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* 1. What is your name?

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* 2. What is your mailing address?

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* 3. What is your preferred email address?

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* 4. What is your phone number?

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* 6. What school do you work at?

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* 7. What is your role?

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* 8. What grade(s) do you work with?

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* 9. What subject(s) do you teach?

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* 10. How many years have you worked as an educator?

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* 11. Are you considering presenting as a team?

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* 12. If you had to give your presentation a title, what would it be?

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* 13. Last year the 5DP Teacher Advisory Board started a “Why I Teach Here” campaign to support and promote 5DP educators and the amazing work we do. Share why you teach where you do. (350 words)

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* 14. Describe your idea. How do you know that what you are doing is making a difference? (500 words)

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* 15. What do you think other educators in the 5DP can learn from your idea? How will it help build collaboration across the districts? (300 words)

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* 16. What do you view as your strengths when it comes to presenting? What areas would you want support?*

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* 17. Presenters are expected to attend one practice session and two dress rehearsals in addition to 1-3 one-on-one practice sessions either in-person or via video chat. Please indicate your availability for the following sessions.

  Yes Maybe No
In-person practice session April 2nd 4pm-6pm Revere High School
1st Dress Rehearsal May 14th 4pm-6pm Winthrop High School
2nd Dress Rehearsal May 28th 4pm-6pm Winthrop High School
Educator Showcase May 30th 4pm-7pm

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