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Literacy in the Disciplines 6-12: General Membership Application
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First and Last Name
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Current Professional Role  
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School Context & Focus
Grade Level Focus (Select all that apply)  
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Which discipline(s) do you primary teach or support? (Select all that apply)  
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 School/Organization Name  
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State / Region  
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Goals & Interest
What are you most hoping to gain from this community? (Select up to 2)  
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What is your current comfort level with "Disciplinary Literacy" (e.g., teaching students how to read, write, and think like scientists, historians, or mathematicians)?  
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Which of the following topics or areas would you most like to see professional learning on?   
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Is there anything specific you'd like us to know, or a specific question you have right now?  
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Would you be interested in joining the full board or committee?  
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Membership Acknowledgment  
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