SAIS Motivation and Engagement Survey Registration Form

Please complete this form to register for SAIS Motivation and Engagement Survey.
When the form is complete and submitted with corresponding payment, you will receive a confirmation email that verifies the information provided and important next steps.
Please refer to www.sais.org/surveycenter for information.

Save & Return

Save your progress and complete this form later (optional)

CONTACT INFORMATION

Survey Coordinator Name *

Survey Coordinator Email Address *

Survey Coordinator Phone Number (xxx-xxx-xxxx) *

School Name *

School City *

School State *

Total school enrollment *

What grade levels does your school serve? *

Pre-School/Early Learning/JK/SK

Lower

Middle

Upper

If the survey coordinator is not the head of school, please complete the following. In that case, the survey results will be sent to both the survey coordinator and the head of school.

Head of School Name

Head of School Email Address

SURVEY CHOICES

For each stakeholder group participating in the survey, please give us your best estimate of how many responses we should expect for each group.

Total number of STUDENTS (grades 6-12 only)

Total number of FACULTY/STAFF

Is your school a member of SAIS? *

Yes

No ($500) Nonmember flat rate.

SAIS Members: Select the appropriate deployment for your survey.

Deployment to students only (SAIS Members $200)

Deployment to faculty/staff only (SAIS Members $200)

Deployment to students, faculty, and staff (SAIS Members$300)

DEPLOYMENT INFORMATION

SAIS will create and supply a weblink to the survey(s). The school will distribute the weblink to the appropriate staff and / or students on the deployment date.

DEPLOY DATE * +

CLOSE DATE *

You will receive your compiled report about 14 days after the survey closes.

FINAL QUESTIONS

Any additional comments or questions?

By checking below you are certifying that you are authorized to commit your school to the use the SAIS survey instruments. You are acknowledging that the data received by SAIS through the surveys is confidential and that no identifying data will be shared with you. Data will also not be shared with a third party without your specific permission – and even then, no identifying data will be shared. You also acknowledge that the SAIS survey instruments, the protocols, the questions, and the reporting mechanisms are the intellectual property of SAIS and will not be replicated by the school or its agents nor will it be shared with those not authorized by the school or by SAIS. Finally, you acknowledge that SAIS will use the survey results to conduct research or authorize others to conduct research and studies and may from time to time publish research.

Certification and Authorization *

Yes I agree