The Academic Ally: Virtual Teacher

Academy Name:

Address, City, State, Zip Code:

School District:

School Contact Number:

Contact Name:

Contact Position/Title:

Contact Email Address:

Number of Students Enrolling:

Preferred Start Date:

Preferred Instruction Days (check all that apply):

Special Requirements or Comments:

If "Other," please explain:

Estimated Number of Participants

Topic(s) of Interest:

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How will this PD service be paid for?

Do you have any specific goals or outcomes for this professional development?

Please list any special requests or requirements:

I understand that clicking this button is an electronic signature. Your school will then be registered for the The Academic Ally: Virtual Teacher for the 2025-2026 School year.

*I have double checked this application for truth and accuracy.

Thank you for choosing our virtual ELA/Reading and Math instruction program! We look forward to partnering with you to enhance the educational experiences of your students.