New Meridian Committee Interest Form

New Meridian Committee Interest Form

New Meridian is looking for qualified school educators to help develop its innovative new through-year assessments this summer. Please use the form below to apply for this exciting opportunity.

First Name*

Last Name*

Preferred Name

Preferred Pronouns

He/Him

She/Her

They/Them

Other*

Other* Pronouns

State you reside in*

Select

School Name*

District Name

Work Phone Number*

Phone

Work Email*

Summer Phone Number*

Phone

Summer Email*

Highest degree obtained in the field of Education.*

Bachelor

Master

Doctorate

Masters degree in progress

Doctorate degree in progress

Credentials*

Please check all that apply

Teacher Certification

National Board Certified Teacher

Master Teacher

Other*

None

Credentials (other)*

Please detail other experience

Are you currently certified in the state where you teach?*

Yes

No

N/A

If yes, please enter your certification ID:*

How many years of teaching experience do you have?*

Less than 5 years

5 to 10 years

10 years or more

None

Are you currently teaching?*

Yes

No

What subjects do you currently teach?*

At which grade band are you most experienced?*

Select all that apply

Elementary (grades 3 - 5)

Middle School (grades 6 - 8)

High School (grades 9 - 12)

Which of the following populations do you have experience with?*

Select all that apply

Learning Disability

Hearing Impaired

Visually Impaired

Exceptional students

Urban and rural populations

Minority

Various socio-economic populations

No experience

Other*

Varied populations (Other)

Please detail what other experience you have

Which of the following areas of education do you have experience in?*

Check all that apply

Curriculum design/review

Assessment design/review

Statistical Analysis

Content Development/design/review

Bias & Sensitivity review

Accessibility and Accommodations expertise

None

Are you available for travel?*

During the summer months

Yes

No

Are you available to participate during the evening and/or the weekend?*

During the school year

Yes

No

Are you available to participate in virtual reviews?*

You must have access to:

A computer (iPads are not supported)
A secure internet connection
A web camera

Yes

No

Committees you would be interested in:*

Please select all that apply

Data Review

Item Review (Math)

Item Review (ELA)

Passage Review

Bias and Sensitivity

Gender*

Female

Male

Non-Binary

Other

Prefer not to answer

Race*

Alaska Native or Indigenous American

Asian or Asian American

Black or African American

Middle Eastern or North African

Native Hawaiian or Other Pacific Islander

White

Two or more races

Other

Prefer not to answer

Ethnicity*

Hispanic or Latino

Not Hispanic or Latino

Prefer not to answer

URL to LinkedIn Profile

Please upload current resume & Teacher Certification (if applicable, PDF preferred)*

Drag and drop files here or

Additional information you wish to share with New Meridian about you

Send me a copy of my responses

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