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The Maine DOE is seeking Health Education and Physical Education Teachers for enrollment in Year 3 of the Maine Teachers Instructional Practice Network, a win-win teacher leader project. Applicants will receive training in facilitation, leadership skills and formative assessment; participate in a curriculum unit and  lesson design; and provide input into a user-friendly Health Education and Physical Education teacher led website.

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* Please complete the following demographic information.

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* What is your primary position/responsibility?

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* Provide the name and email address of your building administrator.

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* Intent and Interest

In the boxes below describe your interest in becoming a teacher leader and participating in this initiative. Include a brief paragraph sharing your experience in lesson and/or unit design and assessment. Also describe any experience you have collaborating with other educators and any other information you feel would be relevant. (Due to character limitations in SurveyMonkey you will need to use multiple comment boxes provided below.)

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* Professional Experiences and Workshops

In the box below, describe your relevant professional development experiences in the past three years. Include professional development you have participated in as well as any that you have delivered.

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* Professional Organizations

In the box below, list the professional organization in which you are a member.

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* Add additional information in this box.

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* Letter of Support
Email a letter of recommendation from a teaching colleague or school administrator who is familiar with your work as a health educator or physical educator in which s/he includes comments and/or examples reflecting your leadership potential and your ability to work collaboratively. 

Indicate who the letter is from and their position in the box below.

Selected individuals are expected to commit to professional development events outlined in the cover email and attached document, including the Orientation Training on October 20.

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* Verification of Information
Click on the circle before, "Selection indicates my signature", a check mark will appear that verifies all the information provided in this application is correct and indicates I wish to be considered to attend and participate as a health education or physical education teacher leader.

Teachers wishing to be considered for participation in the Maine Health Education and Physical Education Cadre must do the following by September 29, 2017: 
1) complete this SurveyMonkey application
2) email a letter(s) of support

If you have questions or need more information contact by phone or email either

Susan.Berry@maine.gov / 207.624.6695 or Jean.Zimmerman@maine.gov / 207.624.6687
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