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* 1. Your Name

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* 2. Your Personal Address

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* 3. Personal Email

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* 4. Cell phone

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* 5. Gender (optional)

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* 6. Which race/ethnicity best describes you? (Please choose only one.)

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* 7. Name and address of the school where you currently teach

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* 8. Name of Supervisor, email and phone number

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* 9. Grade currently teaching and subjects

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* 10. Please list any significant education-related awards you have received.

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* 11. How did you hear about this opportunity?


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* 12. Name of the person who referred you (if applicable)


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* 13. What inspired you to become a teacher?

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* 14. Why did you choose to teach in a charter school?

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* 15. Why do you want to become a TALI Fellow?

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* 16. Have you ever advocated for any policy changes before at the state, federal, or local level?  If so, what was your role, and what did you learn?

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* 17. How do you feel becoming an active advocate for charter schools will enhance your personal mission statement to improve educational outcomes for children?

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* 18. Are you comfortable with communicating on social media; i.e. Facebook, Twitter, Instagram?  If yes, which one(s) are you most comfortable?

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* 19. If selected to participate in the fellowship program, how will you apply the skills and training you receive as a TALI fellow to advocate for students, fellow teachers, and all charter schools in Texas.

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* 20. Is your campus involved in ongoing advocacy efforts? Is there support on your campus and/or in your charter system for related work (ie a full- or part-time advocacy manager)?

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* 21. Do you acknowledge that if accepted as a fellow you will be expected to:  attend in-person training in San Antonio in October, participate in monthly webinars, attend regional institute (if in Dallas, Houston, Austin, or San Antonio), join Facebook group for TALI fellows, and complete advocacy action items such as a meeting with elected officials, sharing your story with the media, recruiting other teachers, etc.?

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* 22. Please upload your resume including a headshot

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