To start, we have eight short questions about you and your experiences.


    1. What is your gender?



    2. Are you currently teaching or training to become a teacher?

    Currently teaching

    Training to become a teacher

    If other, please describe.
    3. What is your primary ethnic group?


    African American

    Hispanic American

    Asian American

    Native American

    If other, please describe.
    4. Do you have a bachelor’s degree?



    5. Do you have a master’s degree?



    6. Do you have any other degrees? If so, check all that apply.

    Associate degree

    SECOND bachelor’s degree

    SECOND master’s degree

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

    Certificate of Advanced Graduate Studies

    Doctorate or first professional degree (Ph.D., Ed.D, M.D., J.D., S.D., D.D.S.)

    7. What type of certificate do you hold in the teaching profession?

    Advanced professional certificate or regular or standard state certificate.

    Probationary certificate (initial certificate issued after satisfying all requirements except the completion of a probationary period)

    Provisional or other type given to persons still participating in what the state calls an ‘alternative certificate program’

    Temporary certificate (requires some additional college coursework and/or student teaching before regular certification can be obtained)

    Emergency certificate or waiver (issued to person with insufficient teacher preparation who must complete a regular certification program in order to continue teaching)


    8. Please list the number of years of experience you have in teaching
    the following grades full time. (Do not include this year.)

    Years teaching Pre-Kindergarten

    Years teaching K-5

    Years teaching 6-8

    Years teaching 9-12
    Other (describe)