<p> UNION COUNTY SCHOOL DISTRICT TEACHER OF THE YEAR 2015-2016</p><p>APPLICATION FORM</p><p>PLEASE NOTE: FORM MUST BE TYPED</p><p>SECTION I.</p><p>NAME SCHOOL NAME </p><p>HOME ADDRESS </p><p>HOME PHONE SCHOOL PHONE </p><p>CELL PHONE </p><p>MAJOR SUBJECT AREA TAUGHT (IF ANY) GRADE LEVEL </p><p>TOTAL YEARS TEACHING EXPERIENCE YEARS IN PRESENT POSITION </p><p>SIGNATURE OF CANDIDATE DATE </p><p>PRINCIPAL SCHOOL PHONE </p><p>HOME PHONE CELL PHONE </p><p>SIGNATURE OF PRINCIPAL DATE </p><p>(APPLICATION MUST BE SIGNED BY PRINCIPAL)</p><p>(PLEASE USE THIS FORM – DO NOT RETYPE) II. Educational History and Professional Development Activities (two double spaced pages)</p><p>A. Beginning with most recent, list colleges and universities attended including post-graduate studies. Indicate degrees earned and dates of attendance.</p><p>B. Beginning with most recent, list teaching employment history indicating time period, grade level and subject area.</p><p>C. Beginning with most recent, list professional association memberships including information regarding offices held and other relevant activities.</p><p>D. Beginning with most recent, list staff development leadership activity and leadership in the training for future teachers.</p><p>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 </p><p>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.</p><p>VI. Letters of Support (limit of three letters)</p><p>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)</p>