The 2018 Virginia Department of Education (VDOE) TEACHER Application for Participation in Multi-Sensory Structured Language Instruction Pilot Project VI.

Thank you for your interest in participating in the 2018 Virginia Department of Education (VDOE) Multi-Sensory Structured Language Instruction Pilot Project VI. Please complete and submit the following application. Also, please discuss your application with your principal and have him/her complete the principal's recommendation. A link to the principal recommendation can be found within the Superintendent's Memo.
*As a reminder, both the teacher application and the principal recommendation are required components of the application process and both must be completed by the due date. Should you have questions, please contact Kim Bausum-Brown at Kim.Bausum-Brown@doe.virginia.gov.
Thank you.

Question Title

* 1. General Information:

First Name

Last Name

Division

School

School e-mail address

Alternate e-mail address

Phone number

Principal's name

Principal's email

Name of Director of Special Education

Director's E-mail

Region your school division is located in (if you do not know, use the link provided:
http://www.doe.virginia.gov/directories/schools/school_info_by_regions.shtml)

Question Title

* 2. Current Teaching Assignment -- Please select most appropriate teaching assignment and insert in box below:

Reading Specialist -- (K, 1, 2)

Reading Specialist -- (3,4,5)

Special Education teacher K-2

Special Education teacher 3-6

General Education teacher K-2

General Education teacher 3-6

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* 3. Briefly describe why you are interested in participating in the Multi-Sensory Structured Language Structure Pilot Program.

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* 4. Describe your teaching assignment for the school year 2018-2019 to the best of your ability. For example, if you are a reading specialist, will you be providing direct instruction to small groups of children throughout the day? Will coaching other teachers be part of your job duties? If you are a special education teacher, do you provide services within the general education classroom or a self-contained classroom? Are your students working in the SOL or ASOL curriculum? What grade levels do you support with small group reading instruction? General education teachers may describe meeting the needs of the students are struggle the most within their classrooms.