Apply for Collaborator Facilitator and Instructional Coach Referral Application

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Summary
Title:Collaborator Facilitator and Instructional Coach Referral Application
ID:COLREF
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Contact Information
* First Name:
* Last Name:
Address 1:
Address 2:
City:
* State:
Zip:
* Phone:
* Email:
HQIM Experience Questions 2
* Which of the following roles do you have demonstrated experience in and would you like to be considered for? (Select all that apply)
Instructional Coach
Training Facilitator - ELA/Literacy
Training Facilitator - Math
Training Facilitator - Science
Training Facilitator - Social Studies
* What grade level band(s) have you taught, coached, or developed/reviewed resources for?
PreK or ECE
K-2
3-5
6-8
9-12
* What content area(s) have you taught, coached, or developed/reviewed resources for?
ELA
Math
Science
Social Studies
* What roles have you served in?
Teacher
School-based Instructional Coach
School Assistant Principal
School Principal
District-based Instructional Coach
District Academic Leader (department leader, Chief Academic Officer, etc)
District Schools Leader (principal manager, Chief of Schools, etc)
State Schools or Academic Leader (Superintendent etc)
* Please indicate if you have any of the following areas of expertise.
Teaching or leading Special Education
Teaching or leading instruction and support for English Learners
Teaching or leading bilingual education
None of the above
* Which, if any, of the following high-quality instructional materials have you taught, coached, or developed/reviewed resources for?
Amplify Elementary Literacy Program (K-2 Skills and Knowledge)
Amplify Elementary Literacy Program (3-5)
Amplify ELA (6-8)
Amplify Math (6-8)
ARC (American Reading Company) Core (K - 5)
ARC (American Reading Company) Core (6 - 12)
Benchmark Advance (K-2)
Benchmark Advance (3-5)
Big Ideas Learning - Tennessee Math (6-8)
Big Ideas Learning - Tennessee Math (Alg 1, Geo and/or Alg 2)
Bookworms (K-5)
Carnegie Math (6-8)
Carnegie Math (9-12)
Core Knowledge Language Arts (K-5)
Core Knowledge Language Arts (6-8)
Curriculum Associates - iReady (K-8)
EL Education (K-2 Skills Block)
EL Education (3-5 ALL Block)
EL Education (6-8)
EL Education (Modules Block)
ELA Guidebooks 3-5 (2022)
ELA Guidebooks 6-8 (2018)
ELA Guidebooks 9-12 (2020)
EngageNY ELA (6-8)
EngageNY/Eureka Math (K-5)
EngageNY/Eureka Math (6-12)
Eureka Math Squared
Fundations
Geodes
Great Minds PhD Science (K-5)
Heggerty
HMH - Into Math (K-5)
HMH - Into Math (6-8)
HMH - Into Reading (K-5)
Illustrative Math (K-5)
Illustrative Math (6-8)
Illustrative Math (9-12)
Integrated Math (9-12)
Into Reading - Houghton Mifflin Harcourt (K-6)
Into Literature - Houghton Mifflin Harcourt (6-12)
Louisiana ELA Guidebooks (3-8)
Louisiana ELA Guidebooks (9-12)
Mathspace (Alg 1, Geo and/or Alg 2)
McGraw Hill - Reveal Math (K-5)
McGraw Hill - Reveal Math (6-8)
McGraw Hill - Reveal Math (Alg 1, Geo and/or Alg 2)
McGraw Hill - Bluman, Elementary Statistics (9-12)
Mirrors & Windows (6-8)
Mirrors & Windows (9-12)
My Perspectives (6-8)
My Perspectives (9-12)
Odell High School Literacy Program (9-12)
Odell Texas High School Literacy Program (9-12)
Open Court
Open Up Resources - Illustrative Math (K-5)
Open Up Resources - Illustrative Math (6-8)
OpenSciEd (6-8)
OUR Math
Paths to College and Career English Language Arts - John Wiley & Sons (6-8)
ReadyGEN - Savvas Learning Company
Savvas - Blitzer, Precalculus
Savvas - Bock, Statistics
Savvas - Demana, Calculus
Savvas - Demana, Precalculus
Savvas - enVision Math (K-5)
Savvas - enVision Math (6-8)
Savvas - enVision Math (Alg 1, Geo and/or Alg 2)
Savvas - enVision Integrated Math (Math 1-3)
Savvas - Larson, Statistics
Savvas - Sullivan, Precalculus
Savvas - Triola, Statistics
Springboard - The College Board (6-12)
Springboard (9-12)
STEMScopes (K-5)
STEMScopes (6-8)
StudySync ELA - McGraw-Hill Education (6-12)
TN Foundational Skills Curriculum Supplement (K-2)
Wit & Wisdom - Great Minds (K-5)
Wit & Wisdom - Great Minds (6-8)
Wonders 2017
Wonders 2020 (K-5)
Wonders 2023
Zearn (6-8)
None of the Above
Referral Questions
* Which member of the SchoolKit team referred you to this application?
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
I am not a Veteran
I Choose Not to Respond

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