2015 ems&tl Project Demographics

1. Name *This question is required.

3. Position Title *This question is required.

Please enter an 'other' value for this selection.

4. Current (academic 2014-2015) School (or Schools, if multiple) Assignment(s) - list all schools in which you worked

5. Next Year’s (academic 2015-2016) School (or Schools, if multiple) Assignment(s) – list all schools in which you will work

6. Position Responsibilities. Assign a percentage of time typically spent conducting each of the following professional responsibilities of a mathematics specialist/instructional leader. The sum of all duties being equal to 100% (e.g. providing professional development in math for my building – 20%)

Professional Development (e.g. planning for, implementing, assessing)
Direct service to teachers (e.g. mentoring, co-teaching, etc.)
Direct service to students (e.g. teaching, tutoring, etc.)
Providing mentoring and other assistance to new and/or 1st year teachers
Administrative duties
Other duties

7. Provide examples of prevalent administrative duties (from question #6):

8. Provide examples of the most common “other” duties (from question #6):

9. Classroom Teaching Experience (in years):

10. Years of Experience as a mathematics specialist, instructional leader, coach, etc.:

11. In YOUR opinion – As a mathematics specialist, instructional leader or coach my greatest accomplishment(s) THIS YEAR has/have been

12. In YOUR opinion – As a mathematics specialist, instructional leader or coach my greatest frustration(s) THIS YEAR has/have been:

13. Estimate the percentage of your time spent assisting teachers in the implementation of the CCSS-M each week during the 2014-2015 academic year :