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Behavior Leadership Teams Academy
School Teams Application
2008-2009

If your school would like to participate in the 2008-2009 Behavior Leadership Teams Academy, please complete the following application and submit it by May 1, 2008.

School Name:

 

Contact Person:

Address: Phone:
City:   E-mail:
 
Zip:   School District:
 
 
Student Population   Staff
Total School Enrollment   Total number of teachers
Exceptional Education Students   Exceptional Education teachers
Approximate breakdown by ethnicity   Guidance counselors
Classes/teams per grade level   Administrative staff
% eligible for free and reduced lunch   Paraprofessionals/teacher assistants
Mobility Rate   Clerical/support staff
Number of discipline referrals
2006-2007		   Custodial staff
      Cafeteria staff
      Other
 
1. Please list any other school wide programs or projects in which you have been involved for the last two years, or are currently underway at your school.
2. Describe the community in which your school is located.
3. Describe major strengths of the school as it is now.
4. Describe why you think this project may fit your school's needs at this time.
5. Describe problems/issues you hope to address through this project.
 
Please list all prospective team members below.
 
Principal
General Education Teacher, Name and Position
Exceptional Education Teacher, Name and Position
Elective/Special Area Teacher, Name and Position
General Education Teacher, Name and Position
Other Team Member, Name and Position