Distinguished Modern Classroom Credential Application

Hidden Section

Email from Step 1

Contact ID

Primary Affiliation Id

Primary Affiliation Name

DMCE ID

DMCE Status

It looks like you have already submitted a DMCE application. Please return to Moodle to continue with your submission.

Email credentials@modernclassrooms.org with questions.

Section 1: Applicant Information

📋 This application has been prefilled with any information you have previously submitted to the Modern Classrooms Project. Please make any necessary changes and we will update our records!

First Name
Please capitalize the first letter, if applicable (e.g., Steven).

Last Name
Please capitalize the first letter, if applicable (e.g., Rice).

What is your nickname (if applicable)?
Please capitalize the first letter, if applicable (e.g., Kate). Please leave this field blank if you do not go by a nickname.

What is your work email address?
Please enter a valid email address (e.g. mentorship@modernclassrooms.org).

What is your personal (non-school) email address?
Please enter a valid email address (e.g. mentorship@modernclassrooms.org).

Which is your preferred email address?

WorkPersonal

This is the workplace we have on file for you. Please review this information and let us know below whether it is correct or needs to be updated.

The above information about my place of employment is correctI need to update my place of employment

Do you currently work in the United States?

YesNo

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?

Start typing keywords to filter the list of options.

School Chosen

You have chosen:

School

Street

City

State

Zip

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?

Start typing keywords to filter the list of options.

District/Charter Chosen

You have chosen:

District/Charter Network

Street

City

State

Zip

County

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

Please provide the name of where you work.

Start typing keywords to filter the list of options.

Other Chosen

You have chosen:

Organization

City

State

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

Hidden - US

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

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.

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 what district or charter network does this school belong?

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 keywords to filter the list of options.

International Org ID Chosen

You have chosen:

School/Organization

City

Country

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

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?

New Workplace Information

👓You have entered a new school 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 of your workplace.

Please enter this organization's website URL (if applicable).

AccountID Chosen (if any)

What is your current job title?

Please write in your job title.

What content area(s) do you currently teach? Please select all that apply.
If you are a coach or a teacher trainer, please select the content area of the educators you work with most closely.

Hold down Ctrl (Windows) or ⌘ (Mac) to select all that apply.

Please write in your content area.

What grade level(s) are you currently teaching? Please select all that apply. If you are a coach or teacher trainer, please select the grade level of the educators you work with most closely.

Hold down Ctrl (Windows) or ⌘ (Mac) to select all that apply.

Section 2: Demographic Information

So that we can design programs that empower teachers of all kinds, it's helpful for us to know a bit more about who you are. All questions below are optional.

Are you willing to share some basic demographic information with us?

YesNo

When is your birthday?

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

Hold down Ctrl (Windows) or ⌘ (Mac) to select all that apply.

Please self-describe here

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

Hold down Ctrl (Windows) or ⌘ (Mac) to select all that apply.

What is the highest degree or level of education you've attained?

For how many years have you been an educator?
Include the year that you're currently completing.

Section 3: About Your Application

When are you planning to submit your full application?

ASAP!In the next month or so.In the next six months.I'm not sure.

What additional support would be helpful for you to complete your application?

Attending an informational session.Office hours with MCP staff to ask questions and/or get feedback on my application.Sharing a draft of my application with MCP staff for feedback.Something else.

How else can we support you?