SY24-25 RA Special Education Teacher Community of Practice Registration

1. Participant Information

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* 1. SpEd Teacher's Name:

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* 2. SpEd Teacher's Email:

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* 3. SpEd Teacher's Years of Experience:

0-3 years

4-6 years

7-10 years

10+ years

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* 4. SpEd Teacher's Assigned Grade Levels:

PK-K

1-5

6-8

9-12

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* 5. SpEd Teacher's Instructional Setting:

Fully Inclusive Model

Resource/Push-In/Pull-Out Model

Self-Contained Classroom

Other (please specify)