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2024 Portland Joint T³ - Vernier
Teacher Leader Cadre Application
1.
Please provide the following information.
Name:
Home Address:
Employer - School/District:
School/District Address:
Email Address (personal preferred):
Telephone (cell):
Twitter Handle:
Website/Blog:
*
2.
Do you currently use TI or Vernier technology in your instruction or support educators who do?
Check all that apply.
(Required.)
Yes, I currently use TI technology in my instruction or support educators who do.
Yes, I currently use Vernier technology in my instruction or support educators who do.
No, I do not currently use TI nor Vernier technology in my instruction or support educators who do.
I am not sure
3.
If you answered yes above, provide a list of the TI or Vernier technology you have used in your instruction within the past 5 years.
4.
Do you have access to either TI or Vernier technology?
Yes, both TI and Vernier technology
Yes, just TI technology
Yes, just Vernier technology
No, I do not
*
5.
Please list your degree(s) and institutions.
(Required.)
*
6.
Please indicate your current or recent positions over the last 5 years. (Check all that apply)
(Required.)
Classroom Teacher
Department Chair
Coach
Instructional Specialist
Consultant
Administrator
Other (please specify)
7.
How long have you served in education as a teacher and/or administrator? Select one option from the list below.
Less than 6 years
6-10 years
11-20 years
More than 20 years
I prefer not to answer
*
8.
Please list courses/grades you have taught in your most recent three years in the classroom.
(Required.)
9.
Please list workshops/conferences you have attended within the last three years.
10.
List sessions/workshops you have presented on in the last three years including any online or social media.
11.
List any positions (if applicable) that you have held in the past 5 years (outside of your regular work)
12.
List any awards/recognitions you have received as an educator.
13.
Which statement best describes your school and/or district?
Rural
Urban
Suburban
Remote/Online
Other
Other (please specify)
14.
Please enter the url/link to your video on leadership.
Total length for entire video should be 2-4 minutes.
Describe how you have been or wish to be a leader in your educational life.
15.
Please enter the url/link to your resume.
16.
Please add any comments you wish to share not covered previously.
Please note that by submitting this application you affirm that the above is accurate to the best of your knowledge.
