APPENDIX C
Institutional Questionnaire
 For Use in Preparing the Institutional Report

 Office of Postsecondary Education

U.S. Department of Education

 

Annual Institutional Questionnaire on Teacher Preparation: Academic year: 2004-2005

 Institution name:  University of North Alabama                                                                                                  

Respondent name and title:  Dr. Peggy Campbell, Interim Dean

Respondent phone number:  256-765-4252                                              Fax:  256-765-4186

Electronic mail address: pccampbell@una.edu

Address:  UNA Box 5031

 City:  Florence                                    State:   AL                      Zip code: 35632

 

Section 207 of Title II of the Higher Education Act mandates that the Department of Education collect data on state assessments, other requirements, and standards for teacher certification and licensure, as well as data on the performance of teacher preparation programs.  The law requires the Secretary to use these data in submitting an annual report on the quality of teacher preparation to the Congress.  The first Secretarial report is due April 7, 2002.  Annual state reports to the Secretary are first due on October 7, 2001.  Data from institutions with teacher preparation programs are due to states annually, beginning April 7, 2001, for use by states in preparing annual report cards to the Secretary.

 Paperwork Burden Statement

This is a required data collection.  Response is not voluntary.  According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number.  The valid OMB control number for this information collection is 1840-0744 (expiration date: 6/30/2006).  The time required for institutions to complete this information collection is estimated to average 66 hours 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(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, DC 20202-4651.   If you have comments or concerns regarding the status of your individual submission of this form, write directly to:  Assistant Secretary, Office of Postsecondary Education, U.S. Department of Education, 1990 K Street, NW, Room 6081, Washington, DC 20006.

 

 

Note: The procedures for developing the information required for these tables are explained in the National Center for Education Statistics document entitled Reference and Reporting Guide for Preparing State and Institutional Reports on the Quality of Teacher Preparation: Title II, Higher Education Act.  Terms and phrases in this questionnaire are defined in the glossary, appendix B of the guide.

 Section I.  Pass rates.

 Please provide the information in the attached Institutional Report Tables C1 and C2 on the performance of completers of the teacher preparation program in your institution on teacher certification/licensure assessments used by your state.  This information will be provided to your institution by the state or the testing company.


 

Table C1:  Single-Assessment Institution-Level Pass-rate Data: Regular Teacher Preparation Program, 2004-2005

Institution Name:

 

 

 

 

 

Academic year:

 

 

 

 

 

Number of program completers:

 

 

 

 

 

Type of Assessment

Assessment Code Number

# taking assess.

# passing assess.

Institut. pass rate

Statewide pass rate

 

 

 

 

 

 

Basic Skills

 

96

86

90%

 

Assessment 1     Applied Mathematics

XXXXXXXX

94

91

97%

XXXXXXXX

Assessment 2     Reading for Information

XXXXXXXX

95

91

96%

XXXXXXXX

Assessment 3     Writing

XXXXXXXX

 

 

 

XXXXXXXX

…….

 

 

 

 

 

 

 

 

 

 

 

Professional Knowledge

 

 

 

 

 

Assessment 1

 

 

 

 

 

Assessment 2

 

 

 

 

 

Assessment 3

 

 

 

 

 

…….

 

 

 

 

 

 

 

 

 

 

 

Academic Content Areas (math, English, biology etc.)

 

 

 

 

 

Assessment 1

 

 

 

 

 

Assessment 2

 

 

 

 

 

Assessment 3

 

 

 

 

 

…….

 

 

 

 

 

 

 

 

 

 

 

Other Content Areas (elementary education, career/technical education, health education, etc.)

 

 

 

 

 

Assessment 1

 

 

 

 

 

Assessment 2

 

 

 

 

 

Assessment 3

 

 

 

 

 

…….

 

 

 

 

 

 

 

 

 

 

 

Teaching Special Populations (special education, ESL etc.)

 

 

 

 

 

Assessment 1

 

 

 

 

 

Assessment 2

 

 

 

 

 

…….

 

 

 

 

 

Performance Assessments

 

 

 

 

 

See appendix E for a list of teacher assessments by skill and knowledge categories


 

Table C2:  Aggregate And Summary Institution-Level Pass-rate Data: Regular Teacher Preparation Program, 2004-2005

Institution Name:

 

 

 

 

Academic year: 

 

 

 

 

Total number of program completers:

 

 

 

 

Type of Assessment

# taking assess

# passing assess

Institut. pass rate

Statewide pass rate

 

 

 

 

 

Aggregate: Basic Skills*

93

97

96%

XXXXX

 

 

 

 

 

Aggregate: Professional Knowledge*

 

 

 

 

 

 

 

 

 

Aggregate: Academic Content Areas (math, English, biology etc.)*

 

 

 

 

 

 

 

 

 

Aggregate: Other Content Areas (elementary education, career/technical education, health education, etc.)*

 

 

 

 

 

 

 

 

 

Aggregate:  Teaching Special Populations (special education, ESL,..)*

 

 

 

 

 

 

 

 

 

Performance Assessments*