Writer/Reviewer Interest - Step 1/6

In order to maximize the validity and defensibility of the state assessments, it is critical that we have a large, representative pool of volunteer North Carolina teacher participants with varying demographics, such as geographic location, gender, age, and years of experience. When you return this form, your name will be entered in the ClassScape Assessment System's of potential item writers and item reviewers. When item development activities begin educators in the volunteer database will be selected to represent statewide demographics and will be sent a letter requesting their participation in training activities. After satisfactory completion of the training, ClassScape Assessment System will pay selected North Carolina educators to write and review assessment items.

Please note:
• Only North Carolina teachers are allowed to write items for ClassScape Assessment System.
• If you are a current item writer or reviewer for TOPS, you are ineligible to write items for ClassScape unless there has been a year or more time lapse since you were assigned a contract.

If you prefer to mail or fax a completed form, please click here and return both pages of the form to
ClassScape Assessment System   /   c/o Sheila Brown   /   CUACS, NCSU   /   Campus Box 7401   /   Raleigh, NC 27695   /   Fax: (919) 515-3642

Personal Information
Title  Dr.   Mr.   Mrs.   Ms.
Full
Name
Home Address
City
/State
   
ZIP
Home Phone  ) 
E-mail Address Home:  
School: 
Gender
Ethnicity
Job Title
 EC Teacher  Administrator  Curriculum Specialist  University Staff
 ESL Teacher  Teacher    
Highest Degree Earned  Associates    Bachelors    Masters    Doctor
Certification
 Clear and Continuing  Alternate Entry  Initial  Provisional
   Emergency  Lateral Entry  Temporary Permit
National Board Certified  Yes    No  
Full School Name and City
Years of Teaching Experience