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OETT Professional Learning Communities Survey
School and Teacher Information
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Please enter the last four (4) digits of your SSN:
Please enter the last four (4) digits of your SSN:
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Gender:
Gender:
Male
Female
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School Name:
(Choose one from drop-down menu.)
Bartlesville High School
Choctaw High School
Grove Valley Elementary
Webster Elementary
Idabel Middle School
Maryetta Elementary
Steed Elementary
Newcastle High School
Pocola High School
Ringwood Public Schools
Silo Elementary
Sulphur Junior High School
Tuttle Middle School
School Name: (Choose one from drop-down menu.)
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School District:
(Choose one from drop-down menu.)
Bartlesville
Choctaw-Nicoma Park
Deer Creek
El Reno
Idabel
Maryetta
Mid-Del
Newcastle
Pocola
Ringwood
Silo
Sulphur
Tuttle
School District: (Choose one from drop-down menu.)
*
Grades you teach:
(Please choose range which is most appropriate.)
Grades you teach: (Please choose range which is most appropriate.)
PK-2
3-5
K-6
6-8 (Middle School)
7-9 (Junior High School)
9-12
PK-12
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Subject or Assignment:
(Please choose your primary assignment.)
Subject or Assignment: (Please choose your primary assignment.)
Administrator
Business
Computers
Counselor
Primary or Elementary Teacher
Family and Consumer Science
Fine Arts
Foreign Language
Language Arts/English
Library/Media
Mathematics
Reading
Science
Social Studies
Special Education
Technology
Vocational Agriculture
Other (specify below)
Other (please specify)
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Self-Contained:
Self-Contained:
Yes
No
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Years employed as a teacher:
Years employed as a teacher:
*
Years employed at your school:
Years employed at your school:
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