FUNDATIONS: Registration and Survey SY 21-22

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PLEASE COMPLETE THIS FORM IN ITS ENTIRETY TO FACILITATE PLANNING AND ASSESSING MATERIALS NEEDS for the 2021-2022 SCHOOL YEAR.

Submit by June 17th, 2021.

*Please note: This training is for Classroom Teachers, including Resource Room and ESL teachers in Grades K2-2 only. Paraprofessionals and other staff such as coaches are encouraged to attend as well.

Email *

SY 21/22 School: *

Your Name: (first and last) *

Your Teacher ID#: *

Grade Level you are teaching SY21/22 *

GR1

GR2

Other:

SY21/22 Position: *

Classroom Teacher

Specialist

Itinerant

Resource Room Teacher

ESL Teacher

Paraprofessional

Other:

SY21/22 Type of Classroom: *

General Education

Inclusion Classroom

SEI/ ESL

Sub-Separate: ABA

Sub-Separate: Specific Learning Disability

Sub-Separate: Emotional Impairment

Sub-Separate: Autism

Sub-Separate: Multiple Disabilities

Sub-Separate: Intellectual Impairment/ Mild

Sub-Separate: Intellectual Impairment/ Moderate

Sub-Separate: Intellectual Impairment/ Severe

Sub-Separate Physical Impairment

Sub-Separate: Sensory Impairment

Other:

Have you been trained in Fundations before? *

Yes

I'm not sure

Is your school adopting Fundations across all K2-2 classrooms? *

Yes

I'm not sure

Do you have Fundations materials for the grade you will be teaching in SY21/22? This includes 1 teacher kit and a class set of student materials. *

Yes

I am not sure

OTHER COMMENTS/ QUESTIONS:

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