2015-16 Action Research Leadership Institute (ARLI)

Fellowship Award Contract

Return this contract with Principal Signature, W9, and Info Sheet via email by Monday, August 10, 2015

Teacher Name:
CFE Grant Number:
School Name:
Home Address:
Cell Phone: / Email Address:
Amount of Honorarium: $1,250
Principal Name:
Home City: State: Zip:
Home Phone:

Congratulations! The Chicago Foundation for Education is pleased to offer you an Action Research Leadership Institute (ARLI)Fellowship accompanied by anhonorarium of $1,250.To accept this Fellowship: (a) complete the information above, (b) read the requirements below, (c) secure the necessary signatures, (d) make a copy for your records, and (e) return this contract by Monday, August 10, 2015.If you are NOT able to accept this award, please let us know as soon as possible.

FELLOWSHIP PARTICIPATION PLEDGE:

  1. I will attend all scheduled ARLI meetings. In the event of an emergency, I will contact Dr. Sue Hansen at Sue Hansen at within 24 hours to discuss the appropriate make-up assignment.
  2. I will assist with meeting facilitation, as needed, in my role as an ARLI Senior Fellow. I will fully participate in meetings, contributing to the success of the ARLI cohort experience. This includes completing assigned readings and homework,as well assharing in online discussion forums.
  3. I will write a 15-20 page Final Paper (which, if selected, will be added to the CFE website in the summer of 2016) and Executive Summary detailing my findings and policy recommendations from my action research.
  4. I will prepare a presentation and share my findings/policy recommendations with my ARLI colleagues and friends of CFE at the ARLI Research & Policy Forumin June 2016.
  5. I will participate in opportunities to share policy recommendations that are supported by my research findings. If appropriate, I will also identify an opportunity to present to members of my school/network/community.
  6. I will attendCFE’s 2015 Teachers as Leaders & LearnersWorkshop on October 24, 2015, and if invited, will present at CFE’s 2016Teachers as Leaders & LearnersWorkshop.
  7. I will have access to, check, and respond to the email address listed above on a regular basis.
  8. I understand that Fellowship checks are contingent on participation and completion of assignments and are tentatively scheduled for distribution as follows: $600 in December 2015 and $650 in June 2016. I understand that there will be a $30 charge to have a check reissued. I further understand that failure to submit the Final Paper, Final Report, and/or Executive Summary will result in forfeiture of my final payment.

I accept this Fellowship, will fulfill the criteria above, and have secured my principal’s signature below.

Date Teacher SignatureTeacher Social Security Number

PRINCIPAL PLEDGE: My teacher is in good standing with CPS and I will support my teacher as she fulfills
the responsibilities of this ARLI Fellowship.

Date Principal SignaturePrincipal Email