Ignite CS Application EmailThis field is for validation purposes and should be left unchanged.Contact InformationName(Required) First Last Email(Required) Phone(Required)Your role(Required) Teacher Instructional Coach Media Specialist Other Please specify your race/ethnicity(Required) American Indian or Alaskan Native Asian Black, Non-Hispanic Hispanic Multiracial White A race or ethnicity not listed I prefer not to answer Select all that applySchool InformationSchool name(Required)School Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code School IRN(Required)You can find your IRN here: https://oeds.ode.state.oh.us/SearchOrgSchool type(Required) Urban Suburban Small town Rural If you're unsure, see this typology from the Ohio Department of Education: ODE TypologyTotal school enrollment(Required)What grade do you teach/support?(Required) Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th Select all that applyHow many students do you directly impact/teach?(Required)Enter 0 if not applicable.ESC & Cohort SelectionIgnite CS is offered at four ESCs across Ohio.Were you referred by an ESC? If so, please note which ESC referred you:(Required) ESC of Central Ohio (Columbus, OH) East Central ESC (St. Clairsville, OH) North Point ESC (Sandusky, OH) Montgomery County ESC (Dayton, OH) I was NOT referred for this program by an Educational Service Center Which Ignite CS Cohort are you applying to?(Required) ESC of Central Ohio (Columbus, OH) East Central ESC (St. Clairsville, OH) North Point ESC (Sandusky, OH) Montgomery County ESC (Dayton, OH) School Leader InformationIgnite CS culminates in an in-person showcase designed to connect classroom learning with school and district leadership. Teachers should plan to attend this event with a school or district administrator (e.g., principal, assistant principal, instructional leader).School/Building Leader Name(Required) First Last What is this person's role?(Required) Principal Assistant Principal Instructional Coach Other Email address of school/building leader(Required) Your school leader will receive an email notification about your application.Computer Science ExperienceTell us a little about your experiences with Computer Science.Have you participated in Code.org CS Fundamentals Intro Workshop?(Required) Yes No Not sure Have you participated in Code.org CS Fundamentals Deep Dive workshop?(Required) Yes No Not sure What is your current level of knowledge related to computer science and computational thinking?(Required) Beginner - I have little to no experience Some exposure - I've tried a few activities Comfortable - I can teach basic concepts Advanced - I have significant experience Why are you interested in participating in this computer science professional learning?(Required)Educator State ID Number(Required)Please enter your Ohio Educator State ID Number. This will be used for program documentation purposes only. To find this, please go to: Educator ID Search