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* 1. Indicate which school you are employed:

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* 2. How long have you been teaching?

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* 3. Please check the areas you feel benefit students achievement the most and how Title Funds (I-V) would be useful:

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* 4. Professional development opportunities produce increases in state subject area test scores.

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* 5. Title II --What type of Professional Development training do you feel you need?

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* 6. Please list any suggested areas or needs of professional development :

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* 7. Does your school use collaborative planning time for grade level and across subject areas?

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* 8. Title Funding provides funds for needed areas. Please check all of the kinds of instructional support that would most help you in the classroom:

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* 9. I have time during the workday to plan my instruction for students.

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* 10. I regularly discuss teaching methods and strategies with other school staff members in PLCs or in late Monday meetings.

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* 11. The curriculum appropriately challenges most students.

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* 12. I have high expectations for the academic achievement of my students.

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* 13. Title I, II, IV--Please check the areas that you feel cause the most problems for students:

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* 14. I am given the support, such as resources and training, that I need to teach students with special needs.

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* 15. There are minimal interruptions to student instruction.

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* 16. Title Federal requires parent/community involvement, check ways you feel would best involve parents in improving student achievement:

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* 17. Our community support is adequate at our school.

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* 18. Title II--School leadership lets me know what is expected of me.

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* 19. Our school campus inside and out is kept clean.

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* 20. Title I, IV--Administrators utilize the established discipline policy to the student's best interest to reach success.

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* 21. The working environment at our school is a supportive one.

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* 22. Our school strives to ensure training is provided for keeping staff and students safe.

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* 23. Administrators recognize faculty achievements.

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* 24. Our administration is forthcoming about school issues, concerns, and changes.

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* 25. Academics awards/honors are important in increasing overall student academic achievement. I feel our school does a good job of recognizing these.

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* 26. Student/Teacher Wellness-- Workshops on the following issues would be beneficial for student growth and help me gain information to be aware of these issues. Please mark which workshops you would like to participate in.

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