Data Request

North CarolinaEducationResearchDataCenter

DukeUniversity

Date of Application:______

Title of Research Project:______

Name of Principal Investigator:______

Title of Principal Investigator:______

Receiving Department and Institution:______

IRB Protocol Number and Date of Approval:______

NORTH CAROLINA EDUCATION RESEARCH DATA CENTER

REQUEST FOR USE OF NCERDC DATA

Data Request Form

Please check all desired datasets and briefly describe how the requested dataset will be used for this project.

Sample description:

File requested: Teacher / Pay X Year(s) Requested: 2001-2008

Used to determine, for individual schools: teaching conditions, incentives for teaching, and teacher quality (used in equilibrium models to control for variations between charter and traditional schools)

NCERDC Data Files

Please limit request to available years, as listed on our website

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** Classroom Level Data

School Activity Report / Meeting Codes Year(s) Requested: ______

School Activity Report / Personnel Files Year(s) Requested: ______

School Activity Report / Student Counts Year(s) Requested: ______

** District Level Data

District / Community Index Year(s) Requested: ______

District / Discipline  Year(s) Requested: ______

District / Dropout Rate Year(s) Requested: ______

District / Finance Year(s) Requested: ______

District / HS Graduates Year(s) Requested: ______

District / Juvenile Justice Year(s) Requested: ______

District / LEA Universe Year(s) Requested: ______

District / Per Pupil Expenditures Year(s) Requested: ______

District / Personnel Counts Year(s) Requested: ______

District / Report Cards Year(s) Requested: ______

District / Salary Supplements Year(s) Requested: ______

District / Violence Year(s) Requested: ______

** School Level Data

School / ABC Growth Scores Year(s) Requested: ______

School / Attendance Year(s) Requested: ______

School / Membership by Race and Sex Year(s) Requested: ______

School / Public School Universe Year(s) Requested: ______

School / Private Schools Year(s) Requested: ______

School / Report Card Year(s) Requested: ______

** Student Level Data

Student / ACT Scores Year(s) Requested: ______

Student / AP Exams Year(s) Requested: ______

Student / Alternate Assessments Year(s) Requested: ______

Student / ASSET Test Scores Year(s) Requested: ______

Student / Career-Technical Enrollment Year(s) Requested: ______

Student / Course Membership Year(s) Requested: ______

Student / Demographics & Attendance Year(s) Requested: ______

Student / Dropout Year(s) Requested: ______

Student / End of Course Year(s) Requested: ______

Student / End of Grade Year(s) Requested: ______

Student / Exceptionality Year(s) Requested: ______

Student / Geocoded Addresses Year(s) Requested: ______

Student / GPA  Year(s) Requested: ______

Student / Graduates Year(s) Requested: ______

Student / Growth Year(s) Requested: ______

Student / Masterbuild Year(s) Requested: ______

Student / MClass Year(s) Requested: ______

Student / PSAT Scores Year(s) Requested: ______

Student / SAT Scores Year(s) Requested: ______

Student / School Exit Year(s) Requested: ______

Student / Suspension Year(s) Requested: ______

(Offense-Consequence)

Student / Tests Year(s) Requested: ______

Student / Transcript Year(s) Requested: ______

Student / WorkKeys Year(s) Requested: ______

Student / YRBS Year(s) Requested: ______

** Teacher Level Data

Teacher / Absence Year(s) Requested: ______

Teacher / Education Year(s) Requested: ______

Teacher / Licensure Year(s) Requested: ______

Teacher / National Board Certification Year(s) Requested: ______

Teacher / Pay Year(s) Requested: ______

Teacher / Testing Year(s) Requested: ______

Teacher / WCS Year(s) Requested: ______

Customization Required (Describe customization and rationale for customization):

rev 9/16/20161