Application Packetrlrp 2014, Cohort 5 (Beginning January 17, 2014)

Application Packet RLRP 2014, Cohort 5 (beginning January 17, 2014)

A complete packet of the following information must be received by December 13, 2013 ($65.00 application fee). Early applications received by November 29, 2013 will qualify for a discounted registration fee ($35.00 application fee). Applications will not be considered until ALL items listed below are received.

Submit your application electronically to AIE at [email protected] or you may mail your completed application to the following address: Advance Innovative Education 8738 Quarters Lake Road Suite 8 Baton Rouge, LA 70809 Applicant Information Name: Mailing Address: City: State: Zip: Primary Secondary Email: Phone: Phone: Date of / / Social Security Number*: - - Birth: School of Residency: Residency Position: City of School: If you are Alternatively What Level of Teaching Type 1, 2, 3, A, B, C, Certified, please list the Certification do you Ancillary provider who certified currently hold? you  Participant Social Security Numbers are needed for certification. Attachments & Documentation 1. Non-refundable application fee ($65 application fee). Early applications received by November 29, 2013 will qualify for an discounted registration fee ($35 application fee).  Please make a check or money order payable to Advance Innovative Education (RLRP) 2. Résumé or Curriculum Vitae 3. One short essay (not to exceed 5, double-spaced, typed pages) that covers your:  Philosophy on leadership and ethics  Philosophy on teaching and learning 4. Letters of recommendation from three professional associates, one of which must be from someone within the organization/system that you currently work in. Letters must address the applicant’s teaching and/or leadership qualities. Letters may be submitted electronically or hard-copy. 5. Official, unopened transcripts from each college or university attended.  All applicants must have been awarded, at minimum, a baccalaureate degree. (We prefer a minimum GPA of 3.0, on a four-point scale) 6. GRE assessment with a minimum score of 1000 or equivalent score on an equivalent standardized test (e.g. PRAXIS, LSAT, GMAT)  Applicants with an earned graduate degree are NOT required to submit these scores 7. Copy of current teaching certificate  A Louisiana Type B or Level 2 or comparable out-of-state certificate is required unless the applicant is interested solely in charter school leadership OR Candidates interested in charter school leadership may submit proof of 3 years of successful leadership experience within an organization ALSO If an applicant can document that s/he is eligible to hold a valid certificate, this documentation may be sufficient to fulfill this requirement

Information from Attachments 1. Letters of recommendation from three professional associates* Name: Employer: Position:

Name: Employer: Position:

*Must be from someone within the organization system who can comment on the applicant’s teaching and/or leadership qualities

2. Official, unopened transcripts from each college or university attended** ___ Bachelor’s College/ Degree ___ Masters GPA: University: Earned: ___ Ed.D. ___ Ph.D. College/ GPA: Degree ___ Bachelor’s University: Earned: ___ Masters ___ Ed.D. ___ Ph.D. ___ Bachelor’s College/ Degree ___ Masters GPA: University: Earned: ___ Ed.D. ___ Ph.D. **GPA of 3.0 on a four-point scale and a minimum of a baccalaureate degree required.

Skip # 3 if you have already received a Master’s Degree 3. GRE or other assessment score on an equivalent standardized test GRE Score: OR Equivalent score on standardized test (e.g. PRAXIS, LSAT, GMAT) PRAXIS Score: LSAT Score: GMAT Score: Other Test: Score:

4. One of the following must be attached: Copy of current teaching certificate Dates Valid: to OR LA Type B or Level 2 Dates Valid: to OR Comparable out of state certificate Dates Valid: to OR Not certified but can document eligibility Eligibility Document attached: 5. Evidence of at least 3 years of successful K-12 teaching and/or leadership experience. ____ Yes (complete information below) ____ No (disregard table below)

Organization Position Tenure Form of Evidence

Contact RLRP

[email protected]

Phone: (225) 572-7353 Fax: (225) 612-6978 Advance Innovative Education 8738 Quarters Lake Road RLRP is a program of: Suite 8 Baton Rouge, LA 70809