| 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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| 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 where I 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
Upper Middle/Secondary
Instrumental Music
Vocal Music
Theatre & Dance
Visual Art
Arts Leadership and Administration
School Administrator
District Supervisor
Arts Teacher (NOTE: only check this box if you are registering in the Arts Leadership and Administration area)
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| 17A. |
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. |
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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| 23. |
Select the most recent year that you attended the TN Arts Academy (select only one):
Never Attended
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2006-2010 (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)
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| 24. |
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 2023-2024 school year, the school year following the 2023 summer Arts Academy session.
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| 25. |
Gender identity:
Male
Female
Non-binary
Prefer not to answer
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| 26. |
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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| 27. |
Degrees earned (check all that apply):
Bachelors
Masters
Specialist in Education
Doctorate
Other (please specify)
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| 28. |
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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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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