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PILOT PROGRAM

North Carolina's
LinguaFolio Pilot Program

Any instructor may use the LinguaFolio Web site with as many students and classes as he/she wishes. However, instructors who register for the official pilot will submit data for one course or group of students. The North Carolina Department of Education will confirm with you which class or level will be the official pilot.

A Teacher's Guide will be mailed directly to teachers who register to participate in the pilot program for the 2005-2006 school year.

I would like to be considered for the North Carolina LinguaFolio pilot program.
You can use the Tab key to move from item to item within this form or your cursor keys.

Last Name:

First Name:

Position:

E-mail:

Please type accurately, we will contact you through this address regarding your participation in the pilot program.

Phone:

School Division, Institution or Agency:

School Name:

School Address:

Enter language(s) you teach.
Include level and number of students for each selection.

Language	Level	Number of Students:

Select a Language and Level that you would like to
pilot.
We will confirm with you which class or level will be your official pilot.

1st Preference: Language & Level
Language:
Level:	Level 2 Level 3 Level 4 Level 5 Level 6 Language AP Language IB Heritage Language Immersion High School Bilingual Course
Estimated number of Students:

2nd Preference: Language & Level
Language:
Level:	Level 2 Level 3 Level 4 Level 5 Level 6 Language AP Language IB Heritage Language Immersion High School Bilingual Course
Estimated number of Students:

3rd Preference: Language & Level
Language:
Level:	Level 2 Level 3 Level 4 Level 5 Level 6 Language AP Language IB Heritage Language Immersion High School Bilingual Course
Estimated number of Students:

Submit your request to participate in the LinguaFolio Pilot Program.