Diagnostic Review Team Member Application

Diagnostic Review Team Member Application

Enrich your learning by serving on a Diagnostic Review Team.

Cognia offers in-depth diagnostic reviews to Optimize Comprehensive and Targeted support for school improvement.

Contribute your perspective and learn from other dedicated professionals to support institutions with data-driven improvement planning.

First Name*

Last Name*

Sex

Male

Female

Prefer not to answer

Race/Ethnicity

American Indian/Alaskan Native

Asian

Black/African American

Hispanic/Latino

Native Hawaiian or Other Pacific Islander

Two or more races (not Hispanic/Latino)

White

Prefer not to answer

Email Address*

School/University*

District

If applicable, please indicate what District you are from.

Work Phone*

Cell Phone*

Experience*

Select or enter value

Other professional experience

Areas of Certification*

Select

Other Certifications

I have served on a Diagnostic Review Team in Kentucky in the last 5 years.*

Yes

No

Send me a copy of my responses

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