HCS New Teacher Academy Registration 2012 Survey

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First Name:

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Last Name (if your name has changed recently or will change soon, please include old and new names)

Please fill out the items below:

Please fill out the items below: Address:
Address 2:
City/Town:
State:
ZIP/Postal Code:
Email Address:
Phone Number:

Alternate phone number:

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Please select the school(s) where you will be working in 2012-13:

Please select the school(s) where you will be working in 2012-13: Acad. for Arts, Sci.,Tech

Acad. for Tech. & Acad.

Aynor Elementary

Aynor High

Aynor Middle

Black Water Middle

Burgess Elementary

Carolina Forest Elem.

Carolina Forest High

Conway Education Cntr. (Adult Ed)

Conway Elementary

Conway High

Conway Middle

Daisy Elementary

Early College

Forestbrook Elementary

Forestbrook Middle

Green Sea Floyds Elem.

Green Sea Floyds High

Homewood Elementary

Horry County Educ Cntr

Kingston Elementary

Lakewood Elementary

Loris Elementary

Loris High

Loris Middle

Midland Elementary

Myrtle Beach Elementary

Myrtle Beach High

Myrtle Beach Interm.

Myrtle Beach Middle

Myrtle Beach Primary

N. Myrtle Beach Elem.

N. Myrtle Beach High

N. Myrtle Beach Interm.

N. Myrtle Beach Middle

N. Myrtle Beach Primary

Ocean Bay Middle

Ocean Bay Elementary

Palmetto Bays Elem

Pee Dee Elementary

River Oaks Elementary

Scholars Academy

Seaside Elementary

Socastee Elementary

Socastee High

South Conway Elem.

St. James Elementary

St. James High

St. James Middle

Therapeutic Learning Center

Waccamaw Elementary

Whittemore Park Middle

I don't know

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Please indicate the GRADE LEVEL(S) and SUBJECT(S) you will be teaching in 2012-13. Please be as specific as possible with grade(s) and subject(s). (1st Grade Teacher, Elementary Speech Pathologist, High School English, etc.)

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Please indicate the number of years that you have had a full-time, contracted position as a school teacher, speech pathologist, etc.

Please indicate the number of years that you have had a full-time, contracted position as a school teacher, speech pathologist, etc. 0

1

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11+