Application for in-person meetings: KIDS - Standards Alignment Study

Information About You

Please answer the following questions about you work and experience with KIDS.

Question Title

* 1. Choose one category that best describes your primary role:

I provide instruction or instructional support to children in preschool (e.g., master teacher, lead teacher, assistant teacher, special educator)

I provide instruction or instructional support to children in kindergarten (e.g., teacher, teacher aide, assistant, specials teacher, special educator)

I work in another role in a preschool program (e.g., program director, site supervisor, education coordinator, curriculum specialist)

I work in another role in a K-12 setting (e.g., administrator, education coordinator, curriculum specialist)

I work for a higher education organization or professional development provider (e.g., college, community college, trainer, coach)

I work for a research, policy, or advocacy organization (e.g., regional education agency, early childhood advocacy, K-12 advocacy)

Question Title

* 2. How many years have you worked in this role?

Less than one year

One to two years

Three to five years

Six to ten years

More than ten years

Question Title

* 3. What is the name of the organization where you work (e.g., school district, program, company, or other organization)?

Question Title

* 4. Do you regularly work in a classroom with children at least 15 hours per week during the school year?

Yes

Question Title

* 5. Do you provide instruction in a language other than English (e.g., immersion or dual-immersion classroom)?

Yes

Question Title

* 6. Do you work with any children...

	No	Yes
...who have an IEP?	...who have an IEP? No	...who have an IEP? Yes
...who are English language learners?	...who are English language learners? No	...who are English language learners? Yes

Question Title

* 7. Have you participated in a KIDS training?

Yes

Question Title

* 8. Have you completed KIDS assessments for children in your classroom?

Yes

N/A: I do not teach in a kindergarten classroom

Question Title

* 9. What is your gender?

Female

Male

Question Title

* 10. How do you identify your race/ethnicity? Please select only one answer.

Asian

Black/African-American

Latino/Hispanic

Native American/Alaskan

Pacific Islander

White/Caucasian

Multi-racial

Other (please specify)

Question Title

* 11. Which days are you available for an all-day meeting in Normal, IL?

Monday, May 2, 2016

Tuesday, May 3, 2016

Wednesday, May 4, 2016

Thursday, May 5, 2016

Friday, May 6, 2016

Question Title

* 12. Please provide your name and contact information:

First Name

Last Name

Re-enter email

Phone