NCCAT/NC2ML Visions Retreat - Interest Form
Please complete this form to express your interest in participating in the NCCAT/NC2ML Visions Retreat - Co-Creating a Vision of Equitable Math Instruction on December 2-5, 2024 at the Cullowhee campus. This is not the official registration, but to express interest in sending a team. More information, including directions for registering with NCCAT, will be sent to teams selected. Only teams who complete the interest form will be considered for the event.

For questions email Emily Myers at emily.myers@nccat.org.
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Email *
PSU/School District *
Location in the State *
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Name of Team Contact Person *
Email Address of Team Contact Person *
Team Members

Each district is asked to bring a team of 4.

Required:

  • 1 District Math Leader
  • 1 Administrative Representative (Principals/APs/Principal Supervisors)
  • 1 math teacher from 6-8 or 9-12.
  • 1 math teacher leader/math coach from 6-8 or 9-12.

Considerations:

Your team should have representation from school and district levels and include members that have decision-making influence at the district and school level. Also ensure that there is representation from BOTH middle and high school when choosing teachers/teacher leaders/coaches.

Please list the name, role, and location of each team member below.

For questions email Emily Myers at emily.myers@nccat.org.

District Leader NAME *
District Leader ROLE *
District Leader GRADE BAND *
Administrative Representation NAME *
Administrative Representation ROLE *
Administrator GRADE BAND *
Classroom Teacher - NAME *
Classroom Teacher  - ROLE *
Classroom Teacher GRADE BAND *
School-based Math Teacher Leader/Math Coach - NAME *
School-based Math Teacher Leader/Math Coach - ROLE *
School-based Math Teacher Leader/Math Coach -GRADE BAND *
Additional notes (optional)
A copy of your responses will be emailed to the address you provided.
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