2017-18 TLPN Teacher Leader Application

Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Page 1: Personal Information

Teach Plus Site: Massachusetts

Personal Information

First Name

Last Name

Confirm Email

Phone Number

Gender (optional)

Ethnicity (optional)

(Optional) Select all that apply. To select multiple responses on a PC hold "Ctrl", on a Mac hold the Command key (next to the space bar).

If Other Ethnicity, please describe

Would you like to receive the Teach Plus Newsletter?

Newsletter (monthly)

News Blast (weekly)

*If you click Save my progress and resume later, you will be prompted to enter your email and choose a password. You will receive an email with a link to continue your application.

Page 2: Teaching Information

Teaching Status

Are you a current teacher?

YesNoYou must be a current teacher in order to continue this application.

School where you currently teach

Please include the complete name.

School Address

City

State

Zip

District

School Type

Current Grade(s) teaching

Hold control (PC) or command (Mac) to select multiple grades

Main Subject(s) Teaching

Hold control (PC) or command (Mac) to select multiple subjects

Please Specify (Main Subject Teaching Other)

Years of teaching experience you will have completed by August 2017

Are you a member of a union?

YesNoN/A

If yes, please enter union name here.

Years of CCSS-aligned instruction

How did you hear about this opportunity?

Please Specify (How You Heard)

*If you click Save my progress and resume later, you will be prompted to enter your email choose a password. You will receive an email with a link to continue your application.

Page 3: Short Answer Questions & Resume

Short Answer Questions

Short Answer Questions:

Suggested Best Practice: It is recommended that you type your essay responses in a word document as a backup and copy them into this application.

1. How do you ensure your classroom goals and instruction are aligned to the goals of your program, team, school and/or district? (250-300 words)

2. As a Teacher Leader, how would you ensure your facilitation is impactful and relevant to adult learners? How would you anticipate and plan to meet the learning needs of adults? (250-300 words)

3. Describe a time when you advocated for change within your team, school, district or another organization: What was the change, why was it needed, and what actions did you take? Were you successful? (250-300 words)

4. Have you had any experiences in designing new tools, resources, or best practices? Would you feel comfortable leading others in exploring the implementation of new tools and strategies? (250-300 words)

Resume

Upload resume in PDF format.

*If you click Save my progress and resume later, you will be prompted to enter your email and choose a password. You will receive an email with a link to continue your application.

Page 4: References

References

Please provide two references (supervisor or colleague) with knowledge of your instruction.

Reference #1:

First Name

Last Name

Position

Company/School/Organization

Phone Number

Should we check with you first before contacting this reference?

Yes, please contact me firstNo, call them anytime

Reference #2:

First Name

Last Name

Position

Company/School/Organization

Phone Number

Should we check with you first before contacting this reference?

Yes, please contact me firstNo, call them anytime

*If you click Save my progress and resume later, you will be prompted to enter your email and choose a password. You will receive an email with a link to continue your application.

Save my progress and resume later | Resume a previously saved form