DRDP 2014-15 Teacher Registration for Research Activities

Participant Registration

Thank you for your interest in the DRDP 2014-15 Research Studies. Please register by Friday, October 31st to take part in the research activities this Fall 2014. Your participation in the research activities will contribute to finalize the DRDP (2015) for implementation in FY 2015-16.

This survey registration takes about 5-10 minutes to complete.

Please do not share with anyone else. Agency administrators should NOT complete this registration survey on behalf of teachers.

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* 1. First Name

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* 2. Last Name

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* 3. Preferred Email Address.
Please be sure to provide a valid email. This is very important as email will be our primary method of communication.

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* 4. Please re-enter your email address.

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* 5. Preferred mailing address where materials for the DRDP Research Study will be sent:

Address (street number and name):

City/Town: *

State: *

ZIP Code: *

County: *

Phone Number: *

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* 6. CDE/EESD Vendor Code (If you know it)
(Code provided from CDE/EESD)

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* 7. Primary position (Please select the option that best describes your primary role in your program/site.)
(Note: Administrators can only participate as secondary raters for the Partner Rating Study. Administrators should not complete this survey on behalf of a teachers.)

Infant/Toddler Teacher/Caregiver

Preschool Teacher/Caregiver

Administrator

Question Title

* 8. Current Early Childhood Education (ECE) Permit Level?

Associate Teacher Permit

Teacher Permit

Master Teacher Permit

Site Supervisor Permit

Program Director Permit

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* 9. Highest Early Childhood Education (ECE) Permit Level Attained?

Associate Teacher Permit

Teacher Permit

Master Teacher Permit

Site Supervisor Permit

Program Director Permit

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* 10. Age-ranges of ALL children in your classroom (check all that apply)

Infants (0-5 months of age)

Infants (6-11 months of age)

Infant/Toddlers (12-17 months of age)

Toddlers (18-23 months of age)

Toddlers (24-29 months of age)

Toddlers (30-35 months of age)

Preschool (36-41 months of age)

Preschool (42-47 months of age)

Preschool (48-53 months of age)

Preschool (54-59 months of age)

Preschool (60-72 months of age)

Question Title

* 11. Average age-range of MOST children in your classroom (select only one age-range)

Infants (0-5 months of age)

Infants (6-11 months of age)

Infant/Toddlers (12-17 months of age)

Toddlers (18-23 months of age)

Toddlers (24-29 months of age)

Toddlers (30-35 months of age)

Preschool (36-41 months of age)

Preschool (42-47 months of age)

Preschool (48-53 months of age)

Preschool (54-59 months of age)

Preschool (60-72 months of age)

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Preferred Email Address.Please be sure to provide a valid email. This is very important as email will be our primary method of communication.

Question Title

* 4. Please re-enter your email address.

Question Title

* 5. Preferred mailing address where materials for the DRDP Research Study will be sent:

Question Title

* 6. CDE/EESD Vendor Code (If you know it)(Code provided from CDE/EESD)

Question Title

* 7. Primary position (Please select the option that best describes your primary role in your program/site.)(Note: Administrators can only participate as secondary raters for the Partner Rating Study. Administrators should not complete this survey on behalf of a teachers.)

Question Title

* 8. Current Early Childhood Education (ECE) Permit Level?

Question Title

* 9. Highest Early Childhood Education (ECE) Permit Level Attained?

Question Title

* 10. Age-ranges of ALL children in your classroom (check all that apply)

Question Title

* 11. Average age-range of MOST children in your classroom (select only one age-range)

* 3. Preferred Email Address.
Please be sure to provide a valid email. This is very important as email will be our primary method of communication.

* 6. CDE/EESD Vendor Code (If you know it)
(Code provided from CDE/EESD)

* 7. Primary position (Please select the option that best describes your primary role in your program/site.)
(Note: Administrators can only participate as secondary raters for the Partner Rating Study. Administrators should not complete this survey on behalf of a teachers.)