SUMMER SCHOOL 2013
INSTRUCTOR APPLICATION
Dear Prospective Summer School Teacher,
Thank you for your interest in applying to teach during Premier Learning Choices (PLC) Summer
School Program, 2013. Premier Learning Choices is a non-profit corporation whose specific and
primary purpose is to enhance student learning and provide financial support to teachers and
CNUSD staff. Monies raised by Premier Learning Choices will be provided to the Corona-Norco
Schools Educational Foundation, which has given over $500,000 back to teachers and staff of the
District over the past three years. Planning is underway to ensure an exceptional fee-based summer
program for children in our local communities. We are seeking elementary, intermediate and high
school teachers for enrichment and proficiency classes designed for students entering grades 4-6
and 9-12.
2013 Summer School dates are as follows:
Grades 4-6 (ES):
Monday, June 3 – Friday, July 12, 2013 from 8:00 am – 12:20 pm.
Grades 9-12 (HS):
Monday, June 3 – Friday, July 12, 2013 from 8:00 am – 12:20 pm.
*Drivers Education classes will be offered at 7:50-10:00 and 10:20-12:30 during the second session due to
the July 4th holiday, and a required 30 hours of instruction.
The wage is $40.00 per hour for instructional time, plus 1 hour for an orientation meeting and 1 hour
for a program evaluation and records turn-in on the last day of school. July 4th is a designated nonworking unpaid holiday. These positions are non-benefited, with no paid illness or accrued vacation
time, and have NO contributions towards STRS or PERS.
Teachers at the elementary level must submit an outline of their proposed curriculum in one of the
following areas: math, science, Language Arts/social studies, and the Arts. Writing is an expected
outcome in all content areas. You may use the Course Proposal section of this application or attach a
separate sheet detailing your class. Keep in mind the following:

Students will be expected to demonstrate a depth of knowledge and synthesize learning through
writing, oral presentation, or other performance tasks

Students will be involved in project based learning that will support deep understanding and
knowledge of grade-span appropriate concepts. High interest format such as games, interactive,
and/or movement activities along with collaboration and small group learning is encouraged.

Expository text should be used to support opportunities for learning.

Objectives, activities, and materials must be specified.

Expected outcomes must be stated along with how mastery will be determined.
To teach a pre-determined high school course, (Drivers Ed., PSAT/SAT Prep, Student Technology,
Bridge to College and Preparing for Algebra II/Trigonometry), mark the class(es) you would like to
teach. Upon submission, your proposal will be reviewed and you may be contacted should
clarification be necessary. All submissions are subject to screening and/or rejection.
To be accepted as a summer school teacher, you must be willing to teach both periods for the
entire 6 weeks.
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A brief Course Requirement for the teachers interested in the High School Courses is as follows:
Drivers Education - This applicant must possess the required certificate and be knowledgeable of
the DMV 30 hour course requirements and have the ability to issue the Learner’s permit at the
conclusion of the class.
PSAT/SAT Prep – This applicant must possess knowledge of SAT preparation and test taking
strategies in order to prepare students for the math, verbal and written portions of the PSAT/SAT
tests. In depth knowledge of the rigors of the test is required.
Student Technology – This applicant must possess strong skills in Microsoft Office, and MAC
programs. The goal of this class is for the student to be able to effectively produce documents,
spreadsheets, presentations, and more using technology that will help students with their
homework and school projects.
Pre-Algebra II/Trigonometry – This applicant must possess strong presentation skills in higher
levels of math, to include Algebra II and Trigonometry. The goal of this class is to prepare students
who will be enrolled in Algebra II/Trigonometry in the Fall. The course should focus on topics that
are seen for the first time in Algebra II/Trigonometry, to include logarithms, exponential functions,
conic sections, probability and trigonometry.
Bridge to College – This applicant must be familiar with all aspects of college preparedness. The
goal of this class is for students to learn how to successfully write a college application essay,
choose the right college or university, apply for scholarships, complete a college application, and
complete a FAFSA application.
The Course Proposal form can be accessed and printed at: www.PremierLearningChoices.org., or
contact maldrian@PremierLearningChoices.org. Complete the Application and submit it on or
before January 18, 2013, by one of the following methods:
Email:
MAldrian@PremierLearningChoices.org
Fax:
(951) 582-2826
Walk In/Mail: 1761 Third Street, Suite 103, Norco, CA 92860 – (9AM – 6PM)
For More Info: Phone: (951) 444-0752
If selected for an interview, you will be contacted no later than January 25, 2013 to set up an
appointment. Should you be selected for a teaching position, you will be notified on or before
February 13, 2013. Please DO NOT contact us about the status of your application. Should your
enrichment class or pre-designated high school class be accepted but does not meet minimum
enrollment numbers, the class will be cancelled and you will be notified no later than May 18,
2013.
Please join us in delivering our first inaugural and exciting summer school experience to the
students of our community. If you have any questions, please contact the PLC office. We look
forward to working with you this summer!
Sincerely,
Dave LaVelle
Human Relations Coordinator
Premier Learning Choices
2013 Summer School Application Form v1 1112
Melinda L. Aldrian
Human Relations Coordinator
Premier Learning Choices
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2013 SUMMER SCHOOL
INSTRUCTOR APPLICATION
Premier Learning Choices is an Equal Opportunity Educational Institution and EEO/Affirmative Action Employer committed to
excellence through diversity. Employment offers are made on the basis of qualifications and without regard to race, sex, religion,
national or ethnic origin, disability, age, veteran status, or sexual orientation.
PLEASE PRINT CLEARLY
LAST NAME
FIRST NAME
CELL NUMBER
HOME NUMBER
WORK NUMBER
E-MAIL ADDRESS
STREET ADDRESS
CITY
STATE
ZIP
IF YOU ARE NOT SELECTED FOR A REGULAR TEACHING ASSIGNMENT, WOULD YOU BE INTERESTED IN REMAINING ON A SUBSTITUTE ASSIGNMENT LIST?
□NO
YES
ARE YOU CREDENTIALED?
□ YES
WHAT TYPE OF CREDENTIAL?
IS YOUR CREDENTIAL REGISTERED WITH THE CALIFORNIA COMMISSION ON TEACHER CREDENTIALING?
□ YES
□NO
□NO
FULL NAME AS IT APPEARS ON THE CTC WEBSITE:
DO YOU HAVE A CURRENT TEACHING ASSIGNMENT? – GRADE, SCHOOL AND DISTRICT
□ YES, GRADE
SCHOOL
EMERGENCY CONTACT NAME
I AM INTERESTED IN TEACHING:
□NO
DISTRICT
ADDRESS
Elementary School
WHICH HIGH SCHOOL CLASS ARE YOU INTERESTED IN TEACHING:
PHONE
RELATIONSHIP
ESTIMATED MATERIAL COST
Per 2 Week Session
High School
SAT/PSAT Prep
Prep for Algebra II/Trig
Drivers Ed
College Bound Prep
Student Technology
$
DESCRIBE THE MATERIALS YOU WILL USE FOR YOUR CLASS AND IF THEY NEED TO BE PURCHASED:
WHICH ELEMENTARY COURSE AREA:
□ Math □ Lang Arts/Social Studies
MY COURSE IS APPROPRIATE FOR THESE INCOMING GRADE LEVEL(S):
Science
The Arts
ES
2013 Summer School Application Form v1 1112
□4 □5 □6
ARE YOU CURRENTLY A SUB:
□YES □NO
3
CLASS DESCRIPTION: DESCRIBE YOUR CLASS FOR THE CATALOG. INCLUDE GOALS, OBJECTIVES, AND TOPICS.
2013 Summer School Application Form v1 1112
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MY TECHNOLOGY NEEDS: WE WILL TRY TO ACCOMMODATE YOUR TECHNOLOGY REQUESTS TO THE BEST OF OUR ABILITY:
□
□
□
□
□
TV
LCD PROJECTOR
DVD PLAYER
SOFTWARE
OTHER
WILL YOU NEED ACCESS TO A COMPUTER LAB ?
YES
NO If YES, approximately how many times per two week session. _______
ADDITIONAL INFORMATION: ATTACH ADDITIONAL PAGES IF NEEDED
PLEASE COMPLETE THE FOLLOWING SECTION:
(ATTACH ADDITIONAL PAGES AS NECESSARY)
HAVE YOU EVER BEEN CONVICTED OF A FELONY OR A MISDEMEANOR? (IF SO, PLEASE PROVIDE INFORMATION)
□ YES
□NO
IF NO, ARE YOU ELIGIBLE TO WORK IN THE UNITED STATES?
ARE YOU A UNITED STATES CITIZEN?
□
□ YES
□ YES (STATE, #, EXPIRY)
□NO, MY AGE IS
NAME OF HIGH SCHOOL/GED:
NAME OF COLLEGE:
□
YES
NO
DO YOU HAVE A VALID DRIVER’S LICENSE?
YES
NO
ARE YOU 18 YEARS OR OLDER?
DID YOU GRADUATE?
□ YES, DATE:
NO, I EXPECT TO GRADUATE ON:
DID YOU GRADUATE?
□ YES, DATE:
□ NO, I EXPECT TO GRADUATE IN, DATE:
OTHER EDUCATION:
□NO
DID YOU GRADUATE?
□ YES, DATE:
□ NO, I EXPECT TO GRADUATE IN, DATE:
DATES OF MOST RECENT EMPLOYMENT
□ FULL TIME
FROM:
TO
□ PART TIME
_____
DEGREE
RECEIVED
MAJOR
DEGREE
RECEIVED
MAJOR
TITLE:
HRS/WEEK
ORGANIZATION NAME AND ADDRESS:
STARTING SALARY:
FINAL SALARY:
SUPERVISOR’S NAME, TITLE AND PHONE:
CONTACT MY CURRENT REFERENCES:
ALTERNATIVE REFERENCE:
PRIMARY DUTIES:
□ AT ANY TIME □ IF A FINALIST
REASON FOR LEAVING:
JOB TITLE:
FROM: _________________ TO
□ FULL TIME
□ PART TIME
STARTING SALARY:
ORGANIZATION NAME AND ADDRESS:
DATES OF MOST RECENT EMPLOYMENT
HRS/WEEK
FINAL SALARY:
SUPERVISOR’S NAME, TITLE AND PHONE:
AN ALTERNATIVE REFERENCE:
CONTACT MY CURRENT REFERENCES:
□ AT ANY TIME □IF A FINALIST
PRIMARY DUTIES:
ADDITIONAL SKILLS:
ADDITIONAL SKILLS:
REASON FOR LEAVING:
□ BASIC □INTER □EXPERT
□ BASIC □INTER □EXPERT
2013 Summer School Application Form v1 1112
ADDITIONAL SKILLS:
ADDITIONAL SKILLS:
□ BASIC □INTER □EXPERT
□ BASIC □INTER □EXPERT
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ALL APPLICANTS, PLEASE COMPLETE THE FOLLOWING:
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all
statements contained in this application for employment as they may be necessary in arriving at an employment decision. I
understand that false or misleading information given in my application or interview may result in discharge. I understand
also, that I am required to abide by all rules and regulations of Premier Learning Choices, Inc. If this class proposal is accepted,
and minimum enrollment reached, I understand that I am making a commitment to teach the entire summer school period.
When requested, I will provide a copy of my teacher credential, and obtain a LiveScan DOJ/FBI level background clearance at my
cost. When requested, I will provide a copy of my TB test certificate, with test result read after July 2009.
APPLICANT SIGNATURE
DATE
SUMMER SCHOOL KEY DATES:
PROPOSAL DEADLINE: FRIDAY JANUARY 18, 2013
ORIENTATION MEETING & BBQ FRIDAY, MAY 31, 2013 3:30 PM
SUMMER SCHOOL
MONDAY, JUNE 3 – FRIDAY, JULY 12, 2013
July 4th Unpaid Holiday
PREMIER LEARNING CHOICES
APPLICATION & COURSE PROPOSAL FORM
SUMMER SCHOOL 2013
ATTN: Melinda Aldrian
1761 Third Street, Suite 103, Norco, CA, 92860
(951) 444-0752 FAX (951) 582-2826
MAldrian@PremierLearningChoices.org
Credential
For Personnel Use Only
Recommendations
Copy of SS Card
DOJ / FBI ASCC
W-4 (summer school)
T.B. Test
Copy of Ofcl Gov’t Photo I.D.
I-9
______
_______Start Date
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