Hebrew Staff Information Form Name of person completing form First Last Email Address of person completing form Job TitleSchool NameSelect your schoolSelect your location in the first dropdown, then select your school in the second dropdown. If your school is not on the list, please check the box below to add your school information. StateAlabamaAlbertaArizonaBritish ColumbiaCaliforniaColoradoConnecticutDistrict of ColumbiaFloridaGeorgiaIllinoisIndianaKansasLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMissouriNebraskaNevadaNew JerseyNew YorkNorth CarolinaOhioOklahomaOntarioOregonPennsylvaniaQuebecRhode IslandSouth AfricaSouth CarolinaTennesseeTexasUtahVictoria, AustraliaVirginiaWashingtonWisconsin School Name My school is not in the dropdown above Manually fill in my school’s details Add your SchoolSchool NameHebrew LeadershipName of Primary Hebrew Leader For Your School Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Primary Hebrew Leader Email Job Title if different from "Primary Hebrew Leader"Hebrew Leadership Responsibilities for which Division(s). (Check all that apply) Early Childhood Elementary School Middle School High School How many additional Hebrew leaders do you have who are NOT also Hebrew teachers? (Note: Hebrew Leaders who also have Hebrew teaching responsibilities will be entered in the following Hebrew Teacher Section)Select Quantity012345678Additional Hebrew Leader 1Hebrew Leader 1 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Leader 1 Email Job Title if different from “Hebrew Leader”Hebrew Leadership Responsibilities for which Division(s). (Check all that apply) Early Childhood Elementary School Middle School High School Additional Hebrew Leader 2Hebrew Leader 2 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Leader 2 Email Job Title if different from “Hebrew Leader”Hebrew Leadership Responsibilities for which Division(s). (Check all that apply) Early Childhood Elementary School Middle School High School Additional Hebrew Leader 3Hebrew Leader 3 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Leader 3 Email Job Title if different from “Hebrew Leader”Hebrew Leadership Responsibilities for which Division(s). (Check all that apply) Early Childhood Elementary School Middle School High School Additional Hebrew Leader 4Hebrew Leader 4 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Leader 4 Email Job Title if different from “Hebrew Leader”Hebrew Leadership Responsibilities for which Division(s). (Check all that apply) Early Childhood Elementary School Middle School High School Additional Hebrew Leader 5Hebrew Leader 5 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Leader 5 Email Job Title if different from “Hebrew Leader”Hebrew Leadership Responsibilities for which Division(s). (Check all that apply) Early Childhood Elementary School Middle School High School Additional Hebrew Leader 6Hebrew Leader 6 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Leader 6 Email Job Title if different from “Hebrew Leader”Hebrew Leadership Responsibilities for which Division(s). (Check all that apply) Early Childhood Elementary School Middle School High School Additional Hebrew Leader 7Hebrew Leader 7 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Leader 7 Email Job Title if different from “Hebrew Leader”Hebrew Leadership Responsibilities for which Division(s). (Check all that apply) Early Childhood Elementary School Middle School High School Additional Hebrew Leader 8+For each additional Hebrew Leader, please enter their full name, email, Job title and divisions that they leadHebrew TeachersHow many Hebrew teachers do you have?Select Quantity12345678910111213+Hebrew Teacher 1Hebrew Teacher 1 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Teacher 1 Email Hebrew Teacher 1 Division Early Childhood Elementary School Middle School High School Hebrew Teacher 1 Position Hebrew Leader Head Teacher Teacher Assistant Teacher Reading Specialist Special Educator Hebrew Teacher 1 Grades Taught Nursery Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 Adult Hebrew Teacher 2Hebrew Teacher 2 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Teacher 2 Email Hebrew Teacher 2 Division Early Childhood Elementary School Middle School High School Hebrew Teacher 2 Position Hebrew Leader Head Teacher Teacher Assistant Teacher Reading Specialist Special Educator Hebrew Teacher 2 Grades Taught Nursery Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 Adult Hebrew Teacher 3Hebrew Teacher 3 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Teacher 3 Email Hebrew Teacher 3 Division Early Childhood Elementary School Middle School High School Hebrew Teacher 3 Position Hebrew Leader Head Teacher Teacher Assistant Teacher Reading Specialist Special Educator Hebrew Teacher 3 Grades Taught Nursery Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 Adult Hebrew Teacher 4Hebrew Teacher 4 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Teacher 4 Email Hebrew Teacher 4 Division Early Childhood Elementary School Middle School High School Hebrew Teacher 4 Position Hebrew Leader Head Teacher Teacher Assistant Teacher Reading Specialist Special Educator Hebrew Teacher 4 Grades Taught Nursery Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 Adult Hebrew Teacher 5Hebrew Teacher 5 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Teacher 5 Email Hebrew Teacher 5 Division Early Childhood Elementary School Middle School High School Hebrew Teacher 5 Position Hebrew Leader Head Teacher Teacher Assistant Teacher Reading Specialist Special Educator Hebrew Teacher 5 Grades Taught Nursery Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 Adult Hebrew Teacher 6Hebrew Teacher 6 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Teacher 6 Email Hebrew Teacher 6 Division Early Childhood Elementary School Middle School High School Hebrew Teacher 6 Position Hebrew Leader Head Teacher Teacher Assistant Teacher Reading Specialist Special Educator Hebrew Teacher 6 Grades Taught Nursery Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 Adult Hebrew Teacher 7Hebrew Teacher 7 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Teacher 7 Email Hebrew Teacher 7 Division Early Childhood Elementary School Middle School High School Hebrew Teacher 7 Position Hebrew Leader Head Teacher Teacher Assistant Teacher Reading Specialist Special Educator Hebrew Teacher 7 Grades Taught Nursery Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 Adult Hebrew Teacher 8Hebrew Teacher 8 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Teacher 8 Email Hebrew Teacher 8 Division Early Childhood Elementary School Middle School High School Hebrew Teacher 8 Position Hebrew Leader Head Teacher Teacher Assistant Teacher Reading Specialist Special Educator Hebrew Teacher 8 Grades Taught Nursery Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 Adult Hebrew Teacher 9Hebrew Teacher 9 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Teacher 9 Email Hebrew Teacher 9 Division Early Childhood Elementary School Middle School High School Hebrew Teacher 9 Position Hebrew Leader Head Teacher Teacher Assistant Teacher Reading Specialist Special Educator Hebrew Teacher 9 Grades Taught Nursery Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 Adult Hebrew Teacher 10Hebrew Teacher 10 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Teacher 10 Email Hebrew Teacher 10 Division Early Childhood Elementary School Middle School High School Hebrew Teacher 10 Position Hebrew Leader Head Teacher Teacher Assistant Teacher Reading Specialist Special Educator Hebrew Teacher 10 Grades Taught Nursery Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 Adult Hebrew Teacher 11Hebrew Teacher 11 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Teacher 11 Email Hebrew Teacher 11 Division Early Childhood Elementary School Middle School High School Hebrew Teacher 11 Position Hebrew Leader Head Teacher Teacher Assistant Teacher Reading Specialist Special Educator Hebrew Teacher 11 Grades Taught Nursery Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 Adult Hebrew Teacher 12Hebrew Teacher 12 Name Prefix Dr.Mr.Mrs.Ms.Mx.RabbiCantor First Last Hebrew Teacher 12 Email Hebrew Teacher 12 Division Early Childhood Elementary School Middle School High School Hebrew Teacher 12 Position Hebrew Leader Head Teacher Teacher Assistant Teacher Reading Specialist Special Educator Hebrew Teacher 12 Grades Taught Nursery Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 Adult Additional Hebrew TeachersFor each additional Hebrew teacher, please enter their PREFIX, FIRST NAME, LAST NAME, EMAIL ADDRESS , DIVISION, POSITION and GRADES, just as above.CAPTCHA Δ
