Hidden Prefill

This form has a prefill connector that looks up an LC Opportunity.

This form is sent to schools/districts that have purchased seats and will need to recruit educators to fill those seats.

Test using:
https://modernclassrooms.tfaforms.net/148?tfa_1198=[opportunityId]

Opportunity ID (from URL)

Opp Account Name

Opp Account ID

Modern Classrooms Leadership Collaborative Enrollment Form

Please complete the form below to confirm your registration for the Modern Classrooms Project's Leadership Collaborative.

Our hope is that you leave this experience feeling supported, inspired, and connected to other MCP leaders in the movement. We also expect you to leave empowered to take actionable steps to support your educators in developing mastery-based, self-paced, and blended learning environments.

First name

Last name

What is your preferred email address?

PersonalWork

What is your personal email address?

What is your work email address?

Email selected

In what city and state/territory do you work?
NOTE: For Manhattan, please enter "New York City." For Queens, please enter the neighborhood (e.g. Astoria, Flushing, etc.).

City Chosen

State Chosen

Which best describes where you work?

School: I work directly for a school that is associated with a district or charter network. This also includes behavioral centers, alternative schools, daycare centers, etc.District or Charter Network: I work directly or across multiple schools within a district or charter network.Other: I work for an Education Service District or nonprofit organization (e.g., BOCES, RESA, etc.).

What is the name of your school?

School Chosen

You have chosen:

School

Street

City

State

Zip Code

County

Please review this information to ensure you have chosen the correct school. If you need to modify your response, remove your selection(s) above and search again.

What is the name of your district or charter network?

District Chosen

You have chosen:

District/Charter Network

Street

City

State

Zip Code

County

Please review this information to ensure you have chosen the correct school. If you need to modify your response, remove your selection(s) above and search again.

What is the name of where you work?

Other Chosen

You have chosen:

Organization

City

State

Please review this information to ensure you have chosen the correct school. If you need to modify your response, remove your selection(s) above and search again.

Hidden Id Section

Calculated: Account Name Chosen - will be used if they wrote in a new name. Otherwise ignored by connector.

Calculated: AccountID Chosen - will be used in connector as Primary Affiliation. If it's blank, they must have written in a new account name.

If new US org, what record type?

New Workplace Information

👓You have entered a new school, district, or organization. Please make sure you have searched for your place of employment thoroughly. If you still cannot find your place of employment in our system, please provide us with the below information.

Please enter the full address (street, city, state, zip code) of your workplace.

To which district or charter network does this school belong?

What is your current job title? Please select the most applicable answer.
If you hold multiple roles, please select the role in which you are most interested in learning/applying the Modern Classrooms approach.

Please write in your job title.

What content area are you currently supporting? Please select the most applicable answer.
If you support multiple content areas, please select the content area in which you are most interested in learning/applying the Modern Classrooms approach. If you are a coach or teacher trainer, please select the content area of the educators you work with most closely.

Please write in your subject area.

What grade level(s) are you currently supporting? Please select the most applicable answer.
If you support multiple grades, please select the grade level in which you are most interested in learning/applying the Modern Classrooms approach. If you are a coach or teacher trainer, please select the grade level of the educators you work with most closely.

Have you participated in any of the following activities? Check all that apply.

Participated in previous year MCP Leadership CollaborativesTaken the Modern Classrooms Project Free Online CourseParticipated in the Virtual Mentorship ProgramParticipated in Virtual Implementer Discussions with the Modern Classrooms ProjectParticipated in site visit(s) with the Modern Classrooms Project to observe teacher practiceImplemented the model in a classroom or professional learning environmentNone of these

What motivated you to join the MCP Leadership Collaborative?

Is there anything else you want us to know about your hopes for or participation in the Modern Classrooms Leadership Collaborative?

MCP Practices and Understanding

Please answer the questions below as they related to your current practices and understandings.

Understanding of MCP Instructional Model

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I understand how self-paced structures work in a Modern Classroom.
I understand how blended instruction works in a Modern Classroom.
I understand how mastery-based learning works in a Modern Classroom.
I understand how teachers and students can use their time in a Modern Classroom.

Supporting Teachers

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I am confident in my ability to support teachers in implementing self-paced structures in a Modern Classroom.
I am confident in my ability to support teachers in implementing blended instruction in a Modern Classroom.
I am confident in my ability to support teachers in implementing mastery-based learning in a Modern Classroom.
I know what to look for when conducting an observation in a Modern Classroom.
I know how to provide feedback to teachers in a Modern Classroom.
I understand what my teachers need to be successful Modern Classroom implementers.

Leading Instructional Change

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I can answer other administrators’ or school board questions that arise concerning Modern Classroom implementation.
I can answer teachers’ questions that arise concerning Modern Classroom implementation.
I can answer parents’ questions that arise concerning Modern Classroom implementation.
I can answer students’ questions that arise concerning Modern Classroom implementation.
I can explain to teachers why the Modern Classroom approach aligns to and supports district practices.

May we use your written responses for research and marketing purposes?