iTeach On Demand Intake Form
Name *
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Email *
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Cell Number
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Requested Meeting Date *
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Requested Time
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District *
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School? *
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Preferred Coach *
Grade Level *
Content Area *
How likely are you to try something new in your class? *
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How likely are you to seek out advice as you improve your teaching? *
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What is your preferred method of communication? *
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What is ONE THING that you hope to improve as it pertains to Instructional Technology and Personalized Learning in your practice? *
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What is ONE THING that you are very comfortable with and don't want to spend time covering? *
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What else would you like your iTeach coach to know about you, or your situation? *
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