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MTTP Registration Form
Company Name:
Organization Type:
Lea
School
Program
Other
Street Address:
City:
State:
Zip:
Contact Name:
Contact Phone:
Contact E-mail:
Preferred Contact Time:
Time Frame In Which Training Must be Completed:
Group Size:
Participants:
Administrators
Teachers
Support Staff
All of the Above
Preferred Training Month:
January
February
March
April
May
June
July
August
September
October
November
December
Preferred Training Region:
North
South
East
West
Evaluate the current performance of the agency that will be trained:
Superior
Above Average
Average
Below Average
Rate the Agency's Top Three Pervasive Needs:
First:
Behavior Management
Closing the Education Gap
Scientifically Proven Teaching Strategies
Brain Based Teaching
Efficient & Effective Assessments
Culturally Effective Education
Bilingual Education
Second:
Behavior Management
Closing the Education Gap
Scientifically Proven Teaching Strategies
Brain Based Teaching
Efficient & Effective Assessments
Culturally Effective Education
Bilingual Education
Third:
Behavior Management
Closing the Education Gap
Scientifically Proven Teaching Strategies
Brain Based Teaching
Efficient & Effective Assessments
Culturally Effective Education
Bilingual Education
Rate Agency's Top Three Strengths:
First:
Flexible System
High Quality Personnel
Setting and Obtaining Systems Goals
Infastructure
Leadership
Fiscal & Material Resources
Long-term Plan
Continuum of Care
Second:
Flexible System
High Quality Personnel
Setting and Obtaining Systems Goals
Infastructure
Leadership
Fiscal & Material Resources
Long-term Plan
Continuum of Care
Third:
Flexible System
High Quality Personnel
Setting and Obtaining Systems Goals
Infastructure
Leadership
Fiscal & Material Resources
Long-term Plan
Continuum of Care
Agency Self Evaluation
Performance Comparisons to Other Programs:
Compare Favorably Upper 10th Percentile in Student Performance
Average in Comparison 60th to 75th Percentile in Student Performance
Below Average in Comparison Below 40th Percentile in Student Performance
Response Based On:
Data
Emperical Information
Agency Population:
Percentage of Students Receiving Free & Reduced Lunch:
Response Based On:
In the Highest Percentile
In the Average Percentile
In the Low Percentile
Data
Emperical Information
Percentage of Students Performing Below Grade Level:
Response Based On:
In the Highest Percentile
In the Average Percentile
In the Low Percentile
Data
Emperical Information
Percentage of Students Receiving Discipline Referrals:
Response Based On:
In the Highest Percentile
In the Average Percentile
In the Low Percentile
Data
Emperical Information
Percentage of Students Identified as Special Education:
Response Based On:
In the Highest Percentile
In the Average Percentile
In the Low Percentile
Data
Emperical Information
Funding for the Training is Provided by:
Federal Grant
State or Local Grant
LEA Funds
State or Local Funds
Other
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Personal Referral
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