ESL Academy Pre-Survey

1. Your full name (Including middle name):

2.Name of your school and district:

3.Contact email

4.Please describe your primary role at your campus (e.g., teacher, substitute, ESL specialist, consultant).

5.In your primary role(s) at your campus, what subject(s) do you teach?

6.What grade level do you currently teach?

7.What other role(s) do you play at your campus?

I serve as a mentor to students.

I serve as a mentor to other teachers.

I serve as a committee member in the department within my content area (e.g., math, science, ESL, etc.).

I serve as a chair of the committee for my department within my content area.

I serve in district level committees.

I serve in community level committees to outreach family, industry and universities.

Other (please specify)

8.How many years have you worked as a teacher?

Section 1