RIDEA spiring TLP by 67qd0Aqf

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									                                 State of Rhode Island and Providence Plantations

              8 1                DEPARTMENT OF EDUCATION
                                 Shepard Building
                                 255 Westminster Street
                                 Providence, Rhode Island 02903-3400
      Deborah A. Gist
      Commissioner



Academy for Transformative Leadership
Turnaround Leaders Program
Application Form Instructions


Thank you for your interest in applying for the Turnaround Leaders Program of RIDE’s Academy for
Transformative Leadership. The deadline for application submission is July 6, 2012.

Instructions for completing application:
    1. Save this document to your computer. Remember to save the document as you enter in your
        information. There are 6 pages in the application, so please be sure to review and fill out each page.
        Incomplete applications will not be reviewed.

     2. Once you have finished your application, please save the document with the following format: last
        name_first name _date of submission (example doe_john_6.20.12).

     3. Forward the completed document and all required attachments to the following email address –
        tonda.dunbar@ride.ri.gov




June 14, 2012                                                                                                                   DRAFT #1
TLP 2.3                                                                                                                         NYCLA
The contents of this paper were developed under a Race to the Top grant from the U.S. Department of Education. However, those contents do not
necessarily represent the policy of the U.S. Department of Education, and you should not assume endorsement by the Federal Government.
Key Program Dates and Information:
                                                                        st
Informational Webinar                             Thursday, June 21 at 3:00pm                        To register for June 21 webinar, click
                                                  OR                                                 here; to register for June 25 webinar,
                                                                    th
                                                  Monday, June 25 at 10:00am                         click here.
Application Due Date                              Friday, July 6, 2012                               Email your application to Tonda
                                                                                                     Dunbar at tonda.dunbar@ride.ri.gov
Interview Notification Date                       Friday, July 13, 2012                              You will receive notification about
                                                                                                     interviews via e-mail by this date
Interview Date                                    Tuesday, July 24, 2012                             If you are invited to interview, you will
                                                                                                     be asked to reserve the entire day
Program Selection Notification Date               Friday, July 27, 2012
                                                                       th
Program Training Dates                            Monday, August 20 , 2012 through                   Attendance is required for the full four
                                                                        rd
                                                  Thursday, August 23 , 2012                         days
Residency Start Date                              First day of school in your assigned
                                                  residency district




June 14, 2012                                                                                                                   DRAFT #1
TLP 2.3                                                                                                                         NYCLA
The contents of this paper were developed under a Race to the Top grant from the U.S. Department of Education. However, those contents do not
necessarily represent the policy of the U.S. Department of Education, and you should not assume endorsement by the Federal Government.
Application Form                                                          REMEMBER TO SAVE EACH PAGE OF YOUR DOCUMENT
Page 1 of 6
Personal Information                      (Applications must be complete to be considered.                *Information Optional)

First Name                Middle                 Last Name

If transcripts or other documents are under another name, please provide name.

Have you ever been an employee of the Rhode Island Department of Education?                                   Choose an item.

If so, what is/was your job title?

Permanent Home Address

Street Address                            City

State                          Zip Code

Home Phone                                Mobile Phone

Birth date

Languages you are proficient in

General Information
School Level         (Please number your school placement choices for your residency as first, second, and third)
Elementary
Middle
High

Professional Certification
Standard Certification Number
Do you currently hold a Building Administrator/School Principal Certificate?                                    Choose an item.
If so, what date was this completed?
Will you have completed all requirements for the Building Administrator/School Principal Certificate by June 30,
2012? Choose an item.




June 14, 2012                                                                                                                   DRAFT #1
TLP 2.3                                                                                                                         NYCLA
The contents of this paper were developed under a Race to the Top grant from the U.S. Department of Education. However, those contents do not
necessarily represent the policy of the U.S. Department of Education, and you should not assume endorsement by the Federal Government.
Application Form                                                          REMEMBER TO SAVE EACH PAGE OF YOUR DOCUMENT
Page 2 of 6
Professional Certification                 (cont’d)

Have you completed any coursework towards the Building Administrator/School Principal Certificate?
Choose an item.
If yes, please indicate the institutions you took courses at, the names and dates and grades of the course taken
(both successfully completed and incomplete coursework).

                  Institution                             Name of Course                      Grade                  Date Enrolled
                                                                                                                     (mm/dd/yyyy




Have you completed a masters degree? Choose an item.
If Yes, please indicate the institution, degree earned and the date of completion.
                    Institution                                Degree Earned                        Date of Completion
                                                                                                      (mm/dd/yyyy)

List all current certification



Education
Most Recent Undergraduate Degree Completed
                                                          Begin Date          End Date                              Grad Date
 Institution            City              State           (mm/yyyy)          (mm/yyyy)            Degree           (mm/yyyy)              GPA


Most Recent Graduate Degree Completed
                                                          Begin Date          End Date                              Grad Date
 Institution            City              State           (mm/yyyy)          (mm/yyyy)            Degree           (mm/yyyy)              GPA


Please list all other Higher Education Institutions attended with degrees earned (if applicable), both graduate
and undergraduate, listing most recent first.
                                                          Begin Date          End Date                              Grad Date
 Institution            City              State           (mm/yyyy)          (mm/yyyy)            Degree           (mm/yyyy)              GPA




June 14, 2012                                                                                                                   DRAFT #1
TLP 2.3                                                                                                                         NYCLA
The contents of this paper were developed under a Race to the Top grant from the U.S. Department of Education. However, those contents do not
necessarily represent the policy of the U.S. Department of Education, and you should not assume endorsement by the Federal Government.
If additional information is needed, please include as an attachment to this document.

Application Form                                                          REMEMBER TO SAVE EACH PAGE OF YOUR DOCUMENT
Page 3 of 6
Work History
Years of full-time experience       Years of full-time teaching experience in a k-12 school                                            Are you
currently employed? Choose an item.

List grade levels or content areas taught in order, beginning with most current
                                         Grade or Content                              From           To             Number
                                                                                      (yyyy)        (yyyy)           Of Years




Current Work
Employment Dates                         to                (mm/yyyy)                 Title                           Salary
Current Employer Name or School Name                                                 Street Address

City                                                 State                           Zip
Telephone                                            Immediate Supervisor’s Name

Prior Work
Employment Dates                         to                (mm/yyyy)                 Title                           Salary
Name of School or Office                                        Street Address

City                                                 State                           Zip
Telephone                                            Immediate Supervisor’s Name

Employment Dates                         to                (mm/yyyy)                 Title                           Salary
Current Employer Name or School Name                                                 Street Address

City                                                 State                           Zip
Telephone                                            Immediate Supervisor’s Name

Employment Dates                         to                (mm/yyyy)                 Title                           Salary
Current Employer Name or School Name                                                 Street Address

City                                                 State                           Zip
Telephone                                            Immediate Supervisor’s Name
June 14, 2012                                                                                                                   DRAFT #1
TLP 2.3                                                                                                                         NYCLA
The contents of this paper were developed under a Race to the Top grant from the U.S. Department of Education. However, those contents do not
necessarily represent the policy of the U.S. Department of Education, and you should not assume endorsement by the Federal Government.
If additional information is needed, please include as an attachment to this document




June 14, 2012                                                                                                                   DRAFT #1
TLP 2.3                                                                                                                         NYCLA
The contents of this paper were developed under a Race to the Top grant from the U.S. Department of Education. However, those contents do not
necessarily represent the policy of the U.S. Department of Education, and you should not assume endorsement by the Federal Government.
Application Form                                                          REMEMBER TO SAVE EACH PAGE OF YOUR DOCUMENT
Page 4 of 6
Work History            (cont’d)

Have you ever been terminated from a position?                      Choose an item.

If yes, please explain the circumstances

Have you ever been convicted of a crime? Choose an item.

If yes, please explain the circumstances

Have you ever resigned from a position rather than face disciplinary action? Choose an item.

If yes, please explain the circumstances

List any leadership responsibilities you have had that involve managing or coordinating the work of others


Recommenders
   1. You are required to submit one letter of recommendation. This letter of recommendation MUST be a
      current or recent supervisor. For more information about your letter(s) of recommendation, please see
      the last page of this document.
   2. Provide 2 additional references that can be contacted by us.
Recommender #1 (corresponding to the required letter of recommendation)

Supervisor's Full Name                                          Position

Relationship to Applicant                                       Telephone

Email Address                             How many years have you worked with this Supervisor?

Recommender #2

Personal Recommender's Full Name                                                     Position

Relationship to Applicant                                       Telephone

Email Address                             How many years have you known each other?

Recommender #3

Personal Recommender's Full Name                                                     Position

Relationship to Applicant                                       Telephone

Email Address                             How many years have you known each other?

June 14, 2012                                                                                                                   DRAFT #1
TLP 2.3                                                                                                                         NYCLA
The contents of this paper were developed under a Race to the Top grant from the U.S. Department of Education. However, those contents do not
necessarily represent the policy of the U.S. Department of Education, and you should not assume endorsement by the Federal Government.
Application Form                                                          REMEMBER TO SAVE EACH PAGE OF YOUR DOCUMENT
Page 5 of 6
ESSAY DIRECTIONS
BELOW ARE TWO ESSAYS. YOU MUST RESPOND TO BOTH. PLEASE INCLUDE YOUR ESSAY RESPONSES AS AN
ATTACHMENT TO THIS COMPLETED APPLICATION.

ESSAY 1: 400-600 words
Describe a recent project or an initiative, with a specified objective and outcome that you coordinated where you
demonstrated leadership while working as part of a team as well as developing the capacity of others.

         Discuss one or more strategic decisions you made to help move the work.
         What was the intended outcome? Was that outcome achieved? How did you assess the efficacy of the outcome?
         What are some of the dilemmas you faced?
         How did you approach them?
         If you had the opportunity to lead this project again, what might you do differently?
ESSAY 2: 800 words
You are in the fourth week of your principalship. It is 6:45 p.m. There are a number of phone messages to be reviewed and
you have just finished reading 43 emails. The school you lead has 31 faculty members and you just learned that you will
need to arrange for five substitute teachers for tomorrow. Your science teacher left a note in your inbox stating that she
has yet to receive the textbooks for her classes. She writes that the publisher told her that the books would not be
delivered until the business office pays an outstanding invoice. She wants to know how she could possibly teach her class
until the issue gets resolved.

You see that you have a 7:30 a.m. meeting with a group of parents scheduled for tomorrow. You are unclear about the
agenda but you remember hearing your secretary say something about the parents just wanting to complain about the
math teacher. You also have a meeting with your RIDE first year support coach. One of the 43 emails was from your coach,
reminding you of the following questions that you agreed to discuss during your next meeting: What areas concern you the
most? What are the first three things you need to do as a first year principal? How can I support you as your coach?
How will you organize your time for the rest of the evening? Given the lack of information, how do you intend to manage
the parent meeting? What outcome are you aiming for? How are you going to respond to each of your coach's questions?

Acknowledgement
I agree to provide additional records regarding my previous employment, evaluations, and/or credentials if requested.
(Please initial)

I acknowledge that all of the information contained in this application is accurate. Choose an item.




June 14, 2012                                                                                                                   DRAFT #1
TLP 2.3                                                                                                                         NYCLA
The contents of this paper were developed under a Race to the Top grant from the U.S. Department of Education. However, those contents do not
necessarily represent the policy of the U.S. Department of Education, and you should not assume endorsement by the Federal Government.
Thank you for completing the Turnaround Leaders Program Application. Please email the completed application to:
tonda.dunbar@ride.ri.gov by July 6, 2012.


Instructions for Letters of Recommendation

You are required to submit one letter of recommendation. Your recommender MUST be a current or recent supervisor.
Your recommender must email recommendations directly to tonda.dunbar@ride.ri.gov

Recommendations must address the following:

          Please describe an experience in which this candidate demonstrated his or her potential to be a strong
           instructional leader.
          Please describe an experience in which this candidate demonstrated her or his potential to be a leader of change.
          Please provide specific ways in which you have used this candidate's practice as a model for others.



Your recommendations will be scored based on the following rubric:

Score Substance

         Provides specific, compelling evidence, including examples that demonstrate:

                 A candidate's potential to be a strong instructional leader;AND
4                A candidate's potential to be a leader of change; AND;
                 The candidate has been used as a model for strong instructional practice.

         Overall, the recommendation is very strong and provides sufficient detail to answer the questions posted.

         Provides some specific examples that demonstrate:

                 A candidate's potential to be a strong instructional leader; OR;
3                A candidate's potential to be a leader of change; OR
                 The candidate has been used as a model for strong instructional practice.

         Overall, the recommendation is good, and some examples or results are given, but it could be more specific.

         Information provided to demonstrate the candidate's ability to be a strong instructional leader, a leader of change
2        and a model for strong instructional practice is not specific. Overall, the individual recommends the candidate, but
         examples and results are not specific.

         Little evidence is provided to support the candidate's ability to be a strong instructional leader, a leader of change
1
         and a model for strong instructional practice.


0        Overall, the recommendation is not directly responsive to the questions posted.
         A recommendation is submitted NOT to accept the candidate.


June 14, 2012                                                                                                                   DRAFT #1
TLP 2.3                                                                                                                         NYCLA
The contents of this paper were developed under a Race to the Top grant from the U.S. Department of Education. However, those contents do not
necessarily represent the policy of the U.S. Department of Education, and you should not assume endorsement by the Federal Government.
        Any form of intellectual dishonesty.




June 14, 2012                                                                                                                   DRAFT #1
TLP 2.3                                                                                                                         NYCLA
The contents of this paper were developed under a Race to the Top grant from the U.S. Department of Education. However, those contents do not
necessarily represent the policy of the U.S. Department of Education, and you should not assume endorsement by the Federal Government.

								
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