Cultural Proficiency Continuum Dialogic Protocol: Pre-Survey

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Enter Last Name

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Enter First Name

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Enter email

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State

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Pre-Service Teacher (with clinical, field, or practicum experience) Pre-Service Teacher (without clinical, field, or practicum experience)
In-service Teacher (1-2 years of experience) In-service Teacher (3-5 years of experience)
In-service Teacher (6-10 years of experience) In-service Teacher (11-15 years of experience)
In-service Teacher (more than 15 years of experience) Graduate Student
Teacher Educator School Leader
Mentor Teacher Other (please specify)
Please specify

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Four-Year Degree Five-Year Degree Alternative Teaching Certification at a university or college (e.g., M.A.T., M.Ed.) Alternative Teaching Certification through a non-profit or for-profit organization (e.g., Teach for America, Troops for Teachers) Other (please specify) Please specify

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Early Childhood Education Elementary Education
Middle School Education Secondary Education
Special Education (SPED) English as a Second Language (ESL)
Reading Specialist Principal Certification
Other (please specify) Please specify

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Male Female Transgender Female Transgender Male Gender-Non-Conforming Prefer Not to Answer Others (Please Specify) Please specify

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18-24 25-34 35-44
45-54 55-64 65+

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White Black or African American
Hispanic or Latino American Indian or Alaska Native
Biracial (two races/ethnicities) Multiracial (more than two races/ethnicities)
Another Race/Ethnicity (please specify) Please specify

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Poor Working Poor Lower Middle Class
Middle Class Upper Middle Class Wealthy

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Liberal Conservative Independent
Other (please specify)
Please specify

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Christianity Catholicism Protestantism
Judaism Islam Hinduism
Buddhism African traditional and Diasporic Chinese traditional religion
Spiritual Nonreligious (e.g., Secular/Atheist) Other (please specify) Please specify






None 1 2 3 4 or more
{{ formQuestion["question14"][0] }} gender inequality {{ formQuestion["question14"][1] }}
{{ formQuestion["question15"][0] }} LGBTQA+ {{ formQuestion["question15"][1] }}
{{ formQuestion["question16"][0] }} ableism {{ formQuestion["question16"][1] }}
{{ formQuestion["question17"][0] }} Teaching English to Speakers of Other Languages (TESOL) {{ formQuestion["question17"][1] }}
{{ formQuestion["question18"][0] }} race or ethnicity {{ formQuestion["question18"][1] }}
{{ formQuestion["question19"][0] }} culture {{ formQuestion["question19"][1] }}
{{ formQuestion["question20"][0] }} diversity, equity, and inclusion (DEI) {{ formQuestion["question20"][1] }}

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Abolitionist Teaching AsianCrit Courageous Conversations About Race Critical Pedagogy Critical Race Theory Cultural Proficiency Culturally Relevant Teaching Culturally Responsive School Leadership Culturally Responsive Teaching Culturally Sustaining Pedagogies Reality Pedagogy (Dis)Crit Hip-Hop Education LatCrit Multicultural Education Other (please specify) Please specify