Exhibit 2.4.a.4: Common Metrics Entry Survey
NExT Common Metrics Entry Survey
Last updated December 2013
Entry Questionnaire for Teacher Education-NExT
Introduction/Rationale
Dear Candidates:
The information we seek from you is not part of the selection process; we simply want to know more
about the group pursuing teaching degrees and licensure. We have several aims in collecting these
data. We want to know who our students are. Second, knowledge about students’ route(s) into the
field of education may help us reach students who may not be familiar with career choices. Third,
we want to know more about students’ interests so that we can better explain career options in high
need teaching areas. Finally, as part of our effort to improve programming, we may use the
information to find early indicators of future teaching success and to reach out to high school and
college students who may be interested in teacher education.
Your college or university is a member of the Network for Excellence in Teaching (NExT), which
includes 14 institutions of higher education (IHEs) in Minnesota, North Dakota, and South Dakota.
The NExT IHEs have committed to transform their training programs, with explicit emphasis on
using data to measure the effectiveness of the teachers that they prepare and gauge the effectiveness
of their programs. Continuous program improvements can only be possible if faculty and
administrators have access to data that document their teacher candidates’ attributes and
effectiveness as they move through preparation programs and into professional careers. Each
university has agreed to participate in a comprehensive assessment system that includes the
administration of four common metrics instruments: entry survey; exit survey; transition to teaching
survey; and supervisor survey.
This entry survey is the first in a series of four that are designed to improve our teacher preparation
programs and the experiences of our students. Prior to graduation you will complete the exit survey,
which asks you to assess the quality of our institution’s teacher education programs and the ways in
which they prepared you to be teachers. Approximately one year after graduation, we plan to
conduct the transition to teaching survey that will ask you how well our programs prepared you for
your first year of teaching. If you are in a full-time teaching position a year after you graduate, we
will administer the supervisor survey that will ask your principal or assistant principal about how
well we prepared you to enter the teaching profession.
The information collected in this document will be used to assess programs and will be kept
confidential. Survey results will only be reported in the aggregate without any individual responses
and not used to compare publicly individuals, programs, colleges, or universities.
Exhibit 2.4.a.4: Common Metrics Entry Survey
NExT Common Metrics Entry Survey
Last updated December 2013
A. ABOUT YOU
A1. Name: First __________________ Middle _________________ Last _________________________
A2. Date of birth (MM/DD/YYYY) ___________________________
A3. State of birth (use two letter abbreviation) _______________
A4. If born outside of the United States, country of birth ________________________
A5. Gender:
 Male
 Female
A6. University student ID number _______________________________
A7. Are you an undergraduate or graduate student?
 Undergraduate
 Graduate
A8. Are you already a licensed teacher?
 Yes
 No
A9. What is your race/ethnicity? Mark ALL that apply.
 American Indian or Alaska Native
 Asian
 Black or African American
 Hispanic or Latino/a
 Native Hawaiian or Pacific Islander
 White (not Hispanic)
 Other (please specify): ______________________________
A10. Is English your primary language?
 Yes
 No
A11. Are you proficient in a language other than English?
 Yes
 No
Exhibit 2.4.a.4: Common Metrics Entry Survey
NExT Common Metrics Entry Survey
Last updated December 2013
A12. What is the highest level of education your parents/guardians completed? Mark only one.
 No formal schooling
 Elementary school education
 Some high school
 High school graduate or GED
 Some college
 Two-year or technical degree
 Four-year degree
 Some graduate school
 Graduate degree
A13. What types of high schools did you attend? Mark ALL that apply.
 Comprehensive public (a traditional public high school)
 Vocational/technical public
 Preparatory private
 Public charter
 Public alternative
 Religious affiliated private
 Bureau of Indian Education or tribal school
 Home school
 Online program
A14. While you were in high school, did you participate in:
Yes
Dual Credit Courses
AP Courses
International Baccalaureate Program
PSEO (Post-Secondary Education Option) in Minnesota
A15. Did you receive a high school diploma or a GED?
 High school diploma
 GED
A16. Where did you graduate from high school or receive your GED?
Minneapolis or St. Paul
Other city in Minnesota
Suburban area in Minnesota
Rural area in Minnesota
City in North Dakota
Suburban area in North Dakota
Rural area in North Dakota
City in South Dakota
Suburban area in South Dakota
Rural area in South Dakota
Other urban area in the U.S.
Other suburban area in the U.S.
Other rural area in the U.S.
Outside the U.S.
American Indian Reservation
Other:
No
Exhibit 2.4.a.4: Common Metrics Entry Survey
NExT Common Metrics Entry Survey
Last updated December 2013
A17. In what year did you graduate from high school or receive a GED? ___________
A18. Did you attend another college/university prior to this one?
 Yes
 No
A18a. If yes, did you earn a two- or four-year degree from another college/university?
 Yes
 No
B. ABOUT YOUR GENERAL ACADEMIC INTERESTS
B1. Please rate your level of academic interest in the following areas. Mark only ONE response per row.
Please note that we consider it appropriate for your level of personal interest to vary by area—there is no
correct way for you to answer these items.
Very
High
a. Mathematics
b. Language Arts and Literacy (e.g., English, reading, written
expression, speech)
c. Fine Arts (e.g., theatre, visual arts, music)
d. Social Sciences (e.g., psychology, government/political
science, geography, economics, history)
e. Sciences (e.g., biology, physics, chemistry, geology,
astronomy)
f. Business and commercial enterprises
g. Technology (e.g., information, manufacturing, engineering)
h. Health, Physical Education, or Sports Sciences
i. Family and Consumer Sciences, Home Economics
j. World Languages
k. Reading for pleasure outside of coursework or classes
l. Other (please describe):
High
Low
Very
Low
Exhibit 2.4.a.4: Common Metrics Entry Survey
NExT Common Metrics Entry Survey
Last updated December 2013
C. ABOUT YOUR INTEREST IN TEACHING
C1. To what extent do you agree or disagree that each of the following motivated you to become
interested in the teaching profession? Mark only ONE response per row.
Agree
a. An influential elementary teacher
b. An influential middle school teacher
c. An influential secondary (high school) teacher
d. An influential college professor
e. An interest in children, their growth, development,
and well-being
f. An interest in adolescents, their growth,
development, and well-being
g. An interest in making society better by working
with (guiding) children/youth or young adults
h. An interest in teaching/pedagogy (the art and
science of presenting knowledge, skills; helping
young people with discovery and learning)
i. An interest in subject matter that you could explore
as a teacher
j. A curiosity about the “way that the world works”
k. A curiosity about learning issues such as memory
and attention
l. Other (please describe):
Tend
Tend to
to Agree Disagree
Disagree
Exhibit 2.4.a.4: Common Metrics Entry Survey
NExT Common Metrics Entry Survey
Last updated December 2013
C2. To what extent do you agree or disagree that each of the following motivated you to become
interested in the teaching profession (or the choice does not apply to you)? Mark only ONE response per
row.
Agree
a. Parents were educators
b. Another close relative was an educator
c. Family friend or friends were educators
d. A career course that addressed
teaching and/or human service careers
e. Experience teaching or guiding others
(Boy/Girl Scouts, 4-H, work at a religious
institution)
f. Experience helping someone with
learning difficulties (experience helping
them learn)
g. Previous experience during secondary
school years serving as a volunteer or
classroom helper
h. Service as a paraprofessional
i. Coaching a sport or activity
j. Summer work with children
k. Child care/babysitting family members
or others
Tend
to Agree
Tend to
Disagree
Disagree
Did Not
Have This
Experience
Exhibit 2.4.a.4: Common Metrics Entry Survey
NExT Common Metrics Entry Survey
Last updated December 2013
C3. In what area(s) do you intend to teach? Mark ALL that apply.
 Early Childhood Education
 Elementary Education
 Special Education
 K-12 Education license
If interested in a K-12 program, indicate your subject area (mark all that apply):
Art
English as a Second Language (ESL)
Library Media Specialist
Music
Physical Education
Reading
World Languages
Other (no abbreviations):
 Secondary Education license (5-12, 7-12, or 9-12)
If interested in a secondary education program, indicate your subject area (mark all that apply):
Business
English
Health
Mathematics
Science
Social Studies
Technology
Other (no abbreviations):
C4. Where would you consider teaching? Mark ALL that apply.
Minneapolis or St. Paul
Other city in Minnesota
Suburban area in Minnesota
Rural area in Minnesota
City in North Dakota
Suburban area in North Dakota
Rural area in North Dakota
City in South Dakota
Suburban area in South Dakota
Rural area in South Dakota
Other urban area in the U.S.
Other suburban area in the U.S.
Other rural area in the U.S.
Outside the U.S.
American Indian Reservation
Other:
C5. Do you hope to teach within 50 miles of your hometown?
 Yes
 Maybe
 No
Exhibit 2.4.a.4: Common Metrics Entry Survey
NExT Common Metrics Entry Survey
Last updated December 2013
C6. How long do you plan to teach? Mark only ONE answer.
 1-2 years
 3-5 years
 6-10 years
 11 or more years
 I do not plan to teach
C7. Either before, during, or after your teaching career, do you plan to go into any of the educationrelated fields listed below?
Yes
Coaching
Counseling
School Administration (special education director, principal, superintendent,
curriculum director)
Other (Please describe):
D. OTHER
D1. Are you currently taking a teacher education course?
 Yes
 No
D2. Have you completed a teacher education course?
 Yes
 No
D3. Have you been admitted to a teacher education program?
 Yes
 No
D4. At what point in your life did you first think of becoming a teacher?
 Elementary school
 Middle school
 High school
 Between high school and college
 College
 After leaving college
 Other (please specify): ________________________________
Maybe
No
Exhibit 2.4.a.4: Common Metrics Entry Survey
NExT Common Metrics Entry Survey
Last updated December 2013
D5. Did anyone discourage you from pursuing a teaching career?
 Yes
 No (Do not complete questions 5a or 5b)
D5a. If yes, who (e.g., relative, friend, teacher, etc.) discouraged you from teaching?
________________________________________________________________________________________
D5b. Why did they discourage you?
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Thank you for your response to this survey. We appreciate your input!
© 2014 Bush Foundation