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#21-009535-0002
Supplemental Questionnaire

Last Name
First Name
1.

Describe your experience teaching in an alternative setting rather than the traditional high school or college setting.  Include employer, job title, duties and dates of employment.  If no experience, indicate N/A.

2.

Describe your experience teaching in a Title I school.  Include employer, job title, duties and dates of employment.  If no experience, indicate N/A.

3.

Describe your experience supervising staff in the absence of the principal.  Include employer, job title, duties and dates of employment.  If no experience, indicate N/A.


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