Teacher Intersect Membership Form
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Email *
Full Name
Phone(s)
Address for Correspondence
Educational / Professional Qualification
Professional Experience
Clear selection
Your Current Designation/Role
Clear selection
Your Subject Area
Which aspects of teaching and learning are you proficient with?
If you have selected Other in the above question then specify here
What professional development activities do you normally engage in?
How frequently do you engage in the above professional development activity?
Clear selection
Which aspects of teaching and learning do you wish to specialise in?
What propelled you to take up teaching?
What changes would you like to see in classroom teaching or education in general?
What are your major professional or career goals?
Thank you for your responses!
Full Name
Phone(s)
Address for Correspondence
Educational / Professional Qualification
Professional Experience
Clear selection
Your Current Designation/Role
Clear selection
Your Subject Area
Which aspects of teaching and learning are you proficient with?
If you have selected Other in the above question then specify here
What professional development activities do you normally engage in?
How frequently do you engage in the above professional development activity?
Clear selection
Which aspects of teaching and learning do you wish to specialise in?
What propelled you to take up teaching?
What changes would you like to see in classroom teaching or education in general?
What are your major professional or career goals?
Thank you for your responses!
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