THE GOVERNOR’S SCHOOL OF NORTH CAROLINAEMPLOYMENT APPLICATION – 2018SESSION
COMPLETE THIS APPLICATION ELECTRONICALLY – ONLY HANDWRITE YOUR SIGNATURE
This is a common application used by all Governor’s School employment applicants.Questionson pages 3are position-specific and require attached answers. Openings are postedon the Governor’s School website () and are updated until all positions are filled.The North Carolina Department of Public Instruction (DPI) will contact applicants by email upon receipt of their applications.Final selection processes include a live or recorded interview with DPI and the Site Director(s) of Governor’s School East and/or West.The employment period is mid-June through late July.
PERSONAL INFORMATION AND INTENTDATE//
NameLast Four Digits of Social Security #
Current Mailing AddressCity State Zip
County of Residence E-Mail Address
Home #-- Work # -- Cellular # -- Fax# --
Governor’s School Position Desired 1stChoice: 2ndChoice:
Refer to the Governor’s School website for vacancies. Refer to page 5 of this application for curricular descriptions.
- Instructor: indicate anyspecialty within yourdiscipline; e.g., Inst. Music/Strings,Natural Science/Physics.
- Staff: list the specific role; e.g., Activities Coordinator, AudioVisual Coordinator, etc.
- Teaching Assistant/Counselor (TAC): listpreference for the assistant part of your role; e.g., TAC/English, TAC/Office.TAC roles include Office, Activities and all the curricular disciplines on page 5.NOTE: Position offerings will be determined based on returning employees and new applicants; they may/may not reflect your specific preferences.
Which site do you prefer? Governor’s School West (Winston-Salem) Governor’s School East (Raleigh)
If a position is available, are you willing/able to accept employment at either site? Yes No
Equal Opportunity Information
The North Carolina Governor’s School is an equal opportunity employer within the Department of Public Instruction.State Government policy prohibits discrimination based on race, sex, color, creed, national origin, age or disability. Sex, age or absence of disability is a bona fide occupational qualification in a small number of State jobs. The information requested below will in no way affect you as an applicant. Its sole use will be to see how well our recruitment efforts are reaching all segments of the population.
ETHNIC GROUP White or Caucasian Black or African-AmericanHispanic/Latino
Asian American Indian or Alaska nativeNative Hawaiian or Other Pacific Islander
Two or More RacesOther
Date of Birth //Gender
DISABILITY: “Disability means, with respect to an individual: (1) a physical or mental impairment that substantially limits one or more of the major life activities of such individual; (2) a record of such an impairment; or (3) being regarded as having such an impairment” (Americans with Disabilities Act of 1990). Persons without a disability should check item A. The reporting of a disability is strictly VOLUNTARY. Persons with disabilities who DO NOT WISH to report their disabilities should check item A. Information reported on this form will be kept confidential as required by State law. Public disclosure of this information without your con sent would be a violation of G.S. 126-27.
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A None/Prefer not to report / GRespiratory impairmentB Blind or severely visually impaired / H Nervous system/Neurological disorder
C Deaf or severely hearing impaired / IMentally restored
D Loss or limited use of arms and/or hands / J Mental retardation
E Non-ambulatory (must use wheelchair) / K Learning disability
F Other orthopedic impairment (including amputation, arthritis, back injury, cerebral palsy, spina bifida, etc.) / L Others (heart disease, diabetes, speech impairment)
M Other (please specify)
Availability Do you now work for the State of NC? Yes No
Are you related by blood or marriage to any person now working for the State? If yes, give name, relationship to you and the agency where employed.
Have you ever been convicted of an offense against the law other than a minor traffic violation? (A conviction does not mean you cannot be hired. The offense and how recently you were convicted will be evaluated in relation to the job for which you are applying.)
YES NO (If yes, explain fully on an additional sheet.)
EDUCATIONALTRAINING (Begin with most recent experience.)
Institution / City, State / Dates / Diploma or Degree Program / Completed?YES
NO
YES
NO
YES
NO
YES
NO
PROFESSIONAL TEACHING EXPERIENCE (Begin with most recent; other work experience on page 3.)
Current or Last School or School System: / City, State: / Job Title, including grade or subjects:Date Employed/Date Separated: / Full Time
Years Months / No. Supervised by you: / Reason for Leaving:
Supervisor’s Name & Telephone Number: / Part Time
Years Months / If part time, number of hoursworked per week: / May We Contact Employer?
YES NO
School or School System: / City, State: / Job Title, including grade or subjects:
Date Employed/Date Separated: / Full Time
Years Months / No. Supervised by you: / Reason for Leaving:
Supervisor’s Name & Telephone Number: / Part Time
Years Months / If part time, number of hoursworked per week:
School or School System: / City, State: / Job Title, including grade or subjects:
Date Employed/Date Separated: / Full Time
Years Months / No. Supervised by you: / Reason for Leaving:
Supervisor’s Name & Telephone Number: / Part Time
Years Months / If part time, number of hoursworked per week:
School or School System: / City, State: / Job Title, including grade or subjects:
Date Employed/Date Separated: / Full Time
Years Months / No. Supervised by you: / Reason for Leaving:
Supervisor’s Name & Telephone Number: / Part Time
Years Months / If part time, number of hoursworked per week:
NORTH CAROLINA GOVERNOR’S SCHOOL EXPERIENCE
Attendedthe NC Governor’s School?YES NOIf yes, when? Which campus? What Area?
Worked at the NC Governor’s School?YES NO
If yes, when? Which campus? What Area(s)?
WORK EXPERIENCE List any full-time work experience outside the teaching profession within the past ten years. Begin with the most recent experience.(All applicants)
Current or Last Employer: / City, State: / Job Title:Date Employed/Date Separated: / Full Time
Years Months / No. Supervised by you: / Reason for Leaving:
Supervisor’s Name & Telephone Number: / Part Time
Years Months / If part time, number of hoursworked per week: / May We Contact Employer?
YES NO
Employer: / City, State: / Job Title:
Date Employed/Date Separated: / Full Time
Years Months / No. Supervised by you: / Reason for Leaving:
Supervisor’s Name & Telephone Number: / Part Time
Years Months / If part time, number of hoursworked per week:
Employer: / City, State: / Job Title:
Date Employed/Date Separated: / Full Time
Years Months / No. Supervised by you: / Reason for Leaving:
Supervisor’s Name & Telephone Number: / Part Time
Years Months / If part time, number of hoursworked per week:
Employer: / City, State: / Job Title:
Date Employed/Date Separated: / Full Time
Years Months / No. Supervised by you: / Reason for Leaving:
Supervisor’s Name & Telephone Number: / Part Time
Years Months / If part time, number of hoursworked per week:
What professional certificates/licensures do you hold?
In what professional organizations, clubs or societies do you hold memberships?
List the professional activities in which you have recently participated.
Are you a certified Emergency Medical Responder? YES NO Certified Lifeguard? YES NO
ADDITIONAL QUESTIONS
On one or more attached page(s), answer all the following questions according to your applying position.
ALL APPLICANTS
- Why do you seek employment at the Governor’s School?
INSTRUCTOR APPLICANTS ONLY
- The Governor’s School’s unique curriculum is briefly described on page 5. What prior teaching experiences prepare you to teach the subject for which you are applying?
- The emphasis at the Governor’s School is on contemporary ideas in all fields. What experiences in your discipline prepare you for such an emphasis?
SUPPORT STAFF APPLICANTS ONLY, INCLUDING TACs (EVEN IF THIS IS YOUR SECOND CHOICE)
- Explain a particular experience, talent or interest that prepares you for the position you seek.
- If you are primarily interested in an academic/arts position, name a particular and new concept, text, artistic piece, etc., you believe you know well and would like to contribute to this area.
- If you are primarily interested in an administrative position, name a particular technological resource or administrative skill you believe you possess/know well and can contribute to the position.
- If we do not have a position in the area for which you are applying, would you be willing to undertake other tasks? If so, suggest what you would be interested in and qualified to do.
REFERENCES
List three persons who have firsthand knowledge of your training, teaching ability, experience or other qualifications for the position(s) you seek. Names of persons acquainted with you professionally are preferred.
Name and Position / Mailing/Email Address / Telephone– –
– –
– –
If you wish, attach a current resume or curriculum vitae. If you have a current university/college transcript, please attach it to this application form also.
I certify that I have given true, accurate and complete information on this form to the best of my knowledge. In the event confirmation is needed in connection with my work, I authorize educational institutions, associations, registration and licensing boards, and others to furnish whatever detail is available concerning my qualifications. I authorize investigation of all statements made in this application and understand that false information or documentation, or a failure to disclose relevant information may be grounds for rejection of my application, disciplinary action or dismissal if I am employed, and (or) criminal action. I further understand that dismissal upon employment shall be mandatory if fraudulent disclosures are given to meet position qualifications (Authority: G.S. 126-30, G.S. 14-122.1.)
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Signature of Applicant (unsigned applications will not be processed)
Application Submission – Include All Attachments
Mail to:
Governor’s School of North Carolina
Exceptional Children Division
NC Department of Public Instruction
6356 Mail Service Center
Raleigh, NC 27699-6356
or Scan/Email to:
RevisedFebruary 2018
Governor’s School Curriculum
The curriculum of the Governor’s School of North Carolina consists of three parts: Area I, Area II, and Area III. Area I is the academic or performing/visual arts subject in which the student is nominated. Areas II and III are courses that seek to integrate the ideas generated in Area I classes. Area II’s emphasis is on philosophical connections, Area III’s on personal ones.Area I classes meet twice a day, Monday through Friday, and once on Saturday. Area II and Area III classes meet three times a week each.
AREA I
Study in each Area I discipline emphasizes theory over the memorization of fact, particularly contemporary and progressive theories that stimulate innovative thought in a rapidly changing culture. Courses and activities are designed to stimulate student creativity, move students to question basic assumptions, explore unanswered questions, and develop an acceptance of the process of change.
Art
In the visual arts curriculum, students study and practice visual expression consistent with current concepts and styles. Emphasis is placed on creative expression as students investigate and examine movement and theories in contemporary art.
Choral Music
The choral music curriculum includes choral works ranging from traditional to modern to experimental. By concentrating on music of 20th and 21st century composers, students learn the finer points of choral singing – blend, diction, tone quality – and vocal techniques in rehearsals and performance.The aim is to take students from music that is relatively familiar in form and content to repertoire that is quite challenging aesthetically, intellectually, and technically.
Dance
The dance curriculum embraces and expresses 20th and 21st century theories through daily modern technique classes, a survey of recent historical pioneers, and the integration of self-expression and abstraction through improvision, composition, and choreography.
Theater
The goal of the theater curriculum is to introduce young theater artists to contemporary and progressive theory, literature and technique. The approach is holistic, encouraging the actor to become a well-rounded, life-long student of the theater.
English
The English curriculum focuses on modern and postmodern fiction, poetry, and drama. The students are encouraged to read closely, imaginatively, analytically, and empathetically. Some teachers present prewriting and revising strategies to help students improve
their writing.
Foreign Language: French (East)
French students improve their skills in reading, writing and conversing and examine the emerging literature, music and art of French cultures.The class is presented in French to encourage students to improve skills in reading, writing, and oral communications.
Foreign Language: Spanish (West)
The goal of Spanish is to expose the student to contemporary thought, literature, music, art, and political trends coming from Spain
and Hispanic America. The class is presented in Spanish to encourage students to improve skills in reading, writing, and oral communications.
Instrumental Music
The focus of instrumental music is the study and performance of significant 20th and 21st century repertoire for orchestra (West) or wind ensemble (East), small ensembles, and the creation and performance of student works. The aim is to take students from music that is relatively familiar in form and content to repertoire that is quite challenging aesthetically, intellectually, and technically.
Mathematics
The mathematics program strives to provide an atmosphere for students to independently contemplate and investigate problems that arise in contemporary mathematical fields. In addition, the program provides many opportunities, through student-faculty interaction, seminars and invited lecturers, for students to gain an appreciation for both mathematics and the work of mathematicians.
Natural Science
The natural science curriculum investigates contemporary theories and topics of modern science by the use of interactive seminar, discussion, group and individual problem solving.
Social Science
The social science curriculum examines the major political, sociological, psychological and anthropological concepts which have influenced the 20th and 21st centuries from theoretical and applied perspectives.
AREA II
Each student attends another class comprising students from each of the Area I disciplines. Here students and teachers explore connections between and among these disciplines. As integrative concepts emerge, the class attempts to construct an understanding of contemporary ways of thinking and of the culture that arises from them.
AREA III
This third class also comprises students from each of the Area I disciplines. Here students attempt to ground what they are learning in their Area I and II classes in their own personal experience. Finally, they apply that understanding to their social worlds.
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