NOTICE: We've detected that your browser does not have all the requirements necessary to complete this form. Sometimes this form doesn't work with school-provided devices and/or networks - try completing it on a personal device (using non-school internet) if possible. If that doesn't work, please email us at recruitment@modernclassrooms.org. If you are still seeing this notice, please do NOT continue with this form.

Hidden Prefill

This form has a prefill connector that looks up the Opportunity. Available campaigns are offered via dynamic prefill. CRITERIA ON THAT DYNAMIC PICKLIST NEED TO BE TWEAKED.

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/37?tfa_1198=[opportunityId]

Workflow URL Form Link: https://modernclassrooms.tfaforms.net/wf60jJ0?tfa_1198=

Opportunity ID (URL)

Opp Account Name

Opp Account ID

Account Type

Account ID from Prefill Lookup

Parent Account ID from Prefill Lookup

Parent Campaign ID from Prefill Lookup (hard coded in prefill connector to year's sessions campaign)

Recruitment Type from Opportunity

State of Account from Prefill Lookup for Scholarships and Scaleups

Country of Account

International?

Account Type needed for displaying District + Zip when there is a scale up

Opportunity status

⚠️Uh oh! We're not sure what school or district you're from.

🔃Please refresh this page and try again.🔃

If you are still seeing this warning message after refreshing, please email us at recruitment@modernclassrooms.org , or visit our scholarships page. ⚠️

⚠️ This scholarship is now full. Complete this form to be added to the waitlist for the scholarship. ⚠️

What is your first name?
Please capitalize the first letter, if applicable (e.g., Steven).

What is your last name?
Please capitalize the first letter, if applicable (e.g., Rice).

What is your preferred email address?

PersonalWork

What is your personal email address?

What is your work email address?

Email selected

⚠️ Please use your usd259.net email address below. ⚠️

⚠️ Please use your schools.nyc.gov email address below. ⚠️

What is your school-provided email address?

Specific email selected

Final email selected

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.

TeacherInstructional CoachSchool-Level Administrator (e.g., principal, assistant principal, etc.)Other School-Level Staff (e.g., librarian, counselor, etc.)District-Level Staff or Administrator (e.g., superintendent, Chief Academic Officer, professional learning coordinator, etc.)Pre-Service Teacher (completing a teacher licensure program)College/University FacultyOther - none of the above

Please write in your job title.

Hidden Date Section

Enrollment Start Date

Start date new format YYYY-MM-DD

Enrollment End Date

New date format YYYY-MM-DD

Would you like to enroll in the Virtual Mentorship Program?

Yes, sign me up!I'm interested but now is not a good time.I need more information.No, I am not interested.I have already completed the Virtual Mentorship Program.

When would you like to enroll in our Virtual Mentorship Program?

The sessions listed below are currently available, based on your scholarship or district/school partnership.

Campaign ID Selected

CampaignId to use in submit connector

Campaign Status to use in post-submit connector

Session ID Selected

If you're selected for a scholarship from our waitlist, which sessions are you able to participate in? Select all that apply.

Summer (May-June)Summer (June-July)School Year (October-January)School Year (January-April)School Year (March-May)

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.Independent School or Single Charter School or College/University: I work directly for an independent or single charter school or college/university not associated with a district or charter network.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.).

Please enter the five digit zip code of your district or charter network's mailing address.

What is the name of your district or charter network?
Please start typing the name of your district or charter network and wait a moment for the list to populate. If you cannot find your district or charter network, try using fewer or different keywords. You may also try removing or adding periods and spaces in abbreviations ("Dallas ISD" vs. "Dallas I. S. D."), or removing words like "district" or "schools" as these may be listed differently in our system. If your district or charter network is not listed, please email recruitment@modernclassrooms.org.

District ID

District ID true select (the above is automatically filled in for district partnerships, even if wherework selection is non-district. This field will be filled in if the user actually selects they work directly at the district)

What is the name of your school?
Please start typing the name of your school, a few letters at a time, and wait a moment for the list to populate. If you cannot find your school, try using fewer or different keywords. You may also try removing or adding periods and spaces in abbreviations ("E J Harrington" vs. "E.J. Harrington"), or removing words like "high school" or "elementary," as these may be listed differently in our system (e.g. "senior high school"; "E.S."). If you still cannot find your school, please enter the name in the space below. We will make sure your school is added to our system.

School ID

Please enter the five digit zip code of your school's mailing address.

What is the name of your school?
Please start typing the name of your school, a few letters at a time, and wait a moment for the list to populate. If you cannot find your school, try using fewer or different keywords. You may also try removing or adding periods and spaces in abbreviations ("E J Harrington" vs. "E.J. Harrington"), or removing words like "high school" or "elementary," as these may be listed differently in our system (e.g. "senior high school"; "E.S."). If you still cannot find your school, please enter the name in the space below. We will make sure your school is added to our system.

School ID specific for scale-ups

What is the name of your independent school or single charter?
Please start typing the name of your independent or single charter school, a few letters at a time, and wait a moment for the list to populate. If you cannot find your school, try using fewer or different keywords. You may also try removing or adding periods and spaces in abbreviations ("E J Harrington" vs. "E.J. Harrington"), or removing words like "high school" or "elementary," as these may be listed differently in our system (e.g. "senior high school"; "E.S."). If you still cannot find your school, please enter the name in the space below. We will make sure your school is added to our system.

Independent ID

Please enter the five digit zip code of your work's mailing address.

Please provide the name of where you work.
Please start typing the name of your organization. If your organization is not listed, please enter the name in the space below. We will make sure your organization is added to our system.

Other ID

International Selection

International Org ID Chosen

Do you currently work in the United States?

YesNo

Which best describes where you work?

What is the Zip/Postal Code of your school or office?

What is the name of your district or charter network?
Please start typing the name of your district or charter network and wait a moment for the list to populate. If you cannot find your district or charter network, try using fewer or different keywords. You may also try removing or adding periods and spaces in abbreviations ("Dallas ISD" vs. "Dallas I. S. D."), or removing words like "district" or "schools" as these may be listed differently in our system. If your district or charter network is not listed, please email recruitment@modernclassrooms.org.

Unlimited District

What is the name of your school?
Please start typing the name of your school and wait a moment for the list to populate. If you cannot find your school, try using fewer or different keywords. You may also try removing or adding periods and spaces in abbreviations ("E J Harrington" vs. "E.J. Harrington"), or removing words like "high school" or "elementary," as these may be listed differently in our system (e.g. "senior high school"; "E.S."). If you still cannot find your school, please enter the name in the space below. We will make sure your school is added to our system.

Unlimited School

What is the name of your independent school or single charter?
Please start typing the name of your school or single charter and wait a moment for the list to populate. If you cannot find your school, try using fewer or different keywords. You may also try removing or adding periods and spaces in abbreviations ("E J Harrington" vs. "E.J. Harrington"), or removing words like "high school" or "elementary," as these may be listed differently in our system (e.g. "senior high school"; "E.S."). If you still cannot find your school, please enter the name in the space below. We will make sure your school is added to our system.

Unlimited Independent

Please provide the name of where you work.
Please start typing the name of your organization. If your organization is not listed, please enter the name in the space below. We will make sure your organization is added to our system.

Unlimited Other

In which country are you located?

Country Selected

Do you work for a

School/University (I work directly at or for a school, college, or university. This also includes behavioral centers, alternative schools, daycare centers, etc.)District or School Administrative Service (I work directly for an entity that oversees a school or network of schools, including Ministries of Education or governmental agencies overseeing schools.)Other (Nongovernmental Organization, company, other non-school entity, etc.)

Select the name of your school or organization.
Start typing the name of your organization. If it is not listed you can type in a new organization name.

Unlimited International Org Id Chosen

Hidden - US

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

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

If new US org, what record type?

Hidden - International

Calculated: International AccountId Chosen - will be used in connector as Primary Affiliation. If it's blank, they must have written in a new account name so that will need to be created, with the country in BillingCountry

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

If new International org, what recordtype?

AccountID Chosen (if any)

What is your school's district borough number (DBN)?
If you are unsure of your school's DBN, you can look it up using this tool. If your school does not have a DBN, please write N/A.

What would best help you to learn more and decide if this opportunity is right for you? Choose the answer most important to you.

Send me information on the Free Online Course.Sign me up for the Modern Classrooms newsletter.Share links to the Modern Classrooms social media and podcast to hear educator perspectives.Direct me to research on the Modern Classrooms approach.Send me a pre-recorded webinar about the Virtual Mentorship Program.Connect me with a member of the Modern Classrooms team to answer my questions.

Why did you decide to enroll? Please choose the most important factor.

I’ve seen a colleague or friend use this model.I’ve heard other teachers share its impact.I’m seeking a teacher leadership opportunity.My school’s leaders are invested in using MCP.I wanted the incentive or stipend.I took the Free Online Course and wanted to learn more.I want to learn new models of instructional delivery.I coach educators who are learning or using the model.I liked the virtual, asynchronous structure of the course.I’ve tried elements of this approach in my classroom (blended learning, self-pacing, mastery-based learning).

Why did you decide to apply? Please choose the most important factor.

Why is now not a good time? Choose the most applicable reason.

I am not available during the current session dates that are open for enrollment.I don’t yet feel ready to try a new approach.I’m concerned about the time commitment.I’d like to see more examples of Modern Classrooms before I’m ready to enroll.I’d like to enroll with other educators at my school or district, and we are planning to enroll together at a later time.I’m not comfortable enough with technology to integrate it into my classroom in this way.

Why did you decide not to enroll for an upcoming session? Choose the most applicable reason.

I don’t have much time to complete the course assignments.I don’t like learning online.I don’t know if this approach will work with my students.I often struggle to use new technology.I have limited access to technology in my classroom.I don’t know if the curriculum I use will work with this model.I’m not interested in changing my approach to teaching.I am not a classroom teacher.I don't want to be the only one in my school community doing this training.I'm not sure if my school community would be supportive of this approach.I already know everything I need to know about this model.I am generally skeptical of new teaching methods and techniques.

What grade level(s) are you currently teaching? Please select the most applicable answer.
If you teach, coach, or plan to teach 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. If you are not currently teaching, please select the grade level you plan to teach.

Early Childhood (pre-kindergarten)Primary (K-2)Upper Elementary (3-5)Middle School (6-8)Early High School (9-10)Late High School (11-12)I work at the college/university level.I work with adult learners outside a university (e.g., GED prep program, vocational school, etc.).N/A - I support educators across multiple grade levels (e.g., administrator, coach, staff).N/A - I do not work with a specific grade level.

What content area are you currently teaching? Please select the most applicable answer.
If you teach, coach, or plan to teach 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. If you are not currently teaching, please select the content area you plan to teach.

Arts (visual arts, drama, music, etc.)Career/Technical EducationElementary (multiple subjects)English (Literature/Language Arts)Health/Physical EducationMathScienceSocial StudiesWorld LanguagesI am primarily a special-education teacher.I am primarily a Language Acquisition (ELL) teacher.N/A - I do not teach a subjectOther - none of the above.

Please write in your subject area.

In what ways does your role directly support students with learning differences and/or emergent bilingual students?

We're offering a tailored cohort experience for Minnesota educators who identify as educators of color. Would you like more information on this opportunity?

YesNo

Which of the following best describes you? Please select all that apply.

WomanManNon-binaryAgenderGender fluidGender queerPrefer not to answerPrefer to self-describe

Please self-describe here

What is your race/ethnicity? Please select all that apply.

American Indian / Alaska NativeAsianBlack / African AmericanHispanic / LatinxMiddle Eastern or North AfricanNative Hawaiian / Other Pacific IslanderWhitePrefer not to sayOther - none of the above

How did you hear about this opportunity to enroll in the Modern Classrooms (MCP) training? Please select the most applicable answer.

ArticleCollege/UniversityEdTech CompanyEducation Service CenterEmail - From MCPEmail - Not from MCPEventFree Online CourseOnline SearchPodcastProfessional OrganizationReferral - ColleagueReferral - DistrictReferral - Modern Classrooms EducatorReferral - Modern Classrooms MentorReferral - Modern Classrooms StaffReferral - School AdministratorSocial Media - AdvertisementSocial Media - OtherWebinarOther

What was the name of the event?

Who referred you?

Are you affiliated with any of the following organizations? Select all that apply.

Building Excellent SchoolsCity YearGirls Who CodeHBCU AlumniJumpstartJunior AchievementLocal teacher's unionNew LeadersOther AmeriCorps programPeace CorpsPOSSEPretty Brown GirlsProfound GentlemenTeach for America - AlumniTeach for America - Current Corps MemberTNTPUrban TeachersOtherN/A - none of the above

Please write in the name of the organization.

If your application is not accepted, would you like to join our waitlist?
We regularly have schools and/or districts pay for educators to enroll, and donors sponsor educators off the wait list.

Yes. Add me to your waitlist.No. I am not interested in joining your waitlist.

What do you hope to gain from the training, and what impact do you hope to see in your classroom?
Strong responses are typically 2-3 sentences in length.