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* 1. Please enter your basic information.

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* 2. Content Area Taught (check all that apply)

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* 3. Grade Level Taught (check all that apply)

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* 4. I would like to participate in activities for the following assessments:   
(check all that apply)

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* 5. Years of Experience Teaching in New Mexico

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* 6. Educator License Number

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* 7. License Level

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* 8. My endorsement is in

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* 9. I attest that I have a minimum rating of "Effective" on the NM Educator Evaluation System.

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* 10. If you do not meet this qualification but still wish to participate please provide additional qualification information below.

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* 11. I was employed at the following school for the 2016-2017 school year.

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