Volunteer application - Indiana



WBL Teachers in Industry ProjectDUE DATE: April 16, 2018 by 5:00 p.m.Description: Work Based Learning Teachers in Industry is a summer internship project that allows Indiana teachers to gain valuable industry knowledge while completing an internship with a partnering business or industry. They will have the opportunity to apply the principles of Work Based Learning and to meet and work with other CTE teachers. The experience will also build stronger partnerships with local businesses and industries and allow the participant to gain valuable experience and knowledge about local companies while expanding program partnerships. April 27, 2018Notification of applicant acceptanceJune TBD, 2018Training Day for all project participants (Indianapolis area location)June 10- July 24Due dates for Project Internship Completion. Selected candidates may have flexibility in completing the internship hours during this time frame.August TBD, 2018Wrap-up meeting and project presentations (Indianapolis area location)August 2018-May 2019Presentations at two Indiana Professional Development Events*Note: final funding is subject to Indiana’s receipt of federal Perkins funding. Contact InformationNameStreet AddressCity and ZIP CodeHome PhoneWork PhoneE-Mail Address (address to be used during summer)Teaching License Subject AreasPresentationsPlease list two professional development events you plan to attend and will share your summer experience(s). The appropriate format for this presentation will be discussed during Training Day. A.B. InterestsIdentify two to three industries or industry sectors that are related to your teaching assignment. For each option, identify a potential business or company in your local area that aligns. Industry or Industry SectorPotential business/companyA.B. C. Teaching and WBL ExperienceSummarize your current teaching assignment including how you assist with WBL practices and principles. Additionally, address any specific skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, that provide further insight to your total experience. Gain from the ExperienceSummarize the special skills and qualifications you hope to gain from completing the internship project. Application of the ExperienceSummarize the benefits this experience will provide to your students, your classroom, your school, and your community in the next year. Include a description of how you will incorporate this information in your counseling assignment in the coming year and other linkages you believe to be made as a result of this experience. Resume`Please include a current resume` (maximum two pages) with the application. Agreement and SignatureBy submitting this application, I affirm that the facts set forth are true and complete. I understand that the following events are requirements of the project: April 27, 2018Notification of applicant acceptanceJune TBD, 2018Training day for all project participants (Indianapolis area location)June 10- July 24Due dates for Project Internship Completion. Selected candidates may have flexibility in completing the internship hours during this time frame.August TBD, 2018Wrap-up meeting and project presentations (Indianapolis area location)August 2018-May 2019Presentations at two Indiana Professional Development EventsApplicant Name (printed)Applicant SignatureDate:By signing this form, I agree to support the counselor to attend and complete the project at the professional development events.Area CTE Director’s Name (printed)SignatureDateBuilding Administrator’s Name (printed)SignatureDatePlease submit the application and resume` in one e-mail to:Stefany Deckard, CTE DirectorStdeckard1@doe.(Submit by April 16, 2018 by 5:00 p.m.)Signature page must contain original signatures. Submit a scanned copy to the email above and keep the original signed document for your records. THIS AREA HAS BEEN INTENTIONALLY LEFT BLANK ................
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