First Name *
Last Name *
Email *
Country * US AF AX AL DZ AD AO AI AQ AG AR AM AW AU AT AZ BS BH BD BB BY BE BZ BJ BM BT BO BQ BA BW BV BR IO BN BG BF BI KH CM CA CV KY CF TD CL CN TW CX CC CO KM CG CD CK CR CI HR CU CW CY CZ DK DJ DM DO EC EG SV GQ ER EE ET FK FO FJ FI FR GF PF TF GA GM GE DE GH GI GR GL GD GP GT GN GW GY HT HM VA HN HU IS IN ID IR IQ IE IM IL IT JM JP JE JO KZ KE KI KP KR KW KG LA LV LB LS LR LY LI LT LU MO MK MG MW MY MV ML MT MQ MR MU YT MX MD MC MN ME MS MA MZ MM NA NR NP NL NC NZ NI NE NG NU NF NO OM OT PK PS PA PG PY PE PH PN PL PT QA RE RO RU RW BL SH KN LC MF PM VC WS SM ST SA SN RS SC SL SG SX SK SI SB SO ZA GS SS ES LK SD SR SJ SZ SE CH SY TJ TZ TH TL TG TK TO TT TN TR TM TC TV UG UA AE GB UY UZ VU VE VN VG WF EH YE ZM ZW
State *
District *
Position * Teacher Dept Chair Superintendent/District Administrator Curriculum & Instruction Purchasing/Accounts Payable/Admin Parent Principal/Asst. Principal Other Tech Support
I am interested in building leader and teacher capacity within my district. * Yes No
I would like to learn about one or more of the following self-paced professional learning options for teachers in my district. Check all that apply. Active Classroom Certification CoursesYoung Citizen Certification CoursesSocial Studies School Service Micro-credential Program
I would like to learn more about one or more of the following Professional Learning Menu Options for TEACHERS. Check all that apply. Adding Teacher Moves: A Process for Lesson InternalizationCultivating Student Writers in Social Studies ClassroomsDifferentiation for AllFormative Assessment in Social StudiesGood Noise: Strategies for Classroom Discourse in Social Studies ClassroomsIt All Starts With GeographyPlan, Practice, Teach: Preparing for Effective Social Studies InstructionRARE-ing to Go! Effective Review for High-Stakes AssessmentsRedefining the Literacy BlockThe Art of Reading Non-FictionThe Ideal Elementary Self-Contained ClassroomThis is Disciplinary LiteracyUsing the Case Study Approach to Human Geography
I would like to learn more about one or more of the following Professional Learning Menu Options for LEADERS. Check all that apply. Foundations of Effective Social Studies LeadershipInstructional Coaching for Social StudiesFormative Assessment in Social Studies
I would like to learn more about how I might collaborate with Social Studies School Service to customize professional learning in my district. Yes No
I would like to learn more about how Social Studies School Service might support my district with product implementation (e.g. curriculum coaching, instructional rounds, customized supports available upon request and availability). Yes No
I would like to learn more about how Social Studies School Service might support social studies leadership in my district-e.g. vision/mission/goals, district leadership development, supporting instructional rounds, custom supports on request/availability. Yes No
I would like to learn more about how to facilitate a Social Studies Leadership or Teacher Leadership Program in my district. Yes No
What else do we need to know about your district? Example: What are some of the district initiatives worth mentioning? Is there a team of curriculum specialists and or instructional coaches that support social studies? Are there designated professional learning days/times?
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