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Instructional Leadership Excellence Academy Commitment Form

I understand my responsibilities as a candidate for the Instructional Leadership Excellence Academy and will make it a priority to support this endeavor by, but not be limited to, the following:

  • Participate in the Instructional Leadership Excellence Academy webinars and mandatory face-to-face meetings
  • Participate in intensive training and support through Academy completion
  • Implement the ILEA skills with Instructors
  • Mentor other instructors using the skills acquired during training
  • Participate in the Instructional Leadership Excellence Academy forum (Community of Practice in PD Portal)
  • Contribute to discussions and assignments
  • Fully implement an instructional Program Improvement project in their respective Adult Education program

I have read and fully agree to accept the responsibilities required of me as a participant in the Instructional Leadership Excellence Academy and to offer my assistance to make this project successful.

Select "YES" to agree:

Date:

Information:  
   
First Name:
Last Name:
Address:
City:
Zip:
Email address:
Retype Email:
Work Phone:
Cell Phone:
Local Sponsoring Program:
Current Job Title in Adult Education:
Number of hours worked per week in Adult Education programs:
 

Please respond to the following questions:
Prior knowledge is not required. These questions are for our information in planning your training experience.

Do you have experience with project management including setting goals, establishing timelines and collecting performance/outcomes data?

if "YES", please provide a short description:

Do you have experience collecting performance/ outcomes data? How did you use that data?

if "YES", please provide a short description:

Do you have any experience with doing action research?

if "YES", please provide a short description:

Elaborate on your Instructional Coaching experience, teacher observation and mentoring practice.
What is your goal for attending this academy?
   
  Submit documents by Dec. 9, 2019