1. Aspiring Principal Application Form

**Application Dates**

Open Application Period: January 1- March 1, 2013
Application Due Date: March 1, 2013
Notification Period: April 1 - April 15, 2013


**Application Checklist**

- This application form and essays, completed on survey monkey
- Resume
- Three letters of reference (see guidelines at the end of this form)


**You are able to return and edit the survey after exiting or submitting, providing you use the same computer, and do not clear cookies prior to re-entering. However, we recommend that you complete the survey in one sitting if at all possible.**

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* 1. Name

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* 2. Current Position

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* 3. Years of teaching and/or other school-based experience

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* 4. Home Address

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* 5. Please provide your Home and/or Cell Phone Number

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* 6. Email Address

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* 7. School

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* 8. School Address

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* 9. School Phone Number

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* 10. School Fax Number

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* 11. Do you hold an advanced degree? If so, in what?

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* 12. How did you hear about PRN?

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* 13. How have you served as a leader in your school and community? Comment on your style of leadership. What are your strengths and learning needs as a leader?

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* 14. Describe a time when you noticed an inequity and said or did something to address it.

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* 15. How do you expect the staff would respond to your service as an Aspiring Principal in your school?

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* 16. If you were to start a school from scratch, what would it look and feel like? What would make it different from other schools?

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* 17. This program is an apprentice-based program which requires self-direction, reflection, and initiative; please assess how you would function in this kind of learning environment.

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* 18. What leadership position(s) do you aspire to over the next three to five years? Do you want to become a principal? Why or why not?

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* 19. Please initial and date the following statement:

I understand that if I am selected to participate as an Aspiring Principal in the Principal Residency Network, I will work as a principal intern until I have mastered the requisite program competencies under the guidance and with the support of a mentor principal. I understand that I will be expected to create an individualized learning plan, take on consequential school based projects, meet regularly with my mentor, and document my work and research through a portfolio. I understand that leadership presentations, written narratives and reflections, and feedback from a school based assessment team will be used to determine my growth and progress. I understand that I must participate in all institutes, seminars, and meetings as laid out in the program's calendar.

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