AYVTC Pre-Survey

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1. Course Title:

Course Title:

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2. Location:

Location: KCI

RAFT

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3. Date of Course:

	MM		DD		YYYY
Enter month, day, and year.	Date of Course: Enter month, day, and year. Month	/	Day	/	Year

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4. Name of Instructor:

Name of Instructor:

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5. AYVTC definition of “educator”:
If you teach or work with students in a k-12 classroom (public, private or home school), licensed childcare or in a community programs such as scouting, public libraries, parks and recreation. Administrators and school support personnel also included.

Are you an educator?

AYVTC definition of “educator”: If you teach or work with students in a k-12 classroom (public, private or home school), licensed childcare or in a community programs such as scouting, public libraries, parks and recreation. Administrators and school support personnel also included. Are you an educator? Yes

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6. What is your name?

What is your name?

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7. What is the name of your school (public or private), home school, or community organization? (Type N/A if the question does not apply.)

What is the name of your school (public or private), home school, or community organization? (Type N/A if the question does not apply.)

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8. If you teach, work or volunteer at a public or charter school, what is the name of the school district? (Type N/A if the question does not apply to you.)

If you teach, work or volunteer at a public or charter school, what is the name of the school district? (Type N/A if the question does not apply to you.)

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9. Do you work with underserved children or youth (low income, Title 1, free lunch program)?

Do you work with underserved children or youth (low income, Title 1, free lunch program)? Yes

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10. What type of educator are you?

What type of educator are you? Middle School Teacher

High School Teacher

Middle or High School Administrator

Middle or High School Support Staff

Elementary School Teacher

Elementary School Administrator

Elementary School Support Staff

Middle or High School leader, instructor, or volunteer in a community program

Home School Educator

College Instructor, Administrator, or Support Staff

Other (please specify)

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11. What grade level do you teach? (Type N/A if the question does not apply to you.)

What grade level do you teach? (Type N/A if the question does not apply to you.)

AYVTC Pre-Survey
Exit this survey

1. Tell us a little about yourself.

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1. Course Title:

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2. Location:

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3. Date of Course:

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4. Name of Instructor:

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6. What is your name?

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7. What is the name of your school (public or private), home school, or community organization? (Type N/A if the question does not apply.)

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8. If you teach, work or volunteer at a public or charter school, what is the name of the school district? (Type N/A if the question does not apply to you.)

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9. Do you work with underserved children or youth (low income, Title 1, free lunch program)?

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10. What type of educator are you?

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11. What grade level do you teach? (Type N/A if the question does not apply to you.)

AYVTC Pre-SurveyExit this survey

1. Tell us a little about yourself.

*1. Course Title:

*2. Location:

*3. Date of Course:

*4. Name of Instructor:

*6. What is your name?

*7. What is the name of your school (public or private), home school, or community organization? (Type N/A if the question does not apply.)

*8. If you teach, work or volunteer at a public or charter school, what is the name of the school district? (Type N/A if the question does not apply to you.)

*9. Do you work with underserved children or youth (low income, Title 1, free lunch program)?

*10. What type of educator are you?

*11. What grade level do you teach? (Type N/A if the question does not apply to you.)

AYVTC Pre-Survey
Exit this survey

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1. Course Title:

*
2. Location:

*
3. Date of Course:

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4. Name of Instructor:

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6. What is your name?

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7. What is the name of your school (public or private), home school, or community organization? (Type N/A if the question does not apply.)

*
8. If you teach, work or volunteer at a public or charter school, what is the name of the school district? (Type N/A if the question does not apply to you.)

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9. Do you work with underserved children or youth (low income, Title 1, free lunch program)?

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10. What type of educator are you?

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11. What grade level do you teach? (Type N/A if the question does not apply to you.)