| I. | Identification Number | |||||
| 0. | IDXXXXX | Enter the five digit ID number (i.e. ID00134) | ||||
| II. | Gender (Choose one) | |||||
| 1. | GEN001 | Male | ||||
| 2. | GEN002 | Female | ||||
| III. | Type of Employer (Choose one) | |||||
| 3. | EMP003 | Secondary | ||||
| 4. | EMP004 | Technical Institute | ||||
| 5. | EMP005 | Community College | ||||
| IV. | Experience Number (Choose one) | |||||
| 6. | NUM006 | First experience | ||||
| 7. | NUM007 | Second experience | ||||
| V. | Type of experience (Choose all that apply) | |||||
| A. | On-the-Job Experiences | |||||
| a. | Varied jobs/positions | |||||
| 8. | E-O-V008-X | Across education organizations/institutions | ||||
| 9. | E-O-V009-X | Across education functions | ||||
| 10. | E-O-V010-X | Work in business and industry | ||||
| 11. | E-O-V011-X | Work in government | ||||
| 12. | E-O-V012-X | Other | ||||
| b. | New positions | |||||
| 13. | E-O-N013-X | Change in context and/or personnel | ||||
| 14. | E-O-N014-X | New and/or increased responsibilities | ||||
| 15. | E-O-N015-X | Other | ||||
| c. | Within a position | |||||
| 16. | E-O-W016-X | Internship | ||||
| 17. | E-O-W017-X | Special work assignment/project: Start-ups | ||||
| 18. | E-O-W018-X | Special work assignment/project: Fix-its | ||||
| 19. | E-O-W019-X | Special work assignment/project: Other | ||||
| 20. | E-O-W020-X | Teaching/counseling | ||||
| 21. | E-O-W021-X | Handling personnel: Hiring | ||||
| 22. | E-O-W022-X | Handling personnel: Conflict/firing | ||||
| 23. | E-O-W023-X | Handling personnel: Developing | ||||
| 24. | E-O-W024-X | Work on teams/committies | ||||
| 25. | E-O-W025-X | Mentored/counseled/advocate support | ||||
| 26. | E-O-W026-X | Working with a supervisor | ||||
| 27. | E-O-W027-X | Other | ||||
| B. | Non-Job Activities | |||||
| a. | Education Related | |||||
| 28. | E-N-E028-X | Professional association/union activities | ||||
| 29. | E-N-E029-X | (Formal) training activity/programs, e.g. leadership academy | ||||
| 30. | E-N-E030-X | Simulation/case studies | ||||
| 31. | E-N-E031-X | Shadowing/observation | ||||
| 32. | E-N-E032-X | Networking | ||||
| 33. | E-N-E033-X | Other | ||||
| b. | Non-education Activities | |||||
| 34. | E-N-N034-X | Community service | ||||
| 35. | E-N-N035-X | Other | ||||
| VI. | Developmental Aspects of the Experience (Choose all that apply) | |||||
| A. | Motivating Aspects | |||||
| 36. | DEV-M036-X | Interesting, enjoyable, exciting | ||||
| 37. | DEV-M037-X | Challenge: Risk of failure | ||||
| 38. | DEV-M038-X | Challenge: New and/or complex tasks or problems | ||||
| 39. | DEV-M039-X | Challenge: Job overload, stress | ||||
| 40. | DEV-M040-X | Challenge: Barriers (lack of higher level support and/or resources; resistant or imcompetent subordinates, etc.) | ||||
| 41. | DEV-M041-X | Other | ||||
| B. | Facilitating Aspects | |||||
| 42. | DEV-F042-X | Negative Experience/failure | ||||
| 43. | DEV-F043-X | Opportunity to plan and/or reflect: feedback provided | ||||
| 44. | DEV-F044-X | Assesment of personal strenghts or weaknesses | ||||
| 45. | DEV-F045-X | Chance to learn new ideas, practices, insights | ||||
| 46. | DEV-F046-X | Opportunity to apply and practice skills and knowledge | ||||
| 47. | DEV-F047-X | Encouraging/confidence building | ||||
| 48. | DEV-F048-X | Exposure to role models: Positive | ||||
| 49. | DEV-F049-X | Exposure to role models: Negative | ||||
| 50. | DEV-F050-X | Freedom to make decisions and mistakes | ||||
| 51. | DEV-F051-X | Exposure to other cultures | ||||
| 52. | DEV-F052-X | Other | ||||
| C. | No Relevant Response | |||||
| 53. | DEV-N053-X | No relevant response | ||||
| VII. | Timing of Experiences (Choose one) | |||||
| A. | Timing Noted as a Significant Factor | |||||
| 54. | TI-NTO54-X | Before becaming a teacher | ||||
| 55. | TI-NTO55-X | As a teacher | ||||
| 56. | TI-NTO56-X | As a department-level administrator/coordinator | ||||
| 57. | TI-NT057-X | As an assistant school-level administrator | ||||
| 58. | TI-NTO58-X | As a chief vocational administrator | ||||
| 59. | TI-NTO59-X | Other | ||||
| B. | Timing Not Noted as a Significant Factor | |||||
| 60. | TI-NNO60-X | Before becaming a teacher | ||||
| 61. | TI-NNO61-X | As a teacher | ||||
| 62. | TI-NNO62-X | As a department-level administrator/coordinator | ||||
| 63. | TI-NNO63-X | As an assistant school-level administrator | ||||
| 64. | TI-NNO64-X | As a chief vocational administrator | ||||
| 65. | TI-NNO65-X | Other | ||||
| C. | No Relevant Response | |||||
| 66. | TI-NRO66-X | No relevant response | ||||
| VIII. | Initiator of the Experience (Choose one) | |||||
| A. | Self Initiated | |||||
| 67. | IN-SEO67-X | Interviewee | ||||
| B. | Other | |||||
| 68. | IN-OTO68-X | Superior | ||||
| 69. | IN-OTO69-X | Peer | ||||
| 70. | IN-OTO70-X | Subordinate | ||||
| 71. | IN-OTO71-X | Other | ||||
| C. | No Relevant Response | |||||
| 72. | IN-NRO72-X | No relevant response | ||||
| IX. | Qualities Improved/Developed (Choose all that apply) | |||||
| A. | LAI Attributes | |||||
| 73. | Q-LAIO73-X | Energetic with stamina | ||||
| 74. | Q-LAIO74-X | Insightful | ||||
| 75. | Q-LAIO75-X | Adaptable, open to change | ||||
| 76. | Q-LAIO76-X | Visionary | ||||
| 77. | Q-LAIO77-X | Tolerant of ambiguity and complexity | ||||
| 78. | Q-LAIO78-X | Achievement oriented | ||||
| 79. | Q-LAIO79-X | Accountable | ||||
| 80. | Q-LAIO80-X | Initiating | ||||
| 81. | Q-LAIO81-X | Confident, accepting of self | ||||
| 82. | Q-LAIO82-X | Willing to accept responsibility | ||||
| 83. | Q-LAIO83-X | Persistant | ||||
| 84. | Q-LAIO84-X | Enthusiastic, optimistic | ||||
| 85. | Q-LAIO85-X | Tolerant of frustration | ||||
| 86. | Q-LAIO86-X | Dependable, reliable | ||||
| 87. | Q-LAIO87-X | Courageous, risk-taker | ||||
| 88. | Q-LAIO88-X | Even disposition | ||||
| 89. | Q-LAIO89-X | Committed to the common good | ||||
| 90. | Q-LAIO90-X | Personal integrity | ||||
| 91. | Q-LAIO91-X | Intelligent with practical judgement | ||||
| 92. | Q-LAIO92-X | Ethical | ||||
| 93. | Q-LAIO93-X | Communication (listening, oral, written) | ||||
| 94. | Q-LAIO94-X | Sensivity, respect | ||||
| 95. | Q-LAIO95-X | Motivating others | ||||
| 96. | Q-LAIO96-X | Networking | ||||
| 97. | Q-LAIO97-X | Planning | ||||
| 98. | Q-LAIO98-X | Delegating | ||||
| 99. | Q-LAIO99-X | Organizing | ||||
| 100. | Q-LAI100-X | Team building | ||||
| 101. | Q-LAI101-X | Coaching | ||||
| 102. | Q-LAI102-X | Conflict management | ||||
| 103. | Q-LAI103-X | Time management | ||||
| 104. | Q-LAI104-X | Stress management | ||||
| 105. | Q-LAI105-X | Appropriate use of leadership styles | ||||
| 106. | Q-LAI106-X | Ideological beliefs are appropriate to the group | ||||
| 107. | Q-LAI107-X | Decision making | ||||
| 108. | Q-LAI108-X | Problem solving | ||||
| 109. | Q-LAI109-X | Information management | ||||
| B. | Other | |||||
| 110. | Q-OTH110-X | Administrative/management knowledge and skills | ||||
| 111. | Q-OTH111-X | Broader perspective about the organization | ||||
| 112. | Q-OTH112-X | Status in the organization | ||||
| 113. | Q-OTH113-X | Unspecified "interpersonal" skills: orientation to people | ||||
| 114. | Q-OTH114-X | Other | ||||
| C. | No Relevant Response | |||||
| 115. | Q-OTH115-X | No relevant response | ||||
| X. | Types of Planned Experience to be Provided (Choose all that apply) | |||||
| A. | On-the-Job Experience | |||||
| a. | Varied jobs/positions | |||||
| 116. | P-O-V116-X | Across education organizations/institutions | ||||
| 117. | P-O-V117-X | Across education functions | ||||
| 118. | P-O-V118-X | Work in business and industry | ||||
| 119. | P-O-V119-X | Work in government | ||||
| 120. | P-O-V120-X | Other | ||||
| b. | New positions | |||||
| 121. | P-O-N121-X | Change in context and/or personnel | ||||
| 122. | P-O-N122-X | New and/or increased resonsibilities | ||||
| c. | Within a positions | |||||
| 123. | P-O-W123-X | Internship | ||||
| 124. | P-O-W124-X | Special assignment: Start-ups | ||||
| 125. | P-O-W125-X | Special assignment: Fix-its | ||||
| 126. | P-O-W126-X | Special assignment: Other | ||||
| 127. | P-O-W127-X | Teaching/counseling | ||||
| 128. | P-O-W128-X | Handling personnel: Hiring | ||||
| 129. | P-O-W129-X | Handling personnel: Conflict/Firing | ||||
| 130. | P-O-W130-X | Handling personnel: Developing | ||||
| 131. | P-O-W131-X | Work on teams/committies | ||||
| 132. | P-O-W132-X | Mentored/counseled/advocate support | ||||
| 133. | P-O-W133-X | Working with a supervisor | ||||
| 134. | P-O-W134-X | Other | ||||
| B. | Non-Job Activities | |||||
| a. | Education-related | |||||
| 135. | P-N-E135-X | Professional association/union activities | ||||
| 136. | P-N-E136-X | (Formal) training activity/programs, e.g. leadership academy | ||||
| 137. | P-N-E137-X | Simulation/Case studies | ||||
| 138. | P-N-E138-X | Shadowing/observation | ||||
| 139. | P-N-E139-X | Networking | ||||
| 140. | P-N-E140-X | Other | ||||
| b. | Non-education Activities | |||||
| 141. | P-N-N141-X | Community service | ||||
| 142. | P-N-N142-X | Other | ||||
| XI. | Important Aspect(s) of Planned Experience (Choose all that apply) | |||||
| A. | Motivating Aspects | |||||
| 143. | ASP-M143-X | Interesting, enjoyable, exciting | ||||
| 144. | ASP-M144-X | Challenge: Risk of failure | ||||
| 145. | ASP-M145-X | Challenge: New and/or complex tasks or problems | ||||
| 146. | ASP-M146-X | Challenge: Job overload, stress | ||||
| 147. | ASP-M147-X | Challenge: Barriers (lack of higher level support and/or resources: resistant or incompetent subordinates, etc. | ||||
| 148. | ASP-M148-X | Other | ||||
| B. | Facilitating Aspects | |||||
| 149. | ASP-F149-X | Negative experience/failure | ||||
| 150. | ASP-F150-X | Opportunity to plan and/or reflect: feedback provided | ||||
| 151. | ASP-F151-X | Assessment of personal strenghts or weaknesses | ||||
| 152. | ASP-F152-X | Chance to learn new ideas, practices, insights | ||||
| 153. | ASP-F153-X | Opportunity to apply and practice skills and knowledge | ||||
| 154. | ASP-F154-X | Encouraging/confidence building | ||||
| 155. | ASP-F155-X | Exposure to role models: Positive | ||||
| 156. | ASP-F156-X | Exposure to role models: Negative | ||||
| 157. | ASP-F157-X | Freedom to make decisions and mistakes | ||||
| 158. | ASP-F158-X | Exposure to other cultures | ||||
| 159. | ASP-F159-X | Other | ||||
| C. | No Relevant Response | |||||
| 160. | ASP-N160 | No relevant response | ||||
| XII. | Macro (overarching) Insights | |||||
| A. | Relevant to this Interview | |||||
| 161. | MAC-T161 | Add text to bottom of write-up | ||||
| B. | Relevant to a number of Interviews | |||||
| 162. | MAC-N162 | Add text to bottom of write-up | ||||