Lead Applicant - Personal and School Information

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* First Name

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* Last Name

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* Home Address (Street)

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* Home Address (City)

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* Zip Code

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* Mobile Phone Number

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* Preferred Email Address

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* Gender

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* Race/Ethnicity

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* Current School Name

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* Grade Level(s)

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* What general subject area(s) do you teach?

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* Overall Number of Years Teaching

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* Number of years at your current school

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* Is there anything about your current teaching assignment that you want us to know? (e.g. if you teach at multiple schools, etc.)

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