Support All Individual Learners (SAIL)

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * School Division:
• * School Name (do not abbreviate):
• *

  Position:

  • Administrator, General Education
  • Administrator, Special Education
  • Human Services Agency Staff
  • Occupational Therapist
  • Paraprofessional
  • Parent/Family
  • Physical Therapist
  • School Counselor
  • Social Work
  • Speech-Language Pathologist
  • Teacher, General Education
  • Teacher, Special Education
  • Transition
  • University Faculty
  • Vocational Teacher/Administrator
  • Other

• *

  Participant Program Affiliation:

  • Adult Education/Family Literacy
  • Community Based Preschool
  • Early Childhood Special Education
  • Early Intervention
  • Even Start
  • General (or Regular) Education
  • Head Start
  • Homeless
  • Migrant Education
  • Occupational Child Care
  • Preschool Intervention
  • School Age Special Education
  • Title 1
  • Other
• *

  Disabilities you service:

  • ADD/ADHD
  • ASD
  • Blind
  • Deaf-Blind
  • Deaf
  • Dev. Delay
  • ED
  • HI
  • ID
  • LD
  • MD
  • OHI
  • OI
  • SD
  • SLI
  • TBI
  • VI
  • All
• *

  Years teaching

  • 1st year
  • 2nd year
  • 3-5 years
  • 6-10 years
  • 11-15 years
  • 15+
• *

  What is your current licensure status?

  • Professional
  • Provisional
• *

  What would you be most interested in learning about?

  • Secondary Transition
  • Family Engagement
  • De-escalating Disruptive Behavior
  • Literacy
  • Math
  • Co-Teaching
  • Feedback
  • Writing Annual Goals
  • Assessment
  • Collaborative IEP Process
  • Cognitive and Metacognitive Strategies
• Other topic not listed above:
• * In a few words, describe your greatest strength as an educator.
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• * What is one priority or goal for your classroom this year?
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