MCPS eLearning Teacher Application
Send the completed typed application with cover letter, current resume, proof of successful completion
of a facilitator course, shadow course and a copy of your MSDE –Maryland Educator certification to:
Carver Educational Services Center
Student eLearning, Room 257
850 Hungerford Drive, Rockville, Maryland 20850
Employee ID
First Name
Email
MI
Last Name
Daytime Phone
Current Teaching Location
Cell Phone
Current Teaching Assignment
List online courses that you have taken and final grade received.
Date
Name of Provider/College
Name of Course
Grade
List the online Facilitator course and shadow course that you have completed.
Date
Name of Provider/College
Name of Course
Grade
List three references:
Name
Title
Company/Institution
Phone Number
Recommendation of Principal/Immediate Supervisor
I recommend without reservations __________________________________as an online instructor for
MCPS eLearning.
Name of Principal/Supervisor (print)____________________________________________________
For Health Education Teachers only
I have completed PDO course #85048 Health Education for Family Life and Human Sexuality
Teacher Signature________________________________________________Date_________________