Teacher Leader Cadre Application - Northeast Noyce Professional Learning Network

Name(Required)

First

Last

Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

District of Employment(Required)

Email(Required)

Teaching Experience (Check all that apply)

Please elaborate on your choices above. How many years of experience do you have teaching each of these subjects/grade levels?

Current job title(s) in district(Required)

Name of district supervisor or principal(Required)

First

Last

Email contact of direct supervisor or principal(Required)

Phone contact information of direct supervisor or principal(Required)

Which of the following do you have experience facilitating? (Check all that apply)

Professional Learning Session/Series

Building/District Meeting (Grade Level, Department, Faculty, Cabinet, etc.)

Professional Learning Community (PLC)

Video Club

Conference Session (Breakout Session, Workshop, etc.)

Coaching (Content-Focused, Instructional, Cognitive, etc.)

Rèsumè or CV(Required)

Drop files here or

Max. file size: 20 MB.

Please upload an up-to-date copy of your rèsumè or curriculum vitae as a pdf or MS-Word document

Professional Learning Experiences(Required)

Drop files here or

Max. file size: 20 MB.

Please upload a file containing your responses to the following prompts:

1) Please list the titles and dates of two professional learning opportunities that have been particularly meaningful to your practice and describe why.

2) Describe a professional learning experience that you facilitated that was impactful to others' practices. How do you know it was impactful? (Include any evidence you might have that measured impact)

Vision Statement(Required)

Drop files here or

Max. file size: 20 MB.

In 1-2 pages, create a vision statement that addresses the following prompts:

What’s your vision for teaching and learning STEM?

How does this vision connect to your knowledge, skills, and dispositions associated with culturally responsive pedagogy, social justice, antiracism, and oppression.

How do you hope to meet this vision through participation in this teacher leader cadre?

Phone

This field is for validation purposes and should be left unchanged.