2025-26 IL Project Connect Plus Principal Application Form
Personal Information
Prefix
First Name
Last Name
What pronouns do you use? For example: They/Them, She/Her, He/Him
Job Title
Preferred Email Address Type
Please select...
Work
Personal
To ensure you receive Teach Plus communications promptly, we strongly recommend using a personal email address.
Work/School Email
Confirm Email Address
Personal Email
Confirm Email Address
Alternate Email
Primary Phone
Mobile Phone
Gender Identity
Please select...
Woman
Man
Genderqueer or Non-binary
Identity not listed, please specify:
Prefer not to disclose
If "Identity not listed" is selected, please specify
Ethnicity
Please select...
African-American, Black (Non-Hispanic)
Native American
Asian
Latino/a/x , Hispanic
Middle Eastern, North African
Hawaiian, Alaskan Native
Pacific Islander
White (Non-Hispanic)
Ethnicity not listed, please specify:
Prefer not to disclose
Select all that apply. To select multiple responses on a PC hold "Ctrl", on a Mac hold the Command key (next to the space bar).
Tribal Affiliation (Optional):
If "Ethnicity not listed" is selected, please specify
Do you identify as a person of color?
Please select...
Yes
No
Prefer not to disclose
(i.e., Black, Indigenous, Latino/a/x, Asian, Pacific Islander, and/or of other global majority race or ethnicity)
Application Questions
Name of the school where you currently teach
Please write out the complete name.
District Name
School Address
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
How many kindergarten classrooms are in your building?
Is your kindergarten full or half day?
Please select...
Full day
Half day
How many teachers will participate in Project Connect Plus?
Please provide the full name and email address of each participating Kindergarten teacher.
How many of your classrooms offer Spanish-language instruction?
What languages other than English and Spanish are spoken by students and parents/caregivers in your school community?
How often do your kindergarten teachers administer the 14 State Readiness Measures of the Kindergarten Individual Development Survey (KIDS)?
Please select...
1 time
2 times
3 times
Eligibility Requirements
Please confirm your agreement with the below statements:
I agree to provide five full days of release time for each participating kindergarten teacher to attend PLC days.
I give my permission for kindergarten teachers to implement formative assessment activities aligned with the KIDS measures.
If you have any questions, please contact Rebeca Itzkowich at
ritzkowich@teachplus.org
.
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