LDC i3 General Interest (LAUSD 2016-2017 School Year)

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Thank you for expressing interest in the LDC i3 project! Please take a few minutes to complete this short survey and we will be in touch with more information about how your school may join this adventure in innovation.

First Name: *

Last Name: *

Email Address: *

Phone Number: *

Local District: *

Local District Northwest

Local District Northeast

Local District West

Local District South

Local District East

Local District Central

Central Office (Beaudry)

Please indicate your role: *

Principal

Assistant Principal

Other School Leader

Teacher

Local District Coordinator

Local District Director

Local District Administrator of Instruction

Local District Superintendent

Central Office Staff (Indicate position in "Other" box)

Other:

Please list any and all schools with which you are affiliated. *

If applicable: What grade levels do those schools serve?

PreK

K-5

6-8

9-12

Please indicate your area of interest in the LDC i3 project. *

I want to sign up for the 2016-2017 school year

I can identify a school or a group of schools that would be a good fit

I am interested in participating or encouraging schools to participate, but I need more information

I would like to invite LDC to come to a meeting to discuss this opportunity further

Other:

Additional questions or comments:

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