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OETT Technology Integration Survey for Teachers
School and Teacher Information
*
Please enter the last four (4) digits of your SSN:
Please enter the last four (4) digits of your SSN:
*
School Name:
(Choose from drop down menu.)
Agra High School
Bishop Public Schools
Haskell Middle School
Spring Creek Elementary
Rose Witcher Elementary
Garber Public Schools
Kansas Middle School
Keota Public Schools
Mangum High School
Mustang Elementary
Central Elementary
Snyder Elementary
Terral Public Schools
Warner Elementary
Yarbrough High School
School Name: (Choose from drop down menu.)
*
School District:
(Choose from drop down menu.)
Agra
Bishop
Broken Arrow
El Reno
Garber
Kansas
Keota
Mangum
Mustang
Putnam City
Snyder
Terral
Warner
Yarbrough
School District: (Choose from drop down menu.)
*
Primary Teaching Assignment:
(Please choose the most appropriate from the list below.)
Primary Teaching Assignment: (Please choose the most appropriate from the list below.)
Administrator
Business
Computers
Counselor
Elementary(Pre-K through 6th grade)
Family and Consumer Science
Fine Arts
Foreign Language
Language Arts/English
Library/Media
Mathematics
Physical Education/Health
Reading
Science
Social Studies
Special Education
Technology
Vocational Agriculture
Other (specify below)
Other (please specify)
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