RLTA APPLICATION Applications are no longer being accepted The application period for the Rochelle Lee Teacher Award is now closed. Please read the eligibility requirements prior to applying. Step 1 of 2 50% Are you a returning Study Group Member?* Yes No Are you applying to be a Study Group Leader?* Yes No Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Gender Identify: Please choose whichever option best describe you.WITS is gathering the following demographic information about teachers to aid our diversity and inclusion efforts. Female Male Non-Binary Genderqueer A gender not listed Prefer not to say Race/ Ethnicity: Please choose whichever option best describe you.WITS is gathering the following demographic information about teachers to aid our diversity and inclusion efforts. Indigenous People Black/ African Diaspora Hispanic/ Latinx/ Spanish Afro-Latinx Asian/ Asian-American South Asian Arab/ Middle Eastern Pacific Islander Caucasian/ White Race/ ethnicity not listed Prefer not to say Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country What is a good number for you to receive text messages?*WITS will never send this information to any third parties. We will only use this to send pertinent information about RLTA. Email* How did you hear about the RLTA program?*Friend/ColleagueRLTA posterPrincipalNetwork ChiefWeb SearchPlease tell us the name of your friend/colleague that referred you to the RLTA program.* First Last What school do you plan to teach at in the fall?* What is the name of your principal?* What is your principal's email address?* What is your primary professional role?* Classroom Teacher Elective Teacher (art, music, library, etc.) Lead Literacy Teacher / Instructional Coach Bilingual or English Language Learner Teacher - self-contained Bilingual or English Language Learner Teacher - push-in support Special Education - self contained Special Education - push-in support Administrator What are your sub-specialties?* None Art Counselor Enrichment Foreign Language General Classroom Headstart Library/ Media Specialist Math Music Physical Education/ Health Reading Reading Resource Science Social Studies/ History Support Tchr. / Tchr Aide Technology Writing/ Language Arts Other What grade(s) do you teach?* Pre-K K 1 2 3 4 5 6 7 8 INT UP PRI What is your current number of students? (Please use a numerical value)* How many years of teaching experience do you have?* Please list the members of your study group.*What is the name of your Study Group Leader? (If you are the leader of your group, please put your name)* First Last What is the email address of your Study Group Leader? (If you are the leader of your group, please put your email address.)* 1. Reflect on your teaching in the past year. Describe the most important thing you learned about your students related to teaching reading, whether in language arts or in a content area.*2. How do you promote joy and foster a love of reading with your students?*3. What aspect of your literacy teaching do you most hope to develop by participating in a RLTA study group?*4. Why do you want to be a member of a study group?*5. How has participating in the RLTA program impacted your teaching?*6. Why do you want to be a leader of a study group?*Consent Materials uploaded may be used by WITS Marketing.I understand that the materials uploaded may be used by WITS, including in any of its publications, website entries, postings on social media, and other WITS materials, without payment or any other consideration. WITS periodically takes photos and audio/video recordings for marketing, advertisement or other related lawful purposes. By signing below you agree that: Your likeness may be used by WITS, including in any of its publications, website entries, postings on social media, and other WITSmaterials, without payment or any other consideration. All such materials are the property of WITS. RLTA Facilitators: Class of 2021November 11, 2021Rochelle Lee Teacher Award (RLTA) Summer Institute 2021October 14, 2021RLTA Study Group: National Teachers AcademySeptember 10, 2021 Keep up to date with WITS RLTA Summer Institute Step 1 of 2 50% Name* First Last Email*We will use this to contact you when classes are available. Cell PhoneWe will use this to contact you when classes are available.Illinois Education Identification Number - IEIN* If you do not know your IEIN please click here to find it: https://www.isbe.net/Pages/Educator-Licensure-Information-System.aspx Where do you currently teach?* Address of the school where you currently teach.* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What grade ranges do you currently teach?*Select all that apply. Select All Prek-2 3-5 6-8 How did you hear about the RLTA program?*Friend/ColleagueRLTA posterPrincipalNetwork ChiefWeb Search
