As the Community Discovered Project begins to move forward, the
following information will aid us in the continued planning of
project activities, and in the refinement of the overall project
evaluation plan. This information should be considered to only be
ìestimatesîfor use in the planning of a more formal
input process. Baseline and evaluation information will be requested
from each project site using more formal and specific instruments at
a later date.
All information provided is of course voluntary and confidential,
and considered only to be ìrough estimatesî. Thank-you
for this very valuable assistance to the project, and we look forward
to working with you.
A. Planning survey completed by:
Name: _______________________
Institution: _______________________
Position: _______________________
Preferred Mailing Address: _________________
_________________
_________________
_________________
Preferred Contact Phone: _________________
E-mail: ______________________
Fax: ______________________
B. General School Related Demographics:
Estimated Number of Students: _____
Estimated Number of Faculty: _____
Number of Elementary Level Buildings: _____
Number of Middle Level Buildings: _____
Number of High School Level Buildings: _____
Educational Service Unit Area (1-19) _____
C. School Student Achievement Data:
The evaluation component of the Community Discovered Grant also
needs to compare the general achievement (among other outcomes) for
students involved in the project as compared to those who are not
involved in the project. To help us in planning, please answer the
questions on the next page.
C1. What standardized tests are given to students?
Standardized Test Grade Levels Given Returned
CAT Tests (example) 4, 8, 12 Fall February
____ ___ _ _______
____ ___ _ _______
____ ___ _ _______
C2. Are any other school related ìbenchmarkîor ìachievement testsîgiven
to students? Please specify.
C3. If the necessary approvals were received, would it be
ìtentativelyîpossible to
ìadministrativelyîseparate the group achievement
data for those students involved in the Challenge Project, for
comparison with those students who are not involved in the Challenge
Project?
C4. If the necessary approvals were received, would it be
ìtentativelyîpossible to
ìadministrativelyîseparate the group attendance
data for those students involved in the Challenge Project, for
comparison with those students who are not involved in the Challenge
Project?
C5. What types of ìgradesîare given to students on a semester basis?
(for example ìpass - failî, ìA-Fî,
ì1-5î, portfolio reviews, etc.)
Elementary Level _________
Middle School Level _________
High School Level _________
C6. Are there any other potential ways to examine the overall
school based achievement of students that we may want to
consider using? Please specify:
D. General School Technology Environment:
Since the project is ìtechnology intensiveî, several
technology based questions will also help us in the initial planning
and evaluation process for the project. Again, answers provided to
all of the following questions should be considered as ìrough
estimatesîwith more formal and complete input targeted for a
later date.
D1. Roughly, how are the buildings within the school
district connected to the Internet? Also mention if different levels
share the same building, etc.
School Connected (yes/no)? Direct or Modem? % of Classrooms Connected?
Elementary Level ________________ _____________ _____ (estimated)
Middle School Level ________________ _____________ _____ (estimated)
High School Level ________________ _____________
_____ (estimated)
D2. Roughly, approximately how many of each type of
classroom computers are in the district?
Computer # of Macintoshes # of IBM Compatibles # of Other (specify)
Elementary Level _____ (estimated) _____ (estimated) _____ (estimated)
Middle School Level _____ (estimated) _____ (estimated) _____ (estimated)
High School Level _____ (estimated) _____
(estimated) _____ (estimated)
D3. Roughly, approximately how many of each type of
administrative computers are in the district (computers in
principal offices, counseling offices, etc.)?
Computer # of Macintoshes # of IBM Compatibles # of Other (specify)
Administration _____ (estimated) _____ (estimated)
_____ (estimated)
D4. Does the district have a computer server? Yes No Type:
___________
D5. Does the district have a computer network? Yes No Type:
___________
D6. Is there a technology specialist in the district? Yes No
If yes, what is this personís name?
____________________
D7. What percentage of your staff do you believe to have had at
least some Internet training? _____ (estimated)
D8. Has the district worked with the Educational Service Units (ESUs) for
technical support? (check one)
___ Never
___ Rarely
___ Sometimes
___ Frequently
___ Quite Often
D9. If you have worked with an ESU, what is the name of contact person that
you have worked with there?
Name: _____________________ ESU# ____
E. General Museum Technology Environment:
Since the project also involves collaboration with museums, a few
technology related questions will also help us in the initial
planning and evaluation process for that component of the project.
Again, answers provided to all of the following questions should be
considered as ìrough estimatesîwith more formal and
complete input targeted for a later date.
E1. What Internet access does the museum have at this time? (modem, direct connect, etc.)
E2. What Internet access is the museum planning for the
future?
E3. Does the museum have a computer server? Yes No Type:
___________
E4. Does the museum have a computer network? Yes No Type:
___________
E5. Is there a technology specialist on the museum staff? Yes No
If yes, what is this personís name?
____________________
E6. Does the museum have any other plans that would be helpful for
us to know? (such as digitizing plans, establishing a World Wide Web
site, etc.)