VALENCIA COLLEGE
FOCUS ON THE WORKPLACE
Work-Based Learning for Educators
2015-16 Faculty Application
(Please print)
Name
Department
Campus
Title
Name of Dean
Mail Code
Extension
Are you full-time tenured or tenure-track? _______________________
You will be given two 3-credit hour release times to participate during the following terms:


Summer Term – 1st 6 weeks during Summer Term H1 (May 5th – June 16 th)
Spring Term – 2 Days/Week for 15 weeks (January 11th – April 25 th)
* Please note that you must participate during your regular contract session
and not as an overload or under a supplemental contract.
1.
What is the approximate date of your last long-term exposure to business & industry
outside the classroom.
2.
What are some potential companies or organizations in which you would like to work?
(You can visit our website at: valenciacollege.edu/focus to view a list of previous
employers that have participated, or research your own companies)
________________________________________________________________
3.
Do you have a specific department in which you would like to work?
4.
Please list any contacts or connections that you have with the businesses or
organizations in which you would like to work:
Company Name
Company Name
Contact Name
Contact Name
Phone
Phone
5.
If you are not sure where you would like to work and would like to explore
potential opportunities with the program coordinator, please check here.
6.
Please complete a written narrative response and describe the goals and learning
outcomes & objectives you envision as a result of your participation in this activity that
will benefit both your students and yourself as an educator. Include areas of expertise
that you could share with the business or organization in which you would like to be
placed.
7.
Please include a copy of your resume with your application.
8.
At the conclusion of your experience, you will be asked to complete a narrative
summary and report of your worksite activities with a description of how the experience
has contributed to a better understanding of your field or discipline, and how you plan to
apply what you have learned to enhance the teaching and learning in your classroom.
(More information about Focus on the Workplace can be found at valenciacollege.edu/focus).
Please have your Academic Dean complete the approval form below.
Dean Approval and Authorization
to Participate in Focus on the Workplace
I approve
to participate in the Focus on the Workplace program
during the _____________________ term. I will work with our division to secure a
replacement during the period of time this faculty will be in the workplace. This individual is a
full-time tenure or tenure track faculty.
Dean
Division
Please briefly indicate below why you are approving this applicant to participate in Focus
on the Workplace.
Please return this application to LeSena Jones at DO:32
by Friday, October 23, 2015