# ➧

FORM NTPS-1 FORM U.S. DEPARTMENT OF EDUCATION NATIONAL CENTER FOR EDUCATION STATISTICS

(09-03-2014) 

# TEACHER LISTING FORM

NATIONAL TEACHER AND PRINCIPAL SURVEY

2015-16SCHOOL YEAR



# ▲
NOTICE:

NTPS-1 (Please correct any errors in name, address, and ZIP Code.)



### Please return this form within 2 weeks in the enclosed envelope. SCHOOL

GRADE RANGE 

# ➧

This survey is authorized by the Education Sciences Reform Act of 2002, 20 U.S. Code §9541(b) and §9543(a). The results will only be produced as statistical summaries. OMB No. XXX
-XXX: Approval Expires mm/dd/yyyy Conducted by: U.S. DEPARTMENT OF COMMERCE

Economics and Statistics Administration

U.S. CENSUS BUREAUFORM NTPS-1 2 

### DEAR PRINCIPAL: Why does the National Center for Education Statistics (NCES) conduct the National Teacher and Principal Survey (NTPS)?

The NTPS is designed to measure critical aspects of schooling and teaching, the composition of the principal and teacher work force, and conditions in schools. What do you need from my school?

A list of all of the full-time and part-time teachers who teach at this school. Please see the reference card on page 4 for important information about the listing form. A removable reference card is printed on the last page of this listing form. What happens to the information I report?

A sample of teachers will be selected for the Teacher Survey component of NTPS. The selected teachers will receive the Teacher Questionnaire which asks for information on their educational background, work experience, and attitudes toward teaching. Why is my school’s participation important? Only a small number of schools are selected to participate in NTPS. Therefore, your school represents many other schools. How does NCES protect the confidentiality of the information I provide?

Your responses are protected from disclosure by federal statute (20 U.S.C., §9573). All responses that relate to or describe identifiable characteristics of individuals may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose, unless otherwise compelled by law.
THANK YOU FOR YOUR COOPERATION. SINCERELY,

CHRISTOPHER CHAPMAN ASSOCIATE COMMISSIONER FOR EDUCATION STATISTICS NATIONAL CENTER FOR EDUCATION STATISTICS U.S. DEPARTMENT OF EDUCATION3 FORM NTPS-1 

### 1. In case we have questions about any of your responses, please print your name, title, and work telephone number on the lines below.

– – AREA CODE TELEPHONE NUMBER NAME

TITLE

WORK TELEPHONE NUMBER



### 2. How much time did it take to complete this form, not counting interruptions? Minutes Please see page 4 for important information.

Call 1-888-595-1338 toll free if you need assistance filling out the rest of this form. The office hours are 7:00 AM – 4:30 PM Eastern Time.FORM NTPS-1 4 

### INCLUDE ON THE TEACHER LIST REFERENCE CARD Please read this reference card before continuing. A removable reference card is printed on the last page of this booklet.
Regular Classroom Teachers Chemistry, English, math, physical education, history, etc. 

### Special Education Teachers Teach special education classes to students with disabilities. 

### General Elementary Teachers Teach self-contained classes in any of grades K–8, i.e., teach the same class of students all or most of the day, unless they teach special education students, in which case see the category above. Team-teaching, i.e., two or more teachers collaborate in teaching multiple subjects to the same class of students. Include kindergarten teachers. 

### Career, Technical, or Vocational Education Teachers Teach keyboarding, business, agriculture, life skills, family or consumer economics as well as any other vocational or technical classes. 

### Teaching principals, teaching guidance counselors, teaching librarians, teaching school nurses Include any staff members who teach at least one regularly scheduled class per week

. For example: If a librarian teaches a regularly scheduled class in math once a week, include her in the "Math" category, but if she only teaches groups of students library skills or how to use the library, do NOT include her on the form. 

### Teachers of Ungraded Students Itinerant, Co-op, Traveling, and Satellite Teachers

Teach at more than one school and may OR may not be supervised by someone at your school. 

### Current Long-Term Substitute Teachers Currently filling the role of a regular teacher for 4 or more continuous weeks. 

### Other teachers who teach students in any of grades K–12 If a teacher teaches pre-kindergarten and any other grade between K–12, answer the questions ONLY for the time the teacher spends teaching any grades K–12. 

### OMIT FROM THE TEACHER LIST Prekindergarten teachers who teach ONLY prekindergarten students Adult Education and Postsecondary Teachers If they teach ONLY adult education or students beyond grade 12. 

### Short-term Substitute Teachers Fill the role of a regular teacher for less than 4 continuous weeks. 

### Student Teachers Day Care Aides Teacher Aides Librarians who teach ONLY library skills or how to use the library▲ ▲



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### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 1 *Ex.

Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Teaching Experience at This and Any Other School Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals, and other staff that may teach at this school.

*Line Ex. is an example of a full-time art teacher who is in his first year of teaching. Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

. Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects.
1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language arts - Social studies - Vocational/Technical - Other (e.g., art, music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teachers who teach part-time in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should becounted as a parttime teacher. 1 2 - Full-time

- Part-time Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.

1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more years



### 2 3 4 5 6 7 8 9 10 11 12 13 14 15 

### Andrew Michael Shaffer FIRST MIDDLE LAST SUFFIX 

### 8 11

**PLEASE CONTINUE ON NEXT PAGE**6 FORM NTPS-1 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 17 Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals, and other staff that may teach at this school. Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

. Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects.
1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language arts - Social studies - Vocational/Technical - Other (e.g., art, music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teachers who teach part-time in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should becounted as a parttime teacher. 1 2 - Full-time

- Part-time 1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more years



### 18 19 20 21 22 23 24 25 26 27 28 29 30 31 FIRST MIDDLE LAST SUFFIX

**PLEASE CONTINUE ON NEXT PAGE** 

### 16 Teaching Experience at This and Any Other School Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.7 FORM NTPS-1 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 33 Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals, and other staff that may teach at this school. Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

. Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects.
1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language arts - Social studies - Vocational/Technical - Other (e.g., art, music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teachers who teach part-time in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should becounted as a parttime teacher. 1 2 - Full-time

- Part-time 1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more years



### 34 35 36 37 38 39 40 41 42 43 44 45 46 47 FIRST MIDDLE LAST SUFFIX

**PLEASE CONTINUE ON NEXT PAGE** 

### 32 Teaching Experience at This and Any Other School Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.8 FORM NTPS-1 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 49 Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals, and other staff that may teach at this school. Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

. Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects.
1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language arts - Social studies - Vocational/Technical - Other (e.g., art, music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teachers who teach part-time in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should becounted as a parttime teacher. 1 2 - Full-time

- Part-time 1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more years



### 50 51 52 53 54 55 56 57 58 59 60 61 62 63 FIRST MIDDLE LAST SUFFIX

**PLEASE CONTINUE ON NEXT PAGE** 

### 48 Teaching Experience at This and Any Other School Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.9 FORM NTPS-1 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 65 Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals, and other staff that may teach at this school. Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

. Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects.
1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language arts - Social studies - Vocational/Technical - Other (e.g., art, music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teachers who teach part-time in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should becounted as a parttime teacher. 1 2 - Full-time

- Part-time 1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more years



### 66 67 68 69 70 71 72 73 74 75 76 77 78 79 FIRST MIDDLE LAST SUFFIX

**PLEASE CONTINUE ON NEXT PAGE** 

### 64 Teaching Experience at This and Any Other School Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.10 FORM NTPS-1 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 81 Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals, and other staff that may teach at this school. Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

. Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects.
1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language arts - Social studies - Vocational/Technical - Other (e.g., art, music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teachers who teach part-time in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should becounted as a parttime teacher. 1 2 - Full-time

- Part-time 1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more years



### 82 83 84 85 86 87 88 89 90 91 92 93 94 95 FIRST MIDDLE LAST SUFFIX

**PLEASE CONTINUE ON NEXT PAGE** 

### 80 Teaching Experience at This and Any Other School Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.11 FORM NTPS-1 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 97 Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals, and other staff that may teach at this school. Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

. Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects.
1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language arts - Social studies - Vocational/Technical - Other (e.g., art, music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teachers who teach part-time in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should becounted as a parttime teacher. 1 2 - Full-time

- Part-time 1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more years



### 98 99 100 101 102 103 104 105 106 107 108 109 110 111 FIRST MIDDLE LAST SUFFIX

**PLEASE CONTINUE ON NEXT PAGE** 

### 96 Teaching Experience at This and Any Other School Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.12 FORM NTPS-1 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.) Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals, and other staff that may teach at this school. Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

. Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects.
1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language arts - Social studies - Vocational/Technical - Other (e.g., art, music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teachers who teach part-time in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should becounted as a parttime teacher. 1 2 - Full-time

- Part-time 1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more years



### 116 117 118 119 120 121 122 123 124 125 126 FIRST MIDDLE LAST SUFFIX

**PLEASE CONTINUE ON NEXT PAGE** 

### 115 114 113 112

127 Teaching Experience at This and Any Other School Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.13 FORM NTPS-1 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.) Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals, and other staff that may teach at this school. Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

. Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects.
1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language arts - Social studies - Vocational/Technical - Other (e.g., art, music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teachers who teach part-time in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should becounted as a parttime teacher. 1 2 - Full-time

- Part-time 1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more years



### 132 133 134 135 136 137 138 139 140 141 142 FIRST MIDDLE LAST SUFFIX

**PLEASE CONTINUE ON NEXT PAGE** 

### 131 130 129 128

143 Teaching Experience at This and Any Other School Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.14 FORM NTPS-1 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.) Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals, and other staff that may teach at this school. Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

. Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects.
1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language arts - Social studies - Vocational/Technical - Other (e.g., art, music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teachers who teach part-time in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should becounted as a parttime teacher. 1 2 - Full-time

- Part-time 1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more years



### 148 149 150 151 152 153 154 155 156 157 158 FIRST MIDDLE LAST SUFFIX

**PLEASE CONTINUE ON NEXT PAGE** 

### 147 146 145 144

159 Teaching Experience at This and Any Other School Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.15 FORM NTPS-1 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.) Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals, and other staff that may teach at this school. Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

. Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects.
1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language arts - Social studies - Vocational/Technical - Other (e.g., art, music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teachers who teach part-time in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should becounted as a parttime teacher. 1 2 - Full-time

- Part-time 1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more years



### 164 165 166 167 168 169 170 171 172 173 174 FIRST MIDDLE LAST SUFFIX

**PLEASE CONTINUE ON NEXT PAGE** 

### 163 162 161 160

175 Teaching Experience at This and Any Other School Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.16 FORM NTPS-1 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.) Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals, and other staff that may teach at this school. Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

. Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects.
1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language arts - Social studies - Vocational/Technical - Other (e.g., art, music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teachers who teach part-time in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should becounted as a parttime teacher. 1 2 - Full-time

- Part-time 1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more years



### 180 181 182 183 184 185 186 187 188 189 190 FIRST MIDDLE LAST SUFFIX

**PLEASE CONTINUE ON NEXT PAGE** 

### 179 178 177 176

191 Teaching Experience at This and Any Other School Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.17 FORM NTPS-1 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.) Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals, and other staff that may teach at this school. Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

. Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects.
1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language arts - Social studies - Vocational/Technical - Other (e.g., art, music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teachers who teach part-time in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should becounted as a parttime teacher. 1 2 - Full-time

- Part-time 1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more years



### 196 197 198 199 200 201 202 203 204 205 206 FIRST MIDDLE LAST SUFFIX

**PLEASE CONTINUE ON NEXT PAGE** 

### 195 194 193 192

207 Teaching Experience at This and Any Other School Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.18 FORM NTPS-1 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.) Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals, and other staff that may teach at this school. Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

. Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects.
1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language arts - Social studies - Vocational/Technical - Other (e.g., art, music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teachers who teach part-time in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should becounted as a parttime teacher. 1 2 - Full-time

- Part-time 1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more years



### 212 213 214 215 216 217 218 219 220 221 222 FIRST MIDDLE LAST SUFFIX



### 211 210 209 208

223 Teaching Experience at This and Any Other School Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.FORM NTPS-1 

### According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this voluntary information collection is XXXX
-XXXX

. The time required to complete this information collection is estimated to average 30 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate, suggestions for improving this collection, or comments or concerns about the contents or the status of your individual submission of this questionnaire, please e-mail: addp.education.surveys@census.gov, or write directly to: National Teacher and Principal Survey, National Center for Education Statistics, 1990 K Street, N.W., #9046, Washington, DC 20006. 

### Paperwork Burden Statement

1920 FORM NTPS-1 

## RETURN COMPLETED FORM TO

U.S. CENSUS BUREAU ATTN: TLF, SMQAB, BLDG 61D 1201 East 10 St. Jeffersonville, IN 47132-0001

# ➧

FORM NTPS-1E FORM U.S. DEPARTMENT OF EDUCATION NATIONAL CENTER FOR EDUCATION STATISTICS

(09-03-2014) 

# TEACHER LISTING FORM

NATIONAL TEACHER AND PRINCIPAL SURVEY

2015-16SCHOOL YEAR



# ▲
NOTICE:

NTPS-1E (Please correct any errors in name, address, and ZIP Code.)



### Please return this form within 2 weeks in the enclosed envelope. SCHOOL

GRADE RANGE 

# ➧

This survey is authorized by the Education Sciences Reform Act of 2002, 20 U.S. Code §9541(b) and §9543(a). The results will only be produced as statistical summaries. OMB No. XXX-XXX: Approval Expires mm/dd/yyyy Conducted by: U.S. DEPARTMENT OF COMMERCE

Economics and Statistics Administration

U.S. CENSUS BUREAUFORM NTPS-1E 2 

### DEAR PRINCIPAL: Why does the National Center for Education Statistics (NCES) conduct the National Teacher and Principal Survey (NTPS)?

The NTPS is designed to measure critical aspects of schooling and teaching, the composition of the principal and teacher work force, and conditions in schools. What do you need from my school?

A list of all of the full-time and part-time teachers who teach at this school. Please see the reference card on page 4 for important information about the listing form. A removable reference card is printed on the last page of this listing form. What happens to the information I report?

A sample of teachers will be selected for the Teacher Survey component of NTPS. The selected teachers will receive the Teacher Questionnaire which asks for information on their educational background, work experience, and attitudes toward teaching. Why is my school’s participation important? Only a small number of schools are selected to participate in NTPS. Therefore, your school represents many other schools. How does NCES protect the confidentiality of the information I provide?

Your responses are protected from disclosure by federal statute (20 U.S.C., §9573). All responses that relate to or describe identifiable characteristics of individuals may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose, unless otherwise compelled by law.
THANK YOU FOR YOUR COOPERATION. SINCERELY,

CHRISTOPHER CHAPMAN ASSOCIATE COMMISSIONER FOR EDUCATION STATISTICS NATIONAL CENTER FOR EDUCATION STATISTICS U.S. DEPARTMENT OF EDUCATION3 FORM NTPS-1E 

### 1. In case we have questions about any of your responses, please print your name, title, and work telephone number on the lines below.

– – AREA CODE TELEPHONE NUMBER NAME

TITLE

WORK TELEPHONE NUMBER



### 2. How much time did it take to complete this form, not counting interruptions? Minutes Please see page 4 for important information.

Call 1-888-595-1338 toll free if you need assistance filling out the rest of this form. The office hours are 7:00 AM – 4:30 PM Eastern Time.FORM NTPS-1E 4 

### INCLUDE ON THE TEACHER LIST REFERENCE CARD Please read this reference card before continuing. A removable reference card is printed on the last page of this booklet.
Regular Classroom Teachers Chemistry, English, math, physical education, history, etc. 

### Special Education Teachers Teach special education classes to students with disabilities. 

### General Elementary Teachers Teach self-contained classes in any of grades K–8, i.e., teach the same class of students all or most of the day, unless they teach special education students, in which case see the category above. Team-teaching, i.e., two or more teachers collaborate in teaching multiple subjects to the same class of students. Include kindergarten teachers. 

### Career, Technical, or Vocational Education Teachers Teach keyboarding, business, agriculture, life skills, family or consumer economics as well as any other vocational or technical classes. 

### Teaching principals, teaching guidance counselors, teaching librarians, teaching school nurses Include any staff members who teach at least one regularly scheduled class per week

. For example: If a librarian teaches a regularly scheduled class in math once a week, include her in the "Math" category, but if she only teaches groups of students library skills or how to use the library, do NOT include her on the form. 

### Teachers of Ungraded Students Itinerant, Co-op, Traveling, and Satellite Teachers

Teach at more than one school and may OR may not be supervised by someone at your school. 

### Current Long-Term Substitute Teachers Currently filling the role of a regular teacher for 4 or more continuous weeks. 

### Other teachers who teach students in any of grades K–12 If a teacher teaches pre-kindergarten and any other grade between K–12, answer the questions ONLY for the time the teacher spends teaching any grades K–12. 

### OMIT FROM THE TEACHER LIST Prekindergarten teachers who teach ONLY prekindergarten students Adult Education and Postsecondary Teachers If they teach ONLY adult education or students beyond grade 12. 

### Short-term Substitute Teachers Fill the role of a regular teacher for less than 4 continuous weeks. 

### Student Teachers Day Care Aides Teacher Aides Librarians who teach ONLY library skills or how to use the library▲ ▲



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### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 1 *Ex.

Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Teaching Experience at This and Any Other School Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals and other staff that may teach at this school.

*Line Ex. is an example of a full-time art teacher who is in his first year of teaching. Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

.

1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language

arts - Social studies - Vocational/Technical - Other (e.g., art,

music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teacherswho teach parttime in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should be counted as a part-time teacher. 1 2 - Full-time

- Part-time Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.

1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more

years



### 2 3 4 5 6 7 8 9 10 11 12 13 14 15 

### Andrew Michael Shaffer FIRST MIDDLE LAST SUFFIX 

### 8 11

**PLEASE CONTINUE ON NEXT PAGE** Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects. Teacher’s Email Address
Please list each teacher’s email address.

ams@place.com6 FORM NTPS-1E 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 **PLEASE CONTINUE ON NEXT PAGE** 

### 16 FIRST MIDDLE LAST SUFFIX Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Teaching Experience at This and Any Other School Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

.

1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language

arts - Social studies - Vocational/Technical - Other (e.g., art,

music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teacherswho teach parttime in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should be counted as a part-time teacher. 1 2 - Full-time

- Part-time Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.

1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more

years Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects. Teacher’s Email Address
Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals and other staff that may teach at this school. Please list each teacher’s email address.7 FORM NTPS-1E 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 **PLEASE CONTINUE ON NEXT PAGE** 

### 32 FIRST MIDDLE LAST SUFFIX Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Teaching Experience at This and Any Other School Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

.

1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language

arts - Social studies - Vocational/Technical - Other (e.g., art,

music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teacherswho teach parttime in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should be counted as a part-time teacher. 1 2 - Full-time

- Part-time Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.

1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more

years Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects. Teacher’s Email Address
Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals and other staff that may teach at this school. Please list each teacher’s email address.8 FORM NTPS-1E 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 **PLEASE CONTINUE ON NEXT PAGE** 

### 48 FIRST MIDDLE LAST SUFFIX Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Teaching Experience at This and Any Other School Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

.

1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language

arts - Social studies - Vocational/Technical - Other (e.g., art,

music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teacherswho teach parttime in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should be counted as a part-time teacher. 1 2 - Full-time

- Part-time Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.

1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more

years Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects. Teacher’s Email Address
Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals and other staff that may teach at this school. Please list each teacher’s email address.9 FORM NTPS-1E 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 **PLEASE CONTINUE ON NEXT PAGE** 

### 64 FIRST MIDDLE LAST SUFFIX Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Teaching Experience at This and Any Other School Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

.

1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language

arts - Social studies - Vocational/Technical - Other (e.g., art,

music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teacherswho teach parttime in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should be counted as a part-time teacher. 1 2 - Full-time

- Part-time Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.

1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more

years Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects. Teacher’s Email Address
Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals and other staff that may teach at this school. Please list each teacher’s email address.10 FORM NTPS-1E 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 **PLEASE CONTINUE ON NEXT PAGE** 

### 80 FIRST MIDDLE LAST SUFFIX Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Teaching Experience at This and Any Other School Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

.

1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language

arts - Social studies - Vocational/Technical - Other (e.g., art,

music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teacherswho teach parttime in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should be counted as a part-time teacher. 1 2 - Full-time

- Part-time Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.

1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more

years Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects. Teacher’s Email Address
Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals and other staff that may teach at this school. Please list each teacher’s email address.11 FORM NTPS-1E 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 **PLEASE CONTINUE ON NEXT PAGE** 

### 96 FIRST MIDDLE LAST SUFFIX Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Teaching Experience at This and Any Other School Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

.

1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language

arts - Social studies - Vocational/Technical - Other (e.g., art,

music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teacherswho teach parttime in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should be counted as a part-time teacher. 1 2 - Full-time

- Part-time Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.

1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more

years Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects. Teacher’s Email Address
Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals and other staff that may teach at this school. Please list each teacher’s email address.12 FORM NTPS-1E 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 116 117 118 119 120 121 122 123 124 125 126

**PLEASE CONTINUE ON NEXT PAGE** 

### 115 114 113 112

127 FIRST MIDDLE LAST SUFFIX Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Teaching Experience at This and Any Other School Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

.

1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language

arts - Social studies - Vocational/Technical - Other (e.g., art,

music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teacherswho teach parttime in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should be counted as a part-time teacher. 1 2 - Full-time

- Part-time Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.

1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more

years Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects. Teacher’s Email Address
Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals and other staff that may teach at this school. Please list each teacher’s email address.13 FORM NTPS-1E 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 132 133 134 135 136 137 138 139 140 141 142

**PLEASE CONTINUE ON NEXT PAGE** 

### 131 130 129 128

143 FIRST MIDDLE LAST SUFFIX Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Teaching Experience at This and Any Other School Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

.

1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language

arts - Social studies - Vocational/Technical - Other (e.g., art,

music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teacherswho teach parttime in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should be counted as a part-time teacher. 1 2 - Full-time

- Part-time Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.

1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more

years Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects. Teacher’s Email Address
Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals and other staff that may teach at this school. Please list each teacher’s email address.14 FORM NTPS-1E 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 148 149 150 151 152 153 154 155 156 157 158

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### 147 146 145 144

159 FIRST MIDDLE LAST SUFFIX Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Teaching Experience at This and Any Other School Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

.

1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language

arts - Social studies - Vocational/Technical - Other (e.g., art,

music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teacherswho teach parttime in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should be counted as a part-time teacher. 1 2 - Full-time

- Part-time Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.

1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more

years Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects. Teacher’s Email Address
Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals and other staff that may teach at this school. Please list each teacher’s email address.15 FORM NTPS-1E 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 164 165 166 167 168 169 170 171 172 173 174

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### 163 162 161 160

175 FIRST MIDDLE LAST SUFFIX Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Teaching Experience at This and Any Other School Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

.

1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language

arts - Social studies - Vocational/Technical - Other (e.g., art,

music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teacherswho teach parttime in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should be counted as a part-time teacher. 1 2 - Full-time

- Part-time Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.

1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more

years Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects. Teacher’s Email Address
Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals and other staff that may teach at this school. Please list each teacher’s email address.16 FORM NTPS-1E 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 180 181 182 183 184 185 186 187 188 189 190

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### 179 178 177 176

191 FIRST MIDDLE LAST SUFFIX Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Teaching Experience at This and Any Other School Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

.

1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language

arts - Social studies - Vocational/Technical - Other (e.g., art,

music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teacherswho teach parttime in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should be counted as a part-time teacher. 1 2 - Full-time

- Part-time Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.

1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more

years Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects. Teacher’s Email Address
Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals and other staff that may teach at this school. Please list each teacher’s email address.17 FORM NTPS-1E 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 196 197 198 199 200 201 202 203 204 205 206

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### 195 194 193 192

207 FIRST MIDDLE LAST SUFFIX Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Teaching Experience at This and Any Other School Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

.

1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language

arts - Social studies - Vocational/Technical - Other (e.g., art,

music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teacherswho teach parttime in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should be counted as a part-time teacher. 1 2 - Full-time

- Part-time Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.

1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more

years Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects. Teacher’s Email Address
Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals and other staff that may teach at this school. Please list each teacher’s email address.18 FORM NTPS-1E 

### PLEASE READ THE REFERENCE CARD BEFORE CONTINUING.

(A removable reference card is printed on the last page of this booklet.)



### 212 213 214 215 216 217 218 219 220 221 222 211 210 209 208

223 FIRST MIDDLE LAST SUFFIX Line Number Teacher’s Name Subject Matter Taught Teaching Status at the Selected School Teaching Experience at This and Any Other School Enter the numeric code that corresponds to the subject in which the teacher teaches the most classes. If the teacher teaches two or more subjects equally, enter each numeric code that applies

.

1 2 3 4 5 6 7 8 - Special education

- General elementary - Math - Science - English/Language

arts - Social studies - Vocational/Technical - Other (e.g., art,

music, etc.) Enter the numeric code which corresponds to the teacher status of each teacher at this school. Include as part-time:

Itinerant teacherswho teach parttime in this school, regardless of other positions held in this or other districts. Teachers who perform other functions in this school in addition to part-time teaching. For example, a teaching guidance counselor should be counted as a part-time teacher. 1 2 - Full-time

- Part-time Enter the numeric code which corresponds to each teacher’s experience at this and any other school. Please count the current year as 1 year.

1 2 3 4 - 1st year

- 2-3 years - 4-19 years - 20 or more

years Enter the code for "Other" subject matter for teachers who teach art, foreign language, music, physical education, English as a second language, and any other remaining subjects. Teacher’s Email Address
Please list all of the full-time and part-time teachers who TEACH at THIS SCHOOL. List each teacher only once. List in the following order: First name, Middle name, Last name, suffix (if applicable). Please see the reference card for important information about itinerant teachers, substitute teachers, librarians, principals and other staff that may teach at this school. Please list each teacher’s email address.FORM NTPS-1E 

### Paperwork Burden Statement According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this voluntary information collection is XXXX
-XXXX

. The time required to complete this information collection is estimated to average 30 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate, suggestions for improving this collection, or comments or concerns about the contents or the status of your individual submission of this questionnaire, please e-mail: addp.education.surveys@census.gov, or write directly to: National Teacher and Principal Survey, National Center for Education Statistics, 1990 K Street, N.W., #9046, Washington, DC 20006.

1920 FORM NTPS-1E 

## RETURN COMPLETED FORM TO

U.S. CENSUS BUREAU ATTN: TLF, SMQAB, BLDG 61D 1201 East 10 St. Jeffersonville, IN 47132-0001

# §/6S1¤ FORM U.S. DEPARTMENT OF EDUCATION NATIONAL CENTER FOR EDUCATION STATISTICS

(08-30-2014) 

# PRINCIPAL QUESTIONNAIRE

NATIONAL TEACHER AND PRINCIPAL SURVEY

2015-16SCHOOL YEAR

THIS SURVEY HAS BEEN ENDORSED BY: OMB No. XXX-XXX: Approval Expires mm/dd/yyyy Conducted by: U.S. DEPARTMENT OF COMMERCE

Economics and Statistics Administration

U.S. CENSUS BUREAU

NTPS-2 14215016

(Please correct any errors in name, address, and ZIP Code.) 

# ▲
NOTICE: Please return this form within 2 weeks in the enclosed envelope.
This survey is authorized by the Education Sciences Reform Act of 2002, 20 U.S. Code §9541(b) and §9543(a). The results will only be produced as statistical summaries. American Association of School Administrations American Federation of Teachers National Association of Elementary School Principals Association for Middle Level Education (formerly National Middle School Association) Association of Supervision and Curriculum Development14215024

2 

# §/6S9¤ FORM NTPS-2 DEAR PRINCIPAL: The NTPS is an integrated set of surveys of schools, principals, and teachers that the U.S. Census Bureau conducts for the National Center for Education Statistics (NCES) of the U.S. Department of Education. Your participation is important. Below are answers to some general questions. WHAT IS THE PURPOSE OF THIS SURVEY? The purpose of the NTPS is to provide researchers and policymakers with relevant and timely data on the characteristics and conditions of America’s public schools and the professionals who work in them. The data collected permit detailed analyses of the characteristics of schools, principals, teachers, and students. The data also link the NTPS components, which enables researchers to examine the relationships among these elements of the education system. For example, researchers can study teacher attrition using information not only provided by teachers, but also from their principals. WHO IS CONDUCTING THIS SURVEY? The U.S. Census Bureau is conducting this survey for the National Center for Education Statistics (NCES) of the U.S. Department of Education. WHY SHOULD YOU PARTICIPATE IN THIS SURVEY? Policymakers and educational leaders rely on data from this survey to inform their decisions concerning K-12 schools. Only a small percentage of schools and principals are selected to participate. Therefore, your response represents the responses of many and is important to the success of this study. By sharing information about your school in the questionnaires, your school will help to create representative data on our schools and educators. However, all participation is voluntary. WILL YOUR RESPONSES BE KEPT CONFIDENTIAL? Your responses are protected from disclosure by federal statute (20 U.S.C., §9573). All responses that relate to or describe identifiable characteristics of individuals may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose, unless otherwise compelled by law. HOW WILL YOUR INFORMATION BE REPORTED? The information you provide will be combined with the information provided by others in statistical reports. No individually-identifiable data will be included in the statistical reports. WHERE SHOULD YOU MAIL YOUR COMPLETED QUESTIONNAIRE? Please return your completed questionnaire in the enclosed pre-addressed, postage-paid envelope or mail it to: U.S. CENSUS BUREAU ATTN: DCB/PCSPU, BUILDING 60A 1201 E. 10TH STREET JEFFERSONVILLE, IN 47132-0001
WE HOPE YOU WILL PARTICIPATE IN THIS VOLUNTARY SURVEY. SINCERELY,

CHRISTOPHER CHAPMAN ASSOCIATE COMMISSIONER FOR EDUCATION STATISTICS NATIONAL CENTER FOR EDUCATION STATISTICS U.S. DEPARTMENT OF EDUCATION According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this voluntary information collection is xxxx-xxxx. The time required to complete this information collection is estimated to average 17 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate, suggestions for improving this collection, or comments or concerns about the contents or the status of your individual submission of this questionnaire, please e-mail: addp.education.surveys@census.gov, or write directly to: National Teacher and Principal Survey, National Center for Education Statistics, 1990 K Street, N.W., #9046, Washington, DC 20006. Paperwork Burden Statement14215032

3 

# §/6SA¤ FORM NTPS-2 

### INSTRUCTIONS The data you enter on this form will be captured through the use of imaging technology. Please print all information clearly in ordinary characters, using a blue or black ballpoint pen

.

Yes No Yes No OR Yes No 

# X 

# 35 3 5 3 5 x INCORRECT marking example – CORRECT marking example – (Use care to keep characters in their designated spaces.)



### a. It is important that this questionnaire be completed by the school PRINCIPAL, not by anyone else. Please do not write any comments by the answer boxes. If you are unsure about how to answer a question, please give the best answer you can rather than leaving it blank. If you have any questions, call the U.S. Census Bureau at 1-888-595-1338. Someone will be available to take your call Monday through Friday, between 8:00 a.m. and 8:00 p.m. (Eastern Time). The U.S. Census Bureau is also available to answer your questions via e-mail at: addp.education.surveys@census.gov

. 

### b. c. d.14215040

4 

# §/6SI¤ FORM NTPS-2 

### 1-1. BEFORE you became a principal, how many years of elementary, middle, or secondary teaching experience did you have? Count part of a year as 1 year. If none, please mark (X) the box. None or Year(s) of teaching before becoming a principal 

### 1. PRINCIPAL EXPERIENCE AND TRAINING

1-2. BEFORE you became a principal, did you hold the position of an assistant principal or program director? Include temporary positions. Yes No

BEFORE you became a principal, did you participate in any district or school training or development program for ASPIRING school principals? 

### 1-4.
Yes No BEFORE you became a principal, did you have any management experience outside of the field of education? 

### 1-3.
Yes No



### 1-5. PRIOR to this school year, how many years did you serve as the principal of THIS OR ANY OTHER school? Do NOT include any years you served as ASSISTANT principal. Count part of a year as 1 year. If none, please mark (X) the box. None or Year(s) as principal of this or any other school 

### 1-6. PRIOR to this school year, how many years did you serve as the principal of THIS school? Do NOT include any years you served as ASSISTANT principal. Count part of a year as 1 year. If none, please mark (X) the box. Year(s) as principal of this school None or 

### YOUR COMMENTS

# §/6SZ¤ FORM NTPS-2 14215057

5 Do you currently hold a license or certification in “school administration”? 

### 1-9. Yes No What is the highest degree you have earned? 

### 1-7.

Do not have a degree Associate’s degree Bachelor’s degree (B.A., B.S., etc.) Master’s degree (M.A., M.A.T., M.B.A., M.Ed., M.S., etc.) Educational specialist or professional diploma (at least one year beyond master’s level) Doctorate or first professional degree (Ph.D., Ed.D., M.D., L.L.B., J.D., D.D.S.) Mark (X) only one box.

Which of the following best describes the highest degree you have earned? Mark (X) only one box. It was awarded by your school’s college of Education, school of Education, or department of Education It was awarded by another college, school, or department, not in Education 

### 1-8.

1-10. At any time after you became a principal, did you serve as a regular classroom teacher? Yes No ➜ GO TO Section 2 on page 6.

In addition to serving as principal, are you currently teaching in this school? 

### 1-12. Yes No 

### 1-11. SINCE becoming a principal, how many years of elementary, middle, or secondary teaching experience have you had? Count part of a year as 1 year. If none, please mark (X) the box. None Year(s) of teaching since becoming a principal ➔ GO TO Section 2 on page 6.14215065

6 

# §/6Sb¤ FORM NTPS-2 

### 2. GOALS AND DECISION MAKING

2-1. We are interested in the importance you place on various educational goals. From the following ten goals, which do you consider the most important, the second most important, and the third most important?

How much ACTUAL influence do you think you have as a principal on decisions concerning the following activities? 

### 2-2.

a. Setting performance standards for students of this school b. Establishing curriculum at this school c. Determining the content of in-service professional development programs for teachers of this school Evaluating teachers of this school d.

e. Hiring new full-time teachers of this school f. Setting discipline policy at this school g . Deciding how your school budget will be spent Most important 1 - Building basic literacy skills (reading, math, writing, speaking) 2 - Encouraging academic excellence 3 - Preparing students for postsecondary education 4 - Promoting occupational or vocational skills 5 - Promoting good work habits and self-discipline 6 - Promoting personal growth (self-esteem, self-knowledge, etc.) 7 - Promoting human relations skills 8 - Promoting specific moral values 9 - Promoting multicultural awareness or understanding

Second most important Third most important

No influence Minor influence Moderate influence Major influence Not applicable Mark (X) one box on each line. 10 - Fostering religious or spiritual development

# §/6Sj¤ FORM NTPS-2 14215073

7 

### 3. SCHOOL CLIMATE AND SAFETY

3-1. To the best of your knowledge, how often do the following types of problems occur at this school?

a. Physical conflicts among students b. Robbery or theft c. Vandalism Student use of alcohol d. e. Student use of illegal drugs f. Student possession of weapons g. Physical abuse of teachers Happens daily Happens at least once

a week Happens at least once

a month Happens on occasion Never happens Mark (X) one box on each line.

h. Student racial tensions i. Student bullying j. Student verbal abuse of teachers k. Widespread disorder in classrooms l. Student acts of disrespect for teachers m. Gang activities 

### YOUR COMMENTS14215081

8 

# §/6Sr¤ FORM NTPS-2 

### 3-2. LAST SCHOOL YEAR (2014-15), what percentage of students had at least one parent or guardian participating in the following events?

a. Open house or back-to-school night b. All regularly scheduled schoolwide parent-teacher conferences c. Special subject-area events (e.g., science fair, concerts) Parent education workshops or courses d. 0-25% 26-50% 51-75% 76-100% Not applicable Mark (X) one box on each line.

Signing of a school-parent compact (This is an agreement between school community members [e.g., parents, principals, teachers, and students] that acknowledges the shared responsibility for student learning and/or the school’s policies) e.

f. Volunteer in the school as needed or on a regular basis Involvement in school instructional issues (e.g., planning classroom learning activities, providing feedback on curriculum) g.

h. Involvement in governance (e.g., PTA or PTO meetings, school board, parent booster clubs) Involvement in budget decisions i. 

### 3-3. Are teachers at THIS school required to do the following? Help students with academic needs OUTSIDE of regular school hours a. Yes No Help students with social and emotional needs OUTSIDE of regular school hours b. Yes No 

### 3-4. Are BEGINNING teachers at this school enrolled in a formal school- or district-wide program aimed to enhance teachers’ effectiveness by providing systematic support (sometimes called a teacher induction program)?
Yes No A beginning teacher refers to a teacher who is in the first or second year of teaching.

# §/6Sƒ¤ FORM NTPS-2 14215099

9 

### 4. WORKING CONDITIONS AND PRINCIPAL PERCEPTIONS Including hours spent during the school day, before and after school, and on the weekends, how many hours do you spend on ALL school-related activities during a typical FULL WEEK at THIS school? 

### 4-1.
Total WEEKLY hours spent on school-related activities On average throughout the school year, what percentage of time do you estimate that you spend on the following tasks in this school? 

### 4-2. Rough estimates are sufficient. Please write a percentage in each row. Write 0 if none. Responses should add up to 100%.

Internal administrative tasks, including human resource/personnel issues, regulations, reports, school budget a. Curriculum and teaching-related tasks, including teaching, lesson preparation, classroom observations, mentoring teachers b. 

### % %

%

% Student interactions, including discipline and academic guidance c. 

### %
Parent interactions, including formal and informal interactions d. Other – please specify e.

100% TOTAL How many days per year are you required to work under your current contract? 

### 4-3. Include professional development, student contact days, and any other days covered by your contract. Days per contract year Are you represented under a meet-and-confer agreement or a collective bargaining agreement? ("Meet-and-confer" discussions are for the purpose of reaching non-legally-binding agreements. Collective bargaining agreements are legally-binding agreements.) 

### 4-4.

Yes, meet-and-confer Yes, collective bargaining No Mark (X) only one box.14215107

10 

# §/6T(¤ FORM NTPS-2 

### 4-5.

YOUR COMMENTS a. The stress and disappointments involved in being a principal at this school aren’t really worth it. b. I am generally satisfied with being principal at this school. Strongly agree Mark (X) one box on each line. Somewhat agree Somewhat disagree Strongly disagree

c. If I could get a higher paying job I’d leave this job as soon as possible. d. I think about transferring to another school.
e. I don’t seem to have as much enthusiasm now as I did when I began this job. f. I think about staying home from school because I’m just too tired to go. To what extent do you agree or disagree with each of the following statements?

How long do you plan to remain a principal? 

### 4-6. As long as I am able Until I am eligible for retirement benefits from this job Mark (X) only one box.

Until I am eligible for retirement benefits from a previous job Until I am eligible for Social Security benefits Until a specific life event occurs (e.g., children graduate from college, relocation) Until a more desirable job opportunity comes along Definitely plan to leave as soon as I can Undecided at this time

# §/6T0¤ FORM NTPS-2 14215115

11 

### 5. STUDENT GROWTH AND TEACHER EVALUATION

During this school year (2015-16), is student achievement growth on standardized assessments used in the performance evaluation of teachers in this school? Please include student achievement growth within a teacher’s classroom as well as teamwide, gradewide, or schoolwide student achievement growth. 

### 5-1.

Used in the evaluation of ALL teachers in the school, including all grades, all subjects (including art, music, and physical education), special education, and special populations such as English learners and students with disabilities. Used in the evaluation of SOME (but not all) teachers in this school. Not used in the evaluation of any teachers in this school. Student achievement growthis 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 assessmentsare 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. Student achievement growth on standardized assessments is:



### YOUR COMMENTS14215123

12 

# §/6T8¤ FORM NTPS-2 

### 5-2. During this school year (2015-16), which of the following sources of information on teacher performance does your school use in teacher evaluations?

Used in evaluating teachers a. Classroom observations using a teacher professional practice rubric, conducted by the principal or other school administrator
Not used in evaluating teachers

Used in evaluating teachers 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)
Not used in evaluating teachers Teacher self-assessment c. Used in evaluating teachers Not used in evaluating teachers Portfolios or other artifacts of teacher professional practice d. Used in evaluating teachers Not used in evaluating teachers Assessments by a peer or mentor teacher that are not based on a teacher professional practice rubric e. Used in evaluating teachers Not used in evaluating teachers Student work samples f. Used in evaluating teachers Not used in evaluating teachers Student surveys or other student feedback g. Used in evaluating teachers Not used in evaluating teachers Parent surveys or other parent feedback h. Used in evaluating teachers Not used in evaluating teachers

# §/6T@¤ FORM NTPS-2 

### 5-3. Will the performance evaluation results for teachers for this school year (2015-16) be used to inform any of the following decisions about teacher professional development?

Yes a. Feedback given to teachers on their professional practice

No 14215131

13 Yes b. Planning professional development for individual teachers

No

Yes c. Development of performance improvement plans for low-performing teachers

No

Yes d. Setting goals with teachers for student achievement growth for the next school year

No

Yes e. Identifying low-performing teachers for coaching, mentoring, or peer assistance

No 

### YOUR COMMENTS

# §/6TR¤ FORM NTPS-2 

### 5-4. Will the performance evaluation results for teachers for this school year (2015-16) be used to inform any of the following decisions about teacher career advancement? a. Recognizing high-performing teachers

Yes b. Determining annual salary increases

No

Yes c. Determining bonuses or performance-based compensation other than salary increases

No

Yes d. Granting tenure or similar job protection

No

Yes e. Career advancement opportunities, such as teacher leadership roles

No 14215149

14 This school does not grant tenure or similar job protection This school does not use bonuses or performance-based compensation



### 5-5. Will the performance evaluation results for teachers for this school year (2015-16) be used to inform any of the following decisions about low-performing teachers?

Yes a. Loss of tenure or similar job protection

No This school does not grant tenure or similar job protection

Yes b. Sequencing potential layoffs to reduce staff

No

Yes c. Dismissing or terminating employment for cause

No Yes No

# §/6TY¤ FORM NTPS-2 14215156

15 

### 6. PRINCIPAL DEMOGRAPHIC INFORMATION

6-1. Male Female Are you male or female?

Yes No Are you of Hispanic or Latino origin? 

### 6-2.

6-3. What is your race? Mark (X) one or more races to indicate what you consider yourself to be. White Black or African-American Asian Native Hawaiian or Other Pacific Islander American Indian or Alaska Native What is your year of birth?

1 9 

### 6-4.

6-5. What is your current ANNUAL salary for your position in this school before taxes and deductions? If your position includes multiple duties (e.g., you teach a class and serve as principal at this school), please include your entire salary before taxes and deductions. Please report in whole dollars. per year $ .00 

## , YOUR COMMENTS

# §/6Ta¤ FORM NTPS-2 14215164

16 

### 7. CONTACT INFORMATION 7-1. The survey you have completed may involve a brief follow-up next school year in order to gain information on principals’ movements in the labor force. The following information would assist us in contacting you if you have moved or changed jobs. Please keep in mind that all information provided here is strictly confidential and will only be used in the event that we need to contact you for follow-up. Your responses are protected from disclosure by federal statute (20 U.S.C., §9543). All responses that relate to or describe identifiable characteristics of individuals may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose, unless otherwise compelled by law. Please PRINT your name, home address, your work, cell, and home telephone numbers, and your work and home e-mail addresses.
a. First name

Middle name

Last name Suffix

b. Street address

c. City

d. State

ZIP Code + 4 e.

f. Work phone number AREA CODE TELEPHONE NUMBER

i. Work e-mail address g. Cell phone number AREA CODE TELEPHONE NUMBER

h. Home phone number AREA CODE TELEPHONE NUMBER **— —** 

**— —** 

**— —** 

j. Home e-mail address **—**

# §/6Ti¤ FORM NTPS-2 14215172

17 Please enter the date you completed this questionnaire.



### 7-3. Report month as a number, that is, 01 for January, 02 for February, etc. Month Day Year 201



### YOUR COMMENTS 7-2.

Please indicate how much time it took you to complete this form, not counting interruptions.
Minutes Please record the time in minutes, e.g., 50 minutes, 65 minutes, etc.

# §/6Tq¤ FORM NTPS-2 14215180

18 

### Thank you very much for your participation in this survey. If you have anyquestions, please contact us, toll-free, at: 1-888-595-1338 or by e-mail at: addp.education.surveys@census.gov
.

To learn more about this survey and to access reports from earlier collections, see the National Teacher and Principal Survey (NTPS) website at: http://nces.ed.gov/surveys/ntps Additional data collected by the National Center for Education Statistics (NCES) on a variety of topics in elementary,

secondary, postsecondary, and international education are available from NCES’ website at: http://nces.ed.gov For additional data collected by various Federal agencies, including the Department of Education, visit the Federal Statistics clearinghouse at: http://www.fedstats.gov

# §/6T¥¤ FORM NTPS-2 14215198

19

# §/6U’¤ FORM NTPS-2 14215206

20FORM U.S. DEPARTMENT OF EDUCATION NATIONAL CENTER FOR EDUCATION STATISTICS

(08-30-2014) 

# SCHOOL QUESTIONNAIRE

NATIONAL TEACHER AND PRINCIPAL SURVEY

2015-16SCHOOL YEAR

THIS SURVEY HAS BEEN ENDORSED BY: OMB No. XXX-XXX: Approval Expires mm/dd/yyyy Conducted by: U.S. DEPARTMENT OF COMMERCE

Economics and Statistics Administration

U.S. CENSUS BUREAU

NTPS-3 14315014

(Please correct any errors in name, address, and ZIP Code.)



# §/@S/¤ 

# ▲
NOTICE: Please return this form within 2 weeks in the enclosed envelope.
This survey is authorized by the Education Sciences Reform Act of 2002, 20 U.S. Code §9541(b) and §9543(a). The results will only be produced as statistical summaries. American Association of School Administrations American Federation of Teachers National Association of Elementary School Principals Association for Middle Level Education (formerly National Middle School Association) Association of Supervision and Curriculum Development

# §/@S7¤ 2 FORM NTPS-3 14315022

DEAR PRINCIPAL: The NTPS is an integrated set of surveys of schools, principals, and teachers that the U.S. Census Bureau conducts for the National Center for Education Statistics (NCES) of the U.S. Department of Education. Your participation is important. Below are answers to some general questions. WHAT IS THE PURPOSE OF THIS SURVEY? The purpose of the NTPS is to provide researchers and policymakers with relevant and timely data on the characteristics and conditions of America’s public schools and the professionals who work in them. The data collected permit detailed analyses of the characteristics of schools, principals, teachers, and students. The data also link the NTPS components, which enables researchers to examine the relationships among these elements of the education system. For example, researchers can study teacher attrition using information not only provided by teachers, but also from their principals. WHO IS CONDUCTING THIS SURVEY? The U.S. Census Bureau is conducting this survey for the National Center for Education Statistics (NCES) of the U.S. Department of Education. WHY SHOULD YOU PARTICIPATE IN THIS SURVEY? Policymakers and educational leaders rely on data from this survey to inform their decisions concerning K-12 schools. Only a small percentage of schools and principals are selected to participate. Therefore, your responses represent the responses of many and are important for the success of this study. By sharing information about your school in the questionnaires, your school will help to create representative data on our schools and educators. However, all participation is voluntary. WILL YOUR RESPONSES BE KEPT CONFIDENTIAL? Your responses are protected from disclosure by federal statute (20 U.S.C., §9573). All responses that relate to or describe identifiable characteristics of individuals may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose, unless otherwise compelled by law. HOW WILL YOUR INFORMATION BE REPORTED? The information you provide will be combined with the information provided by others in statistical reports. No individually-identifiable data will be included in the statistical reports. WHERE SHOULD YOU MAIL YOUR COMPLETED QUESTIONNAIRE? Please return your completed questionnaire in the enclosed pre-addressed, postage-paid envelope or mail it to: U.S. CENSUS BUREAU ATTN: DCB/PCSPU, BUILDING 60A 1201 E. 10TH STREET JEFFERSONVILLE, IN 47132-0001 WE HOPE YOU WILL PARTICIPATE IN THIS VOLUNTARY SURVEY. SINCERELY,

CHRISTOPHER CHAPMAN ASSOCIATE COMMISSIONER FOR EDUCATION STATISTICS NATIONAL CENTER FOR EDUCATION STATISTICS U.S. DEPARTMENT OF EDUCATION According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this voluntary information collection is xxxx-xxxx. The time required to complete this information collection is estimated to average 22 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate, suggestions for improving this collection, or comments or concerns about the contents or the status of your individual submission of this questionnaire, please e-mail: addp.education.surveys@census.gov, or write directly to: National Teacher and Principal Survey, National Center for Education Statistics, 1990 K Street, N.W., #9046, Washington, DC 20006. Paperwork Burden Statement

# §/@S?¤ FORM NTPS-3 14315030

3 

### a. This questionnaire may be completed by any staff member who has access to the school’s records. Please do not write any comments by the answer boxes. If you are unsure about how to answer a question, please give the best answer you can rather than leaving it blank. If you have any questions, call the U.S. Census Bureau at 1-888-595-1338. Someone will be available to take your call Monday through Friday, between 8:00 a.m. and 8:00 p.m. (Eastern Time). The U.S. Census Bureau is also available to answer your questions via e-mail at: addp.education.surveys@census.gov

. 

### b. c. d.

YOUR COMMENTS INSTRUCTIONS

Yes No Yes No OR Yes No 

# X 

# 35 3 5 3 5 x INCORRECT marking example – CORRECT marking example – (Use care to keep characters in their designated spaces.) The data you enter on this form will be captured through the use of imaging technology. Please print all information clearly in ordinary characters, using a blue or black ballpoint pen

.

# §/@SQ¤ 4 FORM NTPS-3 14315048 

### 1. GENERAL INFORMATION ABOUT THIS SCHOOL

1-1. Does this school offer the following grades? Please mark (X) Yes or No for each grade level. Yes No Prekindergarten Yes No Kindergarten Yes No 1st Yes No 2nd Yes No 3rd Yes No 4th Yes No 5th Yes No 6th Yes No 7th Yes No 8th Yes No 9th Yes No 10th Please report for the school listed on the cover.

# §/@SX¤ FORM NTPS-3 14315055

5 

### 1-1. Continued – Does this school offer the following grades?
Yes No 11th Yes No 12th Yes No Ungraded 

### 1-2. Excluding prekindergarten, postsecondary, and adult education students, around the first of October, how many students were enrolled in this school? Students 

### 1-3. For this school year (2015-16), what is the Average Daily Attendance (ADA) percentage at this school? Round to the nearest whole **PERCENT**

. Percent 

### 1-4. What is the official start and end time for MOST students at this school? If the start and end times vary by day, record the start and end time for the longest day of the week. Do not include prekindergarten or transitional first grade programs. 

## :

1-5. How many days are in the school YEAR for students in this school? Days per school YEAR 

## : Start time
End time



### YOUR COMMENTS 

## ,6 FORM NTPS-3 14315063 

### 1-6a. Does this school currently have any students enrolled in kindergarten?

Yes No ➜ GO TO item 1-7 below. 

### b. How long is the school day for a kindergarten, transitional kindergarten, or transitional first grade student? Mark (X) only one box. Full day (4 hours or more per day) Half day (less than 4 hours per day) Both full-day and half-day programs are offered


### c. How many days per week does a kindergarten, transitional kindergarten, or transitional first grade student attend? If the number of days per week varies (e.g., some students attend 3 days per week and some attend 5 days per week), record the most days that a student would attend in a week. Days per week 

### 1-7. Does this school have a library media center? (A library media center is an organized collection of printed and/or audiovisual and/or computer resources which is administered as a unit, is located in a designated place or places, and makes resources and services available to students, teachers, and administrators. A library media center may be called a school library, media center, resource center, information center, instructional materials center, learning resource center, or any other similar name.) Yes No Please include regular kindergarten as well as transitional (or readiness) kindergarten and transitional first (or prefirst) grade students, if enrolled.



### 1-8a. Does this school offer any courses that are taught entirely online? Yes No ➜ GO TO item 1-9 on page 7. 

### b. Among all the courses you offer at this school, about how many of the courses are entirely online? Mark (X) only one box. One or a few courses Some courses but less than half About half A majority All courses Are any of the online course(s) offered at this school designed by staff at this school or district? 

### c.
Yes No 

# §/@S‘¤

# §/@Sh¤ FORM NTPS-3 14315071

7 

### 1-9. Does this school offer any courses that use live video of an instructor in another location? Yes No 

### 1-10. Does this school offer any courses that use pre-recorded video of an instructor in another location? Yes No 

### 1-11. Does this school offer any courses that use instructional software that adjusts the level of instruction to an individual student’s performance? Yes No 

### 1-12. Are the following programs or services currently available AT THIS SCHOOL for students in any of grades K-12 or comparable ungraded levels, regardless of funding source?

Yes No 

### a. Before-school or after-school program providing instruction beyond the normal school day for students who need academic assistance

Yes No 

### b. Before-school or after-school program providing instruction beyond the normal school day for students who seek academic advancement or enrichment

Yes No 

### c. Before-school or after-school day care programs



### 1-13. Does this school have instruction specifically designed to address the needs of students with limited-English proficiency, also known as English-language learners (ELLs)? Yes No

# §/@Sz¤ 8 FORM NTPS-3 14315089 

### 1-14. Does THIS school help students access the following services because the students are in economic need?

Yes No 

### a. Medical, dental, or vision care BEYOND referrals, routine screenings, and what is provided by a school nurse

Yes No 

### b. Clothes

Yes No 

### c. Meals after school or on weekends



### YOUR COMMENTS

# §/@S¿¤ FORM NTPS-3 

### 2. SCHOOL STAFFING 14315097

9

For all teacher counts in items 2-1 and 2-2:

Full-time 

### 2-1. Around the first of October, how many TEACHERS held full-time or part-time positions or assignments in this school?

None or 

### a.

Part-time 

### b.

• Regular classroom teachers • Special area or resource teachers (e.g., special education, Title I, art, music, physical

education) • Long-term substitute teachers

• Itinerant teachers who teach part-time at this school or teachers who are shared with other

schools • Employees reported in other items of this section if they also have a part-time teaching

assignment at this school

• Student teachers • Short-term substitute teachers • Teachers who teach ONLY prekindergarten or adult education INCLUDE as part-time teachers: INCLUDE these types of teachers:

DO NOT INCLUDE:

If none, please mark (X) the box.

Full-time teachers

None or Part-time teachers TOTAL number of full- and part-time teachers 

### c. Total teachers 

### YOUR COMMENTS

# §/@T&¤ 10 FORM NTPS-3 14315105

Hispanic or Latino, regardless of race? 

### 2-2. Of the full-time and part-time TEACHERS in this school around the first of October, how many were –

None or 

### a.

White, not of Hispanic or Latino origin? 

### b. If none, please mark (X) the box.

Teachers



### YOUR COMMENTS Black or African American, not of Hispanic or Latino origin? 

### c.

Asian, not of Hispanic or Latino origin? 

### d.

Native Hawaiian or other Pacific Islander, not of Hispanic or Latino origin? 

### e.

NOTE: Sum of entries in items 2-2(a-g) should be equal to entry in item 2-1c. None or Teachers

None or Teachers

None or Teachers

None or Teachers Please only include each teacher in one category below so none are double-counted.

None or Teachers Two or more races, not of Hispanic or Latino origin? 

### g. None or Teachers American Indian or Alaska Native, not of Hispanic or Latino origin? 

### f.

# §/@T.¤ FORM NTPS-3 14315113

11 

### 2-3. Around the first of October, how many STAFF held full-time or part-time positions or assignments in this school in each of the following categories? Employees shared with other schools or the district office should be counted as part-time employees.



### a. Principals None FULL-TIME PART-TIME None



### b. Vice principals and assistant principals



### c. Instructional coordinators and supervisors, such as curriculum specialists



### d. Librarians or library media specialists



### e. School/guidance counselors, excluding psychologists and social workers 

### f. Student support services professional staff 

### (1) Nurses 

### (2) Social workers 

### (3) Psychologists 

### (4) Speech therapists or pathologists 

### (5) Other professional staff Employees who hold more than one position in this school should be counted as part-time staff for each position held. FOR EXAMPLE: If your school’s vice principal also serves as a data coach, you would count this person as 1 part-time vice principal (item b) and 1 part-time data coach (item k), even if this person works full-time across the two positions. If no PART-TIME staff members exist, please mark (X) the "None" box under PART-TIME. If no full-time or part-time staff members exist, please mark (X) the "None" boxes under BOTH full-time AND part-time.

None None

None None

None None

None None

None None

None None

None None

None None

None None If no full-time or part-time staff members exist, please mark (X) the "None" boxes under BOTH full-time AND part-time.

None None

None None 

### (2) English as a Second Language (ESL) or bilingual teacher aides 

### (1) Regular Title I aides 

### g. Aides If no FULL-TIME staff members exist, please mark (X) the "None" box under FULL-TIME.

# §/@T6¤ 12 FORM NTPS-3 14315121 

### 2-3. Continued – Around the first of October, how many STAFF held full-time or part-time positions or assignments in this school in each of the following categories?



### h. Secretaries and other clerical support staff FULL-TIME PART-TIME



### (4) Special education non-instructional aides 

### (5) Library media center instructional aides 

### (6) Library media center non-instructional aides 

### (7) Other classroom instructional aides 

### (8) Other non-instructional aides



### i. Food service personnel 

### j. Custodial and maintenance personnel



### k. Data coaches or data coordinators None None

None None

None None

None None

None None

None None

None None

None None

None None

None None

None None

None None

None None

None None 

### l. Technology specialists



### m. Security guards or security personnel (not law enforcement) 

### n. School Resource Officers (include all career law enforcement officers with arrest authority, who have specialized training and are assigned to work in collaboration with school organizations)


### o. Sworn law enforcement officers who are not School Resource Officers
Other employees not reported above 

### p. None None 

### (3) Special education instructional aidesFORM NTPS-3 

### 2-4a. Do any of the teachers or staff have the following specialist assignments in this school? (A specialist works with students.) 

### (1) Reading specialist Yes No 

### (2) Math specialist Yes No 

### (3) Science specialist Yes No 

### b. Do any of the teachers or staff have the following coaching assignments in this school? (A coach works with teachers. Coaching includes observing lessons, providing feedback, and demonstrating teaching strategies.) 

### (1) Reading coach Yes No 

### (2) Math coach Yes No 

### (3) Science coach Yes No 

### (4) General instructional/Not subject-specific coach Yes No 

### YOUR COMMENTS



# §/@TH¤ 14315139

13FORM NTPS-3



### 2-5a. For THIS school year (2015-16), were there teaching vacancies in this school, that is, teaching positions for which teachers were recruited and interviewed by this school’s hiring authority?

GO TO item 2-6a on page 15. Yes No ➜ 

### b. How easy or difficult was it to fill the vacancies for this school year in each of the following fields? Mark (X) one box on each line.



### (1) General elementary 

### (2) Special education 

### (3) English or language arts 

### (4) Social studies 

### (5) Computer science 

### (6) Mathematics 

### (7) Biology or life sciences 

### (8) Physical sciences (e.g., chemistry, physics, earth sciences) 

### (9) English as a Second Language (ESL) or bilingual education 

### (10) Foreign languages 

### (11) Music or art 

### (12) Career or technical education This position is not offered

in this school No vacancy in

this field this school year Easy Somewhat difficult Very difficult Could not fill the vacancy



### (13) Other Please include teaching positions that were vacant for the 2015-16 school year and that may or may not have been filled before the start of the 2015-16 school year. Do not include vacancies for teachers who teach ONLY prekindergarten or adult education.



# §/@TP¤ 14315147

14FORM NTPS-3 

### 2-6a. Around the first of October, how many teachers were newly hired by this school? (Newly hired teachers are teachers not employed in this school last school year as teachers.)

GO TO Section 3 on page 16.



### b. Of those newly hired teachers, how many were in their first year of teaching? Record HEAD COUNTS, not FTEs (full-time equivalent).
Teachers If none, please mark (X) the box. None or Do not include newly hired teachers who teach ONLY prekindergarten or adult education. Record HEAD COUNTS, not FTEs (full-time equivalent). If none, please mark (X) the box.

Teachers None ➜



### YOUR COMMENTS



# §/@TW¤ 14315154

15FORM NTPS-3 Does this district grant high school diplomas?
Yes No ➔ GO TO Section 4 on page 17. 

### 3-2. For high school graduates of the class of 201 6, does this school or district have a community service requirement for a standard diploma? Do NOT include vocational certificates, certificates of attendance, or certificates of completion. 

### 3. COMMUNITY SERVICE REQUIREMENTS

3-1.

Yes No ➔ GO TO Section 4 on page 17. 

### 3-3. What is the minimum number of community service hours required of the high school graduates in the class of 201 6? Hours 

### YOUR COMMENTS



# §/@T_¤

14315162

16FORM NTPS-3 

### 4. CHARTER SCHOOL INFORMATION

4-1.

YOUR COMMENTS Is this school a public CHARTER school? (A charter school is a public school that, in accordance with an enabling state statute, has been granted a charter exempting it from selected state or local rules and regulations. A charter school may be a newly created school or it may previously have been a public or private school.) Yes No ➜ GO TO Section 5 on page 18. Which of the following best describes the origin of this public charter school? A converted public school A converted Bureau of Indian Education-funded school A converted private school A school originally established as a charter 

### 4-2.

Other – Please describe Which of the following best describes the governance structure of this public charter school? An independent or stand-alone charter school Part of a non-profit charter management organization or network of schools that are managed by a central agency Part of a for-profit charter management organization or network of schools that are managed by a central agency Part of a traditional public school district 

### 4-3.



# §/@Tg¤ 14315170

17FORM NTPS-3 

### 5. CONTACT INFORMATION What is the name of the person who completed most of this questionnaire?



# §/@Ty¤ 14315188

18 

### 5-1.

What is his or her job title? 

### 5-2.

5-3. What is his or her phone number?

**— —** 
What is his or her work e-mail address? 

### 5-4.

Please enter the date you completed this questionnaire.



### 5-6. Report month as a number, that is, 01 for January, 02 for February, etc.



### YOUR COMMENTS 5-5.

Please indicate how much time it took you to complete this form, not counting interruptions. Minutes Month Day Year 201FORM NTPS-3 

# §/@T£¤ 14315196

19 

### Thank you very much for your participation

in this survey. If you have anyquestions, please contact us, toll-free, at: 1-888-595-1338 or by e-mail at: addp.education.surveys@census.gov
.

To learn more about this survey and to access reports from earlier collections, see the National Teacher and Principal Survey (NTPS) website at: http://nces.ed.gov/surveys/ntps Additional data collected by the National Center for Education Statistics (NCES) on a variety of topics in elementary,

secondary, postsecondary, and international education are available from NCES’ website at: http://nces.ed.gov For additional data collected by various Federal agencies, including the Department of Education, visit the Federal Statistics clearinghouse at: http://www.fedstats.govFORM NTPS-3 

# §/@U%¤ 14315204

20

# §/JS-¤ FORM U.S. DEPARTMENT OF EDUCATION NATIONAL CENTER FOR EDUCATION STATISTICS

(08-30-2014) 

# TEACHER QUESTIONNAIRE

NATIONAL TEACHER AND PRINCIPAL SURVEY

2015-16SCHOOL YEAR

THIS SURVEY HAS BEEN ENDORSED BY: OMB No. XXX-XXX: Approval Expires mm/dd/yyyy Conducted by: U.S. DEPARTMENT OF COMMERCE

Economics and Statistics Administration

U.S. CENSUS BUREAU

NTPS-4 14415012

(Please note all name and address changes on page 3.) 

# ▲
NOTICE: Please return this form within 2 weeks in the enclosed envelope.
This survey is authorized by the Education Sciences Reform Act of 2002, 20 U.S. Code §9541(b) and §9543(a). The results will only be produced as statistical summaries. American Association of School Administrations American Federation of Teachers National Association of Elementary School Principals Association for Middle Level Education (formerly National Middle School Association) Association of Supervision and Curriculum Development14415020

2 

# §/JS5¤ FORM NTPS-4 DEAR TEACHER: The NTPS is an integrated set of surveys of schools, principals, and teachers that the U.S. Census Bureau conducts for the National Center for Education Statistics (NCES) of the U.S. Department of Education. Your participation is important. Below are answers to some general questions. WHAT IS THE PURPOSE OF THIS SURVEY? The purpose of the NTPS is to provide researchers and policymakers with relevant and timely data on the characteristics and conditions of America’s public schools and the professionals who work in them. The data collected permit detailed analyses of the characteristics of schools, principals, teachers, and students. The data also link the NTPS components, which enables researchers to examine the relationships among these elements of the education system. For example, researchers can study teacher attrition using information not only provided by teachers, but also from their principals. WHO IS CONDUCTING THIS SURVEY? The U.S. Census Bureau is conducting this survey for the National Center for Education Statistics (NCES) of the U.S. Department of Education. WHY SHOULD YOU PARTICIPATE IN THIS SURVEY? Policymakers and educational leaders rely on data from this survey to inform their decisions concerning K-12 schools. Only a small percentage of schools and teachers are selected to participate. Therefore, your response represents the responses of many and is important for the success of this study. By sharing information about your school in the questionnaires, your school will help to create representative data on our schools and educators. However, all participation is voluntary. WILL YOUR RESPONSES BE KEPT CONFIDENTIAL? Your responses are protected from disclosure by federal statute (20 U.S.C., §9573). All responses that relate to or describe identifiable characteristics of individuals may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose, unless otherwise compelled by law. HOW WILL YOUR INFORMATION BE REPORTED? The information you provide will be combined with the information provided by others in statistical reports. No individually-identifiable data will be included in the statistical reports. WHERE SHOULD YOU MAIL YOUR COMPLETED QUESTIONNAIRE? Please return your completed questionnaire in the enclosed pre-addressed, postage-paid envelope or mail it to: U.S. CENSUS BUREAU ATTN: DCB/PCSPU, BUILDING 60A 1201 E. 10TH STREET JEFFERSONVILLE, IN 47132-0001 WE HOPE YOU WILL PARTICIPATE IN THIS VOLUNTARY SURVEY. SINCERELY,

CHRISTOPHER CHAPMAN ASSOCIATE COMMISSIONER FOR EDUCATION STATISTICS NATIONAL CENTER FOR EDUCATION STATISTICS U.S. DEPARTMENT OF EDUCATION According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this voluntary information collection is xxxx-xxxx. The time required to complete this information collection is estimated to average 34 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate, suggestions for improving this collection, or comments or concerns about the contents or the status of your individual submission of this questionnaire, please e-mail: addp.education.surveys@census.gov, or write directly to: National Teacher and Principal Survey, National Center for Education Statistics, 1990 K Street, N.W., #9046, Washington, DC 20006. Paperwork Burden Statement

# §/JSG¤ FORM NTPS-4 14415038

3 Please correct any errors in name, address, and ZIP Code. Teacher name

School name

State ZIP Code 

### a. If you are the teacher named on the cover page label, please complete the questionnaire. Please do not write any comments near the answer boxes. If you are unsure about how to answer a question, please give the best answer you can rather than leaving it blank. If you have any questions, call the U.S. Census Bureau at 1-888-595-1338. Someone will be available to take your call Monday through Friday, between 8:00 a.m. and 8:00 p.m. (Eastern Time). The U.S. Census Bureau is also available to answer your questions via e-mail at: addp.education.surveys@census.gov

. 

### b. c. d. The data you enter on this form will be captured through the use of imaging technology. Please print all information clearly in ordinary characters, using a blue or black ballpoint pen

.

Address

City Yes No Yes No OR Yes No 

# X 

# 35 3 5 3 5 x INCORRECT marking example – CORRECT marking example – (Use care to keep characters in their designated spaces.) 

### INSTRUCTIONS AND DEFINITIONS

Teachers who teach in multiple schools: Please respond to questions as they apply to the school where you received this questionnaire. Grades K-12 and comparable ungraded levels. This survey focuses on schools offering any of grades K-12 or comparable ungraded levels at the elementary or secondary level. The term “ungraded levels” refers to schools that classify students by an alternative means other than particular grade levels (e.g., Kindergarten, 1st grade, 2nd grade, etc.).

# §/JSO¤ FORM NTPS-4 14415046

4 How do you classify your position at THIS school, that is, the activity at which you spend most of your time during this school year? Mark (X) only one box. Regular full-time teacher (in any of grades Kindergarten-12 or comparable ungraded levels) Regular part-time teacher (in any of grades Kindergarten-12 or comparable ungraded levels)



### 1-2. Which box did you mark in item 1-1 above? Itinerant teacher (i.e., your assignment requires you to provide instruction at more than one school) Long-term substitute (i.e., your assignment requires that you fill the role of a regular teacher on a long-term basis, but you are still considered a substitute) Short-term substitute Student teacher Teacher aide Administrator (e.g., principal, assistant principal, director, school head) Library media specialist or Librarian Other professional staff (e.g., counselor, curriculum coordinator, social worker) Support staff (e.g., secretary)

Box 1 Box 2, 3, or 4 Box 5, 6, or 7 Box 8, 9, 10, or 11 

### 1-3. Do you TEACH any regularly scheduled class(es) at this school in any of grades K-12 or comparable ungraded levels? (Regularly scheduled classes are those taught at least once per week.) ➔ GO TO item 1-5 on page 5.

➔

If you work as a library media specialist or librarian at this school, do not include classes in which you teach students how to use the library (e.g., library skills or library research).

Yes No ➔ GO TO item 1-4 on page 5.

If you teach a particular specialty either within or outside of a regular classroom (e.g., reading specialist, special education teacher, English as a Second Language teacher), include that time as a regularly scheduled class. ➔ GO TO item 1-4 on page 5. 

### 1-1. 

### 1. GENERAL INFORMATION

➔ 1
2
3
4
5
6
7
8
9
10
11

**Please STOP now and return this questionnaire to the U.S. Census Bureau. Thank you for your time.** 

**Please STOP now and return this questionnaire to the U.S. Census Bureau. Thank you for your time.** 

# §/JSV¤ FORM NTPS-4 14415053

5 How much time do you work as a TEACHER in any of grades K-12 or comparable ungraded levels at THIS school? 

### 1-4. Mark (X) only one box. Full time 3/4 time or more, but less than full-time 1/2 time or more, but less than 3/4 time 1/4 time or more, but less than 1/2 time Less than 1/4 time I do not teach any of grades K-12 or comparable ungraded levels 

### ➔ **Please STOP now and return this questionnaire to the U.S. Census Bureau. Thank you for your time.**  

### 1-5. In what SCHOOL YEAR did you begin teaching, either full-time or part-time, at THIS school?

SCHOOL YEAR. Do NOT include time spent as a student teacher. Example: If you began teaching at THIS school in September 2012 or in January 2013, you would report School year 2012 2013

Retired from another job Other – please specify Unemployed and seeking work

➔ 

### 1-6. What was your MAIN activity LAST school year (2014-15)?
Mark (X) only one box. Teaching in this school Teaching in another public elementary or secondary school IN THIS SCHOOL SYSTEM Teaching in a public elementary or secondary school IN A DIFFERENT SCHOOL SYSTEM IN THIS STATE Teaching in a public elementary or secondary school IN ANOTHER STATE Teaching in a PRIVATE elementary or secondary school Student at a college or university Teaching in a preschool Teaching at a college or university Working in a position in the field of education, but not as a teacher Working in an occupation outside the field of education On leave (e.g., maternity or paternity leave, disability leave, sabbatical) Considering all of the options below, please mark (X) the box which best applies to how you spent the MOST time LAST school year. If you were a substitute or itinerant teacher please mark (X) the box which best applies to your MAIN activity LAST school year.

Caring for family members, but not on leave (e.g., homemaking, childrearing) Military service I began teaching at THIS SCHOOL in the

# §/JS^¤ FORM NTPS-4 

### 1-7. In what SCHOOL YEAR did you FIRST begin teaching, either full-time or part-time, at the elementary, middle, or secondary level? Do NOT include time spent as a student teacher. Example: If you FIRST began teaching at THIS school in September 2012 or in January 2013, you would report I FIRST began teaching in the School year 2012 2013



### 1-8. In how many schools have you taught, either full-time or part-time, at the elementary, middle, or secondary level? 14415061

6 Do NOT include time spent as a student teacher. Schools 

### 1-9. Excluding time spent on maternity/paternity leave or sabbatical, how many school years have you worked, either full-time or part-time, as an elementary, middle, or secondary level teacher in public, public charter or private schools?

School years Include the current school year. Do NOT include time spent as a student teacher. Record whole years, not fractions or months.



### YOUR COMMENTS SCHOOL YEAR. I FIRST began teaching in the

# §/JSp¤ FORM NTPS-4 

### 2. CLASS ORGANIZATION 14415079

7



### 2-1. Do you currently teach students in any of these grades at THIS school? Please mark (X) Yes or No for each grade level. Yes No Prekindergarten Yes No Kindergarten Yes No 1st Yes No 2nd Yes No 3rd Yes No 4th Yes No 5th Yes No 6th Yes No 7th Yes No 8th Yes No 9th Yes No 10th

# §/JSx¤ FORM NTPS-4 14415087

8 

### 2-1. Continued – Do you currently teach students in any of these grades at THIS school?
Yes No 11th Yes No 12th Yes No Ungraded Of all the students you teach at this school, how many have an Individualized Education Program (IEP) because they have disabilities or are special education students? 

### 2-2. Do NOT include students who have only a 504 plan. If none, please mark (X) the box.

Of all the students you teach at this school, how many are of limited-English proficiency (LEP) or are English-language learners (ELLs)? (Students of limited-English proficiency [LEP] or English-language learners [ELLs] are those whose native or dominant language is other than English and who have sufficient difficulty speaking, reading, writing, or understanding the English language as to deny them the opportunity to learn successfully in an English-speaking-only classroom.) None or Students

If none, please mark (X) the box. None or Students This school year, in what subject is your MAIN teaching assignment at THIS school, that is, the subject matter in which you teach the most classes? Record one of the main teaching assignment codes and labels from Table 1 on page 11. Main Teaching Assignment Code Main Teaching Assignment Label Are you intentionally assigned to instruct the same group of students for more than one year (e.g., looping)? Yes No 

### 2-3.

2-4.

2-5.

YOUR COMMENTS

# §/JS¢¤ FORM NTPS-4 

### 2-6a. Do you teach any classes that use LIVE video of an instructor in another location? Yes No ➜ GO TO item 2-7a below. 

### b. Is the LIVE video used — Everyday? At least once a week, but not everyday? 14415095

9 

### 2-7a. Do you teach any classes that use PRE-RECORDED video of an instructor in another location? Yes No ➜ GO TO item 2-8a below. 

### b. Is the PRE-RECORDED video used —



### 2-8a. Do you teach any classes that use instructional software that adjusts the level of instruction to an individual student’s performance? Yes No ➜ GO TO item 2-9 on page 10. 

### b. Is the instructional software used — A few times a month? About once a month? A few times a year?

Everyday? At least once a week, but not everyday? A few times a month? About once a month? A few times a year?

Everyday? At least once a week, but not everyday? A few times a month? About once a month? A few times a year?

# §/JT$¤ FORM NTPS-4 14415103

10 

### 2-10. Check the box you marked in item 2-9 above and follow the arrow for the next item.

Box 3 or 4 Box 5 ➔ GO TO item 2-12 below. During your most recent FULL WEEK of teaching at THIS school, what is the total number of students enrolled in the class you taught? Box 1 or 2 ➔ GO TO item 2-14 on page 12.



### 2-11.
Students ➔ GO TO item 2-13 below. During your most recent FULL WEEK of teaching at THIS school, what is the average number of students you taught at any one time? 

### 2-12.
Students During your most recent FULL WEEK of teaching, approximately how many hours did YOU spend teaching each of the following subjects at THIS school? 

### 2-13. If you taught two or more subjects at the same time, apportion the time to each subject the best you can. Report hours to the nearest whole hour; do not record fractions of an hour or minutes. If you did not teach a particular subject during the week, mark (X) the "None" box. a. English, reading, or language arts (including reading and writing) None or Hours per week

b. Arithmetic or mathematics None or Hours per week c. Social studies or history None or Hours per week d. Science None or Hours per week (1) Of these hours, how many were designated for reading instruction?
None or Hours per week Record response, then GO TO item 2-13b below.

GO TO Section 3 on page 14. 

### 2-9. Which statement best describes the way YOUR classes at THIS school are organized? Mark (X) only one box. You instruct several classes of different students most or all of the day in one or more subjects (sometimes called Departmentalized Instruction). You are an elementary school teacher who teaches only one subject to different classes of students (sometimes called an Elementary Subject Specialist). You instruct the same group of students all or most of the day in multiple subjects (sometimes called a Self-Contained Class). You are one of two or more teachers, in the same class, at the same time, and are jointly responsible for teaching the same group of students all or most of the day (sometimes called Team Teaching). You instruct a small number of selected students released from or in their regular classes in specific skills or to address specific needs (sometimes called a "Pull-Out" Class or "Push-In" Instruction). 1
2
3
4

5

# §/JT,¤ FORM NTPS-4 

### Table 1. Main Teaching Assignment and Subject-matter Codes and Labels For Questions 2-4 and 2-15 Elementary Education 101 102 103 Special Education 110 Subject-matter Specific Codes and Labels Arts and Music 141 142 143 144 145 General Education Codes and Labels

Other 268 Miscellaneous 262 264 265 266 267 Career or Technical Education 241 242 243 244 245 246
247 249 250
253

254 255 256 Mathematics and Computer Science 191 192 193 194 195 196 197 198 199 200 201 Health Education 181 182 Foreign Languages 171 172 173 174 175 English as a Second Language (ESL) 160 161 162 English and Language Arts 151 152 153 154 155 157 158 159 Early childhood or pre-K, general Elementary grades, general Middle grades, general Special education, any

Art or arts and crafts Art history Dance Drama or theater Music Communications Composition English Journalism Language arts Literature or literary criticism Reading Speech ESL or bilingual education: General ESL or bilingual education: Spanish ESL or bilingual education: Other languages French German Latin Spanish Other foreign language Health education Physical education Algebra I Algebra II Algebra III Basic and general mathematics Business and applied math Calculus and pre-calculus Computer science Geometry Pre-algebra Statistics and probability Trigonometry Agriculture and natural resources Business management Business support Marketing and distribution Healthcare occupations Construction trades, engineering, or science technologies (including CADD and drafting) Mechanics and repair Manufacturing or precision production (electronics, metalwork, textiles, etc.) Communications and related technologies (including design, graphics, or printing; not including computer science) Personal and public services (including culinary arts, cosmetology, child care, social work, protective services, custodial services, and interior design) Family and consumer sciences education Industrial arts or technology education Other career or technical education Driver education Library or information science Military science or ROTC Philosophy Religious studies, theology, or divinity Other 14415111

11 Natural Sciences 210 211 212 213 214 215 216 217 218 Science, general Biology or life sciences Chemistry Earth sciences Engineering Integrated science Physical sciences Physics Other natural sciences Social Sciences 220 221 222 225 226 227 228 231 232 233 234 235 Social studies, general Anthropology Area or ethnic studies (excluding Native American studies) Economics Geography Government or civics History Native American studies Political Science Psychology Sociology Other social sciences

# §/JT>¤ FORM NTPS-4 Number of classes or sections How many separate class periods or sections do you currently teach at THIS school? 

### 2-14. Do NOT include homeroom periods or study halls. (Example: If you teach 2 classes or sections of chemistry I, a class or section of physics I, and a class or section of physics II, you would report 04 classes or sections.)

For EACH class period or section that you reported in item 2-14, record the subject name, subject-matter code, grade level code, and number of students. 

### 2-15. The number of lines filled out should equal the number of class periods or sections reported in item 2-14. However, if you reported more than 10 periods or sections in item 2-14, report on only 10 of those periods or sections. **NOTE:** Items 2-14, 2-15, and 2-16 are for teachers who marked box 1 or 2 for item 2-9 on page 10. If you marked box 3, 4, or 5 for item 2-9 (and completed items 2-11 and 2-13, or 2-12 and 2-13)

(1) English 1 5 3 1 1 3 3 Example

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) A. Subject Name B. Subject-Matter Code C. Grade Level Code D. Number of Students

Codes for grade levels of students If your class period or section has students from more than one grade level (i.e., MIXED GRADES), please list the grade with the most students. PK KG 01 02 03 04 05 06 07 08 09 10 11 12 UG Prekindergarten Kindergarten 1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade 7th grade 8th grade 9th grade 10th grade 11th grade 12th grade Ungraded GO TO Section 3 on page 14. ➔ 14415129

12 See Table 1 on page 11. See Table 1 on page 11. See Codes below.

# §/JTF¤ FORM NTPS-4 14415137

13 

### 2-16a. Among the class periods or sections that you reported in item 2-15 on page 12, how many are taught online only? None ➜ GO TO section 3 on page 14. **or** Number of classes or sections 

### 2-16b. Among the class periods or sections that you reported in item 2-16a, how many online classes were designed by you or other teachers or staff within your school? None **or** Number of classes or sections 

### YOUR COMMENTS

# §/JTN¤ FORM NTPS-4 14415145

14 

### 3. EDUCATION AND TRAINING
3-1a. Do you have a bachelor’s degree?



### b. In what year did you receive your bachelor’s degree? If you have more than one bachelor’s degree, information about additional degrees will be asked in item 3-4 on page 17. Yes No ➔ GO TO item 3-4 on page 17.

Year Which of the following best describes your bachelor’s degree? Mark (X) only one box. 

### c. It was awarded by your school’s college of Education, school of Education, or department of Education It was awarded by another college, school, or department, not in education What was your major field of study? 

### d. Record the field of study code and label from Table 2 on page 15. Major Field of Study Code Major Field of Study Label Did you have a second major field of study? 

### e.
Yes No ➔ GO TO item 3-1g below. What was your second major field of study? 

### f. Record the field of study code and label from Table 2 on page 15. Do NOT report academic minors or concentrations. Do NOT report academic minors or concentrations.

Did you have a minor field of study? 

### g. Yes No ➔ GO TO item 3-2a on page 16. What was your minor field of study? 

### h. Record the field of study code and label from Table 2 on page 15. Major Field of Study Code Major Field of Study Label

Minor Field of Study Code Minor Field of Study Label

# §/JTU¤ FORM NTPS-4 

### Table 2. Major and Minor Fields of Study Codes and Labels For Questions 3-1d, 3-1f, 3-1h, 3-3e, and 3-4b
Elementary Education 101 102

Special Education 110 Subject-matter Specific Codes and Labels Arts and Music 141 142 143 144 145 222 223 224 225 226 227 228 229 230 231 232 233 234 235 General Education Codes and Labels

Other 268 Miscellaneous 261 263 264 265 266 267 Career or Technical Education 241 242 243 244 245 246
247 249 250
253

254 255 256 Natural Sciences 211 212 213 214 217 218 Mathematics and Computer Science 190 197 200 Health Education 181 182 Foreign Languages 171 172 173 174 175 English as a Second Language (ESL) 160 161 162 English and Language Arts 151 152 153 154 155 156 157 158 159 Secondary Education 103 104 Other Education 131 132 133 134 135 136

Social Sciences 220 221 Early childhood or pre-K, general Elementary grades, general Middle grades, general Secondary grades, general Special education, any Administration Counseling and guidance Educational psychology Policy studies School psychology Other non-subject-matter-specific education

Art or arts and crafts Art history Dance Drama or theater Music Communications Composition English Journalism Language arts Linguistics Literature or literary criticism Reading Speech ESL or bilingual education: General ESL or bilingual education: Spanish ESL or bilingual education: Other languages French German Latin Spanish Other foreign language Health education Physical education Mathematics Computer science Statistics and probability Biology or life sciences Chemistry Earth sciences Engineering Physics Other natural sciences Social studies, general Anthropology Area or ethnic studies (excluding Native American studies) Criminal justice Cultural studies Economics Geography Government or civics History International studies Law Native American studies Political science Psychology Sociology Other social sciences Agriculture and natural resources Business management Business support Marketing and distribution Healthcare occupations Construction trades, engineering, or science technologies (including CADD and drafting) Mechanics and repair Manufacturing or precision production (electronics, metalwork, textiles, etc.) Communications and related technologies (including design, graphics, or printing; not including computer science) Personal and public services (including culinary arts, cosmetology, child care, social work, protective services, custodial services, and interior design) Family and consumer sciences education Industrial arts or technology education Other career or technical education Architecture Humanities or liberal studies Library or information science Military science or ROTC Philosophy Religious studies, theology, or divinity Other 14415152

15

# §/JT]¤ FORM NTPS-4 14415160

16 

### 3-3a. Do you have a master’s degree?



### c. In what year did you receive your master’s degree? If you have more than one master’s degree, information about additional degrees will be asked in item 3-4 on page 17. Yes No ➔ GO TO item 3-4 on page 17.

Year Which of the following best describes your master’s degree? Mark (X) only one box. 

### d. It was awarded by your school’s college of Education, school of Education, or department of Education
What was your major field of study for your master’s degree? 

### e. Record the field of study code and label from Table 2 on page 15. It was awarded by another college, school, or department, not in education



### YOUR COMMENTS Was at least a portion of the cost of your master’s degree paid for by a STATE, SCHOOL, or SCHOOL DISTRICT in which you taught? 

### b.
Yes No 

### 3-2a. What is the name of the college or university where you earned this degree? Name of college or university

Located outside the United States In what city and state is it located? b. State City

Major Field of Study Code Major Field of Study Label

# §/JTo¤ FORM NTPS-4 14415178

17 Have you earned any of the degrees or certificates listed below? 

### 3-4. Yes No ➔ GO TO item 3-5 on page 18.

Year (1) Vocational certificate

Associate’s degree (2)

(3) SECOND Bachelor’s degree

SECOND Master’s degree (4)

Educational specialist or professional diploma (at least one year beyond a master’s level) (5)

Certificate of Advanced Graduate Studies (6)

Doctorate or first professional degree (Ph.D., Ed.D., M.D., J.D., D.D.S.) (7) b. What was your major field of study for each degree? Record the field of study code and major label from Table 2 on page 15. a. Degree c. Which of the following best describes each degree? d. In what year?
Major Field of Study Code

Year

Year

Year It was awarded by your school’s college of Education, school of Education, or department of Education It was awarded by another college, school, or department, not in education

Year

Year

Year Major Field of Study Label

Major Field of Study Code

Major Field of Study Label

Major Field of Study Code

Major Field of Study Label

Major Field of Study Code

Major Field of Study Label

Major Field of Study Code

Major Field of Study Label

Major Field of Study Code

Major Field of Study Label

Major Field of Study Code

Major Field of Study Label It was awarded by your school’s college of Education, school of Education, or department of Education It was awarded by another college, school, or department, not in education It was awarded by your school’s college of Education, school of Education, or department of Education It was awarded by another college, school, or department, not in education It was awarded by your school’s college of Education, school of Education, or department of Education It was awarded by another college, school, or department, not in education It was awarded by your school’s college of Education, school of Education, or department of Education It was awarded by another college, school, or department, not in education

# §/JTw¤ FORM NTPS-4 Were any of the teaching methods courses you took — 

### 3-6.

Yes▲ No 14415186

18 Have you ever taken any graduate or undergraduate courses that focused SOLELY on teaching methods? 

### 3-5. Do NOT include student teaching (sometimes called practice teaching). Do NOT include professional development courses, workshops, or seminars. Yes No



### a. Graduate or undergraduate courses that were FOR a degree program?



### b. Graduate or undergraduate courses OUTSIDE of a degree program?

Did you take any of the courses you marked in 3-6a or 3-6b before your first year of teaching? 

### 3-7.

BEFORE your first year of teaching, did you take any graduate or undergraduate courses which taught you — 

### 3-8.
a. Classroom management techniques? How many courses? 1 or 2 courses 3 or 4 courses 5 to 9 courses Mark (X) only one box.

10 or more courses GO TO item 3-8 below. ➔

Do NOT include student teaching (sometimes called practice teaching). Do NOT include professional development courses, workshops, or seminars.▲ GO TO item 3-6b below.

Yes▲ No Do NOT include student teaching (sometimes called practice teaching). Do NOT include professional development courses, workshops, or seminars. How many courses? 1 or 2 courses 3 or 4 courses 5 to 9 courses Mark (X) only one box.

10 or more courses▲ GO TO item 3-7 below.

Yes No

Yes No 

### b. Lesson planning? Yes No

# §/JT¡¤ FORM NTPS-4 14415194

19 How to assess learning? 

### c.

How to use student performance data to inform instruction? 

### d. Yes No

Yes No How to serve students from diverse economic backgrounds? 

### e. Yes No How to serve students with special needs? 

### f. Yes No How to teach students who are limited-English proficient (LEP) or English-language learners (ELLs)? 

### g. Yes No Did you have any student teaching (sometimes called practice teaching)? 

### 3-9a. Yes No ➔ GO TO Section 4 on page 21. 

### b. In how many different classrooms did you student teach? Mark (X) only one box. 1 2 3 or more How long did your student teaching last? 

### c. If you student taught in more than one classroom, report the total amount of time spent student teaching across all assignments. Mark (X) only one box. 4 weeks or less 5-7 weeks 8-11 weeks 12 weeks or more 

### 3-8. Continued –

# §/JU#¤ FORM NTPS-4 Did any of your student teaching assignments require a full-time commitment? 

### d. Yes No


### e. Did any of your student teaching assignments provide the opportunity to teach students from diverse economic backgrounds? Yes No 

### f. In any of your student teaching assignments, were you given increasing levels of responsibility over the course of your assignment? Yes No 

### g. Did you assume most or all of the teaching responsibilities for the class during any of your student teaching assignments? Yes No 

### h. Were expectations for your performance as a student teacher communicated to you by your college/university supervisor(s)? Yes No 

### i. How many times did your college or university supervisor(s) provide you with written or verbal feedback based on observing your delivery of instruction? If your student teaching was in more than one classroom, report the total number of times you received feedback across all assignments. Mark (X) only one box. Never 1 or 2 times 3 or 4 times 5 to 7 times 8 or more times 

### YOUR COMMENTS

14415202

20FORM NTPS-4 The next series of questions is about state certification. Please read the questions carefully. This section allows teachers to report UP TO TWO current teaching certificates in the state where they are teaching, plus several content areas per certificate, if applicable. Those who have only one certificate that applies to only one content area DO NOT have to fill out the entire section and should follow the GO TO instructions. 

### 4-1a. Which of the following describes the teaching certificate you currently hold that certifies you to teach in THIS state?
Regular or standard state certificate or advanced professional certificate

Using Table 3 on page 22, in what content area(s) and grade range(s) does the teaching certificate marked above certify you to teach in THIS state? (For some teachers, the content area may be special education or the grade level, for example, elementary general, secondary general, etc., or special education.) 

### b. Mark (X) only one box. If you currently hold more than one of the following, a second certification may be listed in item 4-2. Certificate issued after satisfying all requirements except the completion of a probationary period (in some states this is called a probationary certificate) Certificate that requires some additional coursework, student teaching, or passage of a test before regular certification can be obtained (in some states this is called a temporary or provisional certificate) Certificate issued to persons who must complete a certification program in order to continue teaching (in some states this is called a waiver or emergency certificate) I do not hold any of the above certifications in THIS state

If this certificate certifies you to teach in more than one content area, you may report additional content areas in later items. ➔ GO TO item 4-3 on page 25.



### c. Does this certificate marked in item 4-1a certify you to teach in additional content areas? Yes No ➔ GO TO item 4-2a on page 23. If your certificate does not restrict you to a specific grade range(s), mark (X) all three grade ranges.



### YOUR COMMENTS (1) Content Area (2) Grade Range of Certificate (mark (X) all that apply ) Early childhood, preschool, or at least one of grades K-5 At least one of grades 6-8 At least one of grades 9-12 Content Area Code

Content Area Label

➔ GO TO item 4-1d on page 23. 

### 4. CERTIFICATION



# §/JU+¤ 14415210

21

# §/JU=¤ FORM NTPS-4 

### Table 3. Certification Content Area Codes

For Questions 4-1b, 4-1d, 4-2c, and 4-2e Elementary Education 101 102 103

Special Education 111 112 113 114 Subject-matter Specific Codes and Labels Arts and Music 141 142 143 144 145 Social Sciences 220 221 222 225 226 227 228 231 232 233 234 235 General Education Codes and Labels

Other 268 Miscellaneous 262 263 264 265 266 267 Career or Technical Education 241 242 243 244 245 246 247 249 250
253

254 255 256 Natural Sciences 210 211 212 213 216 217 218 Mathematics and Computer Science 190 197 200 Health Education 181 182 Foreign Languages 171 172 173 174 175 English as a Second Language 160 161 162 English and Language Arts 151 152 153 154 155 157 158 159 Secondary Education 103 104 115 116 117 118 119 120 121 122 123 124 125 131 132 Early childhood or Pre-K, general Elementary grades, general Middle grades, general Middle grades, general Secondary grades, general Special education, general Autism Deaf and hard-of-hearing Developmentally delayed

Art or arts and crafts Art History Dance Drama or theater Music Communications Composition English Journalism Language arts Literature or Literary Criticism Reading Speech ESL or bilingual education: General ESL or bilingual education: Spanish ESL or bilingual education: Other languages French German Latin Spanish Other foreign language Health education Physical education Mathematics Computer science Statistics and probability Science, general Biology or life sciences Chemistry Earth sciences Physical sciences Physics Other natural sciences Early childhood special education Emotionally disturbed or behavior disorders Learning disabilities Intellectual disabilities Mildly or moderately disabled Orthopedically impaired Severely or profoundly disabled Speech or language impaired Traumatically brain-injured Visually impaired Other special education Administration Counseling and guidance
Social studies, general Anthropology Area or ethnic studies (excluding Native American studies) Economics Geography Government or civics History Native American studies Political Science Psychology Sociology Other social sciences Agriculture and natural resources Business management Business support Marketing and distribution Healthcare occupations Construction trades, engineering, or science technologies (including CADD and drafting Mechanics and repair Manufacturing or precision production (electronics, metalwork, textiles, etc.) Communications and related technologies (including design, graphics or printing; not including computer science) Personal and public services (including culinary arts, cosmetology, child care, social work, protective services, custodial services, and interior design) Family and consumer sciences education Industrial arts or technology education Other career or technical education Driver education Humanities or Liberal studies Library or Information science Military science or ROTC Philosophy Religious studies, theology or divinity Other 14415228

22

# §/JUE¤ FORM NTPS-4 

### 4-1. Continued – Using Table 3 on page 22, please record all ADDITIONAL content areas and grade ranges in which this certificate certifies you to teach: 

### d. Please record the content area code and label from Table 3 on page 22. If your certificate does not restrict you to a specific range(s), mark (X) all three ranges. Additional Content Area Grade Range of Certificate (mark (X) all that apply ) Early childhood, preschool, or at least one of grades K-5 At least one of grades 6-8 At least one of grades 9-12 Early childhood, preschool, or at least one of grades K-5 At least one of grades 6-8 At least one of grades 9-12 Content Area Code (1)

(2)

(3)

(4) Content Area Label

Content Area Code

Content Area Label

Content Area Code

Content Area Label

Content Area Code

Content Area Label



### 4-2a. Do you have another current teaching certificate that certifies you to teach in THIS state?

➔ GO TO item 4-3 on page 25. Yes No Which of the following describes this current teaching certificate you hold in THIS state? 

### b. Mark (X) only one box. Regular or standard state certificate or advanced professional certificate Certificate issued after satisfying all requirements except the completion of a probationary period (in some states this is called a probationary certificate) Certificate that requires some additional coursework, student teaching, or passage of a test before regular certification can be obtained (in some states this is called a temporary or provisional certificate) Certificate issued to persons who must complete a certification program in order to continue teaching (in some states this is called a waiver or emergency certificate) 14415236

23 Early childhood, preschool, or at least one of grades K-5 At least one of grades 6-8 At least one of grades 9-12 Early childhood, preschool, or at least one of grades K-5 At least one of grades 6-8 At least one of grades 9-12

# §/JUM¤ FORM NTPS-4 

### 4-2. Continued – Using Table 3 on page 22, in what content area(s) and grade range(s) does the teaching certificate marked in question 4-2b on page 23 certify you to teach in THIS state? (For some teachers, the content area may be the grade level, for example, elementary general, secondary general, etc., or special education.) If this certificate certifies you to teach in more than one content area, you may report additional content areas in later items. If your certificate does not restrict you to a specific grade range(s), mark (X) all three grade ranges.
Early childhood, preschool, or at least one of grades K-5 At least one of grades 6-8 At least one of grades 9-12 Content Area Code

Content Area Label
Does this certificate marked in item 4-2b certify you to teach in additional content areas? 

### d. Yes No ➔ GO TO item 4-3 on page 25. Using Table 3 on page 22, please record all ADDITIONAL content areas and grade ranges in which this certificate certifies you to teach: 

### e. Please record the content area code from Table 3 on page 22. If your certificate does not restrict you to a specific grade range(s), mark (X) all three grade ranges. 

### c.

(1) Content Area (2) Grade Range of Certificate (mark (X) all that apply )

Early childhood, preschool, or at least one of grades K-5 At least one of grades 6-8 At least one of grades 9-12 Content Area Code

Content Area Label

Content Area Label

Content Area Code

Content Area Label

Content Area Code

Content Area Label (1)

(2)

(3)

(4) Additional Content Area Grade Range of Certificate (mark (X) all that apply )

Content Area Code Early childhood, preschool, or at least one of grades K-5 At least one of grades 6-8 At least one of grades 9-12 Early childhood, preschool, or at least one of grades K-5 At least one of grades 6-8 At least one of grades 9-12 Early childhood, preschool, or at least one of grades K-5 At least one of grades 6-8 At least one of grades 9-12 14415244

24FORM NTPS-4 

### 4-3. Did you enter teaching through an alternative route to certification program? (An alternative route to certification program is a program that was designed to expedite the transition of nonteachers to a teaching career, for example, a state, district, or university alternative route to certification program.) Yes No 

### YOUR COMMENTS



# §/JUT¤ 14415251

25

### 5. EARLY CAREER EXPERIENCES

FORM NTPS-4 

### 5-1. Was your FIRST year of teaching before the 2010-2011 school year? Yes No ➔ GO TO SECTION 6 on page 31.

What was your MAIN activity the year before you began teaching at the elementary, middle, or secondary level? Mark (X) only one box. 

### 5-2.
Student at a college or university Caring for family members Working as a substitute teacher Teaching in a preschool Teaching at a college or university Working in a position in the field of education, but not as a teacher Working in an occupation outside the field of education Military service Unemployed and seeking work Retired from another job ➔ GO TO item 5-5 page 27.

➔ GO TO item 5-4a below.

➔ GO TO item 5-5 page 27.

Which of these categories best describes your previous position in the field of education? Mark (X) only one box. 

### 5-3. Administrator (e.g., principal, assistant principal, director, school head) Counselor Library media specialist/librarian Coach Other professional staff (e.g., department head, curriculum coordinator) Instructional aide Noninstructional support staff (e.g., secretary) What kind of work did you do, that is, what was your occupation? Please record your job title; for example, electrical engineer, cashier, typist, farmer, loan officer.



### 5-4b. What were your most important activities or duties on that job? For example, typing, selling cars, driving delivery truck, caring for livestock. 

### 5-4a.



# §/JUf¤

14415269

26FORM NTPS-4 How would you classify yourself on that job? 

### 5-4c. Mark (X) only one box. An employee of a PRIVATE company, business, or individual for wages, salary, or commission A FEDERAL government employee A STATE government employee A LOCAL government employee SELF-EMPLOYED in your own business, professional practice, or farm Working WITHOUT PAY in a family business or farm Working WITHOUT PAY in a volunteer job



# §/JUn¤ 14415277

27 

### 5-5. In your FIRST year of teaching, how well prepared were you to —

a. Handle a range of classroom management or discipline situations? b. Use a variety of instructional methods? c. Teach your subject matter? d. Use computers in classroom instruction? e. Assess students? f. Differentiate instruction in the classroom? If you are in your first year of teaching, please answer for THIS school year.
Not at all prepared Mark (X) one box on each line. Somewhat prepared Well prepared Very well prepared

g. Use data from student assessments to inform instruction? h. Teach to state content standards? i. Teach students who are limited-English proficient [LEP]or English-language learners [ELLs]? j. Teach students with special needs? In your FIRST year of teaching, did you participate in a formal school- or district-wide program for beginning teachers aimed to enhance teachers’ effectiveness by providing systematic support (sometimes called a teacher induction program)? 

### 5-6. If you are in your first year of teaching, please answer for THIS school year. Yes No

# §/JUv¤ FORM NTPS-4 14415285

28 

### 5-7. Did you receive the following kinds of support during your FIRST year of teaching?

Yes a. Reduced teaching schedule or number of preparations

No

Yes b. Common planning time with teachers in your subject

No If you are in your first year of teaching, please answer for THIS school year.

d. Extra classroom assistance (e.g., teacher aides)

e. Regular supportive communication with your principal, other administrators, or department chair

f. Observation and feedback on your teaching aimed at helping you develop and refine your teaching practice BEYOND any formal administrative observation and feedback you may have received

g. Release time to participate in support activities for new or beginning teachers c. Seminars or classes for beginning teachers Yes No

Yes No

Yes No

Yes No

Yes No 

### YOUR COMMENTS

# §/JU~¤ FORM NTPS-4 14415293

29 Yes No 

### 5-8a. In your FIRST year of teaching, were you assigned a master or mentor teacher by your school or district? If you are in your first year of teaching, please answer for THIS school year.

➔ GO TO Section 6 on page 31. 

### b. How frequently did you work with your assigned master or mentor teacher during your first year of teaching? At least once a week Once or twice a month A few times a year Never


### c. Had your assigned master or mentor teacher ever instructed students in the same subject area(s) as yours? Yes No Did your assigned master or mentor teacher provide the following types of support during your FIRST year of teaching? 

### 5-9.
Provided encouragement 

### a.

Helped with paperwork or record keeping 

### b.

Provided verbal or written feedback based on observing your teaching 

### c.

Demonstrated lessons 

### d.

Shared curriculum and instructional ideas 

### e. If you are in your first year of teaching, please answer for THIS school year.

Yes No

Yes No

Yes No

Yes No

Yes No

# §/JV"¤ FORM NTPS-4 14415301

30 Shared classroom management techniques or strategies 

### f.

Strategized about how to accommodate the needs of specific students 

### g.

5-10. Overall, to what extent did your assigned master or mentor teacher improve your teaching in your first year of teaching? Mark (X) only one box.

Helped you prepare lessons that address learning standards 

### h.

Helped you develop student assessment tools 

### i.

Not at all To a small extent To a moderate extent To a great extent Continued – Did your assigned master or mentor teacher provide the following types of support during your FIRST year of teaching? 

### 5-9.

Yes No

Yes No

Yes No

Yes No



### YOUR COMMENTS

### 6. TEACHER WORKING CONDITIONS



# §/JV4¤ FORM NTPS-4 14415319

31 For questions 6-1 to 6-3 please report to the nearest whole hour; do not record fractions of an hour or minutes. 

### 6-1. How many hours does your contract require you to work during a typical FULL WEEK at THIS SCHOOL? This would be base contract hours, or the equivalent, NOT including stipends or extra pay for extra duty. Total WEEKLY hours required to work

Total WEEKLY hours required to deliver instruction Of the hours you are required to work, how many hours per week are you required to deliver INSTRUCTION to students in this school? (Example: If your base contract requires you to work 40 hours a week, with 30 of those hours for delivering instruction and 10 hours for planning, monitoring students outside of class time, etc., you would report 30 hours.) 

### 6-2.

Total WEEKLY hours spent on all teaching and school-related activities 

### 6-3. Including hours spent during the school day, before and after school, and on the weekends, how many hours do you spend on ALL teaching and other school-related activities during a typical FULL WEEK at THIS school? "PULL-OUT" or "PUSH-IN" TEACHERS: Please include the number of hours you instruct individual students or small groups of students.



### YOUR COMMENTS

# §/JV<¤ FORM NTPS-4 14415327

32 Serve on a school-wide or district-wide committee or task force?

Serve as an assigned mentor or mentor coordinator for teachers? 

### f. e. Yes No

Yes No 

### 6-5. In the LAST SCHOOL YEAR (2014-15), how much of your own money did you spend on classroom supplies, without reimbursement? Please use your best estimate for costs incurred, in whole dollars. If none, please mark (X) the box. None
$ .00 

## , or 

### b. Sponsor any student groups, clubs, or organizations? 

### a. Coach a sport? Yes No During this school year, do you or will you do the following for this school or district — 

### 6-4.

Yes No


### c. Serve as a department lead or chair? Yes No Serve as a lead curriculum specialist? 

### d. Yes No

### 7. SCHOOL CLIMATE AND TEACHER ATTITUDES



# §/JVD¤ FORM NTPS-4 14415335

33 

### 7-1. How much actual influence do you think teachers have over school policy AT THIS SCHOOL in each of the following areas?

a. Setting performance standards for students at this school b. Establishing curriculum c. Determining the content of in-service professional development programs d. Evaluating teachers e. Hiring new full-time teachers f. Setting discipline policy No influence Mark (X) one box on each line. Minor influence Moderate influence A great deal of influence



### 7-2. How much actual control do you have IN YOUR CLASSROOM at this school over the following areas of your planning and teaching?

a. Selecting textbooks and other instructional materials b. Selecting content, topics, and skills to be taught c. Selecting teaching techniques d. Evaluating and grading students e. Disciplining students f. Determining the amount of homework to be assigned No control Minor control Moderate control A great deal of control g. Deciding how the school budget will be spent

Mark (X) one box on each line.



### YOUR COMMENTS

# §/JVL¤ FORM NTPS-4 14415343

34 

### 7-3. To what extent do you agree or disagree with each of the following statements?

a. The school administration’s behavior toward the staff is supportive and encouraging. b. I am satisfied with my teaching salary. c. The level of student misbehavior in this school (such as noise, horseplay or fighting in the halls, cafeteria, or student lounge) interferes with my teaching. d. I receive a great deal of support from parents for the work I do. e. Necessary materials such as textbooks, supplies, and copy machines are available as needed by the staff. f. Routine duties and paperwork interfere with my job of teaching. My principal enforces school rules for student conduct and backs me up when I need it. g.
Rules for student behavior are consistently enforced by teachers in this school, even for students who are not in their classes. h.
Most of my colleagues share my beliefs and values about what the central mission of the school should be. i. The principal knows what kind of school he or she wants and has communicated it to the staff. j.
There is a great deal of cooperative effort among the staff members. k. In this school, staff members are recognized for a job well done. l. I worry about the security of my job because of the performance of my students or my school on state and/or local tests. m.

State or district content standards have had a positive influence on my satisfaction with teaching. n. I am given the support I need to teach students with special needs. o. Strongly agree Mark (X) one box on each line. Somewhat agree Somewhat disagree Strongly disagree

The amount of student tardiness and class cutting in this school interferes with my teaching. p. I am generally satisfied with being a teacher at this school. q. I make a conscious effort to coordinate the content of my courses with that of other teachers. r.

# §/JVS¤ FORM NTPS-4 a. The stress and disappointments involved in teaching at this school aren’t really worth it. b. The teachers at this school like being here; I would describe us as a satisfied group. I like the way things are run at this school. c. If I could get a higher paying job I’d leave teaching as soon as possible. d. I think about transferring to another school. I don’t seem to have as much enthusiasm now as I did when I began teaching. f. I think about staying home from school because I’m just too tired to go. g. 

### 7-5. To what extent do you agree or disagree with each of the following statements? 

### 7-4. To what extent is each of the following a problem in this school?

a. Student tardiness
b. Student absenteeism

c. d.

e. f. g. h. i. j. Student class cutting Teacher absenteeism Students dropping out Student apathy Lack of parental involvement Poverty Students come to school unprepared to learn Poor student health 14411350

35 Serious problem Mark (X) one box on each line. Moderate problem Minor problem Not a problem

Strongly

agree Mark (X) one box on each line. Somewhat agree Somewhat disagree Strongly disagree

e.

# §/JVe¤ FORM NTPS-4 

### 7-6.

➔ GO TO item 7-8a below. Yes No How long do you plan to remain in teaching? Mark (X) only one box. As long as I am able Until I am eligible for retirement benefits from this job Until I am eligible for retirement benefits from a previous job Until I am eligible for Social Security benefits Until a specific life event occurs (e.g., parenthood, marriage, retirement of spouse or partner) Until a more desirable job opportunity comes along Definitely plan to leave as soon as I can Undecided at this time Has a student FROM THIS SCHOOL ever threatened to injure you? 

### 7-7a.

➔ GO TO item 7-8a below. Yes No Has a student FROM THIS SCHOOL threatened to injure you IN THE PAST 12 MONTHS? 

### b.

In the past 12 months, how many times has a student FROM THIS SCHOOL threatened to injure you? 

### c.
Times

➔ GO TO Section 8 on page 37. Yes No Has a student FROM THIS SCHOOL ever physically attacked you? 

### 7-8a.

➔ GO TO Section 8 on page 37. Yes No Has a student FROM THIS SCHOOL physically attacked you IN THE PAST 12 MONTHS? 

### b.

In the past 12 months, how many times has a student FROM THIS SCHOOL physically attacked you? 

### c.
Times 14415368

36

### 8. GENERAL EMPLOYMENT AND BACKGROUND INFORMATION



# §/JVm¤ FORM NTPS-4 14415376

37 Report amounts in whole dollars. 

### 8-1. DURING THE SUMMER OF 2014, did you have any earnings from —


### a. Teaching summer school in this school or any other school? Yes No



### 8-2. How many days are covered by your contract, per contract year? 

### c. Working in any NONSCHOOL job? Yes No 

### b. Working in a non-teaching job in this school or any other school? Yes No ➔

➔

➔ Did all of these earnings come from your current school? (1)

Include professional development, student contact days, and any other days covered by your contract. Mark (X) Yes or No, then GO TO item 8-1b below.

How much? Did all of these earnings come from your current school? (1) Mark (X) Yes or No, then GO TO item 8-1c below. How much?

How much? Record amount, then GO TO item 8-2 below. The following questions refer to your BEFORE-TAX earnings from teaching and other employment.

$ .00 

## ,

$ .00 

## ,

$ .00 

## ,

Days per contract year 

### 8-3. DURING THE CURRENT SCHOOL YEAR, what is your base teaching salary for the entire school year? Report amounts in whole dollars. For the entire school year $ .00 

## , Yes No

Yes No

# §/JVu¤ FORM NTPS-4 

### 8-4.

14415384

38 DURING THE CURRENT SCHOOL YEAR, do you, or will you, earn any additional compensation from this school system for extracurricular or additional activities such as coaching, student activity sponsorship, mentoring teachers, or teaching evening classes?

Yes DURING THE CURRENT SCHOOL YEAR, have you earned income from any OTHER sources from this school system, such as a state supplement, etc.? 

### 8-6. Do NOT report any earnings already reported.

➔ Report amounts in whole dollars.

Report amounts in whole dollars.

No Yes No ➔



### b. Which of these best describes this job OUTSIDE this school system? Teaching or tutoring Non-teaching, but related to teaching field Other Mark (X) only one box. DURING THE CURRENT SCHOOL YEAR, do you, or will you, earn additional compensation from working in any job OUTSIDE this school system? 

### 8-7a. Report amounts in whole dollars. Yes

No ➔

GO TO item 8-8 on page 39. ➔ Yes DURING THE CURRENT SCHOOL YEAR, do you, or will you, earn any additional compensation from this school system based on your students’ performance (e.g., through a merit pay or pay-for-performance agreement)? 

### 8-5.

➔ No Report amounts in whole dollars. How much? Record amount, then GO TO item 8-5 below.

How much? Record amount, then GO TO item 8-6 below.

How much? Record amount, then GO TO item 8-7a below.

How much? Record amount, then GO TO item 8-7b below. $ .00 

## ,

$ .00 

## ,

$ .00 

## ,

$ .00 

## ,

# §/JV}¤ FORM NTPS-4 

### 8-8. During the CURRENT SCHOOL YEAR do you, or will you, receive a retirement pension check paid from a teacher retirement system? Report amounts in whole dollars. Yes No ➔ How much? Record amount, then GO TO item 8-9 below. $ .00 

## , 14415392

39 Male Female Are you male or female? 

### 8-11. Yes No Are you a member of a teachers’ union or an employee association similar to a union?

Now married Widowed What is your current marital status? 

### 8-12a. Mark (X) only one box.

Separated Divorced Never married Yes No Does your school, district, or school system offer tenure? 

### 8-10a.

Yes No Are you tenured at your current school? 

### b. ➔ GO TO item 8-11 below. 

### 8-9.

Yes No Are you currently living in a registered domestic partnership or civil union? 

### b.

Yes No Are you currently living with a boyfriend/girlfriend or partner?



### c. ➔ GO TO item 8-13 on page 40. ➔ GO TO item 8-13 on page 40.

# §/JW!¤ FORM NTPS-4 

### 8-13. Yes No Are you of Hispanic or Latino origin?

What is your race? 

### 8-14. Mark (X) one or more races to indicate what you consider yourself to be. White Black or African-American Asian Native Hawaiian or Other Pacific Islander American Indian or Alaska Native What is your year of birth? 

### 8-15. 1 9

14415400

40 

### YOUR COMMENTS

# §/JW3¤ FORM NTPS-4 

### 9. CONTACT INFORMATION

9-1. 14415418

41 The survey you have completed may involve a brief follow-up next school year in order to gain information on teachers’ movements in the labor force. The following information would assist us in contacting you if you have moved or changed jobs. Please keep in mind that all information provided here is strictly confidential and will only be used in the event that we need to contact you for follow-up. Your responses are protected from disclosure by federal statute (20 U.S.C., §9573). All responses that relate to or describe identifiable characteristics of individuals may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose, unless otherwise compelled by law. Please PRINT your name, your spouse’s name (if applicable), your home address, your telephone number, the most convenient time to reach you, and your work and home e-mail addresses.
a. First name

Middle name

Last name Suffix

b. Spouse’s First Name

Spouse’s Middle Name

e. State

ZIP Code + 4 f. Spouse’s Last Name

Street Address

City c.

d.

**—**

# §/JW;¤ FORM NTPS-4 14415426

42 

### YOUR COMMENTS g. Home telephone number AREA CODE TELEPHONE NUMBER

**— —** 

k. Work e-mail address

l. Home e-mail address j. Best time of the day to reach you

a.m. p.m. Best day(s) to reach you i. Enter Mon, Tue, etc., as appropriate.

Mark (X) only one box. h. In whose name is the telephone number listed? My name Other – please specify

# §/JWC¤ FORM NTPS-4 14415434

43 Middle name

Last name

b. Relationship to you

e. State

ZIP Code + 4 f. Street Address
City c.

d. 

### 9-2.

a. First name What are the names and addresses of two other people who would know where to get in touch with you during the coming years? Please do not list more than one person who now lives with you. Please inform these individuals that you have provided their names and someone from the U.S. Census Bureau may contact them in the coming years if we are unable to locate you. Please PRINT contact’s name, contact’s relationship to you, contact’s home address, contact’s telephone number, and contact’s work and home e-mail addresses. (1) First Contact Person

h. In whose name is the telephone number listed? Name entered in part a Other – please specify

i. Work e-mail address
j. Home e-mail address **— —**  g. Home telephone number AREA CODE TELEPHONE NUMBER **—**

# §/JWK¤ FORM NTPS-4 Middle name

Last name

b. Relationship to you

e. State

ZIP Code + 4 f. Street Address
City c.

d. 

### 9-2.

a. First name Continued – What is the name and address of another person who would know where to get in touch with you during the coming years? Please PRINT contact’s name, contact’s relationship to you, contact’s home address, contact’s telephone number, and contact’s work and home e-mail addresses. (2) Second Contact Person

h. In whose name is the telephone number listed? Name entered in part a Other – please specify

i. Work e-mail address
j. Home e-mail address **— —**  g. Home telephone number AREA CODE TELEPHONE NUMBER **—** 14415442

44

# §/JW\¤ FORM NTPS-4 14415459

45 Please enter the date you completed this questionnaire.



### 9-4. Report month as a number, that is, 01 for January, 02 for February, etc.



### YOUR COMMENTS 9-3.

Please indicate how much time it took you to complete this form, not counting interruptions.
Minutes Please record the time in minutes, e.g., 50 minutes, 65 minutes, etc. Month Day Year 201

# §/JWd¤ FORM NTPS-4 14415467

46 

### Thank you very much for your participation in this survey. If you have anyquestions, please contact us, toll-free, at: 1-888-595-1338 or by e-mail at: addp.education.surveys@census.gov
.

To learn more about this survey and to access reports from earlier collections, see the National Teacher and Principal Survey (NTPS) website at: http://nces.ed.gov/surveys/ntps Additional data collected by the National Center for Education Statistics (NCES) on a variety of topics in elementary,

secondary, postsecondary, and international education are available from NCES’ website at: http://nces.ed.gov For additional data collected by various Federal agencies, including the Department of Education, visit the Federal Statistics clearinghouse at: http://www.fedstats.gov

# §/JWl¤ FORM NTPS-4 14415475

47

# §/JWt¤ FORM NTPS-4 14415483

48