GK-12 Crosswalk - PIs

APPENDIX A1

Crosswalk of GK-12 Data Elements for the PI Survey

Data Elements of Graduate Teaching Fellows in K–12 Education (GK–12)

Distance Monitoring System

Question	Staff and Project Participant Characteristics i	Project Implementation Characteristicsii	Project Outputs iii
Section I. Data Entered by Principal Investigator
Award Information NSF Award ID Grantee Institution Award Title Award Start Date Award End Date		X
Award Effort Information		X
Award Title
Effort Title
Associated Colleges and Universities
Schools
Award Evaluator
Award Discipline(s) Astronomy Behavioral Sciences Biological Sciences Chemistry Computer/Information Sciences Economic Science Engineering Environmental Science Geosciences Mathematics Physics/Physical Sciences Social Sciences Other
Other Award Discipline (only if you chose “Other” above)
Award Design Model Self-Contained Expository
Award Status Planning Recruiting Training Completed In Classroom
Award URL
Partner Organization(s)
Other Partner Organization’s Name (only if you chose “Other” above)
Additional Funding Source Information		X
Source Name
Additional Funding Source Type State Government Federal Government Local Government Home Institution Business Foundation Other
Other Source Type (only if you chose “Other” above)
Amount of Additional Funding
Associated Colleges and Universities Information		X
Institution Name
City
State
ZIP Code
FICE Code
School Information		X
School Name
School Level Elementary School Grades Middle School Grades High School Grades Prekindergarten or Kindergarten Through Middle School Middle School Through High School
State District Name
School Setting/Location Urban Suburban Rural
Start Date for School Involvement in Fellowship
End Date for School Involvement in Fellowship
Percentage of Eligible Students for Lunch Programs Not Applicable 1 – 10% 11 – 20% 21 – 30% 31 – 40% 41 – 50% 51 – 60% 61 – 70% 71 - 80% 81 – 90% 91 – 100%
Class Information		X
Class Name
Grade K – Kindergarten 1 – 1st Grade 2 – 2nd Grade 3 – 3rd Grade 4 – 4th Grade 5 – 5th Grade 6 – 6th Grade 7 – 7th Grade 8 – 8th Grade 9 – 9th Grade 10 – 10th Grade 11 – 11th Grade 12 – 12th Grade
Subject Mathematics – General Mathematics – Elementary School Mathematics – Middle School Mathematics – High School (Secondary) Science - Biology Science - Chemistry Science - Earth Science Science - Elementary Science Science - General Science Science - Integrated Science Science - Physical Science Science - Physics Art Computer Science English Foreign Language History/Social Studies Music Other
Other Subject (only if you chose “Other” above)
Number of Students
Participant Data (Award Evaluator Information)	X
Title
First Name
Middle Name
Last Name
Suffix
Participant Data (Principal Investigator (PI)/Co-PI Information)	X
Title
First Name
Middle Name
Last Name
Suffix Data Entry Privileges Primary status
Phone number
Phone extension
E-mail address
Participant Data (Co-PI Information) Co-PI/PI Title Co-PI/PI Academic Discipline Astronomy Behavioral Sciences Biological Sciences Chemistry Computer/Information Sciences Economic Science Engineering Environmental Science Geosciences Mathematics Physics/Physical Sciences Social Sciences Other Co-PI/PI Other Discipline (only if you chose “Other” above) Institution	X
Participant Data (Graduate Fellow Information)	X
Title
First Name
Middle Name
Last Name
Suffix
Social Security Number
Phone Number
Email Address
Fellowship Start Date Month Year
Fellowship End Date Month Year
Is this graduate fellow supported by NSF-GK-12 Funds? Yes No		X
Total Stipend Received By Graduate Fellow for participating in GK-12 fellowship Full 100% of $30,000 Partial 100% by other Other		X
Participant Data (Undergraduate Fellow Information)	X
Title
First Name
Middle Name
Last Name
Suffix
Race (select one or more) American Indian or Alaska Native Asian Black or African American Native Hawaiian or other Pacific Islander Not Reported White
Ethnicity Not Hispanic or Latino Hispanic or Latino Not Reported
Gender Male Female Not Reported Citizenship
Disability Hearing Impairment Mobility or Orthopedic Impairment None Not Reported Other Visual Impairment
Other Disability (only if you chose “Other” above)
Undergraduate Fellow Information Home Institution of Fellow Social Security Number Supported by NSF GK-12 funds Date of Birth Fellowship Start Date Fellowship End Date Fellow Discipline Astronomy Behavioral Sciences Biological Sciences Chemistry Computer/Information Sciences Economic Science Engineering Environmental Science Geosciences Mathematics Physics/Physical Sciences Social Sciences Other Fellow Academic Level During Fellowship Year Undergrad Junior Undergrad Senior Baccalaureate Degree School Class	X
Participant Data (Cooperating Teacher Information)	X
Title
First Name
Middle Name
Last Name
Suffix
Phone Number
Phone Extension
E-mail Address
Participant Data (Other Participant Information)	X
Title
First Name
Middle Name
Last Name
Suffix
Participant Description (check here for data entry staff)
Phone Number
Phone Extension
E-mail Address
Achievements and Products Related to GK-12 Activities
Journal Articles In Refereed Publications			X
Author(s)
Article Title
Publication Name
Volume
Number
Year
Pages
Journal Articles In Non-Refereed Publications			X
Author(s)
Article Title
Publication Name
Volume
Number
Year
Pages
Books			X
Author(s)
Book Title
Publisher
Year
ISBN#
Book Chapters			X
Author(s)
Chapter Title
Book Title
Editor(s)
Publisher
Year
ISBN#
Curriculum/Module Development			X
Author/Contributor
Title
Grade Band
Academic Disciplines Astronomy Biological Sciences Behavioral Sciences Computer Sciences Chemistry Economic Sciences Engineering Environmental Sciences Geosciences Mathematics Physics Social Science Other
Other (please specify)
Brief Description
Conference Publications			X
Author(s)
Paper Title
Conference
Year
Pages
Conference Presentations			X
Author(s)
Name of the Conference
Presentation Title
Date
Location
Organization
Other (Textbox)
Program outreach information Outreach activities include your GK faculty and/or GK Trainees being featured on TV, radio, in magazine articles or otherwise in the media; talks, presentations, workshops given by GK-12 faculty, trainees and/or associates to school groups, civic groups, non-scientifically based professional groups, members of the government or the general public. Please separately list in the text box below the type of outreach activity, the organization/magazine/radio station/etc. for which the outreach was done, the location, who in your GK-12 did the outreach and date.			X

i Elements of these characteristics include: Name, address, date of birth, gender, ethnicity, race, disability status, class, major, grade point average, yearly fellowship or stipend amount, or project role.

ii Elements of these characteristics include: Sources and amount of funds, fellowships, scholarships, traineeships, partnerships, training, research methods.

iii Elements of these characteristics include: research findings, publications, presentations, degrees granted, educational materials.

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