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Assessment Educator Committee Application

Name
Contact Information
Address
Demographic Information
Race:
Select multiple options if necessary
Committee Content Area Preferences
Preferred Subject (Content areas preferred, qualified for Mark choices in order of preference (1st and 2nd choices are required)
District Information
(Specify type of area where you teach/work. For an individual school, the rural/urban classification can be determined by its mailing address using the Census Bureau’s American FactFinder. http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml#none)
About You
Current Certificate
Select multiple options if necessary
Endorsement
Select multiple options if necessary
Please provide a short biography highlighting your educational background, qualifications, and any professional development in Arizona’s College and Career Ready Standards, Alternate Assessment, and English Language Proficiency Standards (if applicable).