TxCETP - Directory Registration

Texas Collaborative for Excellence in Teacher Preparation

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Directory Registration

Thank you for taking the time to fill out this form! The data you enter here is for the website directory, NSF data collection, and TxCETP listserv management. You'll be able to update it as you wish. If you don't want to be listed on the TxCETP Web Directory please check here:
Keep my record confidential

* Required field

General Information


				Example:
First Name:*				Kit Price

Last Name:*				Blount

Desired Username: A password will be assigned to you later.				kpblount

E-Mail:*				kpblount@falcon.tamucc.edu

Telephone:				361-825-5721

Home-Page URL:				http://www.sci.tamucc.edu/pals/faculty/price.html

Mailing Address:				TAMU-CC ST 310-B 6300 Ocean Drive Corpus Christi, TX 78412

			Other Institution: (if not listed)
Institution:*

TxCETP Area of Interest:

Attach Picture:

NSF Data Collection


Ethnicity, Race, and Gender are NOT listed on the Web. These data will only be used by the Project Director in reporting directly to NSF. Reports will not name individuals.


Ethnicity:		Hispanic or Latino NOT Hispanic or Latino

Race:

Gender:		Male Female

Position:*		K-12 Teacher or K-12 Administrator Faculty Other:


For K-12 Teachers and K-12 Administrators


			Other:
Teaching Level:

Years of Service: 0-3 Years More than 3 Years


Implementation/Beneficiary:*

	Have you been actively involved in TxCETP activities such as mentoring, acting as a lead teacher or coordinator in model schools, participating in course or curriculum development, co-teaching with faculty, coordinating workshops, and/or assisting with TxCETP management or planning? Yes No

For Faculty


			Detail:
Discipline:

			Detail:
Rank:

Institution Type: University Community College


Implementation/Beneficiary:*

	Have you been actively involved in TxCETP activities such as revising TxCETP courses, revising teacher preparation programs and requirements, teaching new/revised TxCETP courses, planning TxCETP workshops, serving as a mentor teacher, participating in dissemination and public awareness activities, and/or assisting with TxCETP management or planning? Yes No