TORAH UMESORAH’S INSTRUCTIONAL COACHING COLLABORATE Outcomes: Participants will study and develop coaching skills and strategies Participants will be able to assist and support newly-hired teachers while employing

coaching language and data-based assessment tools. Participants will understand professional teaching standards and recognize

Elements of Effective Instruction that impact student learning. Participants will connect with a growing professional community of learners.

Academic Year Focus:

Elements of Effective Instruction Assessment: Formative and Summative Traditional and Authentic Classroom Management: Different Approaches Communication Phases of Teacher Induction Deepening Relationships Growth vs. Fixed Mindset Resources Within and Outside the School Setting Data-based Collection Tools Professional Teaching Standards Learning Defined Unit Planning *cutting-edge learning strategies to be incorporated throughout

Personal Information:

First Name: _____________________________ Last Name: _____________________________

Home Address: __________________________________________________________________

City: __________________ State: _____________ Zip: ___________

Email: __________________________________________Phone/Cell: (____) ______-_______

School Information:

Name of School: ____________________________________________ Grade: _________

Email of School/Principal: _____________________________________

Method of Payment: ($500)

o Credit Card # _______________________________ Exp. _____ Billing Zip: __________

Torah Umesorah Instructional Coaching Collaborate Application for Acceptance

Date: ____________

Applicant’s Name: _________________________ Referred by: __________________________

Address: ___________________________ Zip Code: __________________

Home Phone: _____________________________ Cell Phone: ___________________________

Email Address: ___________________________________ Fax: _____________________

Educational Background (diplomas, degrees, continuing education, professional development): Please list in order of attendance, all professional development courses and educational institutions attended.

Institution/Organization Location From – To (years) Certificate /Degree

Teaching/Principal Experience:

From – To (years)

Grade Level Subjects Name/Address of School

Total # of Years in Position

Personal Participation Goals: What do you hope to gain from the Torah Umesorah Instructional Coaching Collaborate? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

References: Please list the contact information of three administrators/educators.

Name Position Cell Phone Work Phone Email address

Commitment: I understand that I will be awarded the Torah Umesorah Certificate of Attendance upon completion of nine full days of training in the summer, as well as five half – day seminars in the fall/spring. I also understand that in my role as an instructional coach, I will speak to beginning teacher 45 minutes per week and visit her classroom bi-weekly when school is in session. Throughout my internship, I will be asked to maintain data records for my use and the evaluation of the program. Signature of Applicant: __________________________________ Date: __________________ Please email this form to nherbst@torahumesorah.org