(Click here to choose) Sample School One Sample School Two Sample School Three
1b. Subjects Taught
Arts Social Studies Health English Computer Applications Physical Education Math Driver Education Other Science Foreign Language
1c. Grade Levels
Pre-K 4 9 K 5 10 1 6 11 2 7 12 3 8
1d. Average class size
1-5 21-25 41-45 6-10 26-30 46-50 11-15 31-35 50+ 16-20 36-40
1e. Number of computers in your classroom
1 7 21-25 2 8 26-30 3 9 30-40 4 10 40-50 5 11-15 50+ 6 16-20
1f. How many of your classroom computers are connected to the Internet?
1g. Are you able to search your Library Media Center collection from your classroom computer? (5.10)
Yes No Not Sure
1h. Are you able to use a virtual library from your classroom computer?
1i. Do you have access to computers in the Media Center or computer lab for use with your class?
1j. If you answered "yes" to the previous question, how often?
(Click here to choose) Daily 2-3 day a week Once a week 2-3 times per month 2-3 times per semester Seldom or never
1k. How many minutes in length is an average session?
1-10 31-40 60+ 11-20 41-50 21-30 51-60
1l. In my school, MY students have access to the following technology devices:
Digital camera Modern Printer (network, laser, color) Assistive Devices (as needed) Scanner Digital projector OR TV display
PART TWOPlease indicate below the frequency and type of technology useBY YOUR STUDENTS WHILE IN YOUR CLASS: Please indicate below the frequency and type of technology use BY YOUR STUDENTS WHILE IN YOUR CLASS: Note: Click the benchmark number in parenthesis (i.e. 1.1) to link to examples of sources of evidence and/or data collection methods.
Click on the Benchmark number to view examples of sources of evidence / data collection models. Daily 2-3 day a week Once a week 2-3 times per month 2-3 times per semester Seldom or never Open-ended or inquiry-based learning projects that involve use of technology (1.1, 2.3) Projects that require active involvement and decision-making by students using technology (2.3, 2.4) Projects that students work on collaboratively using technology (2.3, 2.4) Projects using technology that reflect real-world issues or uses (1.1, 2.3)
Technology use by STUDENTS in your class.
Click on the Benchmark number to view examples of sources of evidence / data collection models. Daily 2-3 day a week Once a week 2-3 times per month 2-3 times per semester Seldom or never Communicating via email, presentation software, Web pages, online bulletin boards, or other tools of technology (2.4) Using spreadsheets to solve problems (1.4, 1.9, 2.3, 4.7) Using a database program to access or manage data (1.4, 5.4) Using Internet resources to solve a problem or make decisions (1.4, 5.4)
Click on the Benchmark number to view examples of sources of evidence / data collection models. Daily 2-3 day a week Once a week 2-3 times per month 2-3 times per semester Seldom or never Using presentation software to organize or present class content (1.4, 2.3, 2.4, 4.7) Using the Internet to research a topic under class discussion or to access information needed for the lesson (1.4, 1.8, 1.9, 2.2, 2.5, 5.4) Using a virtual library resources to solve a problem or answer a question related to classroom content (1.4, 1.8, 1.9, 2.2, 2.5) Creating Web pages related to class content (2.3, 2.4, 4.7)
Click on the Benchmark number to view examples of sources of evidence / data collection models. Daily 2-3 day a week Once a week 2-3 times per month 2-3 times per semester Seldom or never Taking a test or completing an assessment on the computer (2.6) Using tutorial or drill and practice software to meet local, state, or national content standards (i.e., local curriculum frameworks, state Courses of Study, SAT skills, etc.) (1.9) Use spreadsheets, graphing software, or databases for data analysis (1.5) resources or the Internet (5.4)
Click on the Benchmark number to view examples of sources of evidence / data collection models. Daily 2-3 day a week Once a week 2-3 times per month 2-3 times per semester Seldom or never Receiving course content via distance learning or online courses (5.4) Students are shown how to use a specific technology tool or software application to complete an assignment (4.4) Students view Internet or other digital content or slide presentation used by the teacher to enrich or supplement the lesson (3.5, 4.4) Other (please specify below)
Other:
PART THREEHow often do your classroom assignments incorporate use of the following technology tools? Technology in ASSIGNMENTS in your class.
Click on the Benchmark number to view examples of sources of evidence / data collection models. Daily 2-3 day a week Once a week 2-3 times per month 2-3 times per semester Seldom or never Students use email to complete an assignment (4.7, 5.7) Students use word processor (typing software) to complete assignments or projects (1.4, 1.9, 2.3, 4.7) Students use drawing tools or graphics to complete projects or assignments (1.8, 1.9, 2.2, 2.5, 4.7) Students use a virtual library to complete an assignment (1.8, 4.7)
Technology in ASSIGNMENTS in your class.
Click on the Benchmark number to view examples of sources of evidence / data collection models. Daily 2-3 day a week Once a week 2-3 times per month 2-3 times per semester Seldom or never Students use a printer to complete projects or assignments (1.9, 4.7) Students use a scanner to complete projects or assignments (1.8, 1.9, 2.2, 4.7) Students use a digital/video camera to complete projects or assignments (1.8, 1.9, 2.2, 4.7) Students use real-time probes and/or handheld devices (PDAs or graphing calculators) to complete assignments or projects (1.8, 1.9, 2.2, 2.4, 4.7) Students use software such as multimedia dictionaries, encyclopedias, almanacs, and other resource software to complete assignments (1.8, 1.9, 4.7) Other (please specify below)
PART FOURPlease indicate below how often you do the following teaching tasks: Technology in TEACHING TASKS.
Click on the Benchmark number to view examples of sources of evidence / data collection models. Daily 2-3 day a week Once a week 2-3 times per month 2-3 times per semester Seldom or never Use word-processing, spreadsheet, drawing tools, and/or database software to create instructional materials (1.4, 3.1, 3.5, 4.3, 4.4) Deliver classroom instruction using presentation software (3.5, 4.4) Use Internet and/or electronic resource software to gather information for lesson planning and/or delivery (3.5, 4.4) Deliver classroom instruction using the Internet or other software resources (3.5, 4.4)
Technology in TEACHING TASKS.
Click on the Benchmark number to view examples of sources of evidence / data collection models. Daily 2-3 day a week Once a week 2-3 times per month 2-3 times per semester Seldom or never Design learning activities that incorporate the use of technology by students (3.5, 4.4) Use technology to collect data and monitor student progress (2.6, 4.3) Use performance-based scoring guides (such as rubrics, checklists, etc.) to assess student technology projects (1.2, 2.1) Use multiple assessment strategies linked to state standards to assess technology use by students (2.1)
Click on the Benchmark number to view examples of sources of evidence / data collection models. Daily 2-3 day a week Once a week 2-3 times per month 2-3 times per semester Seldom or never Use email and/or the school network to communicate with colleagues regarding instructional matters (4.3) Use technology to communicate with parents (email, newsletters, web pages, progress reports) (4.1, 5.8) Use technology resources (hardware, software, email, Internet, etc.) beyond school hours to enhance your teaching (4.6) Use the computer to record student grades and/or attendance (4.3)
Click on the Benchmark number to view examples of sources of evidence / data collection models. Daily 2-3 day a week Once a week 2-3 times per month 2-3 times per semester Seldom or never Submit lesson plans for approval via school network (4.3) Use technology to collect and analyze data to make adjustments to your curriculum (1.6) Use a virtual library to gather information for lesson planning and/or delivery (3.5, 4.4)
PART FIVEIndicate your general proficiency level in performing the following tasks: Technology GENERAL PROFICIENCY
Click on the Benchmark number to view examples of sources of evidence / data collection models. General knowledge and use of the computer operating system (Windows or Macintosh) (3.1) Use of word processing software (3.1) Use of spreadsheet software (3.1) Use of database software (Access, FileMaker, AppleWorks, etc.) (3.1)
Technology GENERAL PROFICIENCY
Click on the Benchmark number to view examples of sources of evidence / data collection models. Use of presentation software (PowerPoint, Hyperstudio, etc.) (3.1) Internet research (3.1) Use of email (3.1) Use of the Internet for instruction (3.1)
Click on the Benchmark number to view examples of sources of evidence / data collection models. Use of drill and tutorial software (3.1) Use of a virtual library (3.1) Use of CD-ROM or DVD-based software such as encyclopedias, almanacs, graphic/video libraries, talking books (3.1) Use of testing and assessment software (3.1)
Click on the Benchmark number to view examples of sources of evidence / data collection models. Basic troubleshooting of hardware such as computer, monitor, printer (3.1) Use of digital/video cameras (3.1) Use of a digital projector or TV-based computer projection system (3.1) Use of a scanner (3.1)
Click on the Benchmark number to view examples of sources of evidence / data collection models. Use of a PDA (personal digital assistant, such as Palm, Visor, or iPAQ) (3.1) Curriculum integration of technology (3.1) Classroom management of technology resources (3.1) Planning and implementing inquiry- or project-based lessons that use technology (3.1) Planning and implementing collaborative projects that use technology (3.1)
PART SIX
Have you received any professional development in the use of technology during the past school year (August, 2001-present)?
Yes No
If you answered "yes" to the previous question, please indicate the types of technology professional development activities in which you participated by approximating the number of clock hours of training you received for the following types of training. CAUTION: If the mouse you are using to complete this survey has a scrolling button, be careful not to use the scrolling button to move down on the page while a survey question is active (highlighted in blue.) Doing so my change your answer to the active question. Use the sliding bar on the right side of your browser window to move down on the page.
Approximate number of clock hours
PART SEVEN
Please indicate your agreement with the following statements: Indicate your AGREEMENT
Strongly Agree Agree Disagree Strongly Disagree My school system offers adequate technology professional development opportunities for me to become proficient in using technology in my teaching. (3.6, 4.2) The system and school in-services I have attended in core curriculum areas included ideas for using technology in teaching content in that area. (3.4, 4.2) My school administrator(s) supports and promotes the use of technology for instruction. (4.2)
Indicate your AGREEMENT
Strongly Agree Agree Disagree Strongly Disagree My school system administrator(s) support and promote the use of technology for instruction. (4.2) My school Media Center supports and promotes the use of technology for instruction. (4.2, 4.4) Technical support for the hardware in my classroom is adequate. (4.2) My classroom Internet connectivity is generally reliable. (5.1)
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