Thank you for filling out this survey.  In addition, please complete the registration form found on the VEA website at www.vancouverea.org (under documents tab) and submit with your registration fee to the VEA Office at 2509 Broadway - Vancouver WA 98663

First Name

Question Title

* 1. First Name

Last Name

Question Title

* 2. Last Name

Home Phone xxx-xxx-xxxx

Question Title

* 3. Home Phone xxx-xxx-xxxx

Cell Phone xxx-xxx-xxxx

Question Title

* 4. Cell Phone xxx-xxx-xxxx

Home email

Question Title

* 5. Home email

School email

Question Title

* 6. School email

What school/work site do you primarily work at?

Question Title

* 7. What school/work site do you primarily work at?

What grade level(s)/subjects do you teach?

Question Title

* 8. What grade level(s)/subjects do you teach?

Have you registered with the National Boards?

Question Title

* 9. Have you registered with the National Boards?

What is your NBCT area?  http://boardcertifiedteachers.org/certificate-areas

Question Title

* 10. What is your NBCT area?  http://boardcertifiedteachers.org/certificate-areas

Do you plan to attend WEA Jump Start?

Question Title

* 11. Do you plan to attend WEA Jump Start?

Did you attend WEA Jump Start?

Question Title

* 12. Did you attend WEA Jump Start?

Do you plan to take the Foundations Course?  The Foundations Course is highly recommended if you did not attend Jump Start and mandatory if you did not attend Jump Start and are applying for a Conditional Loan through OSPI.

Question Title

* 13. Do you plan to take the Foundations Course?  The Foundations Course is highly recommended if you did not attend Jump Start and mandatory if you did not attend Jump Start and are applying for a Conditional Loan through OSPI.

Which Components will you be pursuing this year?  (please check all that apply)

Question Title

* 14. Which Components will you be pursuing this year?  (please check all that apply)

Comments

Question Title

* 15. Comments

T