2027-2028 Teacher Leader Masterclass Registration
We are so excited for you to register a teacher and invest in their leadership growth. We trust that school leaders will thoughtfully register teachers who are highly qualified and ready to grow. This form is to be completed by the School Leader.
School Leader Information
Your Name
*
First Name
Last Name
Your Title
*
Your School Name
*
Your Email
*
example@example.com
Your Phone Number
*
Format: (000) 000-0000.
Your School's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many total students are currently enrolled at your school district?
*
under 500
500-999
1000-1999
2000 or more
How many teachers are you nominating?
*
Nominate up to five teachers per form.
Teacher Leader Information
Teacher Name
*
First Name
Last Name
Teacher Email
*
example@example.com
Grade / Subject Taught
*
Please list the leadership roles held by this teacher at your school.
*
How long has this teacher worked at your school?
*
How does this teacher demonstrate leadership in your school community?
*
0/1000
What outcomes do you hope this teacher will gain from the yearlong Teacher Leader Masterclass?
*
0/1000
How did you hear about the Teacher Leader Masterclass program?
*
0/500
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Teacher Leader # 2 Information
Teacher Name
First Name
Last Name
Teacher Email
example@example.com
Grade / Subject Taught
Please list the leadership roles held by this teacher at your school.
How long has this teacher worked at your school?
How does this teacher demonstrate leadership in your school community?
*
0/1000
What outcomes do you hope this teacher will gain from the yearlong Teacher Leader Masterclass?
*
0/1000
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Next
Teacher Leader # 3 Information
Teacher Name
First Name
Last Name
Teacher Email
example@example.com
Grade / Subject Taught
Please list the leadership roles held by this teacher at your school.
How long has this teacher worked at your school?
How does this teacher demonstrate leadership in your school community?
*
0/1000
What outcomes do you hope this teacher will gain from the yearlong Teacher Leader Masterclass?
*
0/1000
Back
Next
Teacher Leader # 4 Information
Teacher Name
First Name
Last Name
Teacher Email
example@example.com
Grade / Subject Taught
Please list the leadership roles held by this teacher at your school.
How long has this teacher worked at your school?
How does this teacher demonstrate leadership in your school community?
*
0/1000
What outcomes do you hope this teacher will gain from the yearlong Teacher Leader Masterclass?
*
0/1000
Back
Next
Teacher Leader # 5 Information
Teacher Name
First Name
Last Name
Teacher Email
example@example.com
Grade / Subject Taught
Please list the leadership roles held by this teacher at your school.
How long has this teacher worked at your school?
How does this teacher demonstrate leadership in your school community?
*
0/1000
What outcomes do you hope this teacher will gain from the yearlong Teacher Leader Masterclass?
*
0/1000
Back
Next
Thank you for your submission!
The cost of the Teacher Leader Program is $1,500 per teacher. You will receive a confirmation email soon upon review of your submission. This will outline next steps for you and your teacher, as well as an invoicing process for you to process payment in the form of a check to be sent to Grow Your People, LLC. This is Cory Nikkel's business entity that runs the Teacher Leader Masterclass as one of its products. If you have any lingering questions, do not hesitate reaching out via email: cory@teacherleadermasterclass.org. Thank you!
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