Applicant Information

A Complete Application Includes:
  1. Completed Personal Information
  2. Resume (3 page* limit)
  3. Responses to six reflection questions (6 page* limit)
  4. Three letters of recommendation; including one from each of the following
    • Principal or other direct supervisor
    • Other teacher or other educator which holds a similar position (does not have to be in the same district)
    • Parent or other community leader outside of education
  5. One artifact that supports your application; artifacts may include but are not limited to:
    • Link to a teaching or professional development delivery video (up to 30 minutes) and associated documentation (lesson plan or presentation)
    • Something created or completed for the benefit of your students or school that has a high and/or long-term impact
  6. Reflection Questions
    • Question 1: What is your ultimate vision for computer science in your setting?
    • Question 2: How has your work supporting Computer Science directly exemplified one subdomain out of each of the four domains of the Charlotte Danielson Framework for Teaching?
    • Question 3: How has your work supporting Computer Science went beyond your direct sphere of influence and/or job duties?
    • Question 4: Which one of the seven state adopted Computer Science Practices do you feel is most important? Why? And how does it influence your daily work?
    • Question 5: How have you encouraged diversity within Computer Science engagement within your setting?
    • Question 6: If you could change one thing about the Computer Science Initiative at a national, state, or local level, what would it be and why?

*a “page” is a single-spaced document in 12pt Times New Roman typeface with 0.5 margins on all sides

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* 1. What is your first name?

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* 2. What is your middle name?

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* 3. What is your last name?

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* 4. What is your mailing address? (Line 1)

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* 5. What is your mailing address? (Line 2 if needed)

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* 6. What is your mailing address city?

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* 8. What is your mailing address zip code?

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* 9. What is your daytime contact phone number (XXX-XXX-XXXX)?

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* 10. What is your workplace phone number (XXX-XXX-XXXX)?

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* 11. What is your Arkansas Educator Licensure System Case ID number. (This can be located by going to https://adeaels.arkansas.gov/AelsWeb/Search.aspx, searching your name, locating your record, and then looking in the upper left hand corner of the web page in the box labeled "Case ID.")

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* 12. In what district are you employed?

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* 13. What is your employment title?

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* 14. How many students do you directly influence on a daily basis?

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* 15. What is your work email address?

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* 16. I hold the 528 Endorsement on my Arkansas Educator's License (528 endorsement not required for consideration).

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* 17. I hold the 5016 or other Computer Science Approval Code on my Arkansas Educator's License (not required for consideration).

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* 18. Resume Upload: Max 3 pages 

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* 19. Combined Letters of Recommendation (3 exactly)

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* 20. One artifact that supports your application

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* 21. Responses to six reflection questions upload (6 page limit)

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* 22. I understand that I, as an individual holding an Arkansas Educator's License, am bound by The Code of Ethics for Arkansas Educators. Standard 3 states, "[a]n educator honestly fulfills reporting obligations associated with professional practices." Any submissions of this form that the ADE Office of Computer Science believes may be in violation of this standard will be reported to the ADE Professional Licensure Standards Board.

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* 23. I understand that I am responsible proper reporting of any received awards and any subsequent federal and/or state taxes. If I receive more than $600.00 in a calendar year, I will receive a 1099 from ADE.

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