Staff data survey Thank you for completing this survey in its entirety. Most of the data is used for required staff data reporting to OSSE, the Department of Education, and/or the DC Public Charter School Board. First Name(Required) Last Name(Required) Date of birth(Required) MM slash DD slash YYYY Phone(Required)Race (federally defined categories)(Required)American Indian or Alaskan NativeAsianBlackNative Hawaiian or Other Pacific IslanderWhiteMultiracialEthnicity (federally defined)(Required)Hispanic/LatinoNon-Hispanic/Non-LatinoGender(Required)FemaleMaleTransgenderNon-binaryAnother option not listedGender, option not listed(Required) Pronouns(Required) Honorific(Required)Ms.Mr.MissMrs.Mx.Pr.TeacherInd.Dr.No honorific; will use my last name onlyAnother option not listedHonorific (option not listed)(Required) What languages do you speak?(Required) What is your current role at ITDS?(Required)Lead Teacher, ClassroomLead Teacher, Special EducationLead Teacher, ALMAssistant TeacherAssistant Teacher, Special EducationSpecialist, Individualized InstructionCEA teamInstructional Coach/InterventionistOperations teamLeadership TeamYears of experience working in a classroom in a school setting BEFORE this school year (do NOT count residency/student teaching years)(Required)How many years have you worked at ITDS (including this year)?(Required)How many years have you worked in a traditional public school?(Required)How many years have you worked at another charter schol?(Required)How many years have you worked at a private school?(Required)High school education (school, graduation year)(Required) What degrees have you completed?(Required) High School Associates Degree Bachelor’s Degree Master’s Degree Doctorate None Associate's Degree and Major(Required) Associate's Degree Year(Required) Associate's Degree Institution(Required) Bachelor's Degree and Major(Required) Bachelor's Degree Year(Required) Bachelor's Degree Institution(Required) Master's Degree and Major(Required) Master's Degree Year(Required) Master's Degree Institution(Required) Doctorate Major(Required) Doctorate Year(Required) Doctorate Institution(Required) Please list any additional degrees you hold Did you participate in an alternative teacher preparation program?(Required)YesNoName of Teacher Preparation Program(Required) Do you hold a teaching certification or active license in DC for your current role?(Required)YesNoWhat is the certification or license field or subject?(Required) Do you have a license from the DC Department of Health? (for audiologists, SLPs, OTs, PTs, and counselors only)YesNoOn what date will your license from DOH expire?(Required) MM slash DD slash YYYY Which of the following tests have you taken and passed(Required) ParaPro Assessment Praxis I/PPAT Praxis II/Praxis Subject Assessment School Leadership Praxis None of the above Which Praxis II/Praxis Subject assessments have you taken?(Required) Have you completed the Child Development Associate Credential (CDA)?(Required)YesNoOn what date will your CDA expire?(Required) What is the specialization of your CDA?(Required) Please list any additional valid teacher, administrator, and/or service provider licenses and expiration dates What is your preferred t-shirt size?(Required) Dietary Needs/Restrictions None Vegetarian Vegan Gluten free Lactose intolerant Kosher Low-carb/low-sugar Additional need/restriction not listed Additional dietary needs/restrictions(Required) How do you commute work?(Required)Drive my own carCarpoolPublic transportationBicycle/ScooterWalkMake, model, and license plate(Required)
