ࡱ> []Z5@ ybjbj22 FXXu4888hTL$LV"$M$O$O$O$O$O$O$$%R (^s$s$$"""RM$"M$""""@ 6:] 8"Y#$0$"j( p/"p/"&h"Ts$s$D4"4Pa. Assoc. for Adult Continuing Education (PAACE) 2007 Adult ESL Instructor Needs Assessment (please fax to Martin E. Senger at 814-451-5618) Contact Information Name: __________________________________________________________________ Title: __________________________________________________________________ Program/Agency: ______________________________________________________ Address: ____________________________________________________________ City: __________________________ County:_____________ ZIP: ________ Telephone: ____________________ Email: ______________________________ YOUR CLASSROOM: Teaching Assignment 1. Briefly describe your current teaching assignment including type (e.g., workplace, EL/Civics, family literacy) instructional hours per class, managed or open enrollment, access to computers for instructors and learners, and are you paid for planning time. (Please use the back of Page 3 if you need more room.) ________________________________________________________________________ ________________________________________________________________________ 2. What adult ESL level(s) do you teach? (check all that apply)  FORMCHECKBOX  Beginning Literacy  FORMCHECKBOX  Low Beginning  FORMCHECKBOX  High Beginning  FORMCHECKBOX  Low Intermediate  FORMCHECKBOX  High Intermediate  FORMCHECKBOX  Advanced Teaching Situation (check one for each) 3. Location:  FORMCHECKBOX  Rural  FORMCHECKBOX  Suburban  FORMCHECKBOX  Urban  FORMCHECKBOX  Mixed 4. Schedule:  FORMCHECKBOX  Part-time  FORMCHECKBOX  Full-time 5. Adult ESL Teaching Experience  FORMCHECKBOX  Less than 1 year  FORMCHECKBOX  1-3 years  FORMCHECKBOX  3-9 years  FORMCHECKBOX  10+ years TRAINING AND PROFESSIONAL DEVELOPMENT 6. Types of activities you have participated in during the past year TypeParticipantFacilitatorTypeParticipantFacilitatorWorkshop/Presentation FORMCHECKBOX  FORMCHECKBOX Projects FORMCHECKBOX  FORMCHECKBOX Observation/Feedback FORMCHECKBOX  FORMCHECKBOX Inquiry/Research FORMCHECKBOX  FORMCHECKBOX Other _____________ FORMCHECKBOX  FORMCHECKBOX Specific topics addressed: ________________________________________________________________________ 7. Learning Format (check all that apply)  FORMCHECKBOX  Large group  FORMCHECKBOX  Online  FORMCHECKBOX  Lecture/Reading  FORMCHECKBOX  Small group  FORMCHECKBOX  Online/Face to face hybrid  FORMCHECKBOX  Interactive  FORMCHECKBOX  Mentoring  FORMCHECKBOX  Peer coaching  FORMCHECKBOX  Study circle/network  FORMCHECKBOX  Other ______________________________________________________________________ Professional Development Preferences 8. If you could select your own mode of professional development, what would be your preference? Please rank with 1 being your top choice and 5 being your last choice. _____ Developing your own plan of study with support from the state or program _____ Researching an issue, problem, or topic in your own teaching environment Please check one:  FORMCHECKBOX  alone  FORMCHECKBOX  with others  FORMCHECKBOX  online _____ Practicing classroom strategies with feedback from an observing colleague or supervisor _____ Working on a program project (e.g. curriculum development or standards) _____ Attending workshops to learn new instructional skills _____ Study group/network _____ On-line study/workshop _____ Other (please describe) ____________________________________________________ Travel 9. How long would you be willing to travel (one way) for: a. A half-day (2-3 hours) session:  FORMCHECKBOX  hour  FORMCHECKBOX  1 hour  FORMCHECKBOX  2 hours b. A full-day session:  FORMCHECKBOX  hour  FORMCHECKBOX  1 hour  FORMCHECKBOX  2 hours Professional Development Content 10. What topics would you like to learn more about? Designate your top 3 choices (1 = highest priority). _____ Advocacy _____ Assessment issues (for placement, NRS, in-class) _____ Cultural issues _____ Communicative strategies _____ Curriculum (development and use) _____ EL/Civics and citizenship (content and issues) _____ Lesson planning _____ Needs assessment and goal-setting strategies _____ Managing multilevel classes _____ Professional concerns (certification, benefits, advancement, outlook) _____ Program issues (retention, funding, recruitment, type and intensity of classes) _____ Standards (state, program, content, alignment to curriculum) _____ Teaching English Language Learners (ELLs) in ABE classes _____ Teaching literacy _____ Teaching beginning levels _____ Teaching reading to adult ELLs _____ Teaching writing to adult ELLs _____ Techniques (role plays, LEAs, TPR, dialogues, etc.) _____ Technology ( FORMCHECKBOX  instructional use  FORMCHECKBOX  teacher use  FORMCHECKBOX  data entry) _____ Other: ____________________________________________________________ _____ Other: ____________________________________________________________ Please feel free to use the back of this sheet for any additional comments. On behalf of PAACE, we thank you for taking the time to fill out this survey. If you would like to ask any questions or comment directly PAACE, please contact Martin E. Senger at  HYPERLINK "mailto:MSenger@GECAC.org" MSenger@GECAC.org or at 814-490-8510. PAGE  PAGE 3 Adapted from: CAELA State Capacity Building By E. Cathie Whitmire and Martin E. 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