General Information & Demographics

 
Please complete the information below:

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* 1. Please complete the information below:

Which of the following best describes your position? (Check all that apply)

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* 2. Which of the following best describes your position? (Check all that apply)

Which of the following applies to the students being served through your school/organization? (Check all that apply.)

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* 3. Which of the following applies to the students being served through your school/organization? (Check all that apply.)

What is the percentage of students based on gender?

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* 4. What is the percentage of students based on gender?

What is the percentage of students based on ethnicity?

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* 5. What is the percentage of students based on ethnicity?

What is the percentage of students on free/reduced lunch?

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* 6. What is the percentage of students on free/reduced lunch?

Check all that apply for the following priority categories: (*able to provide supporting documentation upon request)

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* 7. Check all that apply for the following priority categories: (*able to provide supporting documentation upon request)

Is your school/organization willing to participate in a focus group to reflect upon your experience in a pilot?

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* 8. Is your school/organization willing to participate in a focus group to reflect upon your experience in a pilot?

Is your school/organization willing to provide evidence of student and/or teacher outcomes in the form of interviews, surveys, student work samples, video, photography, and/or site observations?

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* 9. Is your school/organization willing to provide evidence of student and/or teacher outcomes in the form of interviews, surveys, student work samples, video, photography, and/or site observations?

Why is your school/organization interested in participating in an ASSET STEM Education pilot?

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* 10. Why is your school/organization interested in participating in an ASSET STEM Education pilot?

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