To’Hajiilee Programs Data Entry

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Implied Consent

Filling in the form below affirms that you are over 18 years of age and that you consent to have your group-level responses to this questionnaire included in related technical assistance processes, research, and/or technical reports.

If you have any questions or concerns, please contact: Dr. Joseph P. Martinez at info@nmcpp.com…

For more information and assistance, please visit positivepractices.com…

Thank you!

THANK YOU for taking the time to fill out this questionnaire. Your responses will be held in strict confidence and your name/identity is NOT requested and will NOT be included in any related reports provided to the project sponsor or the public. Only the Center for Positive Practices (CPP) project staff and the project sponsor are allowed to see any individual entries, and only group-level data may be seen and used by schools, districts, and the public for research, planning and implementing services, and for assessing program effectiveness.

INSTRUCTIONS. Below are several questions designed to…

Each question is based on…

    Part One: About Me:

    1. Association with the To'Hajiilee Community School:
      Please place a checkmark in all relevant boxes.
    • Student
    • Parent / Guardian
    • Teacher or Educational Assistant
    • Staff / Administration
    • Support Staff
    • Other Stakeholder (including Board Members and Advisory Councils)
    This is a required question
    2. Years associated with the To'Hajiilee Community School:
      Pick one.
    • 0-1
    • 2-3
    • 4-6
    • 7-9
    • 10+
    This is a required question
    3. Years living in the area:
      Pick one.
    • 0-2
    • 3-5
    • 6-10
    • 11-20
    • 21+
    This is a required question
    4. Age:
      Pick one.
    • 0-2
    • 3-5
    • 6-10
    • 11-20
    • 21+
    This is a required question
    5. Grade(s):
      Students: answer your grade. Parents: check all grades for all of your chlldren.
    • Pre-K
    • K
    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10
    • 11
    • 12
    This is a required question
    6. My native language proficiency (speaking/listening ability) may best be described as:
      • Beginning
      • Very Limited
      • Casual in Conversation
      • Native Speaker
      This is a required question
      7. Adults: Education Level:
        • Pre-High School
        • High School
        • College / Trade School
        • Graduate / Professional School
        This is a required question
        8. Ethnicity
          Check any boxes that you feel most closely resemble your ethnic culture.
        • Asian
        • African-American
        • Hispanic / Latino
        • Mixed / Other
        • Native American
        • White non-Hispanic
        This is a required question
        9. blank
          (Please skip questions that are stated as "leave blank" or "blank')
        This is a required question
        10. blank
          This is a required question

          Part 2: Program Quality Feedback Form

          This feedback form is designed to learn from various stakeholders how they feel about the quality of various programs within a given school or district. Quality is a big concept, so in this case we want to think of quality in these terms: The program's… A) goals or objectives are clear to the people whom it serves, B) products are easy to understand, and C) communications are friendly, respectful, and service-minded.

          This is a *quality* program…
            Instructions. Please tell us how much you agree or disagree with each statement. Place a mark in the box to the right of the option that best matches your response. If you are undecided or not familiar enough with the program, leave the item blank. Although various departments, boards, and committees are technically not programs, if they are included in the list it is to provide you with an opportunity to respond to these as well.
          Strongly Agree Disagree Neutral Agree Strongly Agree
          1. Academics: Grades 6-12
          2. Academics: Grades K-5
          3. Atheletics
          4. Business /Financial
          5. Extra-Curricular (after school & summer)
          6. Facilities
          7. Family Involvement
          8. Food Service
          9. Language and Culture
          10. Special Education
          11. Security (personal safety)
          12. Transportation
          13. 21st Century Grant
          14. Child Hunger Initiative
          15. Kindergarten Immersion Class
          16. blank
          17. blank
          18. blank
          19. blank
          20. blank
          Please enter one response per row

          Part 3: Program Effectiveness Evaluation Form

          Program effectiveness is a big concept, so it is defined here as: The program… a. is able to accomplish it's purposes, goals, or objectives and it provides a positive service to the people whom it serves. b. is efficient (does what it intends to do), and is sensible and not wasteful.

          This is an effective program…
            INSTRUCTIONS. Below are several questions designed to help you express your perspectives on the effectiveness of several programs. Each question is based on a scale of zero to 10, with 0 being Not at All and 10 being Totally. Please select the number for each item that makes the most sense to you. If you are undecided or not familiar enough with the program, leave the item blank. Although various departments, boards, and committees are technically not programs, if they are included in the list it is to provide you with an opportunity to respond to these as well.
          0 1 2 3 4 5 6 7 8 9 10
          1. Academics: Grades 6-12
          2. Academics: Grades K-5
          3. Atheletics
          4. Business /Financial
          5. Extra-Curricular (after school & summer)
          6. Facilities
          7. Family Involvement
          8. Food Service
          9. Language and Culture
          10. Special Education
          12. Transportation
          13. 21st Century Grant
          14. Child Hunger Initiative
          15. Kindergarten Immersion Class
          16. Blank
          17. Blank
          18. Blank
          19. Blank
          20. Blank
          Please enter one response per row

          Part 4: Readiness for Intensive School-Based Diné Language Programs

          The purpose of this section is to learn how people from the local community — including parents, school staff, students, and stakeholders — feel about continuing and expanding the Diné language learning program at the To'Hajiilee Community School. INSTRUCTIONS. Below are several questions to help you express your level of readiness for your role as a stakeholder in having local children participate in the school's Diné language learning program. There are no right or wrong answers, so please feel comfortable to provide the answer that makes the most sense to you personally. For each question, place one checkmark in a selected box.

          1. It is important to me that local children speak the Diné language.
            Please select one option from the list below.
          • Strongly Disagree
          • Disagree
          • Undecided
          • Agree
          • Strongly Agree
          This is a required question
          2. The Diné language is important to our community identity (both in and out of school).
            • Strongly Disagree
            • Disagree
            • Undecided
            • Agree
            • Strongly Agree
            This is a required question
            3. I feel comfortable speaking Diné with my family.
              • Strongly Disagree
              • Disagree
              • Undecided
              • Agree
              • Strongly Agree
              This is a required question
              4. I feel comfortable speaking Diné to others in the community.
                • Strongly Disagree
                • Disagree
                • Undecided
                • Agree
                • Strongly Agree
                This is a required question
                5. The Diné language may not be that easy to learn but I am willing to learn it (along with my children at To'Hajiilee Community School, if applicable).
                  • Strongly Disagree
                  • Disagree
                  • Undecided
                  • Agree
                  • Strongly Agree
                  This is a required question
                  6. I am willing to attend Diné language classes in the community so I can speak it at home.
                    • Strongly Disagree
                    • Disagree
                    • Undecided
                    • Agree
                    • Strongly Agree
                    This is a required question
                    7. I would speak Diné more if those who speak it well were supportive.
                      • Strongly Disagree
                      • Disagree
                      • Undecided
                      • Agree
                      • Strongly Agree
                      This is a required question
                      8. Our school and community are supportive of each other to teach the Diné language.
                        • Strongly Disagree
                        • Disagree
                        • Undecided
                        • Agree
                        • Strongly Agree
                        This is a required question
                        9. The school is helping students to appreciate the value of the Diné language and culture.
                          • Strongly Disagree
                          • Disagree
                          • Undecided
                          • Agree
                          • Strongly Agree
                          This is a required question
                          10. The school is helping students to speak Diné.
                            • Strongly Disagree
                            • Disagree
                            • Undecided
                            • Agree
                            • Strongly Agree
                            This is a required question

                            PART 5: Final thoughts

                            1. Program Quality.
                              Please feel free to offer any comments or suggestions you may have on the quality of the To'Hajiilee Community School programs.

                            This is a required question
                            2. Program Effectiveness.
                              Offer any comments or suggestions you may have on the effectiveness of the To'Hajiilee Community School programs.

                            This is a required question
                            3. Diné Language and Culture.
                              Offer any comments or suggestions you may have on the school's present and any future emphases on the Diné language and culture.

                            This is a required question
                            4. Please enter the full name of your school or district:
                              To'Hajiilee Community School

                            Must be a number between 0 and 100 (0 counts as blank)
                            This is a required question
                            Show you're not a robot:
                              Most fast-food joints sell a round sandwich called a… (hint: not a hotdog)

                            Must contain 'burger'
                            This is a required question

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