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* 1. Contact Information 

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* 2. Please list an alternate email address where you can easily be reached during summer break.

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* 3. Which best describes your role?

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* 4. Which grade level/domain work group would you like to be part of? 

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* 5. Please list alternate grade levels/domains you would be willing to help with if needed. 

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* 6. How many years have you taught? 

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* 7. Did you participate in the social studies standards revision process in 2014? 

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* 8. Have you participated in other South Dakota social studies work groups (such as the Civics Small Work Group, Civics Summit, Oceti Sakowin Essential Understandings Review and Revision, Summer 2020 Social Studies Unpacking Revision, etc.)? Please specify your role with the particular work group. 

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* 9. Why do you want to be a member of the social studies standards revision work group? 

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* 10. Provide specific evidence of how you have used or engaged with the current state social studies standards over the last three years (ex. using the standards to review and adopt curriculum materials, using standards to develop higher-order questions for my lessons, used standards to map curriculum, etc.)  

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* 11. What professional experiences do you have that would be beneficial in developing resources and supports for effective revision of the social studies standards? 

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* 12. Do you want to apply to be a table facilitator/lead for the specific grade/domain you applied to work with? Expectations for this position include, but are not limited to: keeping table discussions on track, recording important elements of discussions, offering processes to accomplish outcomes and ensuring opportunities for everyone to contribute, keeping summaries of the meetings, and serving as a contact between table members and the DOE Social Studies Specialist.

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