Must be postmarked on or before January 2, 2004
2004
Arkansas Governor’s School (AGS)
Faculty Application
Mr., Ms., Dr. (circle)
Name: ______E-mail Address: ______
(Please Print)
Present Address: ______
Permanent Address: ______
Home Telephone: (______)______
Business Telephone: (_____)______
Employer: ______Employer’s Phone: (_____)______
Current Position: ______
Supervisor (Reference): ______
Educational Background:
Year / Degree / Discipline / SchoolAGS Faculty are Hired in:
Choral Music, Drama, Instrumental Music (strings, brasses, woodwinds, percussion, conductor), Visual Arts, Language Arts, Mathematics, Natural Sciences, Social Sciences, Conceptual Development, and Personal/Social Development for the Gifted and Talented.
Position Desired:1st choice ______
2nd choice ______
Interviews will be conducted in Conway on Friday, January 23, 2004. Interviews with out-of-state candidates will be conducted by phone also on Friday, January 23, 2004.
Total number of years teaching experience: ______With high school age students: ______
Where did you hear about this opportunity?______
______
Ark. Code Ann. 6-42-106 (Repl. 1999) AE Form SPED –03-00-014R 11/92
Page 1 of 2
State briefly your reason for seeking a position at the Governor’s School. What is your personal approach to teaching? Provide any further comments for the committee’s consideration.
Please list four professional references, specifying their relationship to you and their phone numbers, excluding your current employer or supervisor, which were listed on the previous page:
1.
2.
3.
4.
After having read the AGS Overview explaining all aspects of Arkansas Governor’s School (if you do not have a copy of the Overview, call 501-682-4224 and one will be sent to you or you may access this information on the Governor’s School Web Page – please attach a statement which gives your personal approach to the goals of AGS and the methods of teaching you would apply. Also feel free to attach a vita and/or cover letter that includes other specific information pertinent to your interest in participating in the 2004 AGS program.
Statement (please sign):
I will be available for employment for the seven weeks (one week orientation and six weeks of AGS) from Tuesday, June 8, through Saturday, July 24, 2004.
______
DateSignature of Applicant
RETURN THIS APPLICATION TO:
Ann M. Biggers, Administrator
Programs for the Gifted and Talented
#4 Capitol Mall, Room 203B
Little Rock, AR 72201
Telephone: 501-682-4224
FAX: 501-682-4220
E-mail:
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ARKANSAS GOVERNOR’S SCHOOL
for the
GIFTED AND TALENTED
JUNE 13 – JULY 24, 2004
HENDRIX COLLEGE
CONWAY, ARKANSAS
Faculty positions available in:
Choral Music
Drama
Instrumental Music
Visual Arts
Language Arts
Mathematics
Natural Science
Social Science
Conceptual Development
Personal/Social Development
FOR APPLICATION FORM AND MORE INFORMATION CONTACT:
Ann M. Biggers, Administrator
Office of Gifted and Talented
State Education Building, #4 Capitol Mall, Room 203-B
Little Rock, AR 72201-1071
Or
(Director’s Memo #SI-04-021)