Data Fluency Pilot Teacher Application Form

Data Fluency Pilot Teacher Application Form

Name (First and Last)*

Preferred Email*

Your Address Zipcode

Your District Name

What is the name of your school? What educational role(s) do you play there? (e.g., I am the science coach and I teach Life, Earth, and Physical Science in grades 6–8 at Oak Tree Middle School)

Study Qualifications (check all that apply)

I anticipate teaching at least one math course during the 2023–24 school year for any grades 6–9

I anticipate teaching at least one science course during the 2023–24 school year for any grades 6–9

I have at least one year of experience teaching math for any grades 6–9 (includes the current year)

I have at least one year of experience teaching science for any grades 6–9 (includes the current year)

My students have access to computers and stable internet during school hours

Are you available to attend in-person PL in the Stockton area from June 6–8, 2023?

Yes

Other

If choosing "Other" above, please explain:

Send me a copy of my responses

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