Southeast Iowa 1 application form

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1. Contact information

Contact information Name
Title
School organization
Mailing address
City
State
ZIP code
Phone number (with area code)
E-mail

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2. Contact information for your PRIMARY REFERENCE (must be a PK-12 school administrator)

Contact information for your PRIMARY REFERENCE (must be a PK-12 school administrator) Name
Title
School organization
Mailing address
City
State
ZIP code
Phone number (with area code)
E-mail

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3. Are you interested in...

Are you interested in... both a Master's degree and licensure? (portfolio defense and final oral exam)

licensure only? (no portfolio defense or final oral exam)

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4. Why will you be a good administrator? How have you already been a leader in your school organization? [you might want to write your response in another program and then copy/paste it into here]

Why will you be a good administrator? How have you already been a leader in your school organization? [you might want to write your response in another program and then copy/paste it into here]

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5. What do you think are the biggest issues facing school leaders today? How will you work to solve those issues? [you might want to write your response in another program and then copy/paste it into here]

What do you think are the biggest issues facing school leaders today? How will you work to solve those issues? [you might want to write your response in another program and then copy/paste it into here]