Community Teacher Academy - Interest Survey
The Kansas City, Kansas Public Schools (KCKPS) has been developing a Community Teacher Academy. Participants experienced 21st century teaching and learning, practiced teaching skills, and interacted with departments and staff that support our goal of having each student exit high school, prepared for college and careers in a global society.

If you are interested in participating in future versions of the program please complete the short survey below. You will be contacted if and when additional Academies are scheduled.

Name
Your answer
Street Address
Your answer
Email
Your answer
Phone Number - enter phone number on OTHER line, mark preference for contact in check boxes.
Have you previously attended a Citizens Academy program with a different agency?
Are you a member of a church, neighborhood organization, NBR, or civic group? Please list below to help us know who we have reached.
Your answer
The Community Teacher Academy includes a school visit. Please use the grid to rank which type of school you would most like to visit.
1st Choice
2nd Choice
3rd Choice
4th Choice
Not at all interested
Early Childhood (pre-school, approximate ages 3-5)
Elementary (grades K-5, approximate ages 5-11)
Middle School (grades 6-8, approximate ages 11-14)
High School (grades 9-12, approximate ages 14-18)
Mark the statements that best describe your internet access.
How would you best describe your work day?
Do you have any physical limitations or learning needs that we should know about to better plan? For example - do you have trouble with stairs? Difficulty hearing? Need materials in a language other than English?
Your answer
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