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Last Name
*
Your answer
First Name
*
Your answer
Email Address
*
Your answer
School Name
*
Your answer
District Name
*
Your answer
Grade(s) level currently teaching
*
PK
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Required
How many students do you teach?
*
Your answer
Identified Gender
*
Male
Female
Other
Unknown / Decline to State
Identified Ethnicity
*
American Indian or Alaska Native
Asian
Black or African American
Chicanx or Latinx
White / Southeast Asian / North African
Native Hawaiian or Pacific Islander
More than One
Unknown / Decline to State
Years of completed teacher service?
*
Student Teacher
1 - 5
6 - 10
11 - 15
16+
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