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* 1. What is your school assignment within the district?

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* 2. I am comfortable meeting the diverse academic needs of my students.

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* 3. I have been provided with training on the Mississippi College & Career Readiness Standards for my grade level and/or content area.

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* 4. I understand the Multi-Tiered System of Supports (MTSS) process and its purpose.

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* 5. What types of documentation are you using for classroom interventions with your at risk students?

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* 6. I am comfortable analyzing data.

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* 7. What current assessments do you believe provide the best data in order for you to make instructional decisions.

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* 8. How often do you use technology in the delivery of instruction?

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* 9. I am comfortable using technology as an effective teaching tool.

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* 10. Which types of technology tools do you believe are most effective as instructional tools?  (check as many as you like)

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* 11. I am comfortable analyzing data from the assessment instruments (Case 21, Star, etc) adopted by our school district.

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* 12. What supplementary programs and/or personnel are provided that contribute to the well-rounded education of the students?

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* 13. What other supplementary programs/personnel, if any, are needed? 

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* 14. About how many times has your principal or assistant principal observed you during instruction time?

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* 15. I encourage parents to participate in the learning process of their children.

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* 16. Select the top three choices for professional growth.  In the comment box, include any other areas you feel would be beneficial in terms of professional development.

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* 17. Teachers at my school pursue a clear, common purpose to all students' learning.

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* 18. Teachers at my school take collective responsibility for all students' learning.

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* 19. I am able to meet and plan with other teachers in my grade/content area.

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* 20. There is a high level of parent engagement at my school.

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* 21. How many parent/family engagement activities have you hosted this year?

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* 22. The discipline policy in my school is effective in reducing negative behaviors.

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* 23. How often do students miss instructional time due to disciplinary consequences?

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* 24. The school utilizes appropriate materials and support personnel to ensure a safe and drug-free environment for students and staff.

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