math questionnaire - Center for Talent Development :: Northwestern ...

School of Education & Social Policy
MATH QUESTIONNAIRE
SUMMER PROGRAM 2012
617 Dartmouth Place Evanston, IL 60208 847/491-­‐8257
Summer Office: June 11 – August 8, 2012 847/467-­‐2990
Overview
Center for Talent Development’s (CTD) math curriculum covers topics found in traditional school math programs from
Algebra through AP Calculus. As courses at your school may vary in title and content, you will need to provide CTD with
this completed questionnaire and a syllabus or course content list from your school (for the course equivalent to the one you
plan to take with CTD) before you arrive on site for the program. For example, if you plan to take Algebra II & Trigonometry
at CTD, provide us with the Algebra II syllabus/course content information for the course offered at your school. The CTD
Program Coordinator will work with you to address questions about course content.
The following questionnaire is required for all students in math courses and designed to help us plan for your participation.
Please complete the questionnaire in its entirety, as the information you provide will allow CTD instructors to adjust your
course material and place you appropriately, giving you the best possible chance to complete the course successfully and for
credit and/or placement. You need to complete this questionnaire even if you are not planning to request credit or placement
at your academic year school.
You must mail your completed questionnaire to CTD along with syllabus or curriculum content information from your
school.
Credit & Placement for CTD Courses
Given the Center for Talent Development’s accreditation through the North Central Association Commission on
Accreditation and School Improvement (NCA CASI), students may earn credit for courses successfully completed. A grade
of C or better is considered successful completion of a course, and courses carry either one or two semesters of high school
credit. (See course descriptions for specifics.) Even if you are not looking to earn credit for a course, you may want to
complete the course in order to receive appropriate placement in the next course in the math sequence (i.e., if you take
Algebra II over the summer being placed in Pre-Calculus in the fall).
CTD cannot guarantee the acceptance of credit or placement at your academic-year school. The acceptance of credit(s) or
placement at a student’s academic year school depends on that school’s institutional policy about the recognition of credit
from outside institutions. Students who wish to receive credit or placement from their home school for a course should
discuss this option with their academic counselor or school administrator before applying to the CTD Summer Program.
Center for Talent Development sends an official transcript to the students’ school unless applicants request not to have it sent
on the Summer Program application form. (Apogee Algebra I students must request that a transcript be sent to the school as
they are not sent automatically.) If you need to update or change your request, please contact the CTD Summer Program
office. Additional transcripts may be requested for a fee.
Our experience demonstrates that students who make arrangements for credit or placement with their schools before they
attend the CTD Summer Program have better success in securing appropriate credit or placement. The documentation you
provide in this questionnaire, along with the documentation you will have at the completion of the course, will be helpful in
working with the school on credit and placement issues. We cannot overemphasize how important it is to meet with
appropriate contacts at the school you will be attending in the fall prior to your participation in the summer course.

Center for Talent Development Math Questionnaire
Return the completed questionnaire and all required documentation to the Center for Talent Development.
E-mail: summer@ctd.northwestern.edu
Mail: CTD Summer Program, 617 Dartmouth Place, Evanston, IL 60208
Fax: 847/467-0880
Completing the Questionnaire
1. Please meet with a school representative(s) at the school you will be attending in the fall to help you in completing this
questionnaire. The person(s) with whom you meet should be the one(s) responsible for helping you secure appropriate
credit and/or placement for your summer course. List the name(s) and title(s) of the representative(s) on the lines below:
Name(s): _____________________________________________________________________________
Title(s): ______________________________________________________________________________
Date of Meeting: __________________
School (attending in fall): _______________________________________________________________
2. Share the following information with your school representative(s): The CTD math sequence includes courses in
Pre-Algebra, Algebra I, Geometry, Algebra II with Trigonometry, Pre-Calculus, AP Calculus AB, and other advanced
topics. The course curriculum is linear, rather than spiral, and is grounded in mastery learning, utilizing diagnostic
testing and prescriptive instruction. In addition to the course text, instructors use other practice problems and test
students on course objectives. Objectives may be added or modified based on the needs of the student and requirements
of his/her academic-year school. Small classes, allowing for individualized instruction, and flexible pacing enable
students to master new material at a pace commensurate with their abilities. To ensure that the CTD program of study
meets the requirements of your school, please review the appropriate course description and the syllabus provided by
CTD. In the questionnaire please note any topics/objectives covered in your school’s version of the course that are not
currently listed as covered by CTD. CTD staff will do their best to address any discrepancies. CTD requires that students
pass a comprehensive final exam. Nationally normed, standardized tests are also available if your school requires a
standardized test score in addition to the final exam score. If you require a standardized test score in addition to the final
exam, please indicate this on the questionnaire. CTD will send final evaluation materials to the student’s family. These
materials include a syllabus, transcript, and narrative evaluation of the student’s performance. The student’s family is
expected to provide copies of these documents to the school. If requested by the family, a copy of the transcript will be
sent directly to the school.
3. Attach to this questionnaire your school’s syllabus or course content list for the course you plan to take at Center for
Talent Development during the Summer Program. This will allow CTD instructors to assure that appropriate course
content is covered.
4. Answer the following questions to the best of your ability and with the assistance of the school representative. If you
need assistance, please contact the CTD Summer Program office at 847/491-8257 orsummer@ctd.northwestern.edu.

Center for Talent Development Math Questionnaire
Questions
1. Student’s Name: ____________________________________________
2. CTD Application ID #: ________________ (found in Acceptance e-mail)
3. Student’s age and grade as of June 1, 2012: Age _______ Grade _______
4. What mathematics course(s) are you planning to take during the CTD Summer Program
Session 1: ______________________________________________
Session 2: ______________________________________________
5. What math curriculum is used in your academic-year school in the course(s) you plan to take in the CTD Summer
Program Please list the type of math program (Connected Math, Saxon Math, etc.), including the specific text to be used.
Course Title: ____________________________________________
Math Program: __________________________________________
Text: __________________________________________________ (please include edition & year)
Course Title: ____________________________________________ (if taking a second CTD math course)
Math Program: __________________________________________
Text: __________________________________________________ (please include edition & year)
6. Which math courses in CTD’s mathematics sequence have you completed in the past
☐ I have not taken a CTD math course before
☐ Pre-Algebra
☐ Geometry
☐ Algebra I
☐ Pre-calculus
☐ Algebra II with Trigonometry ☐ AP Calculus AB
☐ Other course: _____________________________________
7. Which math course are you taking currently in your academic-year school ____________________________
8. Which math courses have you already completed in your academic-year school
☐ Pre-Algebra
☐ Geometry
☐ Algebra I
☐ Pre-calculus
☐ Algebra II with Trigonometry ☐ AP Calculus AB
☐ Other course: _____________________________________
9. If you complete the course(s) indicated in question #3 this summer, what course will you take at school in the fall
☐ Pre-Algebra
☐ Geometry
☐ Algebra I
☐ Pre-calculus
☐ Algebra II with Trigonometry ☐ AP Calculus AB
☐ Other course: _____________________________________
10. What math curriculum will be used in the course you plan to take in the fall at your academic-year school
Please list the type of math program (Connected Math, Saxon Math, etc.), including the specific text to be used.
Math Program: __________________________________________
Text: __________________________________________________ (please include edition & year)

Center for Talent Development Math Questionnaire
Student’s Name: ____________________________________
CTD Application ID #: ________________
11. What type of school do you attend
☐ public
☐ private/independent
☐ parochial/religious
☐ home school
☐ other: _____________________________________
12. Which statement most accurately describes your situation regarding placement (Placement means that you will be
enrolled in the next level course and not retake the course you took at CTD.)
☐ I do not plan to ask for placement.
☐ If I pass a test when I return, my school will place me in the next level course.
☐ My school will place me in the next level course based on my CTD performance (passing grade).
☐ My school will not grant placement in the next level course based on my work at CTD.
☐ Other (please explain): _______________________________________________________________
13. Which statement most accurately describes your situation regarding credit (Credit means that you will be enrolled in the
next level course, will not have to retake the course at your school and will be allowed to count your CTD course toward
your high school graduation credit requirements.)
☐ I do not plan to ask for credit.
☐ If I pass a test when I return, my school will give me credit for the course.
☐ My school will give me credit based on my CTD performance (passing grade).
☐ My school will not grant credit based on my work at CTD.
☐ I am in elementary, middle or junior high school and cannot receive high school credit.
☐ Other (please explain): _______________________________________________________________
14. CTD requires that students pass a comprehensive final exam. Some schools require additional documentation
regarding performance such as nationally normed, standardized tests. Does your school require a nationally normed final
exam
☐ Yes
☐ No
☐ Other - Please explain. _______________________________________________________________
15. After reviewing the CTD course information, what, if any, additions or changes need to be made to the CTD
course curriculum so that it may be used for credit and/or placement at the academic-year school
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
16. Other comments or requests for CTD ________________________________________________________
____________________________________________________________________________
End of survey