2012 Educator Stories Survey

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* 1. Please share your contact information with us.

Name:

School:

District:

City/Town:

State:

Email Address:

Phone Number:

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* 2. I am currently a:

National Board Certified Teacher (NBCT)

Retake/Advanced Candidate

Take One! Participant

Other (please specify)

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* 3. What is your role in education? (Check all that apply)

Classroom teacher

Instructional Coach or School Based Staff Developer

Counselor

Librarian

Assistant Principal

Principal

Central Office Specialist

Higher Education Faculty

Other (please specify)

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* 4. Why did you pursue National Board certification?

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* 5. How did National Board certification impact your growth as a teacher?

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* 6. How did National Board certification impact the learning of your students?

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* 7. Is there anything else you would like to share about your story? (For example, you can use this space to highlight unique challenges or achievements you have experienced, include any relevant Internet links highlighting your work, describe any special relationships or circumstances with colleages, friends, and family that helped you certify, or tell us about interesting people you worked with as an educator, etc,.)

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* 8. Please select one of the following:

I give permission for NBPTS to publicize my story.

I do not give permission for NBPTS to publicize my story. This information is for internal use only.