FY25 Teacher Diversification PLC Team Sign Up

1. District *This question is required.

2. What is the name of the primary contact person for your team to receive updates regarding the TDPLC?
*This question is required.

3. Please provide the email address for the primary contact person for your team to receive updates regarding the TDPLC.
*This question is required. This question requires a valid email address.

4. What is the Name of the District Leadership Representative?
*This question is required.

5. What is the email address of the District Leadership Representative?
*This question is required. This question requires a valid email address.

6. What is the title of District Leadership Representative's position? *This question is required.

7. What is the name of the DEI Director (or a similar systemic equity-focused role)?
*This question is required.

8. What is the email address of the DEI Director (or a similar systemic equity-focused role)?
*This question is required. This question requires a valid email address.

9. What is the official title of the DEI Director (or a similar systemic equity-focused role)?
*This question is required.

10. What is the name of the Principal Representative?
*This question is required.

11. What is the email address of the Principal Representative?
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12. What is the name of the school that the Principal is from? *This question is required.

13. What is the name of the District HR Staff Representative?
*This question is required.

14. What is the email address of the District HR Staff Representative?
*This question is required. This question requires a valid email address.

15. What is the title of the District HR Representative's position? *This question is required.

16. What is the name of the Teacher Representative?
*This question is required.

17. What is the name of the school that the Teacher is from? *This question is required.

18. What is the email address of the Teacher?
*This question is required. This question requires a valid email address.

19. Please advise if anyone on your team has any dietary restrictions or accessibility needs. *This question is required.

21. Please share any information you hope to learn about while attending the Teacher Diversification Professional Learning Community. *This question is required.

22. Please advise if you have any questions for us.