Application

Please complete the following application completely. If selected, you MUST be available to attend all EOC test development dates.

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* 1. Name:

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* 2. Provide email address for contact (be sure it is one you will be checking in the summer):

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* 3. Name of district in which you work:

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* 4. Are you a current classroom teacher?

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* 5. Indicate the years of experience you have as a classroom teacher

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* 6. What educational cooperative(s) is your district affiliated with?

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* 7. Indicate the current courses that you expect to teach in the upcoming school year. (2017-18)

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* 8. Indicate all courses that you have taught in the past 2 years.

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* 9. Briefly share your work history in the teaching of Biology/other life sciences and any leadership you have provided in these areas.

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* 10. Provide any experience you have with the current Kentucky Academic Standards and assessment development aligned to the current standards at the school, district, region, state, or national level.

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* 11. Based on experiences you have had with assessment development, what supports do you feel should be available for the working teams?

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* 12. Explain why you would be a strong candidate for EOC assessment development team.

Please include any professional affiliations or recognitions, i.e. KEA, NEA, AFT, JCTA, Teacher of the Year, Presidential Awards, as well as content-specific professional organizations (KSTA, NSTA, KAS, NABT, etc.)

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