| 1. |
Name (First, Middle, Last) :
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| 2. |
Address :
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| 3. |
City :
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| 4. |
State :
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| 5. |
Zip :
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| 6. |
Cell Phone (including area code) (List the best number for TAA to reach you):
()
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| 7. |
Home Telephone or Additional Telephone (including area code):
()
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| 8. |
Primary E-Mail Address : (
This e-mail must be available for you to access both now and during the summer months and must include the ability to accept attachments. All TAA correspondence will be sent to this e-mail address. Please be certain that this email address is correct and accessible to you at all times.)
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Re-enter Primary E-Mail Address :
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| 9. |
Secondary E-Mail Address :
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| 10. |
Name of school where you currently teach (If you work in the district office, please list the name of the district):
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| 10A. |
School Address :
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| 10B. |
School City :
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| 10C. |
School State :
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| 10D. |
School Zip :
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| 11. |
School Telephone :
()
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| 11A. |
School Email :
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| 11B. |
School Website :
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| 12. |
Name of Principal (If you work in the district office, please list the name of the superintendent):
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| 13. |
Principal's E-Mail (If you work in the district office, please list the E-Mail of the superintendent):
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| 14. |
The school system (or the area of the state) where I primarily teach is located in:
East Tennessee
Middle Tennessee
West Tennessee
Not in Tennessee (enter city and state where you teach)
I Am Not Currently Teaching
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| 15. |
Type of K-12 school or school system:
Public
Private
Charter
ASD
Other
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| 15A. |
If K-12 teacher and/or administrator is NOT your current primary occupation, please select the appropriate category which most closely matches your current status:
University Faculty
Pre-Service University Student
Teaching Artist or Private Lessons Instructor
Retired Teacher
Other
Not Applicable
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| 15B. |
How would you describe your school?
Urban
Suburban
Rural
Other (please specify)
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| 16. |
If you teach in a public school in Tennessee, please select your school system name from this pull-down list:
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| 17. |
Choose Grade Level and Concentration Area in which you wish to participate at the Academy:
Elementary/Lower Middle
Music
Theatre - Arts Integration, Creative Drama & Movement
Visual Art
Trio Track (Multidisciplinary Arts Track with one class daily in music, theatre, and visual art)
Upper Middle/Secondary
Instrumental Music
Vocal Music
Theatre & Dance
Visual Art
Trio Track (Multidisciplinary Arts Track with one class daily in music, theatre, and visual art)
Arts Leadership and Administration
School Administrator
District Supervisor
Other (please specify)
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| 17A. |
If you are an upper middle/secondary instrumental music applicant, please answer the following:
A. I teach:
Band
Orchestra
Band and Orchestra
B. I play the following instrument(s):
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| 17B. |
Is the current grade level and concentration area that you indicated on this application (#17) different than your current teaching assignment?
Yes
No |
| 18. |
What is your teaching/supervisory status in your school:
Full time
Part time
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| 19. |
Grade levels you teach/supervise this year: (check all that apply):
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12 |
| 20. |
Primary teaching area:
Specialist in Music, Theatre, Dance or Visual Art
Teacher (in area other than art, music, theatre, dance)
Administrator/Supervisor
Other (please specify)
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| 21. |
Specific teaching assignment (check all that apply):
Principal
Assistant Principal
Fine Arts Coordinator
Supervisor
Full Time Elementary Self-Contained Classroom Teacher
Music Teacher
Theatre Teacher
Speech Teacher
Theatre and Speech Teacher
Film, Television, Media Teacher
Visual Art Teacher
Dance Teacher
Librarian
Special Education/Gifted Teacher
English/Language Arts Teacher
Other (please specify)
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| 22. |
Please choose from the following to indicate your anticipated teaching assignment for school year 2024-2025:
I expect my assignment to be the same as this year
Principal
Assistant Principal
Fine Arts Coordinator
Supervisor
Full Time Elementary Self-Contained Classroom Teacher
Music Teacher
Theatre Teacher
Speech Teacher
Theatre and Speech Teacher
Film, Television, Media Teacher
Visual Art Teacher
Dance Teacher
Librarian
Special Education/Gifted Teacher
English/Language Arts Teacher
Other (please specify)
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| 23. |
Have you ever attended TAA previously in any area:
Yes
No
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| 24. |
If you have attended TAA previously, in what area(s) did you participate? (check all that apply):
Music
Theatre
Theatre and Dance
Arts Integration, Creative Drama, Movement (Elementary Theatre Division)
Visual Art
School Administration/Arts Administration/Assessment/Arts Leadership
Trio Track
Not Applicable
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| 25. |
Years you have attended the TAA in the past. (check all that apply):
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2006-2011 (if you attended TAA during any of the years in this range of dates, please check this box)
2000-2005 (if you attended TAA during any of the years in this range of dates, please check this box)
Prior to 2000 (if you attended TAA during any of the years in this range of dates, please check this box)
Never Attended
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| 25A. |
Select the most recent year that you attended the TN Arts Academy (select only one):
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2006-2011 (if you attended TAA during any of the years in this range of dates, please check this box)
2000-2005 (if you attended TAA during any of the years in this range of dates, please check this box)
Prior to 2000 (if you attended TAA during any of the years in this range of dates, please check this box)
Never Attended
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| 25B. |
Which initial means of communication prompted you to apply for this year's Tennessee Arts Academy?
Postcard or flyer mailed to me from the TAA office
E-Mail sent to me from the TAA office
I visited the TAA WEB site and decided to apply
I visited a social networking site (Facebook, Twitter, etc.) and decided to apply
I read about TAA in an organizational newsletter
A friend and/or colleague told me about TAA (Optional: Please indicate in the box below, under the "Other" option, who recommended TAA so we can send them a thank you note)
My school (or school system) provided teachers with information about TAA
Other (please specify)
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| 25C. |
Will you need on campus housing while attending the Tennessee Arts Academy?
Yes
No
Not Sure Yet
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| 26. |
TN Licenses/Areas of Endorsement that you presently hold (check all that apply):
Music (vocal/general), K-12
Music (instrumental/general), K-12
Visual Art, K-12
Theatre, K-12
Speech
Dance
Elementary Classroom
Special Education
Administration and Supervision
Physical Education
English
Early Childhood
Guidance
Library Science
I do not have a teaching license
Other (please specify)
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The following series of questions help us gather statistical data requested by the Tennessee Department of Education from all participants. Please note that some questions ask you to project teaching assignment information for the 2024-2025 school year, the school year following the 2024 summer Arts Academy session.
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| 27. |
Gender identity:
Male
Female
Non-binary
Prefer not to answer
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| 28. |
Ethnicity/Race:
Decline to answer
American Indian or Alaskan Native
Asian or Pacific Islander
Black, not of Hispanic origin
Hispanic
White, not of Hispanic origin
Other
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| 29. |
Degrees earned (check all that apply):
Bachelors
Masters
Specialist in Education
Doctorate
Other (please specify)
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| 30. |
Years teaching experience (as of the end of this current school year):
0
1
2
3
4
5
6-10
11-15
16-20
21-25
26-30
31-35
36-40
41-45
45+
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| 31. |
Approximate number of students you will teach/serve/supervise in 2024-2025:
1-30
31-50
51-100
101-200
201-300
301-400
401-500
501-750
751-1000
1001-2000
2001-5000
5001-10,000
10,001-20,000
20,000+
I will not be teaching in 2024-2025
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| 32. |
**[K-8 Classroom Teachers only, please respond] Grade level you will likely teach in 2024-2025:
K
1
2
3
4
5
6
7
8
I will not be teaching in 2024-2025
Not applicable
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| 33. |
**[Arts Specialists (Music Teacher, Theatre/Speech Teacher, Dance, and Visual Arts Teacher) and Administrators only, please respond]
Grade levels you will likely teach, serve or supervise in 2024-2025 (choose grouping that most nearly matches your anticipated assignment):
Pre-K-2
K-5
K-8
5-8
9-12
K-12
I will not be teaching in 2024-2025
Not applicable
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| 34. |
**[All Teachers, please respond] Please select the approximate number of classes of students per day you will teach in 2024-2025 (Classroom teachers in a self-contained classroom should select "1"):
1
2-3
4-5
6-7
8-9
10-11
12-13
Not applicable
I will not be teaching in 2024-2025
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| 35. |
**[All Teachers and Building Administrators, please respond] Approximate total number of students in your school for 2024-2025:
Less than 250
250-500
501-750
751-1000
1001-1500
1501-2000
2001-3000
3000+
I will not be teaching in 2024-2025
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| 36. |
Approximate percentage of minority students in your school (or in your system if you are a system-wide administrator):
0-10%
11-20%
21-30%
31-40%
41-50%
51-60%
61-70%
71-80%
81-90%
91-100%
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Please provide TAA with the following additional information: |
| 37. |
Approximate percentage of students on free or reduced lunch in your school (or in your system if you are a system-wide administrator):
0-10%
11-20%
21-30%
31-40%
41-50%
51-60%
61-70%
71-80%
81-90%
91-100%
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| 37AA. |
How do you anticipate paying your registration fee? (Choose One Only)
I will pay on my own
My school will pay my fees
My system will pay my fees
I will need TAA scholarship assistance since neither my school nor system will pay my fees
I will be utilizing a combination of the above payment options
I have received a free TAA promotional registration payment option
I am not sure at this point
I am a TAA facilitator
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| 37A. |
The Tennessee Arts Academy Foundation has established a scholarship fund primarily for TAA participants who:
are first-time Academy attendees;
are financially unable to cover the cost of Academy tuition;
teach in a Tennessee school or school system that does not offer any financial support to its staff for professional development;
have no local support groups that can offer financial assistance (i.e. PTA, booster club, local business or service organization, etc.);
would submit to TAA a scholarship application and essay describing why financial assistance is needed.
Considering these criteria, would you want us to send you a scholarship application?
(Please note if you are receiving full funding from your school or school system, choose "No" below.)
Yes (please send me an application since I am not receiving full funding from my school or system and meet all the above criteria)
No
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| 37B. |
Your FIRST NAME ONLY as you would like to see it on your nametag:
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| 37C. |
Your LAST NAME ONLY as you would like to see it on your nametag:
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| 37D. |
In this space type BOTH your FIRST AND LAST NAME (as you have indicated in 37B and 37C above) as you would like to see it on your nametag:
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| 37E. |
Your Name As You Would Like To See It Printed On Your TAA State Department of Education Formal Re-Certification Certificate:
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| 37FF. |
If you are eligible to receive a certificate or letter of attendance at the conclusion of the Academy, would you prefer:
Digital Only copy sent to the email addresses you provide on this application
Printed Only sent via USPS mail
Digital and Printed - both of the above
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| 37F. |
T-SHIRT SIZE:
S
M
L
XL
2X
3X
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| 37G. |
Medical Needs:
PLEASE NOTE: The Academy is on a large college campus and walking from building to building will be required.
Some classroom activities can involve physical exertion that may be strenuous at times.
I have no medical conditions or physical limitations that will affect my participation.
I have a medical condition or physical limitations that will affect my participation (If you check this answer, please complete 37H and/or 37I).
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| 37H. |
The following medical condition/s will affect my Academy participation:
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| 37I. |
The following physical limitation/s will affect my Academy participation:
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| 37I1. |
Consultation Needed:
I need an Arts Academy staff member to contact me prior to my TAA arrival date regarding medical conditions or physical limitations that may impact my TAA participation
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| 37J. |
Please select one of the options below for the Bravo Banquet meal provided during the Academy
No Restrictions (This is a beef entree and the meal includes no pork or shellfish)
Vegetarian
Vegan
Simple (This is a chicken entree meal that is dairy free; nut free; gluten free; egg free; soy free)
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Additional Comments You Wish To Provide To The TAA Staff Regarding Your Application:
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YOU ARE NOT FINISHED QUITE YET! PLEASE CLICK ON THE CONTINUE BUTTON BELOW IN ORDER TO VERIFY AND COMPLETE YOUR APPLICATION
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