2016 TLPN Participant Registration
To register, please complete the form below.
First Name
Last Name
Email
Confirm Email
Phone Number
Teaching Status
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Current Teacher
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Principal
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Name of the school where you currently teach
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School Address
City
State
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Zip
District
Please select the percentage of students receiving free/reduced lunch in your school.
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0%-15%
16%-30%
31%-50%
51%-75%
76%-100%
Years of teaching experience
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0 or N/A
1
2
3
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Current Grade(s) Teaching
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Pre-K
Kindergarten
1
2
3
4
5
6
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12
Hold control (PC) or command (Mac) to select multiple grades.
Main Subject(s) Teaching
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Generalist
English
Social Studies
Math
Science
Special Education
Other
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Other Subject(s)
Please select the Collaborative Network you would like to join. For complete descriptions, please refer to the list on our
website
.
Collaborative Networks Offered at the Memphis Teaching and Learning Academy
Dates:
December 6th, January 12th, February 16th, March 7th, April 6th, May 2nd. (Dinner will be provided for all courses). All classes will be held from 4:00pm - 7:00pm.
Which Collaborative Network would you like to join?
The K-2 Elementary ELA Collaborative Network--Teacher Tools: Instructional Resources and Strategies to Build Success
The 3-5 Elementary ELA Collaborative Network--Literacy Challenges: Creating the Path to Success
The K-5 Mathematics Network: Connecting Resources & Strategies in the Elementary Mathematics Classroom
The Middle & High School ELA Network 1--Innovative Literary Techniques: Reflect, Regroup, and Respond
The Middle & High School ELA Network 2--Teaching With a Purpose: Middle and High School ELA Data Driven Instruction
How would you rate your comfort level with teaching to the Common Core and/or other Tennessee State Standards?
Please select...
Very comfortable
Comfortable
Somewhat comfortable
Not at all comfortable
How did you hear about the TLPN?
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A Teach Plus Policy Fellow
District
Fellow Teacher
Local Association
National Board Certified Teachers
School Administrator
Social Media (Facebook, Twitter, LinkedIn, etc.)
Teach Plus
Other (please specify)
Please specify how you heard
Please list any food allergies or specific dietary needs:
Would you like to receive the Teach Plus Newsletter?
Newsletter (monthly)
News Blast (weekly)
Please Note:
There is a maximum of
15 participants per course.
In the event that the course is over-enrolled, participants will be notified and placed on a waiting list. Final registration confirmations will be emailed by December 2nd.
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