New Teacher Academy Registration 2018-2019 Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. School Assignment/District Office (if multiple locations other than district, list in "other" below) Acworth ES Addison ES Allatoona HS Argyle ES Austell ES Awtrey MS Baker ES Barber MS Bells Ferry ES Belmont Hills ES Big Shanty Int. Birney ES Blackwell ES Brumby ES Bryant ES Bullard ES Campbell HS Campbell MS Chalker ES Cheatham Hill ES Clarkdale ES Clay ES Compton ES Cooper MS Daniell MS Davis ES Dickerson MS District Office Dodgen MS Dowell ES Due West ES Durham MS East Cobb MS East Side ES Eastvalley ES Fair Oaks ES Floyd MS Ford ES Frey ES Garrett MS Garrison Mill ES Green Acres ES Griffin MS Harmony Leland ES Harrison HS H.A.V.E.N. at Skyview Hawthorne Center Hayes ES Hendricks ES Hightower Trail MS Hillgrove HS Hollydale ES Keheley ES Kell HS Kemp ES Kennesaw ES Kennesaw Mountain HS Kincaid ES King Springs ES LaBelle ES Lassiter HS Lewis ES Lindley 6th Gr Acad Lindley MS Lost Mountain MS Lovinggood MS Mableton ES Mabry MS McCall Primary McCleskey MS McClure MS McEachern HS Milford ES Mountain View ES Mt. Bethel ES Murdock ES Nicholson ES Nickajack ES North Cobb HS Norton Park ES Osborne HS Palmer MS Pebblebrook HS Performance Learning Center (PLC) Pickett's Mill ES Pine Mountain MS Pitner ES Pope HS Powder Springs ES Powers Ferry ES Riverside Intermediate Riverside Primary Rocky Mount ES Russell ES Sanders ES Sedalia Park ES Shallowford Falls ES Simpson MS Smitha MS Smyrna ES Sope Creek ES South Cobb HS Sprayberry HS Still ES Tapp MS Teasley ES Timber Ridge ES Tritt ES Varner ES Vaughan ES Walton HS Wheeler HS Other (please specify) Question Title * 4. Special Education Assignment (if applicable, check all that apply) Preschool Teacher (special needs) K-12 Special Education Teacher (MID, MOID, SID/PID) K-12 Special Education Teacher (AU) K-12 Speech Language Pathologist K-12 Special Education Teacher (OI, DHH, VI) K-12 Special Education Teacher (EBD) K-12 Adapted PE (AdPE) Teacher K-5 IRR Special Education Teacher 6-8 IRR Special Education Teacher 9-12 IRR Special Education Teacher Other (please specify) Question Title * 5. Media Specialist Assignment (if applicable, check all that apply) Elementary Level Middle School Level High School Level Other (please specify) Question Title * 6. Counseling Assignment (if applicable, check all that apply) Elementary Level Middle School Level High School Level Other (please specify) Question Title * 7. ESOL/ELL Assignment (if applicable, check all that apply) Elementary Level Middle School Level High School Level Other (please specify) Question Title * 8. Elementary School Assignment (if applicable check all that apply) Kindergarten Teacher First Grade Teacher Second Grade Teacher Third Grade Teacher Fourth Grade Teacher Fifth Grade Teacher Specialist (art, music, PE, STEM, Science Lab, Target) EIP Teacher Other (please specify) Question Title * 9. Middle School Assignment (if applicable, check all that apply) Career Connections Teacher (Engineering, Business, etc). English Language Arts Teacher/Reading Teacher Fine Arts (Band, Orchestra, Music/Chorus, Drama, Theater, Dance) Health/Physical Education Teacher Math Teacher Science Teacher Social Studies Teacher Visual Arts Teacher World Languages Teacher Other (please specify) Question Title * 10. High School Assignment (if applicable, check all that apply) CTAE Teacher English Teacher Fine Arts Teacher (Band, Orchestra, Music/Chorus, Drama, Theatre, Dance) Health/Physical Education Teacher Math Teacher Science Teacher Social Studies Teacher Visual Arts Teacher World Languages Teacher Other (please specify) Question Title * 11. Personal Email Address Question Title * 12. Personal Cell or Home Phone Number (only used in emergency for New Teacher Academy) Question Title * 13. How many years of teaching experience have you had in your teaching career excluding student teaching? 0 years 1 year 2 years 3-5 years 6-10 years 11+ years Done