This I Believe Educator Survey |
Please Note: This form should be used only to tell us about your use of This I Believe in the classroom. If you wish to contact This
I Believe for any other reason, please visit the Contact Page. |
| About you: |
Please complete all of the fields below. |
| Full Name |
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Address 1 |
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| Address 2 |
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| City/State/Zip |
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Country |
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Daytime Phone |
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E-mail |
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| School Level: |
If other, please specify: |
| Discipline: |
If other, please specify: |
| How did you hear about us? |
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| Class's This I Believe website: |
(Please include http://) |
| Class's This I Believe podcasts: |
(Please include http://) |
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How have you used This I Believe in your classroom?
(up to 750 words) |
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Have you presented either the This I Believe curriculum or your own This I Believe lesson plan to other groups outside of your school? |
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Yes No |
If so, please describe: (up to 750 words) |
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Have you created a lesson plan or handouts utilizing the This I Believe curriculum that you would like to upload to us? |
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Yes No |
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If so, please click on the button below to locate these materials on your system. Please note that if the material you are uploading exceeds 2MB in size, we ask that you use this link or the address teachers@thisibelieve.org to email the documents to us instead. These materials will be used for our own internal purposes. Should we later decide that we would like to share this material with others, we will contact you first before doing so. |
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| May we use your name, city, and state in postings on our web site and in reports to our funders? (please note that we will not share your full address, telephone number or email address with others--that information is strictly for our staff use only)
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Yes No |
By clicking on the submit button, you agree to let This I Believe, Inc., publish your comments on its web site, possibly disseminate them to various educational journals and web sites, as well as incorporate them into reports to its funding entities.
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