First Name

Last Name

School and/or District

Work Email

Role Teacher Instructional Coach School-Level Administrator (e.g., principal, assistant principal, etc.) Other School-Level Staff (e.g., librarian, counselor, etc.) District-Level Staff or Administrator (e.g., superintendent, Chief Academic Officer, professional learning coordinator, etc.) College/University Faculty Other - none of the above Pre-Service Teacher (completing a teacher licensure program)

Title

State N/A - Outside of the US Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Do you use any of the curriculum(s) below? Check all that apply. Illustrative MathEureka Math SquaredBluebonnet (TX)

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