Onboarding SurveyPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 6Email *First Name *Last Name *Which category describes you best? *Please choose categoryCommunity partner or organizationSchool, District or Regional StaffParent/CaregiverOtherNextDo you work in illinois? *YesNoWhat state do you work in? *Please choose stateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingPuerto Rico/CubaI do not work in the U.S.What is the name of your organization? *PreviousNextWhat type of facility are you employed by or affiliated with? *Public school and/or district (including special education)Non-public school (including special education)ROE, ISC and/or Regional ProgramsI am not sureWhich county do you work in? *Please choose county, State of Illinois or Department of CorrectionsAdamsAlexanderBondBooneBrownBureauCalhounCarrollCassChampaignChristianClarkClayClintonColesCookCrawfordCumberlandDekalbDewittDouglasDupageEdgarEdwardsEffinghamFayetteFordFranklinFultonGallatinGreeneGrundyHamiltonHancockHardinHendersonHenryIroquoisJacksonJasperJeffersonJerseyJo DaviessJohnsonKaneKankakeeKendallKnoxLa SalleLakeLawrenceLeeLivingstonLoganMaconMacoupinMadisonMarionMarshallMasonMassacMcDonoughMcHenryMcLeanMenardMercerMonroeMontgomeryMorganMoultrieOglePeoriaPerryPiattPikePopePulaskiPutnamRandolphRichlandRock IslandSaint ClairSalineSangamonSchuylerScottShelbyStarkStephensonTazewellUnionVermilionWabashWarrenWashingtonWayneWhiteWhitesideWillWilliamsonWinnebagoWoodfordDo you work for or affiliated with a specific district? *YesNoWhich district do you work for or are affiliated with? *Please choose districtPlease choose districtPlease enter your district (if not in the dropdown list) write N/A if not applicable *Do you work for or affiliated with a specific school? *YesNoWhich school(s) do you work for or are affiliated with?Please choose schoolPlease enter your school (if not in the dropdown list) *What type of school do you work for or are affiliated with? *IndependentReligiousAlternativeOtherPlease enter type of school *Please enter school name *What type of facility do you work for or are affiliated with? *Please choose facilityRegional Offices of Education (ROE)Intermediate Service Centers (ISC)Regional Programs (RSSP)Which ROE(s) do you work for (or are affiliated with)Please choose ROENorth Cook, South Cook & West 40 (Cook)ROE #1 (Adams, Brown, Cass, Morgan, Pike & Scott)ROE #3 (Bond, Christian, Effingham, Fayette & Montgomery)ROE #4 (Boone & Winnebago)ROE # 8 (Carroll, Jo Daviess & Stephenson)ROE #9 (Champaign & Ford)ROE #11 (Clark, Coles, Cumberland, Douglas, Edgar, Moultrie & Shelby)ROE #12 (Clay, Crawford, Jasper, Lawrence & Richland)ROE #13 (Clinton, Jefferson, Marion & Washington)ROE #16 (De Kalb)ROE #17 (DeWitt, Livingston, Logan & McLean)ROE #19 (DuPage)ROE #20 (Edwards, Gallatin, Hamilton, Hardin, Pope, Saline, Wabash, Wayne & White)ROE #21 (Franklin, Johnson, Massac & Williamson)ROE #24 (Grundy & Kendall)ROE #26 (Fulton, Hancock, McDonough & Schuyler)ROE #28 (Bureau, Henry & Stark)ROE #30 (Alexander, Jackson, Perry, Pulaski & Union)ROE #31 (Kane)ROE #32 (Iroquois & Kankakee)ROE #33 (Henderson, Knox, Mercer & Warren)ROE #34 (Lake)ROE #35 (La Salle, Marshall & Putnam)ROE #39 (Macon & Piatt)ROE #40 (Calhoun, Greene, Jersey & Macoupin)ROE #41 (Madison)ROE #44 (McHenry)ROE #45 (Monroe & Randolph)ROE #47 (Lee, Ogle & Whiteside)ROE #48 (Peoria)ROE #49 (Rock Island)ROE #50 (Saint Clair)ROE #51 (Menard & Sangamon)ROE #53 (Mason, Tazewell & Woodford)ROE #54 (Vermilion)ROE #56 (Will)OtherTo select multiple ROEs, hold dowm the SHIFT key while clicking on each ROE you want to choose.Which ISC do you work for (or are affiliated with)?Please choose ISCRegion 05 North Cook ISC 1Region 06 West Cook ISC 2Region 07 South Cook ISC 4My ISC is not listedWhich Regional Program do you work for (or are affiliated with)?Please choose Regional ProgramAcademic Behavior&Community AcadAdams County RSSPALOPARCAspire Alternative High SchoolASSIST RSSP 12ASSIST TAOEP 12Bridges Program ALOPCCSI Alternative SchoolCenter for Educ OppCentral Illinois Bridge AcademyCentralia Alternative SchoolClnton/Mrn/Wshngtn Pre-Kind ProgCompass AcademyCoolidge RSSPCope Alternative SchoolDREAM AcademyDuPage AlopEast Aurora HS RSSPEvergreen AcademyFive County Regional AlternativeFLEX ProgramFOCUS Safe Sch ProgramFreeport Alternative High SchFutures UnlimitedGreeley Alternative SchoolHarbor Academy Reg Safe Sch PrgI Kan Regional Alternatve Att CtrInnovation AcademyInnovative Pathways ProgramJackson/Perry Project SOAR MS TAOEPJuvenile Detention CenterKEC Central EFE 170Lake Co Collaborative AlopLake County Cooperative ALOPLerna BridgesLerna TAOEPLincoln School ALOPLincoln School RSSPLincoln School TAOEPLMP Regional Office of EducationLMP ROELMP ROE ALOPLMP ROE TAOEPMacon/Piatt ROE 39 ALOPMades-Johnstone RSSPMiddlefork School RSSPMiddlefork School TAOEPMilligan Academy RsspMinooka AcademyMonroe/Randolph Red Brick SchMorrison Alt Learning ProgramMorton Alternative SchoolsMt Vernon Alternative SchoolNCISC ALOPNew Approach Alternative High SchNew Beginnings Regional Safe Schools ProgramNew Directions - GenevaNew Directions ProgramNorth Cook Student Advocacy ALOPNorth Cook Young Adult AcademyNortheast Academy EastNortheast Academy NorthOak Ridge RSSPOption ThreeOswego GOALPACE Alternative SchoolParis BridgesParis TAOEPPartners for Success-Old Mill SchPAWSPAWS AcademyPeoria Regional High SchoolPhoenix Safe Schools ProgramPremier Academy MorrisPremier Academy Morris TAOEPProject EchoPROJECT IMPACTProject SOAR Alternative Optional Ed ProgramR E A D Y ProgramRAES East Alt EdRAES Night SchoolRAES RSSPRAES WestRAES West Alt EdRAP ElizabethRAP FreeportRegional Alop SchoolRegional Center for ChangeRegional Center For Change ALOP ProgramRegl Inst Scholastic ExcellenceRegl Inst Scholastic ExcellenceReg'l Safe School Program ROE #28RE-Start ProgramRevive Alternative High SchoolRock River ChallengeROE 13 High NeedsROE 13 Seniors PlusROE 13 Student SuccessROE 20 Learning Alt Branch SchoolROE 20 Learning Alternative Branch SchoolROE 21 ALOPROE 21 Senior's Plus ALOPROE 26 LEAPROE 28 Student Support ALOPROE 35 AcademyROE 53 AcademyROE 53 Safe SchoolROE Alternative Education Center-GreeneROE Alternative Education Center-MacoupinROE Alternative Prog of Lake CoROE Safe Sch GreeneROE Safe Sch MacoupinROE Safe School JerseyRound Lake ALOPROYALS Academy CantonROYALS Academy CarthageROYALS Academy MacombROYALS RSSP CantonROYALS RSSP CarthageROYALS RSSP MacombSafe School ProgramSafe School ProgramSafe School Program CentraliaSaint Clair Co ROE Safe SchoolSalt SchoolSangamon County Learning AcademySangamon Safe School ProgramShelbyville BridgesShelbyville TAOEPSouth Cook ISC ALOPSouth Cook ISC Student Advocate ALOPSouth Cook Truancy ProgramStarquest Acad RSSP NorthStarquest Acad RSSP SouthSUCCESS AcademySuccess AcademySuccess Academy 4-5Success Academy HSSummit Academy ALOPSummit Academy RSSPSummit Academy TAOEPTAPESTRY ALOPThe Lafayette AcademyTristar Acad Safe Sch ProgramWauconda CUSD 118 ALOPWest 40 High Needs Alternative Learning ProgramWest 40 Reg Safe Sch Middle PrgWest 40-Sr. PlusWest Aurora HS RSSPYEA ProgramMy regional program is not listedPlease describe the type of facility you are employed by or affiliated with *PreviousNextPlease tell us more about youPreviousNext type Which occupation? Which category best describes your occupation? (Community partner or organization)Please select occupationAdministrator (Director, Manager, etc.)Afterschool provider/staffCase ManagerCollege or Master's Student, InternCommunity NavigatorCommunity-based Organization Staff (Facilities Staff, Safety and Security, Office Staff)Healthcare workerMental Health Professional (Social Worker, Psychologist, Counselor)Residential Aide/AssistantRespite Center StaffSchool PersonnelShelter Staff (or contracted partner working in shelters)Site Lead/Project ManagerOtherWhich category best describes your occupation? (Educator) *Please choose categoryAdministrator (Principal, AP, VP, Dean)After-School Program Provider, 21st Century Site Staff or CoordinatorClinical Staff (OT, PT, SLP, Nurse)College or Master's Teacher, Intern, Student Teacher, Preservice EducatorDistrict Employee (Instruction, Student Support, Administration Support)Early Childhood educator/support staffEducator/TeacherJob Coach, Independent living skills Coach or StaffMental Health Professional (Social Worker, Psychologist, Counselor)Paraprofessional or SECAParent Representative, Parent Coordinator, or Family, School and Community LiaisonRegional Office of Education EmployeeResource Navigator/Homeless Liaison, etc.)School Board MemberSpecial Education staffStudent Building Support or Other Support Staff (Librarian, Facilities Staff, Safety and Security, Office Staff)OtherPlease enter occupation *How many years of experience do you have in the field? *Please choose years of experience1 year or less1 - 2 years3 - 5 years6 - 10 years11 - 20 yearsMore than 20 yearsPreviousNextWith which gender do you most identify? Please select all that apply *FemaleMaleTransgenderNon-BinaryGenderqueerPrefer not to sayPrefer to self-describePlease self-describe genderWith which ethnicity do you most identify?Please choose ethnicityHispanic/LatinxNon-Hispanic/Non-LatinxPrefer not to sayWith which racial group(s) do you identify? Please select all that apply. *American Indian or Alaskan NativeAsian, Southeast Asian, or Pacific IslanderBlack or African AmericanWhite or CaucasianMultiracialPrefer not to sayOtherPlease specify racePreviousSubmit
