Please share some information about yourself!

Thanks for your interest in the Complexity Academy. This survey will serve as your application for a Fellowship in the Academy 2020. The entire survey should take less than 10 minutes to complete. 

The information you share will be used only for this purpose. You may skip any questions you choose not to answer. After all fellows have been chosen, the data will be deleted. If you have any questions or concerns about the application, please contact info@hsdinstitute.org.  

Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name?

Question Title

* 3. What is your email address?

Question Title

* 4. What is your school name and district?

Question Title

* 5. What are your professional title and role?

Question Title

* 6. Where do you live (city, state)?

Question Title

* 7. How did you find out about the Complexity Academy?

Question Title

* 8. Briefly describe your own educational experience.

Question Title

* 9. How would you describe yourself in terms of gender, race, ethnicity, or other characteristic that is important to you? You may include or exclude any descriptor that you choose not to share.

Question Title

* 10. How long have you worked in education?

Question Title

* 11. What grades are served in your school? (Mark all that apply.)

Question Title

* 12. Which of the following describes your school and community? (Mark all that apply.)

Question Title

* 13. How would you describe your engagement with or activity in the community beyond your school building?

Question Title

* 14. Are you able to commit to attending at least 75% of the Complexity Academy sessions?
July 1 – Principals’ applications received
July 15 – Principals notified of selection
July 28 – 90-minute orientation to the program 
Mondays in August – Power of Questions 10a - 10:20a CDT
Thursdays in August – Power of Questions 4p - 4:20p CDT
August 28 – Commencement and celebration 10a – 11:30a CDT

Question Title

* 15. As you prepare for the coming school year, what do you see as your three (3) greatest challenges?

Question Title

* 16. Please give the names and email addresses for two colleagues who can recommend you for the Academy.

Question Title

* 17. What else would you like to tell us or to ask about the Complexity Academy or the Power of Questions?

0 of 17 answered
 

T