NEXT Fall 2014 Class Registration for Miami Teachers 50% of survey complete. Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Exact birth date, including day, month and year. Question Title * 4. Gender (for demographic purposes) Question Title * 5. Ethnicity (for demographic purposes) Nonresident Alien Black or African American American Indian/Alaska Native Asian Hispanic of any race Native Hawaiian or other Pacific Islander Race and Ethnicity unknown White 2 or more races Question Title * 6. Email Address Question Title * 7. Phone Number Question Title * 8. Street Address Question Title * 9. City and State Question Title * 10. Zip Code Question Title * 11. Name of supplementary school(s) at which you expect to teach in 2014-2015? Next