Union County School District

UNION COUNTY SCHOOL DISTRICT TEACHER OF THE YEAR 2015-2016

APPLICATION FORM

PLEASE NOTE: FORM MUST BE TYPED

SECTION I.

NAME SCHOOL NAME

HOME ADDRESS

HOME PHONE SCHOOL PHONE

CELL PHONE

MAJOR SUBJECT AREA TAUGHT (IF ANY) GRADE LEVEL

TOTAL YEARS TEACHING EXPERIENCE YEARS IN PRESENT POSITION

SIGNATURE OF CANDIDATE DATE

PRINCIPAL SCHOOL PHONE

HOME PHONE CELL PHONE

SIGNATURE OF PRINCIPAL DATE

(APPLICATION MUST BE SIGNED BY PRINCIPAL)

(PLEASE USE THIS FORM – DO NOT RETYPE) II. Educational History and Professional Development Activities (two double spaced pages)

A. Beginning with most recent, list colleges and universities attended including post-graduate studies. Indicate degrees earned and dates of attendance.

B. Beginning with most recent, list teaching employment history indicating time period, grade level and subject area.

C. Beginning with most recent, list professional association memberships including information regarding offices held and other relevant activities.

D. Beginning with most recent, list staff development leadership activity and leadership in the training for future teachers.

E. Beginning with the most recent, list awards and other recognition of your teaching. III. Professional Biography – (two double spaced pages) A. What factors influenced you to become a teacher? Describe your greatest contributions and accomplishments in education. IV. South Carolina Teacher of the Year – (one double-spaced page) A. As the 2016-2017 South Carolina Teacher of the Year, you would serve as a spokesperson and representative for the entire teaching profession. What would be your message? What would you communicate to your profession and to the general public? V. Video

A. Limit of 5 minutes in length B. You can use any format for the video. C. Video should provide insights into you as a classroom teacher.

VI. Letters of Support (limit of three letters)

VII. Publicity Photograph Include with the application package one photograph suitable for publicity. A 5x7 head shot in color is preferred and will be returned to you. (DO NOT TAPE OR GLUE PICTURE TO PAPER)