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* 1. Principal Name

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* 2. District

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* 3. Building- Full Name

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* 4. Applicant Being Reviewed

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* 5. What experience does this applicant have with student-centered instruction? Explain why you do or do not see them as a building or department leader around this topic?

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* 6. Tell us about this applicant’s success at collaboration with other teachers in your building or in the district. Also describe how they have collaborated with administrators.

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* 7. In what capacity has this applicant already been a teacher leader in your building?

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* 8. Would you recommend this teacher as a participant for the WABS STEM Teacher Leader Program? If no, explain why.

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* 9. Anything else you would like us to know about this applicant? 

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