### Attachment A**- 1**  **. District Staff Survey**

Dear District Superintendent or Curriculum and Instruction Director, The Reg i o n al Ed u c a ti o n La b S o u thw e st ( REL S o u t h w e st) is stu d y i n g changes in student mathematics course

-taking and course failures, as well as changes in district mathematics course offerings and diploma plan placement, that occur after implementation of Texas House Bill 5 (HB 5)
— the Foundation High School Program. One aspect of this study focuses on ho w d istr i cts are r e spon d i n g t o t h e p rov is i o n s o f H o u se Bi l l 5
. We gre a tly ap p recia te yo u r partic ip at i o n . Please have t he person who is most knowledgeable about how your district is responding to the new Texas high school graduation requirements with regard to endorsements offered, courses added, and information dissemination to parents complete this survey
. The qu est i o nn ai re fo r th i s stu d y w ill take a pp ro x i m a t e l y 15 m i nu t es t o c o m p le t e . Its fo cus is o n the n ew hi g h sc h oo l g ra du a ti o n pl an s, incl ud i n g t h e e sta b lishm e n t o f c o u rs es t o m e e t the n ew en d o rs e m ent req u ire m ents. This su rvey is vo l un tary . You may decide to not take part without penalty or loss of any benefits you are otherwise entitled to. A l l respo n s e s will b e c o n fi d en t ia l ; n o i nd i v i du al o r d istrict will b e i d entifi ed. On l y a gg reg a t e d r e su l ts will be rep o rted. Education Sciences Reform Act of 2002, Title I, Part E, Section 183, prohibits disclosure of individually identifiable information as well as making the publishing or communicating of individually identifiable information by employees or staff a felony. Pe r the policies and procedures required by the Education 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 this study will summarize findings acr oss the sample and will not associate responses with a specific school, district, or individual. Any willful disclosure of such information for nonstatistical purposes, except as required by law, is a class E felony. If yo u are in t ere st e d in re a d i n g a su m m ary o f the res u lts fr o m di stricts aro un d t h e sta t e, p l e ase l et us kn o w and w e w ill b e h a pp y t o send yo u a r e p o rt a t the e n d o f t h e p roj e ct. To p a rtici p ate in t h e su rvey, g o t o the fo ll o wing si te: **< <**  **u n**  **i q**  **u e**  **li n**  **k >>**  If yo u are u n a b le to c om p l ete t h e q u est i o nn ai r e, p l ea s e fo rward th i s e m ail t o the a pp ro p ri a te p ers o n at the distri ct w h o m i gh t b e a b le t o ans wer th e se qu e st i o n s. Yo u r resp o n s e s are very mu ch a pp reciat e d. If yo u h a ve any c om m ents o r c o n cerns abo u t t h is stu d y, plea s e c o n ta ct Deborah Van Kummer, Research Assistant, a t deborah. vankummer@se d l
. o rg . If you have questions or concerns about your rights as a survey participant, or to offer your input, you may contact Ethical & Independent Review Services, the Institutional Review Board (IRB), who reviewed this study for your rights, at 8100
-472
- 3241 or by email at subject@eandireview.com. You may want to print a copy of this to keep for your records. Tha n k yo u fo r yo u r c o n tri b u ti o n t o t h is i m p o rta n t e ffo rt.S in cer e ly,

REL S o u th west

## Thank you for agreeing to participate in the survey!

C o m p lete the qu e sti o nn ai re b y m ar k i n g yo u r resp o n se s as i nd icated o n the w e b p a g e. When yo u a re d o n e, si m p ly cli c k “ su b m it” o n t h e last p a g e. Yo u will h a ve to c o m p l ete the su rvey in o n e s i tt i ng ; the re i s n o o p ti o n to sa ve a n d return at a la t er t i m e. By c o m p leting th i s su rve y, yo u a g ree t o p artici p a te in t h e res e arch stu d y .

______________________________________________________________________________ According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is 1850

-xxxx . Public reporting burden for this collection of information is estimated to average 15 minutes/hours per response, including time for reviewing instructions, searching existing dat a sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation to respond to this collection is voluntary. If you have comments or concerns regarding the status of your individual submissi on of this form, application or survey, please contact (Chris Boccanfuso at Chris.Boccanfuso@ed.gov directly. [Note: Please do not return the completed instrument, form, application or survey to this address.]**1. Please indicate which high school graduation**  **endorsements will be offered in your district.**

( Select in all that apply

) ⃝ Arts & Humanities ⃝ Business & Industry ⃝ Public Service ⃝ STEM ⃝ Multidisciplinary
**2. Fill in the number of schools in**  **your district in which ea ch endorsement will be offered.**  **Endorsement Number**  Arts & Humanities Business & Industry Public Service STEM Multidisciplinary
**3 . Which, if any,**  **of the new graduation plans are students in your district being**  **automatically placed in?**  (

Select one) ⃝ Foundation ⃝ Foundation Plus Endorsement ⃝ Distinguished ⃝ None
**3a . If students are being**  **automatically placed into a graduation plan, what**  **is the first point**  **at which they**  **can formally choose a**  **different graduation plan? (** Select one **)** ⃝ Freshman year ⃝ Sophomore year ⃝ Junior year ⃝ Senior year**4 . Please list the advanced mathematics courses being offered by the schools in your district. A**  **n**

**advanced mathematics course is a mathematics course that fulfills the third and fourth mathematics course requirements under the new Foundation High School Program (HB 5**  **graduation requirements). Please**  **write the PEIMS service codes ,**  **course titles , and**  **the number of schools in your district in**  **which each advanced mathematics course will be offered on the lines below**  **. PEIMS Service Code**  **Advanced Mathematics Course Title Number of**  **schools**

**5 .**  **How are you communicating with parents about the new high school graduation**  **requirements?** (

Select all that apply) ⃝ Brochure/Flyer ⃝ Webinar ⃝ District webpage ⃝ Parent meetings ⃝ Student handbook ⃝ TEA Graduation Toolkit ⃝ Video ⃝ Counselors ⃝ Teachers ⃝ Site
- based decision making committee ⃝ Other (please describe):____________________________________ **6. Later this year we will be recruiting high schools to participate in a study looking at changes to the mathematics course requirements for**  **high school graduation being implemented under Texas House Bill 5. Participating schools will be asked to distribute informational materials**  **describing the changes to the high school graduation mathematics requirements next year (late February 2016). Do y** **ou think high schools in your district would be interested in participating in our study?**  ⃝ **Yes** ⃝ **No 7. Is there anything else that you would like to share with us about how your district is**  **responding to the new graduation requirements enacted under Ho use Bill 5?**  (Please write your comments in the box below)

### Thank you!