LIU's Online Extension Survey 2LIU's Online Extension Survey 2

1. NOTE: NYCDOE teachers who have received funding from the NYC Teaching Fellows or Teachers of Tomorrow are NOT eligible to receive New York State ITI funding.

BACKGROUND INFORMATION

NOTE: NYCDOE teachers who have received funding from the NYC Teaching Fellows or Teachers of Tomorrow are NOT eligible to receive New York State ITI funding. BACKGROUND INFORMATION A. Name
B. Address
C. City
D. Zip
E. home & cell phones
F. Email (preferred)

2. My BILINGUALISM/MULTILINGUALISM
Fill in languages including English

My BILINGUALISM/MULTILINGUALISM Fill in languages including English A. I am orally fluent in
B. I am literate in
C. I am about the same in both (all) languages (YES/NO) OR
D. List your languages from strongest to weakest
E. My native language is strong enough for me to pass the BEA (YES/NO)

3. NEW YORK STATE CERTIFICATION
List Certification Area(s)and the year granted
(e.g., Early Childhood/2005)

NEW YORK STATE CERTIFICATION List Certification Area(s)and the year granted (e.g., Early Childhood/2005) A. Initial Certification & Yr granted
B. Professional Certification & Yr granted
C. Transitional B Certification & Yr granted
D. Other Certifications
E. Other Annotations or Extensions & Yr granted

4. MY SCHOOL & TEACHING

MY SCHOOL & TEACHING A. School Name or Number
B. Address
C. City
D. District
E. Number of years teaching
F. Administrator confirming bilingual placement (name & position)
G. Commitment to teach for 2 years in region(YES/NO)

5. CURRENT BILINGUAL PLACEMENT
In which do you currently work?

CURRENT BILINGUAL PLACEMENT In which do you currently work? Transitional Bilingual Education

Dual Language Bilingual Education in the Target Language

Dual Language Bilingual Education in English

Dual Language Bilingual Education in English & Target Lang

Bilingual Special Education

Secondary Bilingual NLA or NL Content Area

Other

Grade Level (s) or subject (s) you teach

6. TECHNOLOGY INFORMATION
What Hardware do you have?

TECHNOLOGY INFORMATION What Hardware do you have? A. Home computer type (MAC or PC)
B. Age of Computer in years
C. High speed internet access (YES/NO)
D. Webcam (internal or external) (YES/NO)

7. TECHNOLOGY INFORMATION
What software/programs are you familiar with?

TECHNOLOGY INFORMATION What software/programs are you familiar with? A. Word processing(MS word XP,Vista, MS-Mac,other)
B. Programs used in teaching are
C. I have taken online courses before. (YES/NO)
D. I have used online course management system. (YES/NO)
E. If yes, indicate Webct, Blackboard &/or Moodle

8. TECHNOLOGY COMFORT LEVEL

	NONE	A LITTLE	AVERAGE	A LOT
A. Discussion boards	*TECHNOLOGY COMFORT LEVEL A. Discussion boards NONE	A. Discussion boards A LITTLE	A. Discussion boards AVERAGE	A. Discussion boards A LOT
B. PowerPoint	B. PowerPoint NONE	B. PowerPoint A LITTLE	B. PowerPoint AVERAGE	B. PowerPoint A LOT
C. EXCEL	C. EXCEL NONE	C. EXCEL A LITTLE	C. EXCEL AVERAGE	C. EXCEL A LOT
D. Digital video & audiotaping	D. Digital video & audiotaping NONE	D. Digital video & audiotaping A LITTLE	D. Digital video & audiotaping AVERAGE	D. Digital video & audiotaping A LOT
E. Digital photography	E. Digital photography NONE	E. Digital photography A LITTLE	E. Digital photography AVERAGE	E. Digital photography A LOT
F. Internet searches	F. Internet searches NONE	F. Internet searches A LITTLE	F. Internet searches AVERAGE	F. Internet searches A LOT
G. Blogging	G. Blogging NONE	G. Blogging A LITTLE	G. Blogging AVERAGE	G. Blogging A LOT
H. Pod or webcasts	H. Pod or webcasts NONE	H. Pod or webcasts A LITTLE	H. Pod or webcasts AVERAGE	H. Pod or webcasts A LOT
I. Video-conferencing	I. Video-conferencing NONE	I. Video-conferencing A LITTLE	I. Video-conferencing AVERAGE	I. Video-conferencing A LOT
J. Wikis	J. Wikis NONE	J. Wikis A LITTLE	J. Wikis AVERAGE	J. Wikis A LOT
K. Chatting	K. Chatting NONE	K. Chatting A LITTLE	K. Chatting AVERAGE	K. Chatting A LOT

9. OTHER

OTHER A. When do you intend to start? (Fall, Spring, or Summer)
B. If I am NOT ELIGIBLE for the ITI tuition opportunity, I still am interested in taking (and PAYING FOR) the on-line extension. (YES/NO)
C. How did you hear about the program?

10. Thank you for filling this out.
Please let me know when you have submitted this by email: nlemberg@liu.edu
I contact you promptly about next steps.
Dr. Lemberger (Dr. L)
If you have other questions or comments, please write them below.

Thank you for filling this out. Please let me know when you have submitted this by email: nlemberg@liu.edu I contact you promptly about next steps. Dr. Lemberger (Dr. L) If you have other questions or comments, please write them below.

LIU's Online Extension Survey 2
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LIU's Online Extension Survey 2
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