School Information Form

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For principals, school leaders, department chairs, and guidance counselors of individual schools.

School Name *

School Address *

Grade Levels Served *

Contact information for school contact person

Name

Position

Phone Number

How did you hear about us? *

Please explain concerns *

Please explain concerns 2

How can we support? *

1:1 Educator Coaching + Supervision

Professional Development Training

Department Coaching

Required

If you picked Professional Development Training, please choose the topic(s) you are interested in: Choose all that apply

Reading Foundations for Older Students

Standards Based, Effective and Engaging Lesson Design

Creating Authentic Assessments

Creating and Maintaining a Positive Rapport to Enhance Student Mastery

Direct/Explicit Teaching Models

Student Centered Class and Differentiation Methods

How to Incorporate More Writing in All Subjects

How to Create a Positive Classroom Environment with High Expectations

Developing Critical Writers

When do you want to begin? *

YYYY

Anything else we should know?

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