Teacher Learning and Leadership Program
Proposal Application Form: Group Application
To be completed by Group Leader and sent to director of education/supervisory officer of school authority by November 30, 2007
Section 1: Group Application Information
Please attach a copy of the Group Leader’s certificate of qualification (can be downloaded and printed from the Ontario College of Teachers’ public register at www.oct.ca/PublicRegister).
Name of Group Leader:School Phone #:
School Email Address: Alternate Email Address:
Current Teaching Assignment:
Current Contract Type: Select One Full-TimePart-TimeOccasional
Total Years Teaching Experience:
Name and Address of Current School:
Name of School Board:
Additional Group Members’ Information:
Name / Position (e.g. teacher, educational assistant, etc.) / Years of Experience in a School Setting
Section 2: Project Proposal
1. Name of Project:2. Briefly summarize your project topic:
3. Describe the background and experience each member of the group brings to this project:
Section 3: Learning
4. What are the professional learning goals of your proposed project?5. Please provide a rationale for pursuing these professional learning goals (i.e. what needs do the goals address?):
6. Describe the specific activities you and your group will undertake during this proposed project in order to achieve your professional learning goals (please include approximate timelines):
7. How would the outcomes of your proposed project contribute to increasing student learning and development?
8. How will you determine if you have met your professional learning goals for this project?
9. How are you going to measure your outcomes (e.g. qualitative measures – peer reviews of journal articles, feedback on portfolio, questions and answers generated by an electronic archive and/or quantitative measures – surveys)?
10. Identify the supports you will need in order to undertake the above activities and their estimated costs. You may wish to consult with your school principal, other teachers, school board finance staff and/or curriculum staff to estimate these supports (e.g. the amount of release time you will need, the board’s rate to cover occasional teacher costs, the cost of resources and technical training, etc). If more space is required, attach a separate sheet.
Type of Support: Estimated Cost of Support:
$
$
$
$
$
$
$
Total / $
Section 4: Sharing
11. Describe how the learning from your activity will be shared within or outside of your school/board/other jurisdiction (e.g. written resource, teacher/school kit, working with other teachers in their classrooms, working with teachers or school teams in another school/board, facilitating workshops podcast, webcast, video conferencing, wikis):12. Briefly describe any training or experience you have had that would prepare you to work in an adult learning setting:
13. Identify additional training you would need to support the sharing of your learning with other colleagues (e.g. effective resources writing, presentation skills, facilitation skills, coaching/mentoring):
Section 5: Declarations
Applicants: Should this proposal be successful, we declare that we will comply with the
2007-08 TLLP Program Guideline and will carry out the project as described. We will ensure that the activities and materials produced do not infringe on any third party intellectual property or copyright.
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Applicant Name (please print) Signature Date (dd/mm/yy)
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Applicant Name (please print) Signature Date (dd/mm/yy)
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Applicant Name (please print) Signature Date (dd/mm/yy)
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Applicant Name (please print) Signature Date (dd/mm/yy)
*In the event there are more than four applicants, attach a declaration for each additional applicant.
Principal*: I am aware of this proposal and that it will be submitted to the school board for consideration.
______
Principal Name (please print)
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Principal Signature Date (dd/mm/yy)
*If other schools are involved in this professional learning project proposal, attach an additional signed declaration from each school principal. For applicants who are daily occasional teachers, this declaration should be signed by the person they report to at the board.
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