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* 1. Please provide your first name

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* 2. Please provide your last name

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* 3. Please provide your email address

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* 4. Please share your pronouns

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* 5. What is the name of the school you work for?

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* 6. What ISD/ RESA is your school a part of?

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* 7. What district is your school a part of?

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* 8. What grade level(s) do you teach? Select all that apply.

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* 9. What teaching certifications do you currently hold?

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* 10. How many years of experience do you have as a teacher?

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* 11. When you consider your personal and familial cultural values, traditions, and practices, what labels best describe your ethnicity?

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* 12. Please attach a copy of your resume

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* 13. Please attach a copy of your most recent summative teacher evaluation rating (with notes)

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* 14. Please provide a URL to a video of yourself teaching ELA or Mathematics. (7+ minutes in length)

Please provide contact information for a personal reference below. If possible, this person should be a building / district administrator.

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* 15. Reference Name

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* 16. Reference email

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* 17. Reference phone number

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* 18. Reference job type

Program Requirements
Model Teaching requires hosting a group (10-15) of apprentice teachers in your classroom to observe your instruction during the school day. The proposal for the 24/25 school year is four site visits a year. This will require cooperation and approval of your building administrator. Please confirm below that you have discussed this with your building administrator, and have received approval

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* 19. Have you discussed Model Teaching with your administrator?

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* 20. Please provide the name of the administrator you discussed Model Teaching with

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* 21. Please provide your administrator's email address or phone number

Prior to finalization of a contract, the building administrator will be contacted and approval must be secured.
Long Answer Questions - Please provide a written response to the questions below.

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* 22. How did you hear about this role? In your answer, please specify the name of the person who recommended you for this role, if any.

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* 23. Provide a brief description of your interest in becoming a Model Teacher through Talent Together.

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* 24. Think about a time you extended your impact to teachers and led adult learners in your school community. What steps did you take? What PD did you seek out to support this initiative? What was the quantitative impact of your work?

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* 25. Review and reflect on your submitted video. What components of your instructional practice would you highlight for a teacher candidate? Highlight at least two practices exemplified in your video and talk through how you would communicate these with teacher candidates working toward their initial certification. Please include timestamps (for example: "At the one minute mark...")

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