Integration, Impact, and Alignment Survey

1. At what level does your team operate (mark as many as apply)?

At what level does your team operate (mark as many as apply)? School District

Multi District

Single school/site

Multi-school/site

Mixed delivery system (e.g., Head Start and family child care or community-based preschool)

Other (please specify)

2. What is your team’s stage of implementation in providing children with a comprehensive curricular approach (e.g., language/literacy & social-emotional)? Briefly summarize your current efforts.

What is your team’s stage of implementation in providing children with a comprehensive curricular approach (e.g., language/literacy & social-emotional)? Briefly summarize your current efforts.

3. What are the primary motivating factors for sending a team to the 2013 Integration, Impact, and Alignment Workshop Series?

What are the primary motivating factors for sending a team to the 2013 Integration, Impact, and Alignment Workshop Series?

4. Briefly describe what your team hopes to gain from participation.

Briefly describe what your team hopes to gain from participation.

5. Please explain your participation in the QRIS system. If this program is in QRIS, tell us which ones and how will this training help you advance in the QRIS system. If not in QRIS, tell us when you will begin the process.

Please explain your participation in the QRIS system. If this program is in QRIS, tell us which ones and how will this training help you advance in the QRIS system. If not in QRIS, tell us when you will begin the process.

6. Provide a preliminary list of the 3-5 individuals that would comprise your multi-level team, including titles and or roles (individual names need not be confirmed at this point).

Provide a preliminary list of the 3-5 individuals that would comprise your multi-level team, including titles and or roles (individual names need not be confirmed at this point).

7. Primary age of children you serve?

Primary age of children you serve? Infants to 3 years

Children aged 4-5 not Kindergarten

Kindergarten

Children in 1st-3rd grade

8. What proportion of the children and families you serve are English language learners and/or from homes where English is not the first language.

What proportion of the children and families you serve are English language learners and/or from homes where English is not the first language. Less than 1 percent

1 to 5 percent

6 to 20 percent

20 to 40 percent

More than 50 percent

9. Please describe some of the challenges you are facing in your current position/setting?

Please describe some of the challenges you are facing in your current position/setting?

10. Please provide us with your program name, the contact person and details for the application, and the individuals who would participate in the series (name and professional role).

Please provide us with your program name, the contact person and details for the application, and the individuals who would participate in the series (name and professional role).