Teacher - Participation Form

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Please provide the following information.

First Name:	Last Name:	Email:
*	*	*
District:	School:	Grade Level:
*	*	*
Subject:
*
Do you have web access? Yes No
Are you willing to meet on some Saturdays, evenings and for online Webinars? Yes No

As a participant in this pilot you will be asked to work with other teachers across the state to provide increased learning opportunities for Texas students. The primary focus will be on the creation of ELA and Science content for online learning and digital content distribution. The ultimate goal is to provide an interactive, engaging environment to ensure student success for college and career readiness.