* 1. What is your first name?

* 2. What is your last name?

* 3. What is your email address?

* 4. What is the best phone number to get in contact with you?

* 5. District Name.

* 6. Name of your school.

* 7. What is your role in education in Wyoming?

* 8. Select your preferred content area.

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

* 10. Are you currently certified or licensed to teach ELA/literacy and/or mathematics in a K-12 public school or qualified to teach ELA/literacy and/or mathematics in an institution of higher education?

* 11. Are you currently teaching in a public school or currently employed by a public school district or state education entity, or currently employed or recently retired from a college or university?

* 12. Have you taught ELA/literacy and/or mathematics in grades 3 through 8 and/or high school within the past three years; have you worked in a classroom content support role such as a literacy or mathematics coach, district or state content specialist, etc.; or have you taught developmental and/or entry-level courses in English, composition, mathematics, statistics or a related discipline at an institution of higher education within the past three years?

* 13. Have you previously reviewed part or all of the Common Core State Standards for the content area in which you are interested in working?

* 14. Do you have previous range finding experience?

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