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* 1. How long have you been a member of the Level 3 Classroom Teacher Association?

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* 2. If you are a member of other professional organisations for teachers, e.g. STAWA, MAWA, EYES, or of the SSTUWA, please list the organisations of which you are a member.

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* 3. Please indicate the types of event run by the L3CTA which would be of most interest to you (select as many as you like).

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* 4. How often would your workload and other committments allow you to attend L3CTA events of interest?

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* 5. What would be the most suitable days and times for events for you to attend? Tick all that apply. (Please note that based on previous surveys, Saturday mornings have been chosen for workshops and committee meetings so this will continue for the start of 2017 but could be changed during 2017 if indicated by this survey).

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* 6. Do you live in the Perth metro area?

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* 7. What were your main roles as a Level 3 Classroom Teacher during 2016? (Select as many as you like)

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* 8. The L3CTA aims to support aspirants to the role, to facilitate the work of current L3CTs in schools through mutual support, professional learning and networking and to promote the role of teacher leadership within the department, giving L3CTs a collective voice and some input into policies and practices. Along with this, the Association seeks to promote the professionalism of teachers and the value of public education to the community. What do you think is the most important part of our role and what do you hope to achieve, or continue to prioritise, as a L3CT?

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* 9. Do you have an interest in contributing to the Association in a particular way during 2017?

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* 10. How has 2016 been for you? Please briefly describe your role and whether you feel that you have been well-utilised at your school and have felt satisfaction in your role. This feedback informs the committee's discussions with the department on your behalf. Please add any comment or feedback about the Association that you would like to share and include your name if you would like to be contacted about any of your responses or if you are willing to be a mentor for aspirants. Thank you.

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