There are five parts to the application. All five parts must be submitted
at one time.
Part I: Applicant Information
Applicants may print out and fill in either the Adobe® Acrobat (PDF)
version or the Web (HTML) version of Part I.
Part II: Professional Development Experience
On a separate sheet of paper, describe any professional development
activities in which you have participated. Please include your educational
coursework, continuing education activities, teaching experiences,
association memberships, offices held, additional training you have
received, school-sponsored initiatives, and other relevant activities
(limit two pages).
Part III: Vision of Professional Development
On a separate sheet of paper, describe your personal vision or philosophy
of effective professional development in education. What elements
must it have to be successful? What kinds of activities would it
include? Who should be involved? How would it differ from professional
development experiences you have had? Be sure to provide specific
examples whenever possible (limit two pages).
Part IV: Action Plan Outline
On a separate sheet of paper, provide a detailed outline for a professional
development plan you might use upon returning to your school
after your internship experience. Describe the challenges you might
face when implementing this plan and how you will address them.
Include a timeline (limit three pages).
Part V: Letters of Support
When you submit your application materials, include letters of support
from the following individuals:
- Your school principal or the district superintendent
- A current or recent teaching colleague
- A third colleague of your choice
Applications must be received or postmarked by May 17, 2004.
Return your completed application to this address:
Attn: Carole Fine Professional Development
c/o Tim Schalke
Learning Point Associates
1120 E. Diehl Road, Suite 200
Naperville, Illinois 60563
Phone: (800) 356-2735
Fax: (630) 649-6700