rodel teacher council application

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  • 7/28/2019 Rodel Teacher Council Application

    1/2

    Rodel Teacher Council Application

    Please complete all fields in gray below and return via e-mail to Matthew Korobkin, Senior Program Officer, Rodel Foundation of

    Delaware at [email protected]. If you have questions, please call (302) 230-7009. Applications are due July 15,

    2013. Candidate interviews will occur between August 1 and August 16, 2013.

    Contact Information

    Name: Click here to enter text. Date: Click here to enter text.

    School Name: Click here to enter text. School District: Choose an item.

    School Address: Click here to enter text.

    School Phone: Click here to enter text. School E-Mail: Click here to enter text.

    Home Address: Click here to enter text.

    Home Phone: Click here to enter text. Personal E-Mail: Click here to enter text.

    Professional Information

    What is your current role? Click here to enter text.

    What subjects do you teach? Click here to enter text.

    What grades do you teach? Click here to enter text.

    How many years of classroom experience do you have? Choose an item.

    How many years have you worked in Delaware? Choose an item.

    What leadership experiences do you have (mentor, learning

    community leader, union representative, etc.)?

    Click here to enter text.Choose an item.

    What is your highest level of Education? Choose an item.

    What is your degree(s)? Click here to enter text.

    Where did you receive your educator

    training (list all that apply)

    Click here to enter text.

    Are you National Board Certified? Choose an item.

    Click here to enter text.

  • 7/28/2019 Rodel Teacher Council Application

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    Rodel Teacher Council Application

    Essay Questions

    Please complete the following essay questions and limit each response to 250 words.

    Question #1: How many years do you see yourself in the classroom? What are your long term career and professional goals?

    Click here to enter text.

    Question #2: How has your teaching and/or leadership contributed to measurable student achievement gains and the social and

    emotional development of students?

    Click here to enter text.

    Question #3: Describe an education policy at your school, in your district, in the state, or nationally that is of interesting or

    concerning to you. Describe how it impacts your instructional approach. If it is of concern, describe how you would go about fixing

    it.

    Click here to enter text.

    Question #4: Describe how you take initiative in your school or district. What has been the overall impact of your taking initiative?

    Click here to enter text.

    Question #5: How have you been recognized, in both formal and informal ways, in your school or district?

    Click here to enter text.

    Question #6: Describe how you personalize and differentiate instruction in your classroom?

    Click here to enter text.

    Question #7: Describe your most memorable moment in the classroom?

    Click here to enter text.

    Commitments

    As a member of the Rodel Teacher Council, we ask that you set aside time to participate in several events throughout the course of

    the year. On average, Teacher Council members can expect to commit between 2 to 4 hours per month. Most meetings will occur

    after school hours, in person or via webinar. There may be opportunities to engage in activities on weekends; we will work to

    accommodate teacher schedules.

    References

    Please list the names and contact information for two references. At least one of the references should be from an administrator or

    supervisor in your school district.

    Reference 1: Click here to enter text. Reference 2: Click here to enter text.

    Signature

    Applicant's e-signature: Click here to enter text. Date: Click here to enter text.