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Section 1 of 3
CESA 1 Application of Interest: Assessment Professional Learning and Coaching Series

Please complete this application of interest form to express your district's interest in participating in the  Assessment Professional Learning and Coaching Series. Applications are due 

If you have any questions or require further information, please do not hesitate to reach out to

DISTRICT INFORMATION
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District Name
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Address
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City, State, and Zip Code
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Name of Lead District Contact and Job Title
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Email Address:
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Phone Number:
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Section 2 of 3
ADDITIONAL INFORMATION
District Goals, Growth Areas, and Needs:  

Please provide a brief description of your district's goals, areas of growth, and needs related to assessment, data analysis, and continuous improvement.
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District Challenges: 

Please briefly describe any challenges or specific areas of need your district is currently facing, limited resources, or other obstacles that may impact your District. This will help us better understand your district's unique circumstances and tailor support accordingly.

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What type of professional development around assessment/data has your district done in the past? 
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Federal Identifications: 

Are there any federal identifications (ESSA or IDEA) applicable to your district? Please select all that apply

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Target Support and Improvement (TSI)
Comprehensive Support and Improvement (CSI)
Additional Targeted Support and Improvement (ATSI)
IDEA - LEA Determinations
IDEA - Disproportionality
Not Applicable
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add "Other"
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Additional Comments (optional):

Please feel free to provide any additional comments you may have regarding the Professional Development Series and In-District Coaching.

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Section 3 of 3
CONFIRMATION OF SUBMISSION

By submitting this application of interest, your district acknowledges its commitment to active participation and collaboration throughout the professional development series and coaching sessions. 

This includes 12 days of in-person professional development and in-district coaching. The district team must have a administrator or instructional leader as a consistent member of their team.

I understand the above information and by typing my name below serves as my electronic signature.

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DISTRICT INFORMATION
District Name
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Address
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City, State, and Zip Code
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Name of Lead District Contact and Job Title
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Email Address:
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Phone Number:
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No responses yet for this question.
ADDITIONAL INFORMATION
District Goals, Growth Areas, and Needs:  

Please provide a brief description of your district's goals, areas of growth, and needs related to assessment, data analysis, and continuous improvement.
No responses yet for this question.

District Challenges: 

Please briefly describe any challenges or specific areas of need your district is currently facing, limited resources, or other obstacles that may impact your District. This will help us better understand your district's unique circumstances and tailor support accordingly.

No responses yet for this question.
What type of professional development around assessment/data has your district done in the past? 
No responses yet for this question.

Federal Identifications: 

Are there any federal identifications (ESSA or IDEA) applicable to your district? Please select all that apply

Copy chart
No responses yet for this question.

Additional Comments (optional):

Please feel free to provide any additional comments you may have regarding the Professional Development Series and In-District Coaching.

No responses yet for this question.
CONFIRMATION OF SUBMISSION

By submitting this application of interest, your district acknowledges its commitment to active participation and collaboration throughout the professional development series and coaching sessions. 

This includes 12 days of in-person professional development and in-district coaching. The district team must have a administrator or instructional leader as a consistent member of their team.

I understand the above information and by typing my name below serves as my electronic signature.

Copy chart
No responses yet for this question.
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