SUPPLEMENTARY ADMISSIONS QUESTIONNAIRE II*
Please fill in the blank or circle the appropriate answers.
1. Your social security number 2. Your sex is: 1. Male 2. Female 3. Your age is: years 4. Your father's occupation: 5. Your mother's occupation: 6. Your race is: 1. Black (African-American) 2. White (not of Hispanic origin) 3. Asian (Pacific Islander) 4. Hispanic (Latin American) 5. American Indian (Alaskan native) 6. Other 7. How much education do you expect to get during your lifetime? 1. College, but less than a bachelor's degree 2. B.A. or equivalent 3. 1 or 2 years of graduate or professional study (Master's degree) 4. Doctoral degree such as M.D., Ph.D., etc. 8. Please list three goals that you have for yourself right now: 1. 2. 3. 9. About 50% of university students typically leave before receiving a degree. If this should happen to you, what would be the most likely cause? 1. Absolutely certain that I will obtain a degree 2. To accept a good job 3. To enter military service 4. It would cost more than my family could afford 5. Marriage 6. Disinterest in study 7. Lack of academic ability 8. Insufficient reading or study skills 9. Other 10. Please list three things that you are proud of having done: 1. 2. 3. See Tracey, T. J., & Sedlacek, W. E. (1984). Noncognitive variables in predicting academic success by race. Measurement and Evaluation in Guidance, 16, 171-178, for validity and reliability data. Please indicate the extent to which you agree or disagree with each of the following items. Respond to the statements below with your feelings at present or with your expectations of how things will be. Write in your answer to the left of each item. 1 2 3 4 5 Strongly Strongly Agree Agree Neutral Disagree Disagree 11. The University should use its influence to improve social conditions in the State. 12. It should not be very hard to get a B (3.0) average at UMCP. 13. I get easily discouraged when I try to do something and it doesn't work. 14. I am sometimes looked up to by others. 15. If I run into problems concerning school, I have someone who would listen to me and help me. 16. There is no use in doing things for people, you only find that you get it in the neck in the long run. 17. In groups where I am comfortable, I am often looked to as leader. 18. I expect to have a harder time than most students at UMCP. 19. Once I start something, I finish it. 20. When I believe strongly in something, I act on it. 21. I am as skilled academically as the average applicant to UMCP. 22. I expect I will encounter racism at UMCP. 23. People can pretty easily change me even though I thought my mind was already made up on the subject. 24. My friends and relatives don't feel I should go to college. 25. My family has always wanted me to go to college. 26. If course tutoring is made available on campus at no cost, I would attend regularly. 27. I want a chance to prove myself academically. 28. My high school grades don't really reflect what I can do. 29. Please list offices held and/or groups belonged to in high school or in your community.
SCORING KEY FOR SUPPLEMENTARY ADMISSIONS QUESTIONNAIRE II
William E. Sedlacek
QUESTIONNAIRE VARIABLE NAME (NUMBER) ITEMS Use to score for Self-Concept (I) Option 1 = 1; 2 = 2; 3 = 3; 4 = 4; No response = 2 8 A. Options for Long Range Goals (IV) Each goal is coded according to this scheme: 1 = a vague and/or immediate, short-term goal (e.g., "to meet people," "to get a good schedule," "to gain self confidence") 2 = a specific goal with a stated future orientation which could be accomplished during undergraduate study (e.g., "to join a sorority so I can meet more people," "to get a good schedule so I can get good grades in the fall," "to run for a student government office") 3 = a specific goal with a stated future orientation which would occur after undergraduate study (e.g., "to get a good schedule so I can get the classes I need for graduate school;" "to become president of a Fortune 500 company") B. Options for Knowledge Acquired in a Field (VIII) Each goal is coded according to this scheme: 1 = not at all academically or school related; vague or unclear (e.g., "to get married," "to do better," "to become a better person") 2 = school related, but not necessarily or primarily educationally oriented (e.g., "to join a fraternity," "to become student body president") 3 = directly related to education (e.g., "to get a 3.5 GPA," "to get to know my teachers") Find the mean for each dimension (e.g. Long Range Goals) and round to the nearest whole number. QUESTIONNAIRE VARIABLE NAME (NUMBER) ITEMS 9 Use to score for Self-Concept (I) and Self-Appraisal (II) Option 1 = 4; 2 through 9 = 2; No response = 2 10 Use to score for Self Concept (I) Each accomplishment is coded according to this scheme: 1 = at least 75% of applicants to your school could have accomplished it (e.g., "graduated from high school," "held a part-time summer job") 2 = at least 50% of applicants to your school could have accomplished it (e.g., played on an intramural sports team," "was a member of a school club") 3 = only top 25% of applicants to your school could have accomplished it (e.g., "won an academic award," "was captain of football team") Find the mean code for this dimension and round to the nearest whole number. For items 11 through 28, positive (+) items are scored as is. Negative (-) items are reversed, so that 1 = 5, 2 = 4, 3 = 3, 4 = 2, and 5 = 1. A shortcut is to subtract all negative item responses from 6. QUESTIONNAIRE DIRECTION VARIABLE NAME (NUMBER) ITEMS 11 - Use to score for Racism (III) 12 - Use to score for Realistic Self-Appraisal (II) 13 + Use to score for Long-Range Goals (IV) 14 - Use to score for Leadership (VI) 15 - Use to score for Availability of Strong Support (V) 16 + Use to score for Community Service (VII) 17 - Use to score for Leadership (VI) 18 + Use to score for Racism (III) 19 - Use to score for Long-Range Goals (IV) 20 - Use to score for Positive Self-Concept (I) 21 - Use to score for Realistic Self-Appraisal (II) 22 - Use to score for Racism (III) 23 + Use to score for Positive Self Concept (I) 24 + Use to score for Availability of Strong Support (V) 25 - Use to score for Availability of Strong Support (V) 26 - Use to score for Racism (III) 27 - Use to score for Racism (III) 28 - Use to score for Positive Self Concept (I) 29 Use to score for Leadership (VI), Community Service (VII) and Knowledge Acquired in a Field (VIII). Each organization is given a code for A, B, and C below. Find the mean for each dimension (e.g. Leadership) and round to the nearest whole number. A. Leadership (VI) 1 = ambiguous group or no clear reference to activity performed (e.g., "helped in school") 2 = indicates membership but no formal or implied leadership role; it has to be clear that it's a functioning group and, unless the criteria are met for a score of "3" as described below, all groups should be coded as "2" even if you, as the rater, are not familiar with the group (e.g., "Fashionettes, " "was part of a group that worked on community service projects through my church") 3 = leadership was required to fulfill role in group (e.g., officer or implied initiator, organizer, or founder) or entrance into the group was dependent upon prior leadership (e.g., "organized a tutoring group for underprivileged children in my community," "student council" ) B. Community Service Relatedness (VII) 1 = no community service performed by group, or vague or unclear in relation to community service (e.g., "basketball team"). 2 = some community service involved but it is not the primary purpose of the group (e.g., "Scouts") 3 = group's main purpose is community service (e.g., "Big Brothers/Big Sisters") C. Knowledge Acquired in a Field (VIII) (same coding criteria as used for item 8B.) SUPPLEMENTARY ADMISSIONS QUESTIONNAIRE II Worksheet for Scoring 1. POSITIVE SELF-CONCEPT OR CONFIDENCE item7* + item9* + item10* + (6 - item2O) + item23 + (6 - item28) 2. REALISTIC SELF-APPRAISAL item9* + (6 - iteml2) + (6 - item2l) 3. UNDERSTANDS and DEALS with RACISM (6 - item11) + item18 + (6 - item22) + (6 - item26) + (6 - item27) 4. PREFERS LONG-RANGE GOALS to SHORT-TERM or IMMEDIATE NEEDS item8A* + iteml3 + (6 - item19) 5. AVAILABILITY of a STRONG SUPPORT PERSON (6 - iteml5) + item24 + (6 - item25) 6. SUCCESSFUL LEADERSHIP EXPERIENCE (6 - iteml4) + (6 - iteml7) + item29A* 7. DEMONSTRATED COMMUNITY SERVICE iteml6 + item29B* 8. KNOWLEDGE ACQUIRED in a FIELD item8B* + item29C* * Recoded item. See scoring instructions for these items on pages 1-3 herein. Revised 12/90