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2021-2022 INDUCTION REGISTRATION
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* Indicates required question
FIRST NAME.
*
Your answer
LAST NAME:
*
Your answer
DISTRICT EMAIL:
*
Your answer
PERSONAL EMAIL (Optional):
Your answer
WORK PHONE:
*
Your answer
PERSONAL PHONE (Optional):
Your answer
DISTRICT:
*
Choose
Archuleta
Bayfield
Cortez
Dolores
Dove Creek
Ignacio
Mancos
San Juan BOCES
Silverton
Other
If Other, please type in:
Your answer
SCHOOL(S):
*
Please type in:
Your answer
INITIAL LICENSE AREA:
*
What initial license do you hold?
Choose
Teacher
Specialized Service Professional
Principal
Administrator (Superintendent)
TELL US ABOUT YOUR ROLE:
In what grade level(s) do you work?
*
(ex: 1st grade, 6th-8th, HS)
Your answer
What subject(s) do you teach?
(ex: homeroom, social studies, art, P.E., etc.)
Your answer
If you're a Specialized Service Professional, what is your role?
(ex: school psychologist, counselor, social worker, etc.)
Your answer
How many years of experience do you have in your profession?
*
Count years in the same profession as your current initial license (teacher, SSP, principal). Additionally, count this school year and any assignments in other states.
Your answer
OTHER COMMENTS/QUESTIONS:
Please type them in below.
Your answer
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