6-12 Disciplinary Literacy Essentials Support Request Form

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Email *

Last Name *

First Name *

How would you like to be reached? Please share your email address and/or phone number. *

At which ISD/RESA Service Area do you work? *

Please describe the type of assistance you need from the Disciplinary Literacy Task Force. Examples include support with planning a professional learning event, consultation on how to support a school/district, help planning a book study, etc. *

Target Audience related to your support request: Check ALL that apply. *

ELA teachers

Mathematics teachers

Social Studies teachers

Science teachers

Teachers of all Subjects

Middle school/junior high

High school

Secondary administrators

Central office administrators

Instructional coaches/PLCs/Department heads

Other:

Required

Do you have upcoming disciplinary literacy professional learning event that you would like the Task Force to help publicize? If so, please share a link to registration and/or a flyer here.

What additional information would you like to share, so that we can better assist you?

A copy of your responses will be emailed to the address you provided.

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