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Evaluation Administrative Check-In

Thank you for participating in the NASA and Department of Education 21st Century Community Learning Collaboration Phase 4 program.  We are so excited that you joined us for this journey.  In an effort to learn more about each site and support everyone more effectively, we are looking to gather information through administrative check-ins.  Administrative check-ins are opportunities for sites to share their experiences and provide important information relating to their sites.  We are requesting sites to complete this administrative check-in on Survey Monkey during the Engineering Design Challenges (EDC) implementation.  

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* 1. Today's Date

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* 2. Facilitator Unique Identifier Number 

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* 3. Your State

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* 4. Site Name

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* 5. Which Engineering Design Challenge(s) did your site select? Select one or more.

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* 6. Rate what level of parental participation has your site experienced since starting the 21st CCLS STEM program by indicating a probability of success from 0 (no parental involvement ) to 10 (parents have been very involved).

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* 7. The next several questions relate to the Engineering Design Process (EDP).  Have you completed the [research] phase?

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* 8. If yes to question 7, how many hours?

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* 9. Have you completed the EDP [design] phase?

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* 10. If yes to question 9, how many hours?

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* 11. Have you completed the EDP [model] phase?

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* 12. If yes to question 11, how many hours?

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* 13. Have you completed the [test and improve] phase?

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* 14. If yes to question 13, how many hours?

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* 15. Do you believe that your students are understanding the EDP?

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* 16. Has your site contacted the help desk or technical assistance?

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* 17. If yes to question 16, what was the reason(s) for contacting the help desk or technical assistance?

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* 18. Has your site contacted and used Subject Matter Experts (SMEs)?

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* 19. If you haven’t contacted SMEs, what was the reason for not doing so?

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* 20. If you have contacted SMEs, what was the content area the SME provided?

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* 21. What successes have you experienced since starting the program?

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* 22. What barriers, challenges, or obstacles has your site experienced since implementing the 21st CCLC STEM program?

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* 23. My program has adhered to the program content protocol.

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* 24. Do you believe that your students have become interested in STEM since participating in this program?

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* 25. Is there any other information that you’d like to share with us regarding the implementation and delivery of your program?

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