SUPPLEMENTAL FORM: ASPIRING LEADERS (TIER I) Educational Leadership Development Academy (ELDA)
Mail completed supplemental form and all application materials to: Office of Graduate Admissions University of San Diego 5998 Alcala Park, San Diego, CA 92110 I. General Information Name: Email: Work Location: Position: District: Years with Current District: Years of Teaching Experience: II. References: List your current supervisor (individual who completes your performance evaluation) and previous supervisor if current supervisor has been supervising you for less than six months, and one other former coach or supervisor. 1. Current Supervisor Name:
Work Location:
Position:
2. Previous Supervisor (if current supervisor has been supervising you for less than 6 months)
Name:
Work Location:
Position:
3. Former Coach/ Supervisor Name:
Work Location:
Position:
III. Professional Development: List professional development activities and leadership courses/workshops in which you have participated within the last five years. Workshop or course Date(s) Location
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III. Written Narrative. Please attach your response to the following. Please answer each question thoroughly. A. Why you would like to participate in the Aspiring Leaders Program. B. How your background and experience qualify you for the program. C. The successes you’ve had as an educator thus far. D. The skills and knowledge you think are needed to become an effective school leader. Narrative format guidelines: Font: Font size must be clear and legible, no less than 10 pt. Pages: Double-spaced, U.S. Letter size. Maximum number of pages: Four, one-sided, with your name clearly showing on each page. Failure to follow these guidelines will result in your application being disqualified.
Applicant Signature:________________________________________ Date_______________
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REFERENCE COVER: Aspiring Leaders (Tier I Preliminary Administrative Services Credential Program)
TO: DESIGNATED REFERENTS OF EDUCATIONAL LEADERSHIP DEVELOPMENT ACADEMY ASPIRING LEADERS PROGRAM CANDIDATES FROM: Melinda Martin, Director Educational Leadership Development Academy USD School of Leadership and Education Sciences 5998 Alcala Park San Diego, CA 92110 Telephone: (619) 260-8839 Fax: (619) 849-8175 We are now in the process of identifying the next cohort of administrative credential candidates. As the immediate or former supervisor/coach of an interested educator, we are seeking your input (attached). We are selecting educators who have knowledge of and consistently demonstrate successful instructional practices and who have the talent and ability necessary to lead schools successfully. It is extremely important that you be as honest and as candid as possible in your evaluation of the candidate’s potential to serve as a future site leader. References will be strictly confidential. This office will honor the confidentiality of references; and trusts and expects that you will not share your ratings with the candidate.
IMPORTANT: Please complete the attached form and return in a confidentially sealed and signed envelope to the applicant.
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REFERENCE FORM: Aspiring Leaders (Tier I)
EDUCATIONAL LEADERSHIP DEVELOPMENT ACADEMY REFERENCE FOR ASPIRING LEADERS PROGRAM CONFIDENTIAL
Applicant’s Name: _____________________ Referent’s Name: _______________________ Referent’s Work Location: ________________________
PLEASE COMPLETE AND RETURN TO THE REQUESTING APPLICANT IN A CONFIDENTIALLY SEALED AND SIGNED ENVELOPE. Your cooperation is requested to ensure this reference is returned in a timely manner. A candidate's status is dependent upon your timely response. Please provide a brief narrative about this candidate. Include your knowledge of this person as a “leader” and a “teacher of children and/or adults.” Please be sure to discuss their skills of pedagogy, coaching and interpersonal skills. This is not necessarily a recommendation form - it is a “narration” to get an honest assessment of this candidate. Your signature below indicates that you completed this form to the best of your knowledge and that you agree to keep this reference confidential.
_________________________________________ _______________ Signature Date
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