TLI 2019 Participant Application

TLI 2019 Participant Application
Please complete the Application for consideration in the Teacher Leadership Institute for the 2019-20 program year (TLI 2019).

The TLI site will review all application submissions and select a group of Fellows for participation.

Participation in TLI is available for NEA members only. To learn more about TLI, visit our website https://www.teacherleadershipinstitute.org/
I. Personal Data:

Tell us about yourself
Full Name

First NameLast Name
E-mail :
Email where all TLI communications will be sent
TLI Site
Mobile No. :

Area CodePhone Number
Home Address :

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
II. Demographic Info:

Tell us about yourself
What is your gender?
Do you identify as transgender?
Birthdate:

MonthDayYear
Ethnic ID

Other
Primary Language group

Other
Secondary Language group

Other
III. Teaching Profession Information:

Tell us about your teaching career
School District
School Name
In what year did you begin teaching?
Please provide only the year. (i.e. 19xx or 20xx)
Is your current position full-time or part-time?

Other
Grade(s) currently taught. Check all that apply.

Other
Teaching Role
Main Subject taught
Are you a National Board Certified Teacher (NBCT)
IV. Application Questions:
How can we promote and enhance the role of teacher-leaders in schools, districts, and in the profession to support student learning?
Discuss your advocacy experience related to professional issues impacted by local, state, or federal policy. In what ways would you like to develop these skills, and how do you consider that to be part of your professional responsibility?
What do you believe the role of the union or Association should be with regard to teaching and learning issues? How do you believe the union or Association should determine its priorities for advocacy and action?
Please explain your motivation to participate in the Teacher Leadership Initiative. How do you think developing your leadership skills will impact the profession and the Association?
V. Resume Upload:
Resume

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TLI 2019 Participant Application

I. Personal Data:

II. Demographic Info:

III. Teaching Profession Information:

IV. Application Questions:

V. Resume Upload: