Please include your personal email if this is your first response.
Your answer
Building Leader's Phone Number
Please include your phone number if this is your first response.
Your answer
Local Name *
Choose
Alamance-Burlington
Alexander
Alleghany
Anson
Ashe
Asheboro
Asheville
Avery
Beaufort
Bertie
Bladen
Brunswick
Buncombe
Burke
Cabarrus
Caldwell
Camden
Carteret
Caswell
Catawba
Chapel Hill
Charlotte-Meck
Chatham
Cherokee
Chowan
Clay
Cleveland
Columbus
Craven
Cumberland
Currituck
Dare
Davidson
Davie
Duplin
Durham
Edgecombe
Elkin
Forsyth
Franklin
Gaston
Gates
Graham
Granville
Greene
Guilford
Halifax
Harnett
Haywood
Henderson
Hertford
Hickory
Hoke
Hyde
Iredell
Jackson
Johnston
Jones
Kannapolis
Lee
Lenoir
Lexington
Lincoln
Macon
Madison
Martin
McDowell
Mitchell
Montgomery
Moore
Mooresville
Mt. Airy
Nash
New Hanover
Newton-Conover
Northampton
Onslow
Orange
Pamlico
Pasquotank
Pender
Perquimans
Person
Pitt
Polk
Randolph
Richmond
Roanoke Rapids
Robeson
Rockingham
Rowan
Rutherford
Sampson-Clinton
Scotland
Stanly
Stokes
Surry
Swain
Thomasville
Transylvania
Tyrell
Union
Vance
Wake
Warren
Washington
Watagua
Wayne
Weldon
Whiteville
Wilkes
Wilson
Yadkin
Yancey
Other
Co-worker's First Name *
Your answer
Co-worker's Last Name *
Your answer
Pronouns
Your answer
Conversation Date *
MM
/
DD
/
YYYY
School/Worksite *
Your answer
Co-worker's Position/Role
Your answer
What does position above most closely match?
Choose
Administrator
Adult Educator
Behavior Specialist
Bldg/Grnds Maint/Repairs
Classroom Teacher
Coach
Counselor
Curriculum Specialist
Family Resource/Youth Services
Family and Consumer Science
Food Services
Health Student Services
Interpreter
Librarian/Media Specialist
No Position Held
Occupational Therapist
Other
ParaEd (Instruct/Non-Instruct)
Physical Therapist
Psychologist
ROTC Instructor
Reading Specialist
Security Services
Secy/Clerk/Admin Srvcs
Social Worker
Special/Develop Ed
Speech/Hearing Therapist
Technical Srvcs
Trade/Craft/Machine Oprs
Trans/Dlvry/Vhcl Mechanics
Tutor
Unknown
Phone Number
Your answer
Personal Email
Your answer
Work Email
Your answer
Number of years working in public schools
Your answer
Parent of a public school student?
Clear selection
Current NCAE member?
Clear selection
Opt into NCAE communications?
Clear selection
Issues - Support, respect, and voice at work
Issues - Duties, Staffing, Compensation, Funding
Issues - Curriculum and Professional Development
Issues - Equity
Issues - Resources and Student Support
Other Issues
Notes: Issues & What they care about
What were the top 2-3 issues for this worker? Why? What did they say about the issue, what they wanted to see changed, and how that would affect them?
Your answer
Notes: Vision
What would change for them, their students, and their coworkers if public school funding was increased by $3000 for every student? What would become possible that cannot be done at this time?
Your answer
Leadership: Who do you turn to in your building when you want support? Why? Who do you see others turning to in your building when they want support? Why do you think that is?
Your answer
Does this person need follow up? *
Who should follow up with this person?
Choose
Building Leader
Local Leader
NCAE Staff
Unsure
If yes to "needs follow up," please elaborate: what follow up and next steps do you see for this worker? When should they be followed up with?