1-PII Questionnaire.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- USBE - Continuous Improvement Experts Prequalification List (add vendors and recertify current vendors)
- Solicitation number
- USBE-MI26069-RFSQ
- Issued by
- Utah
About this file
This is a PII (Personally Identifiable Information) Questionnaire document associated with the Utah State Board of Education's Request for Statement of Qualifications for Continuous Improvement Experts serving Elevate and Springboard schools. The questionnaire identifies which data elements will be collected, used, and stored by systems supporting this prequalification vendor list initiative. The document encompasses multiple categories of personal information including student PII (assessment scores, attendance, enrollment, demographics, contact information, performance data, and work samples), educator PII (name, identification numbers, school and class assignments, salary and license information), parent/guardian contact information, and payment card information. No specific response deadlines, site visits, bidder conferences, or award dates are provided within this questionnaire document itself, as it functions as a data inventory tool rather than a solicitation timeline document.
The questionnaire does not contain pricing information, set-asides, incumbent data, or funding details. This document serves as a compliance and transparency instrument for the USBE to document what personal data categories may be utilized by any system implementing the Continuous Improvement Expert services. The prequalification list operates on an indeterminate term with verification of vendor compliance required no less frequently than every 18 months. The USBE retains the right to reopen the solicitation at any time to add additional vendors, and individual local school boards will be responsible for contracting directly with vendors on the approved list. No specific funding amounts or sources are referenced in this particular questionnaire document.
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Text version
Sheet1
| Instructions: Please check which data elements will be used by system and return to USBE | |||
| Data Type | Data Element | Check if used by system or provide additional information | |
| Student PII | Assessment | Standardized test score | |
| Observation data | |||
| Other assessment data (Please specify) | |||
| Communications | Online communications that are captured (emails, blog entries) | ||
| Conduct | Conduct or behavioral data | ||
| Demographics | Date of Birth | ||
| Place of Birth | |||
| Gender | |||
| Ethnicity or race | |||
| Language information (native, preferred, spoken, etc) | |||
| Other demographic information (Please specify) | |||
| Enrollment | Student attendance data | ||
| Student school enrollment | |||
| Student grade level | |||
| Assigned educator | |||
| Specific curriculum programs | |||
| Year of graduation | |||
| Other enrollment information (please specify) | |||
| Special Indicator | English language learner information | ||
| Low income status | |||
| Medical alerts /health data | |||
| Student disability information | |||
| Specialized education services (IEP or 504) | |||
| Living situations (homeless/foster care) | |||
| Other indicator information-Please specify: | |||
| Student Contact Information | Address | ||
| Phone | |||
| Name | |||
| Student ID Number | |||
| Student Performance | Program/application performance (typing program-student types 60 wpm, reading program-student reads below grade level) | ||
| Student Program Membership | Academic or extracurricular activities a student may belong to or participate in | ||
| Student Survey Responses | Student responses to surveys or questionnaires | ||
| Student work | Student generated content; writing, pictures etc. | ||
| Other student work data -Please specify: | |||
| Other | Please list each additional data element used, stored or collected by your application | ||
| Educator PII | Educator information | Name | |
| Gender | |||
| Date of Birth | |||
| Identification number | |||
| School assignment | |||
| Class assignment | |||
| Salary information | |||
| License information | |||
| Parent PII | Parent/Guardian Contact Information | Address | |
| Phone | |||
| Name | |||
| Other information (Please specify) | |||
| PCI | Credit Card | PCI protected data | |
| Other information (Please specify) |
File details come from the government source that posted it. Updated .