UAB Regional Inservice Center New Teacher Institute Registration Form
New and Novice Teachers in Region 5 with less than THREE years of teaching experience are encouraged to attend.
Full Name
*
First Name
Last Name
Email
*
Confirmation Email
example@example.com
School District
*
Please Select
Bessemer City
Birmingham City
Fairfield City
Jefferson County
Leeds City
Midfield City
Tarrant City
Trussville City
I don't know yet
Other
Years of Experience
*
0 years (The 2025-26 school year will be my 1st year as a full-time teacher)
1 Year
2 Years
Other
What is your grade/content area?
*
Elementary (PreK-5)
Secondary (6-12)
PreK-12 (Music, PE, Art)
Other
Are you currently certified to teach in the state of Alabama?
*
Yes, I am fully certified to teach in the state of Alabama.
No, I am not currently certified to teach in the state of Alabama.
I have the following type of teaching certificate:
*
Class B Certification (Bachelor's degree in Education)
Class A Certification (Master's degree in Education)
Class AA Certification (EdS degree in Education)
I have one of the following temporary teaching certificates:
*
Emergency Certification
Provisional Certification
Substitute Teacher
Other
What is your status with the Praxis exam?
*
I have passed the Praxis.
I have not taken the Praxis yet.
I took the Praxis, but I have not passed yet.
I took the Praxis and I am waiting on my score results.
Do you need any assistance with completing ED-TPA?
*
No, I have already completed ED-TPA
Yes, I need assistance.
What is that?
Rank your Breakout Session preferences (1st, 2nd, 3rd, and 4th choices).
Submit
Should be Empty: