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Cascade
SubCommunities Registration 9/20/2023
Cascade SubCommunities - September
Please register for SubCommunities - Cascade on September 20, 2023 from 6:30pm - 8:00pm at Mountlake Terrace Senior Center (23000 Lakeview Dr. Mountlake Terrace, WA 98043)
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Email Address
(Required.)
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4.
Phone Number
(Required.)
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5.
Address
(Required.)
Address
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Address 2
City/Town
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State/Province
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ZIP/Postal Code
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6.
WEA Membership Status
(Required.)
I am a member
I am represented by WEA but do not pay dues
I am NOT represented by WEA
I am not a member
WEA Staff
I don't know
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7.
Please list all the School Districts you substitute teach
(Required.)
School District #1
School District #2
School District #3
School District #4
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8.
What level do you primarily substitute in? (check all that apply)
(Required.)
Preschool
Elementary School
Middle School
High School
18-21 Transition Program
Other (please specify)
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9.
Please identify the type of Substitute Certificate you have
(Required.)
Emergency Substitute
Certified Substitute
Not sure
Other (please specify)
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10.
Including this year, how many years have you worked in education?
(Required.)
0-4 years
5-9 years
10-14 years
15-24 years
25+ years
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11.
Are you interested in becoming a certified teacher in the state of Washington?
(Required.)
Yes
No, I'm not interested
I am a certified teacher in the state of Washington
I'm currently registered in a program to receive my certification
12.
Would you like to be added to our mailing list for future events?
Yes
No
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13.
Please list any dietary allergies or preferences you have
(Required.)
None
Gluten Free
Dairy Free
Vegetarian
Vegan
Nut Allergy
Seafood Allergy
Other (please specify)
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14.
We will be videotaping and taking photos during this session for use in trainings to develop more regional events like this. Please confirm if you are OK with this.
(Required.)
Yes
No.
Please be sure to let the photographer and videographer at the event know that you would prefer not to be included in any photos or video.
Demographics
WEA's Emergency Substitute Project's goal is to have Subcommunities reflect the diverse backgrounds, experience, and identities that represent Washington communities. This survey will help us stay accountable and measure our progress.
If you are not comfortable answering any of these questions, please select prefer not to answer.
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15.
Gender
(Required.)
Male
Female
Non-Binary
Prefer not to answer
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16.
Race
(Required.)
White or Caucasian
Black or African American
Hispanic or Latino/Latina/Lantinx
Asian or Asian American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Multi-Ethnic/Multi Racial
Prefer not to answer
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17.
Level of College Degree(s) (check all that apply)
(Required.)
Associate degree
Bachelor's degree
Graduate degree
Doctorate degree
Prefer not to answer
Please list major/area of degree
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18.
Do you experience a disability?
(Required.)
Yes
No
Prefer not to answer
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19.
Have you ever served on active duty in US Armed Forces?
(Required.)
Yes
No
Prefer not to answer
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20.
Do you identify as LGBTQIA+
(Required.)
Yes
No
Prefer not to answer
