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* 1. What Platform(s) is your District Using?

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* 2. What method do you have to contact your MESA Students?

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* 3. Are you in contact with your MESA Students or do you plan to be?

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* 4. Estimated % of MESA Students with Computer/Internet Access

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* 5. Estimated % of MESA Students with a need for materials in Spanish or other needed language

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* 6. If yes, to #5 What Language?

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* 7. Estimated % of MESA Students that would need package delivery instead of internet distribution

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i We adjusted the number you entered based on the slider’s scale.

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* 8. What School District are you In?

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* 9. In general, can you summarize your school re-entry plan as of now? Until when will you stay virtual? Are you not starting virtual and have a delayed start date? Is there a plan for in-person hybrid attendance? Will you be working from home or in the classroom?

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* 10. Can you summarize your current professional leave/event policy? Can you take school days off or have events during school time if they are virtual? For yourself and your students.

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* 11. What is the preferred time for MESA Regional and/or Statewide Events?

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* 12. Is there any day of the week that your school is unavailable for activities? If yes, mark which date and why.  If No, just mark N/A.

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* 13. What are topic(s) you would participate in for TEACHER Professional Development?

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* 14. What are topic(s) you or your students would be interested in for our MESA STEM Series?

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* 15. With a General Theme of "Designing for Equity" what are some competition ideas you may have for an in person and/or virtual competition event?

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* 16. Any other comments or suggestions to help support a successful school and MESA year?

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