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P.R.I.D.E Teacher Cohort Application
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Alias/Professional Name
Your answer
Mailing Address
*
Your answer
Phone Number
*
Your answer
Race/Ethnicity
Your answer
Number of years teaching
*
Choose
1-2
3-10
10-20
20 or more
Grades Taught (Past and Present - Feel free to check multiple boxes)
*
Pre-K
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
High School
Other:
Required
What grade(s) do you CURRENTLY teach?
*
Pre-K
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
High School
Other:
Required
Neighborhood where you teach
*
Your answer
School where you teach
*
Your answer
Number of children you teach
*
Your answer
How did you learn about this project?
*
Choose
Email
Social Media
School
Word of mouth
Other:
Percentage of Students that are Black/African American
*
0 to 25%
25% to 50%
50% to 75%
75% or more
Does your director/principal support your participation in this program?
*
Yes
No
If yes, please provide their contact information so that we can share updates about the cohort
Your answer
Please describe why you would like to participate in this project (250 words or less)
*
Your answer
Briefly describe your child development knowledge, experience, and skills including any racial, cultural, or ethnic awareness you have done with children (250 words or less)
*
Your answer
Send me a copy of my responses.
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