2021-22 Chicago Change Agent Application

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



My Principal's Contact Information:



Teacher Leader Personal Information













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Teaching Information


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Essay Questions




Read the following list of topics. Below the description, select the topic area to which your proposed project most closely aligns. 
Topics
  • Improving the instruction practice of my peers teachers in:
    • Math
    • Literacy
    • Technology
    • Computer Science Instruction
    • Science
    • Social Science
    • Content-independent instructional skills (such as questioning, inquiry, small groups, etc.)
    • Other (please explain)
  • Changing the non-instructional practice of my peer teachers in:
    • Collaborating (PLCs, working together in teams, etc.)
    • Using data to drive assessments and instruction
    • Planning
    • Classroom management
    • Teachers supporting teachers (mentoring, peer observations, etc.)
    • Other (please explain)
  • Changing the culture or climate in my school through teachers:
    • Student Engagement
    • Student Attendance
    • Other (please explain)
  • Other (please explain)







References


Please provide a peer-teacher reference who has knowledge of your instruction.


Reference #1 (MUST be a peer teacher)








Resume

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If advanced to the next round, you will be invited to a virtual interview between May 4th-May 14th. We will be sending you a link to google calendar appointment slots for you to sign up for your interview date and time. 
*If you click Save my progress and resume later,  you will be asked to enter your email and to choose a password. You will receive an email with a link to continue your application. 

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