Oakes Public Schools
Teacher Leadership Academy (OPS-TLA)
A collaborative leadership effort between Oakes Public Schools
and North Dakota State University’s Educational Leadership Program
APPLICATION FORM
Qualifications:
Oakes Public Schools is currently seeking candidates for the upcoming Teacher Leadership Academy
(OPS-TLA) which will begin June 2016. Successful candidates must be able to meet North Dakota State
University Graduate School admission requirements and have:
1. At least 1 year of successful teaching. Preference will be given to teachers with three or more
years of successful teaching experience, but others will be considered.
2. An understanding of the process of school improvement and a commitment to life-long
learning.
3. Demonstrated knowledge of good instruction and willingness to apply the research on best
practice.
4. Demonstrated potential as a successful leader.
5. Participation in professional development activities designed to improve individual
performance in the field of education.
6. A commitment to leadership at multiple levels, and to service within the district.
7. A commitment to participate in the requirements of the program.
Personal Data:
Last:
First:
Middle:
Street:
City:
State & Zip Code:
Work:
Cell:
Other:
Name
Address:
Phone:
Employment History:
Beginning with the most recent, list full-time, part-time, or summer school experience in an accredited
k-12 public or private school. List any unique job responsibilities that demonstrate leadership potential.
Position:
From:
To:
List of responsibilities:
School Name:
School Address:
Supervisor:
Supervisor’s phone # (if known):
Employment History:
Beginning with the most recent, list full-time, part-time, or summer school experience in an accredited
k-12 public or private school. List any unique job responsibilities that demonstrate leadership potential.
Position:
From:
To:
List of responsibilities:
School Name:
School Address:
Supervisor:
Supervisor’s phone # (if known):
Employment History:
Beginning with the most recent, list full-time, part-time, or summer school experience in an accredited
k-12 public or private school. List any unique job responsibilities that demonstrate leadership potential.
Position:
From:
To:
List of responsibilities:
School Name:
School Address:
Supervisor:
Supervisor’s phone # (if known):
Please explain any gaps in employment:
Education:
Degree Received
College/University
Date
Have you ever been admitted to NDSU Graduate School?
Yes:
Year:
Are you currently pursuing a graduate degree of any kind?
If yes, please indicate program:
No:
Yes:
List courses completed (graduate credit only) since completing your last degree:
Course
Credit hours
College/University
No:
Date Taken
Experience:
Respond to the following statements, on a separate sheet of paper or electronic document. Be thorough,
but concise, and limit your responses for all questions to no more than three pages (12 font, times New
Roman, double spaced).
1.
Please provide evidence of your effectiveness at your current assignment, including your
knowledge of instruction and some evidence of the effectiveness of your instruction.
2.
Describe how you use research on best practice to help you improve your effectiveness in making
students successful.
3.
Describe experiences you have had as a leader. Including building level activities, district
committees, community activities, or others you fell demonstrate your leadership ability.
4.
List what you regard as important professional development you have participated in or
implemented during the past three years and briefly reflect on why those opportunities were
important to you.
5.
Describe an experience that demonstrates your ability to work effectively with others.
6.
Write a one paragraph response to each of the following:
 My personal philosophy of education is…
 I would describe my leadership style as…
 I am interested in improving my leadership skills because…
 Professionally, in 5 years I see myself…
7.
List three reasons you should be selected to take part in the Oakes Public Schools-Teacher
Leadership Academy (OPS-TLA).
Please e-mail your completed application form and the responses to posed questions no later than
5:00 p.m. Friday, November 20, 2015 to:
Mr. Joshua Johnson
Superintendent
josh.johnson@k12.nd.us
701-742-3234
Successful applicants for the Oakes Public Schools Teacher Leadership Academy (OPS-TLA)
will be notified by e-mail no later than Friday, December 18, 2015.