Innovation School Fellowship Statement of Intent ... · Innovation School Fellowship Statement of...

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Page 1 of 4 Innovation School Fellowship Statement of Intent Application Instructions Complete sections I-III. Attach your resume and the resumes of your leadership team members. Please choose one of the following: Should I be invited, I intend to apply to the Innovation School Fellowship with a new school model. Should I be invited, I intend to apply to the Innovation School Fellowship to replicate a successful school model. I. Personal Background First Name Middle Initial Last Name Mailing Address City State Zip Code Cell Phone Email Address NOTE: If more than one person is applying for a single fellowship, copy and complete the above section and submit a resume for each team member. Professional Background Company/Organization Title City/Location Dates From/To Community Leadership Experience

Transcript of Innovation School Fellowship Statement of Intent ... · Innovation School Fellowship Statement of...

Page 1: Innovation School Fellowship Statement of Intent ... · Innovation School Fellowship Statement of Intent Application Instructions • Complete sections I-III. • Attach your resume

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InnovationSchoolFellowshipStatementofIntentApplicationInstructions

• CompletesectionsI-III.• Attachyourresumeandtheresumesofyourleadershipteammembers.

Pleasechooseoneofthefollowing:

☐ ShouldIbeinvited,IintendtoapplytotheInnovationSchoolFellowshipwithanewschoolmodel.

☐ ShouldIbeinvited,IintendtoapplytotheInnovationSchoolFellowshiptoreplicateasuccessfulschoolmodel.

I. PersonalBackgroundFirstName MiddleInitial LastName MailingAddress City State ZipCode CellPhone EmailAddress

NOTE:Ifmorethanonepersonisapplyingforasinglefellowship,copyandcompletetheabovesectionandsubmitaresumeforeachteammember.

ProfessionalBackgroundCompany/Organization Title City/Location DatesFrom/To CommunityLeadershipExperience

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Pleaselistuptothreecommunityand/orvolunteeractivitiesinwhichyouhaveparticipated,startingwiththemostsignificantandmostrelevanttoyourproposedideafortheFellowship.Organization/Effort Position/ResponsibilityCity/Location DatesFrom/To Awards/Honors/PublicationsPleaselistuptofiveawards,honors,and/orpublications,startingwiththemostsignificantandmostrelevanttoyourproposedideafortheFellowship.Award/Honor/Publication Date AdditionalInformation II. SchoolVisionandMissionDescribeyourvisionforyourInnovationNetworkSchoolin500wordsorfewer.Besuretoanswerthefollowingquestionsinyourschooloverview:

• Whatarethebasiccomponentsofyourschooldesign?• Whatinformsyourschooldesign?(I.E.Whyhaveyoudesignedtheschoolthewayyouhave?)• Whatdoesyourschoolaimtoachieve?

DescribethemissionofyourInnovationNetworkSchoolin500wordsorless.Pleaseinclude: •Yourschool’smissionstatement •Howwillyourschoolachievethevisionoutlinedabove? •Whatwillatypicaldaylooklikeforastudent?

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Pleasecompletethechartbelowbasedonyourcurrentbestthinking.Narrativeoradditionalcontextcanbeofferedintheboxbelowthechart.Year GradesServed NumberofStudentsEnrolledYear1 Year2 Year3 Year4 Anynarrativeforgradeconfigurationandstudentenrollment:

Pleasecheckyourproposedyearofschoollaunchbelow:

1) Fall20192) Fall20203) Fall20214) Other_______

III. StudentAchievementIfyouintendtoopenanewschool:1)Providepresentationofyourschool’s/classroom’sdataasaschoolleaderorteacherandprovideevidenceofadvancingstudentproficiencyand2)yourgoalsforstudentgrowthandperformanceinthefirstfiveyearsofyourschool’slaunch.Pleaseusearangeofquantitativemeasures,includingthemostrecentlyreleaseddata.Ifyouintendtoreplicateanexistingschool:1)Providepresentationofyourexistingschool(s)’sdataandevidenceofadvancingstudentproficiencyandgrowth,2)theresultsyouhaveachievedatyourschool(s),and3)yourcontinuedgoalsforstudentgrowthandperformanceinyourexistingschoolaswellasinthefirstfiveyearsofyournewschool’slaunch.Pleaseusearangeofquantitativemeasures,includingthemostrecentlyreleaseddata.Note:IndianaoperatorsandschoolleadersshouldincludehistoricalandmostrecentdatafromISTEP+,IREAD+,NWEA,andIndianaReportCard.

IV. NextSteps

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YouwillbenotifiedofwhetheryouhavebeeninvitedtosubmitaFullApplicationwithin3weeksofsubmittingyourStatementofIntent.Foradditionalinformation,visitwww.themindtrust.org.Pleaseemailquestionstoaaudrain@themindtrust.org.