JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
LELA Fellow Application - Cohort Two
Please turn in this form no later than 8/26 at midnight PT. Applications submitted after 8/26 will not be reviewed.
For more information about the fellowship, check out:
http://lexingtoninstitute.org/be-one-of-ten-to-personalize-for-thousands-lexington-institute-leadership-award-fellowships/
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name of Superintendent or Executive Cabinet Member Applying for LELA Fellowship
Superintendents, Assistant Superintendents, and CAOs or equivalents are all eligible to apply. (Please select one member per district to represent the district)
Your answer
Role of Person Applying for LELA Fellowship
*
Superintendents, Assistant Superintendents, and CAOs or equivalents are all eligible to apply. (Please select one member per district to represent the district)
Your answer
Best email for correspondence regarding LELA Fellowship
Your answer
Name of district
*
Your answer
City
*
Your answer
State
*
Your answer
Number of elementary schools in your district
*
Your answer
Number of middle schools in your district
*
Your answer
Number of high schools in your district
*
Your answer
Number of students in your district
*
Your answer
Superintendent tenure in your district (# of years)
*
Your answer
What are your top three priorities in your district for 2015-2018
*
Your answer
Why are you interested in personalized learning for your district?
*
Your answer
How would you characterize your district?
*
Choose one
I’m already systematically implementing personalized learning in my district (ie. I have the appropriate technology, I have access to appropriate digital content and tools, and I have teachers blending teaching), but I’m worried that our implementation is not running smoothly and I want to to get it back on track. Need some tweaks to my program!
Have funds for start-up costs for personalized learning and have personalized learning written into our strategic plan. Can start right away!
Looking for funds for start-up costs to get started with personalized learning but have really invested executive team who wants to make it work (Superintendent, School Board, IT Director, and CAO/Curriculum and Instruction Director are aligned that personalized learning is your next step). On the brink!
Love the idea of personalized learning. Some teachers/schools in my district are being innovative with technology but not entirely sure how it's impacting student performance. Would like to think about building a case to bring personalization in more systemically. Need to organize my stakeholders around PL
Other:
Briefly describe (i) any technology initiatives currently happening or about to happen and (ii) how you are funding the initiative
*
2 part question. Please answer parts i and ii.
Your answer
What was the last major superintendent-driven reform in your district? Describe briefly how it was rolled out and what results you’ve seen.
*
Your answer
How would you describe personalized learning to your community of stakeholders in order to gain the most traction?
*
Your answer
The LELA fellowship requires a significant time commitment including in-person and virtual meetings. Can you commit to the following dates?
*
Fellows are required to attend the November and June sessions. Fellows can select between the two March and April dates. Please select all that you can attend.
Nov 8-11 (Orlando)
March 29-31 (TBD)
April 4-7 (TBD)
June 2 (DC)
Required
Please name two things you hope to get from the LELA fellowship
*
Your answer
What is one personal fun fact you can share with the selection committee?
*
Your answer
Please include a link to your most current strategic plan
*
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ed Elements.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report