGORY % OF ALL**  **TEACHERS CATEGORY**  **% OF ALL TEACHERS**  First (Highest) ..... __________ First (Highest) ....... __________ First (Highest) ..... __________ First (Highest) ........ ___________ S econd (Lowest) ...... __________ Second ......... __________ Second ........ __________ Second .......... ___________ **TOTAL 100 %**  Third (Lowest) ........ __________ Third ............ __________ Third ............. ___________ **TOTAL 100 %**  Fourth (Lowest) ...... __________ Fourth ........... ___________ **TOTAL 100 %**  Fifth (Lowest) ........ ___________ **TOTAL 100 %**  **4 -**  **1 7**  **. When answering the**  **rating question above, were the teacher evaluation policies and practices in that year ....** SELECT ONE ONLY A pilot of new teacher evaluation policies and practices based on new laws or regulations since 2009 ................................ ................................ ................................ ...... 1 Teacher evaluation policies and practices that were the same as or very similar to those in place du ring this school year (2013 - 14) ................................ .............................. 2 Older teacher evaluation practices that were in effect in your district during the most recent evaluation year and are not the same as or similar to current practices i n your district ? ................................ ................................ ................................ ............................. 3**District Survey** 



### 9/17/2013 B - 65 

### Principal Evaluation In this section, we want to gather information on the status of and requirements for principal evaluation practices in your d istrict during this school year (2013 - 14). Many districts are implementing new principal evaluation policies or systems based on new laws or regulations adopted since 20 09 . Districts that are implementing new evaluation systems are in various stages of implementation, including planning, piloting in a few schools or grade levels, piloting districtwide with no consequences, and fully implementing districtwide . 

## □ **Check box**  **if your**  **district is**  **piloting or**  **implementing a**  **principal evaluation**  **system that**  **is newly**  **established since**  **20 09**  **.** Please answer the questions in this section based on the new principal evaluation practices as they are being piloted or implemented in the 2013 - 14 school year . For example, if a new system is being piloted during the 2013 - 14 school year in only a few schools, respond only about the components being piloted this yea r in those schools. **Go to question 4 -**  **1 8**  **.** 

## □ **Check box**  **if your**  **district is**  **not piloting**  **or implementing**  **a newly**  **established principal**  **evaluation system.**  Please respond about the requirements of principal evaluation practices in your district during the 2013 - 14 school year **Go to question 4 -** **20 .**  **4 -**  **1 8**  **. During this school year (2013**  **- 14), what is the status of the new principal evaluation system in your distri**  **ct?** SELECT ONE ONLY The system is in the planning stage and no components are being implemented .......... 1 Skip to 4- 20 The system is in the piloting stage and some, but not all, components are being implemented ................................ ................................ ................................ .................... 2 The system is in the piloting stage and all components are being implemented ............ 3 The system is being implemented districtwide, and some but not all components are being implemented ................................ ................................ ................................ .......... 4 Skip to 4- 20 The system is fully implemented districtwide ................................ ................................ .. 5 Skip to 4- 20

**4 -**  **1 9**  **. During this school year (2013**  **- 14), in how many schools is the district piloting the principal evaluation system?** 

_________ NUMBER OF SCHOOLS **4 -** **20 .**  **During this school year (2013 -**  **14), how many rating categories or levels ( such as highly effective, effective**  **, satisfactory, needs improvement** **) does your district**  **use in its principal evaluation system**  **to describe overall principal performance? (As a reminder, if your district is piloting or implementing a principal evaluation system that is newly established**  **since 20** **09 , please refer to the new principal evaluation practices when responding to this and other questions in this section.)** 

_________ NUMBER OF RATING CATEGORIES**District Survey** 



### 9/17/2013 B - 66 **4 -** **21 .**  **During this school year (2013 -**  **14), does the district use any of the following s tudent outcomes in principal evaluations for**  **elementary, middle or high school principals?** SELECT ONE RESPONSE FOR ELEMENTARY AND MIDDL E SCHOOL PRINCIPALS AND ONE F OR HIGH SCHOOL PRINCIPALS FO R EACH ROW **ELEMENTARY AND MIDDLE SCHOOL**  **PRINCIPALS HIGH**  **SCHOOL**

**PRINCIPALS YES**  **NO YES**  **NO** a. Schoolwide proficiency rates on standardized assessments ............. 1 0 1 0 b. Schoolwide year-to -year changes in proficiency rates on standardized assessments ................................ ................................ . 1 0 1 0 c. Achievement growth of students schoolwide on standardized assessments ( for examp le, schoolwide student growth percentiles or the school’s value added ) ................................ .............................. 1 0 1 0 d. Student promotion/graduation rate ................................ .................. 1 0 1 0 e. Student dropout rate ................................ ................................ ......... 1 0 1 0 f. Gaps in achievement or low student achievement growth for English learners ................................ ................................ .................. 1 0 1 0 g. Gaps in achievement or low student achievement growth for students with disabilities ................................ ................................ ... 1 0 1 0 h. Gaps in achievement or low student achieve ment growth for other subgroups ................................ ................................ ................. 1 0 1 0 i . Student attendance ................................ ................................ ........... 1 0 1 0 j . Student behavior/discipline/safety ................................ .................... 1 0 1 0**District Survey** 



### 9/17/2013 B - 67 **4 -** **2 2**  **. During this school year (2013**  **- 14), which of the following sources of information on principal performance**  **(other than student outcome measures)** **, does the district use for principal evaluations?** SELECT ONE RESPONSE IN EACH ROW **USED IN EVALUATING**  **PRINCIPALS NO** **T USED IN**

**EVALUATING PRINCIPALS**  a. Ratings based on a principal professional practice rubric .............................. 1 0 b. Principal self- assessment ................................ ................................ ............... 1 0 c. Input from district administrators that is not based on a principal professional practice rubric ................................ ................................ ........... 1 0 d. Staff surveys or other staff feedback ................................ ............................. 1 0 e. Student surveys or other student feedback ................................ ................... 1 0 f. Parent surveys or other parent feedback ................................ ...................... 1 0**District Survey** 



### 9/17/2013 B - 68 **4 -** **2 3**  **. Based on the most recent evaluations completed (for example, 2012**  **- 13), please indicate the percentage of principals**  **in your district who fell into each of the performance evaluation rating categories, from the highest to lowest category.**  **( If your distric** **t has adopted new policies or practices for principal evaluation**  **since 2009, please refer to the principal evaluation practices being piloted or implemented during the most recent evaluation year.**  **Please select the column that matches the number of rating categories in your district**  **in place for the most recent evaluations completed** **. Write in the percentage of principals in each category. If no principals fell into a category,**  **please enter a “0”. Your best estimate for percentages is fine.)**  

## □ **Check box i**

**f you are unable to estimate the percentages. TWO RATING CATEGORIE** **S THREE RATING CATEGOR**  **IES FOUR RATING CATEGORI**  **ES FIVE RATING CATEGORI**  **ES CATEGORY**  **% OF ALL**

**PRINCIPALS CATEGORY**  **% OF ALL PRINCIPALS**  **CATEGORY % OF ALL**  **PRINCIPALS CATEGORY**  **% OF ALL PRINCIPALS**  First (Highest) ... __________ First (Highest) ..... __________ First (Highest) ..... __________ First (Highest) ...... ___________ Second (Lowest) .... __________ Second ....... __________ Second ........ __________ Second ......... ___________ **TOTAL 100 %**  Third (Lowest) ...... __________ Third ........... __________ Third ............. ___________ **TOTAL 100 %**  Fourth (Lowest) ...... __________ Fourth .......... ___________ **TOTAL 100 %**  Fifth (Lowest) ....... ___________ **TOTAL 100 %**  **4 -** **2 4**  **. When answering the rating question above, were the principal evaluation policies and practices in that year ....**  SELECT ONE ONLY A pilot of new principal evaluation policies and practices based on new laws or regulations since 2009 ................................ ................................ ................................ ...... 1 Principal evaluation policies and practices that were the same as or very similar to those in place during this school year (2013 - 14) ................................ ............................. 2 Older principal evalu ation practices that were in effect in your district during the most recent evaluation year and are not the same as or similar to current practices in your district ? ................................ ................................ ................................ ..................... 3**District Survey** 



### 9/17/2013 B - 69 

### Uses **of Evaluation Ratings As a reminder, if your district is piloting or**  **implementing a new teacher or principal evaluation system established since 20 09** **, please refer to the new evaluation practices when responding to questions in this section.**  **4 -** **2 5**  **. Will the district use the evaluation results for teachers for this school ye**  **ar ( 2013** **- 14** **) to inform**  **any of the following decisions?**  **(Select NA, where available, if tenure is not offered in your district.)** SELECT ONE RESPONSE IN EACH ROW **YES NO**  **NA Teacher evaluation results will be used to**  **inform decisions about teacher**  **professional development:** a. The design of professional development programs offered by the district ................ 1 0 b. Planning professional development for individual teachers ................................ ...... 1 0 c. Development of performance improvement plans for low- performing teachers ...... 1 0 d. Setting goals for student achievement growth for the next school year .................... 1 0 e. Identifying low- performing teachers for coaching, mentoring, or peer assistance .... 1 0 **Teacher evaluation results will be used to inform**  **decisions about teacher career advancement:**  f. Recognizing high - performing teachers ................................ ................................ ....... 1 0 g. Determining annual salary increases ................................ ................................ .......... 1 0 h. Determining bonuses or performance - based compensation other than salary increases ................................ ................................ ................................ ...................... 1 0 i. Granting tenure or similar job protection ................................ ................................ ... 1 0 na j. Career advancement opportunities, such as teacher leadership roles ....................... 1 0 k. Determining eligibility to transfer to other schools ................................ .................... 1 0 **For low -**  **performing teachers, evaluation results will be used to inform decisions about:**  l . Loss of tenure or similar job protection ................................ ................................ ...... 1 0 na m. Sequencing potential layoffs if the district needs to reduce staff .............................. 1 0 n. Dismissal or terminating employment for cause ................................ ........................ 1 0**District Survey** 



### 9/17/2013 B - 70 **4 -** **2 6**  **. Will the district use principal evaluation results**  **for this school year ( 2013** **- 14** **) to inform**  **any of the following decisions? (Select NA, where available, if tenure is not offered in your district.)**  SELECT ONE RESPONSE IN EACH ROW **YES NO**  **NA Principal evaluation results will be used to**  **inform decisions about**  **principal professional**  **development :**  a. The design of professional developm ent programs offered by the district .............. 1 0 b. Planning professional development for individual principals ................................ .... 1 0 c. Development of performance improvement plans for low- performing principals ................................ ................................ ................................ .................... 1 0 d . Identifying low- performing principals for coaching or mentoring ............................. 1 0 **Principal evaluation results will be used to inform**  **decisions about principal career advancement**  e . Recognizing high - performing principals ................................ ................................ .... 1 0 f. Determining annual salary increases ................................ ................................ ......... 1 0 g. Determining bonuses or performance - based compensation other than salary increases ................................ ................................ ................................ .................... 1 0 h . Granting tenure or similar job protection ................................ ................................ .. 1 0 na i. Career advancement opportunities such as a dditional leadership roles ................... 1 0 j. Deciding on renewal of a principal’s contract ................................ .......................... 1 0 k. Assigning principals to schools ................................ ................................ ................. 1 0 **For low -**  **performing principals, evaluation results will be used to inform decisions about:**  l . Loss of tenure or similar job protection ................................ ................................ ... 1 0 na m . Sequencing potential layoffs if the district needs to reduce staff .......................... 1 0 n. Transfer to a different school ................................ ................................ .................. 1 0 o. Demotion ................................ ................................ ................................ ................. 1 0 p. D ismissal or terminating employment for cause ................................ ..................... 1 0**District Survey** 



### 9/17/2013 B - 71 

### Supports for Implementing **Evaluation Systems As a reminder, if your district is piloting or implementing a**  **new teacher or principal evaluation system that is**  **newly established**  **since 20 09** **, please refer to the new evaluation practices when responding to questions in this section. 4** **- 2**  **7 .**  **During this school year (2013 -**  **14), did your state or district provide any of the following training for staff who conduct teacher observations?**  **(Select NA if your district does not require use of a teacher professional practice rubric to observe teac hers.)**  SELECT ONE RESPONSE IN EACH ROW **YES NO**  **NA** a. Training for the observers on the teacher professional practice rubric .................... 1 0 na b. Testing of observers to assess their accuracy in using the teacher professional practice rubric ................................ ................................ ................................ ............ 1 0 na c. Training for observers on providing feedback to teachers on their professional practice ................................ ................................ ................................ ....................... 1 0 na

**4 -** **2 8**  **. During this school year (2013**  **- 14), did your state or district provide any of the following training for staff who conduct**  **principal evaluations? (Select NA if your district does not require use of a principal professional practice rubric to evaluate principals.)**  SELECT ONE RESPONSE IN EACH ROW **YES NO**  **NA** a. Training for the evaluators on the principal professional practice rubric .................. 1 0 na b. Testing of evaluators to assess their accuracy in using the principal professional practice rubric ................................ ................................ ................................ ............ 1 0 na c. Training of evaluators on providing feedback to principals on their professional practice ................................ ................................ ................................ ....................... 1 0 na**District Survey** 



### 9/17/2013 B - 72 **4 -** **2 9**  **. During this school year (2013**  **- 14),**  **has your district received any of the following supports for implementing or conducting principal or teacher evaluations?**  SELECT ONE RESPONSE IN EACH ROW **YES NO**  **Supports for observing teacher professional practice** a. Received funding for training observers on teacher professional practice rubrics ... 1 0 b. Received technical assistance or funding for training to assess the accuracy of observers in using the teache r professional practice rubrics ................................ .... 1 0 c. Received refresher training or funding for refresher training to ensure observers continue to accurately code the teacher professional practice rubrics ..................... 1 0 **Supports for rating principal professional practice** d. Received funding for training evaluators on principal professional practice rubrics ................................ ................................ ................................ ........................ 1 0 e. Received technical assistance or funding for training to assess the accuracy of evaluators in using the principal professional practice rubrics ................................ .. 1 0 f. Received refresher training or funding for refresher training to ensure evaluators continue to accurately rate the principal professional practice rubrics .. 1 0 **Support for data systems or student achievement growth measures required for evaluations**  g. Received data on schoolwide average student achievement gro wth on standardized assessments ................................ ................................ ......................... 1 0 h. Received data on teachers’ average student achievement growth on standardized assessments ................................ ................................ ......................... 1 0 i. Received assistance with purchasing or developing data systems to record and analyze data from teacher and principal evaluations to create performance ratings ................................ ................................ ................................ ........................ 1 0 **Other supports** j. Received assistance in negotiating the elements of new educator evaluation systems with administrators’ or teachers’ associations ................................ ............ 1 0 k. Received assistance in developing communication materials to help explain major components of the new evaluation system to staff and the public ................ 1 0 l. Received assistance in communicating evaluation results to teachers and principals ................................ ................................ ................................ .................... 1 0 m. Received assistance in providing feedback to teachers and principals based on the ratings of professional practice ................................ ................................ ........... 1 0**District Survey** 



### 9/17/2013 B - 73 **Educator Support As a reminder, if your district is piloting or implementing a teacher or principal evaluation system that is newly**  **established since**  **20 09** **, please refer to the new evaluation practices when responding to questions in this section. 4** **- 30.**  **During this school year ( 2013**  **- 14** **) and including last summer (2013)** **, have teacher evaluation topics listed below been a major focus, a minor focus, or not a**  **focus of professional development offered by the state, the district, or another organization for teachers in your district?**  SELECT ONE RESPONSE FOR EACH ROW **Professional development for teachers MAJOR FOCUS OF**  **PROFESSIONAL DEVELOPMENT**  **MINOR FOCUS OF**

**PROFESSIONAL DEVELOPMENT**  **NOT A FOCUS OF**

**PROFESSIONAL DEVELOPMENT**  a. Understanding overall (summative) teacher performance evaluation ................................ .......... 2 1 0 b. Understanding how the state or district measures student achievement growth ................................ .. 2 1 0 c. Creating student learning objectives and measures of student learning toward proficiency .. 2 1 0 d. Understanding the teacher professional practice rubric ................................ ................................ ....... 2 1 0 e. Observing teacher professional practice and providing useful feedback ................................ ....... 2 1 0 f. Understanding other components of the teacher evaluation system ................................ ................... 2 1 0 g. Improving teacher practice and student achievement through instructional leadership ....... 2 1 0**District Survey** 



### 9/17/2013 B - 74 **4 -** **3 1**  **. Thinking now about principals, during this school year (2013** **- 14) and including last summer (2013),**  **have teacher evaluation topics listed below been a major focus, a minor focus, or not a focus of professional development offered by**  **the state, the district, or another organization for principals in your district?** SELECT ONE RESPONSE FOR EACH ROW **Professional development for principals MAJOR FOCUS OF**  **PROFESSIONAL DEVELOPMENT**  **MINOR FOCUS OF**

**PROFESSIONAL DEVELOPMENT**  **NOT A FOCUS OF**

**PROFESSIONAL DEVELOPMENT**  a. Understanding overall (summative) teacher performance evaluation ................................ ............ 2 1 0 b. Understanding how the state or district measures student achievement growth ................................ .... 2 1 0 c. Creating student learning objectives and measures of student learning toward proficiency ..................... 2 1 0 d. Understanding the teacher professional practice rubric ................................ ................................ ......... 2 1 0 e. Observing teacher professional practice and providing useful feedback ................................ ......... 2 1 0 f. Understanding other components of the teacher evaluation system ................................ ...................... 2 1 0 g. Improving teacher practice and student achievement through instructional leadership ......... 2 1 0

**4 -** **3 2**  **For this question, please think about all district professional development activities**  **-- and**  **all topic areas .**  **D id teachers in**  **your district have any of the following involvement in planning districtwide professional development activities during this scho**  **ol year (2013 -**  **14)?** SELECT ONE RESPONSE IN EACH ROW **YES NO** 

a. Participat ed on a district and/or school committee that planned topics for required in -service professional development days ................................ .................. 1 0 b. Participat ed on a district committee that planned how the district’s professional development budget would be allocated to activities ................................ ............... 1 0 c. Provided survey feedback to the district following required in -s ervice professional development ................................ ................................ ................................ .............. 1 0 d. Participated in a discussion with a supervisor about their own professional development needs ................................ ................................ ................................ ... 1 0**District Survey** 



### 9/17/2013 B - 75 **4 -** **33 D**  **uring this school year (2013 -**  **14), and including last summer (2013), how many days of**  **in -** **service professional development**  **are required for teacher** **s and principals?**  **(Please add full and half days together , for example 6 days would be 6.0**  **; while 4 full days and 3 half day**  **s would be 5.5.**  **Please round to the nearest half day. Your best estimate is fine.** **) T** **OTAL REQUIRED IN**  **- SERVICE DAYS**  Teacher Required In - service D ays ................................ .................... _______ **.** _____ Principal Required In - service D ays ................................ ................... _______ **.** _____ 

### Educator Distribution **4 -** **34 .**  **Within the past 12 months, has your district examined information about the distribution of teacher quality or effectiveness across schools in your**  **district serving different student populations (such as high -**  **poverty or urban schools compared with low** **- poverty or suburban schools)?**  SELECT ONE ONLY Yes, received from our state education agency ................................ ............................... 1 Yes, conducted by a contractor hired by our district ................................ ....................... 2 Yes, conducted by district staff ................................ ................................ ......................... 3 No ................................ ................................ ................................ ................................ ..... 0 Skip to 4- 3 6 **4 -** **3 5**  **. W**  **hat information was used to define teacher quality or effectiveness in this examination of the distribution of teachers**  **?** SELECT ONE RESPONSE IN EACH ROW **YES NO**  a. Teacher evaluation ratings ................................ ................................ ......................... 1 0 b. Teacher effectiveness as measured by contribution to student achievement growth (for example, student growth percentiles, value added) .............................. 1 0 c. Teacher experience ................................ ................................ ................................ .... 1 0 d. Teacher certification ................................ ................................ ................................ .. 1 0 e. Teacher education (e.g., proportion of teachers with masters degrees) .................. 1 0 f. Assignment of teachers to grades or classes outside of their field of certification ... 1 0 g. Teachers’ “highly qualified” status based on definitions of No Child Left Behind ..... 1 0**District Survey** 



### 9/17/2013 B - 76 **4 -** **3 6**  **. Within the past 12 months, has your district**  **examined information about the distribution of principal quality or effectiveness across schools in your district serving different student populations (such as high**  **- poverty or urban schools**  **compared with low -**  **poverty or suburban schools)?**  SELECT ONE ONLY Yes, received from our state education agency ................................ ............................... 1 Yes, conducted by a contractor hired by our district ................................ ....................... 2 Yes, conducted by district staff ................................ ................................ ......................... 3 No ................................ ................................ ................................ ................................ ..... 0 Skip to end of survey **4 -** **3 7**  **. In this examination of the distribution of principals, what information was used to**  **define principal quality or effectiveness?**  SELECT ONE RESPONSE IN EACH ROW **YES NO**  a. Principal evaluation ratings ................................ ................................ ....................... 1 0 b. Principal effectiveness as measured by achievement growth of students schoolwide (for example, s choolwide student growth percentile or school value added ) ................................ ................................ ................................ ....................... 1 0

c. Principal experience ................................ ................................ ................................ .. 1 0 d. Principal certification ................................ ................................ ................................ 1 0 e. Principal educational attainment ................................ ................................ .............. 1 0**District Survey** 



### 9/17/2013 B - 77 **4 -** **3 8**  **. What actions has your district taken to address any inequities found in teacher or principal quality or effectiveness?**  

## □ **Check box if not applicable for teachers**  **– analysis found no substantial inequities in teacher quality or effectiveness.**  **Leave teacher column blank and answer for**  **principal inequities.** 

## □ **Check box if not applicable for principals**  **– analysis found no substantial inequities in principal quality or**  **effectiveness. Leave principal column blank. (Note: If both boxes are checked, skip to end of survey.)**  SELECT ONE RESPONSE FOR TEACHERS AND ONE RES PONSE FOR PRINCIPALS IN EACH ROW **FOR TEACHERS**  **FOR**

**PRINCIPALS YES**  **NO YES**  **NO** a. Offering more compensation for qualified or effective teachers or principals who move to or stay in schools with lower levels of teacher or principal quality or effectiveness compared to other schools ....................... 1 0 1 0 b . Providing loan repayment assistance or tuition reimbursement to teachers or principals working in schools with lower levels of teacher or principal quality or effectiveness compared to other schools ....................... 1 0 1 0 c . Beginning the hiring process earlier for vacancies at schools with lower levels of teacher or principal quality or effectiveness compared to other schools ................................ ................................ ................................ ........... 1 0 1 0 d . Increasing external recruitment activities such as hosting open houses and job fairs ................................ ................................ ................................ ... 1 0 1 0 e . Improving teaching and learning environments (e.g., lower teaching loads, more resources, or improved facility quality) at schools with lower levels of teacher quality or effectiveness compared to other schools .......... 1 0 1 0 f. Offering more professional development for teachers and/or principals in schools with lower levels of teacher or principal quality or effectiveness compared to other schools ................................ ...................... 1 0 1 0 g . Limiting the ability of teachers or principals who are inexperienced or low performing to transfer to or be placed in schools with lower levels of teacher or principal quality or effectiveness compared to other schools ..... 1 0 1 0 h . Making exceptions in contracts or regulations to protect the most qualified or effective teachers and principals from layoff in schools with lower levels of teacher or principal quality or effectiveness compared to other schools ................................ ................................ ................................ .. 1 0 1 0 i. Using external providers to prepare, recruit, or supply more qualified or effective teachers or principals to schools with lower levels of teacher or principal quality or effectiveness compared to other schools ....................... 1 0 1 0



### Thank you for completing this survey.