WestEd PocketLab Study - Teacher Interest Form - Fall 2020

Thank you for your interest in participating in a research study with WestEd! Please complete this interest form and we will contact you regarding your eligibility to participate. We will follow-up with you upon receiving your response.

1. Name:*

2. School email address:*

3. Preferred email address:*

We will communicate with you using the preferred email address you provide.

4. Phone Number:*

If we are unable to reach you by email, we may contact you by phone.

5. School Name:*

6. School District:*

7. School City, State:*

8. How many total years have you been teaching?*

9. How many total years have you been teaching 8TH GRADE SCIENCE?*

Science Instruction for Academic School Year

________________ Note: The below questions pertain to the present academic school year (August 2020 - June 2021). We understand that due to uncertain circumstances, you may not have this information pertaining to the Fall 2020 school year. Please provide responses based on your best understanding around this matter, if possible. ________________

10. Which of the following Science courses will you be teaching in the present school year?*

8th grade Integrated Science

8th grade Physical Science

None of the above

Other

11. How many class periods of 8th grade science will you be teaching? Please list all science courses, excluding electives.*

For example: Physical Science - 2 class periods

12. How many students will you have in each 8TH GRADE SCIENCE class?*

For example: 25 students in each class period

Tech Access

We would like to understand more about your comfort level with technology and your students' and classroom's access to technology with the questions below.

1. What will be your classroom's level of access to laptop computers in the present school year?*

We understand that there is uncertainty around schools reopening in the Fall. Please kindly answer this question based on if schools were to reopen and teachers & students are able to return to classrooms in-person. If you are unsure, you may answer this based on your classroom's level of access to laptop computers in the prior academic year. Please respond based on Chromebook laptops or on laptops that have the Chrome browser (or for which Chrome browsers can be installed).

a. No classroom access to laptops

b. 1:1 Student to laptop ratio

c. 4:1 Student to laptop ratio

d. Greater than 4:1 Student to laptop ratio

e. Other (Please specify):

Please specify if you answered "Other"

2. What type of laptops do you use in the classroom?:*

Select or enter value

Please specify if you answered "Other"

3. If remote / distance learning is to continue in Fall 2020, approximately what percentage of your students will have access to a laptop device & internet in order to participate in remote learning?*

If you are unsure, please provide an estimate of percentage of class with access during Spring 2020.

4. Other Comments [Optional]:

Please use this space to provide additional information on your students' and classroom’s technological capabilities if needed.

5. What is/has been your experience with using PocketLab products with the students in your class?*

Please select all that apply.

Select or enter value

Science Curriculum

We would like to understand a little bit more about your science curriculum, and the topics that you plan to teach this present school year, with the questions below.

1. In which month do you plan to cover each of the following topics? We understand that due to uncertain circumstances, you may not have this information pertaining to the Fall 2020 school year. Please provide your best understanding around this matter, if possible.

Please use the space below to comment on any COVID19-related changes or information you have about the Fall 2020 school year.

Other General Comments and Questions [Optional]

Please use this space to provide any additional general information or questions if needed.

Send me a copy of my responses

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