Home Welcome To Assessments Assessment Section Committee Application Assessment Section Committee Application updated served - Select -YesNoNot Sure" Have you applied to serve on an ADE committee in the past 2 years? Name First Name Last Name Preferred Name Address St Address Street Address City State - None -ArizonaOther Zip Contact Information Work Email Personal Email Work Phone EXT Other Phone Demographic Information Gender - Select -MaleFemale Ethnicity - Select -AsianBlackHispanic or LatinoNative AmericanWhiteOther, please specify Ethnicity Other Please fill in ethnicity if not listed above. Education Experience Current Cert Elementary Secondary Special Education Administrative - Principal Superintendent None Other Current Certification(s) – select all that apply by holding Control or Command with your selections Endorsement Endorsements and Specialization(s) – please specify (e.g., Mathematics or Reading Specialist, English as a Second Language (ESL), Gifted, Structured English Immersion (SEI), Special Ed, etc.) Years in Classroom Indicate years of classroom teaching experience Current Position Current position: Specify Grade(s)/subject(s), or district position School Name District Type of Area - Select -Urbanized Areas (UAs) of 50,000 or more peopleUrban Clusters (UCs) of at least 2,500 and less than 50,000 people“Rural” encompasses all population, housing, and territory not included within an urban area 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 Committee Preferences Content areas preferred 1st Choice - Select -Alternate Assessment/Special EducationBrailleEnglish Language Learners (ELL)English Language Arts (ELA)MathmaticsScience 2nd Choice - Select -Alternate Assessment/Special EducationBrailleEnglish Language Learners (ELL)English Language Arts (ELA)MathmaticsScience 3rd Choice - None -Alternate Assessment/Special EducationBrailleEnglish Language Learners (ELL)English Language Arts (ELA)MathmaticsScience 4th Choice - None -Alternate Assessment/Special EducationBrailleEnglish Language Learners (ELL)English Language Arts (ELA)MathmaticsScience Content areas preferred, qualified for Mark choices in order of preference (1st and 2nd choices are required) Grade levels preferred 1st Choice - Select -Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th and 12th GradesAdult Ed 2nd Choice - Select -Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th and 12th GradesAdult Ed 3rd Choice - None -Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th and 12th GradesAdult Ed 4th Choice - None -Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th and 12th GradesAdult Ed 5th Choice - None -Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th and 12th GradesAdult Ed Grade levels preferred, qualified for Mark choices in order of preference (1st and 2nd choices are required) (2 sections below: Content Areas and Grade Levels) Biography 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). Submit Leave this field blank BU Sidebar Accessibility Assessments AASA ACT Aspire ACT Alt ELPA AZELLA AzSCI International Assessments MSAA NAEP District Test Coordinators Achievement District Test Coordinators Alternate Assessments District Test Coordinators AZELLA District Test Coordinators Educator Resources Parents and Students Technical and Legal Resources Contact Testing Inbox[email protected](602) 542-5031 AASA Inbox[email protected] AZELLA Inbox[email protected] AzSCI Inbox[email protected] Alternate Assessment Inbox[email protected] NAEP Inbox[email protected]