| 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. |
What languages are you able to teach
in? (CIRCLE ALL THAT APPLY) |
| |
| English |
1 |
| Spanish |
2 |
| Other (specify) |
3 |
|
| 4. |
Which of the following best describes
the highest level of education
you have completed? |
| |
| Eighth grade or less |
1 |
(SKIP TO 6) |
| Beyond eighth grade, but not high school
graduation |
2 |
(SKIP TO 6) |
| High School Equivalency (GED) |
3 |
(SKIP TO 6) |
| High School graduation |
4 |
(SKIP TO 6) |
| Vocational/Technical Diploma (after high
school) |
5 |
|
| Associate degree |
6 |
|
| Some college (but no degree) |
7 |
|
| Bachelors degree |
8 |
|
| Some graduate school (but no degree) |
9 |
|
| Graduate degree (M.A, Ph.D) |
10 |
|
|
| 5. |
What was your major field of study?
(If you attended or graduated from college or graduate school) |
| |
| |
In
college |
In
grad school |
- Early Childhood Education/Child Development
|
1 |
1 |
- Psychology/Sociology/Education
|
2 |
2 |
- Social Work/Social Services
|
3 |
3 |
- Nursing/Health Care
|
4 |
4 |
- Business/Management/Administrative
|
5 |
5 |
- Other (specify)
|
6 |
6 |
|
| 6. |
Do you have a Child Development Associate
(CDA) credential or a stat-awarded preschool certificate? |
| |
| Yes |
1 |
| No |
2 |
| Currently working on it |
3 |
|
| 7. |
Are you currently a member of a professional
association for early childhood education? (e.g., NAEYC, NHSA,
NEA) |
| |
|
| 8. |
What is your year of birth? 19_______ |
| 9. |
What is your sex? |
| |
|
| 10. |
What is your racial/ethnic background?
(CIRCLE ONLY ONE) |
| |
| American Indian or Alaskan
Native |
1 |
| Asian or Pacific Islander |
2 |
| Black, non-Hispanic |
3 |
| Hispanic |
4 |
| White, non-Hispanic |
5 |
| Other (specify) |
6 |
|
