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Class Label
OMB #: 0970-0151
EXPIRATION DATE: 11/97

 

Head Start Family and Child Experiences Survey

Lead Teacher Background Information – Spring 1997

1. In total, how many years have you been teaching?  
  Number of years:_____________________________  
2. How many of those years have you been teaching Head Start?  
  Number of years:_____________________________  
3. Which is your highest level of education?(CIRCLE ONLY ONE CODE)  
 
High school 1
Attended college 2
Undergraduate degree 3
Graduate degree 4
Other (specify) 5
4. What was your major field of study?  
  Major: ___________________________________________________  
5. How many courses in early childhood education have you completed?  
  Number of courses: ________________  
6. Are you currently a member of a professional association for early childhood education?  
  Yes _______________________ 1  
  No ________________________ 2  
7. What is your year of birth?   19_______  
8. What is your sex?  
  Male ________________________ 1  
  Female ______________________ 2  
9. What is your racial/ethnic background? (CIRCLE ONLY ONE CODE)  
 
American Indian or Alaskan Native 1
Asian or Pacific Islander 2
Black, non-Hispanic 3
Hispanic 4
White, non-Hispanic 5
Other (specify) 6


 

 

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