2025-26 IL Project Connect Plus Teacher Application Form
Description
Project Connect Plus will reach out to your administrator to secure their agreement for you to participate and permission for release time.
Personal Information
First Name
Last Name
What pronouns do you use? For example: They/Them, She/Her, He/Him
Job Title
Please select...
Kindergarten Teacher (General Education)
Kindergarten Teacher (Dual Language/Bilingual Spanish)
Kindergarten Teacher (ESL)
Kindergarten Teacher (Other)
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
Years of teaching experience
Please select...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30+
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)
Page 2 of 2: Application Questions
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
School Principal First Name
School Principal Last Name
School Principal Email Address
How many kindergarten classrooms are in your building?
Is your kindergarten full or half day?
Please select...
Full day
Half day
Are there other teachers in the building who would like to participate in Project Connect Plus? If so, please list their names and emails below.
How many years have you taught in kindergarten?
Do you offer Spanish-language instruction in your classroom?
What languages other than English and Spanish are spoken by students and parents/caregivers in your school community?
How often do you administer the 14 State Readiness Measures of the Kindergarten Individual Development Survey (KIDS)?
Please select...
1 time
2 times
3 times
If you have any questions, please contact Rebeca Itzkowich at
ritzkowich@teachplus.org
.
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