Instructional Leadership Program Application Form

Principals, vice-principals, high school department heads (as defined by the Teachers’ Provincial Agreement), regional consultants and coordinators, and regional coaches/mentors are invited to apply for acceptance into the next cohort of the Instructional Leadership Academy program, beginning in September. Please note: All applicants must be able to commit to two hours, on average, of practicum experiences between classes in each course. Practicum experiences vary, but often involve classroom visits and conversations with teachers.

Applications close April 30.

Applications received after the closing date will be accepted if space is available in the cohort.

Please note: Recognizing that the application form has several areas requiring detailed written responses, applicants are strongly encouraged to complete the questions offline, prior to completing and submitting the online application. This will prevent the possibility of losing your work should an Internet connection fail or website timeout occur. Answers can be copied and pasted from a Word document into the appropriate online form fields. Click here to download a working copy of the application form. All form fields are required to be completed prior to submission of your application.

Confidentiality: The information you provide will be kept confidential. However, some of the information may be analyzed to determine demographic trends.

Part 1: Personal Information

Name*

Cell Phone Number*

Home Phone Number*

Preferred Email*

GNSPES Email*

Civic Address*

Mailing Address if different from above

Estimated Start Date

Self-identify, if you wish:

Part 2: Professional Information

Professional Number*

Certification Level*

Part 3: Leadership Experience

Current Position

For Principals and Vice-Principals:

Title

Years in Position

School

Grade Levels

Current Enrollment

Regional Centre for Education/Board

For Department Heads:

Title

School

Years in position:

Regional Centre for Education/Board

For Regional Consultants and Coordinators:

Title

Years in position:

Office Location and Address

Regional Centre for Education/Board

For Regional Coaches/Mentors:

Title

Years in position:

Responsibilities

Office Location and Address

Regional Centre for Education/Board

Part 4: Professional Learning

Are you currently enrolled in a graduate program?* Yes No

If yes, please complete the information below.

Current Program of Studies

Program:

Focus:

University:

Estimated Completion Date:

Previous Graduate Studies

Degree/diploma:

University:

Year Obtained:

Focus of studies:

Other Professional Learning

Please list one or two other professional learning experiences (for example, workshops, conferences, courses) that you found meaningful for your work as an instructional leader.

Part 5: Leadership Activities

Briefly describe (in 75 words or less) one or two leadership activities you have led or are currently leading in your school or region/board.*

Part 6: Professional Learning Goals

Briefly outline one or two of your professional learning goals (maximum 50 words).*

Briefly outline your reasons for enrolling in the NSILA (maximum 50 words).*

Part 7: Professional Reference

Current Immediate Supervisor

Name*

Position*

Contact Phone Number*

For inquiries about the Instructional Leadership Academy program, please contact:

Sue Taylor-Foley
Program Director
Instructional Leadership Academy
Phone: 902-299-0611
Email: sue.taylor-foley@elcns.ca

Instructional Leadership Program Application Form

Please review and proofread your application prior to submission. You may use the "Previous Page" button to go back and make any required changes. When your application is complete, simply click the “Submit NSILA Application” button.

Part 1: Personal Information

Name

Cell Phone Number

Home Phone Number

Preferred Email

GNSPES Email

Civic Address

Mailing Address (if different from above)

Custom Message

Self-identify, if you wish:

Part 2: Professional Information

Professional Number

Certification Level

Part 3: Leadership Experience

Current Position

For Principals and Vice-Principals:

Title

Years in Position

School

Grade Levels

Current Enrollment

Regional Centre for Education/Board

For Department Heads

Title

School

Years in this position:

Regional Centre for Education/Board

For School Board Coordinators and Consultants

Title

Years in this position:

Office Location and Address

Regional Centre for Education/Board

For School Board Coordinators and Consultants

Title

Years in position:

Responsibilities

Office Location and Address

Regional Centre for Education/Board

Part 4: Professional Learning

Are you currently enrolled in a graduate program?

If yes, please complete the information below.

Current Program of Studies

Program:

Focus:

University:

Estimated Completion Date:

Previous Graduate Studies

Degree/diploma:

University:

Year Obtained:

Focus of studies:

Other Professional Learning

Please list one or two other professional learning experiences (for example, workshops, conferences, courses) that you found meaningful for your work as an instructional leader.

Part 5: Leadership Activities

Briefly describe (in 75 words or less) one or two leadership activities you have led or are currently leading in your school.

Part 6: Professional Learning Goals

Briefly outline one or two of your professional learning goals (maximum 50 words).

Briefly outline your reasons for enrolling in the NSILA (maximum 50 words).

Part 7: Professional References

Current Supervisor:

Name

Position

Contact Phone Number

Note: Personal information is being collected for the purpose of determining candidates for the NSILA program. Please note that it may also be used to support the evaluation of the NSILA program only to the extent necessary for the evaluation process. Security measures will be taken to protect the privacy of all personal information.

For inquiries about the Nova Scotia Instructional Leadership Academy, please contact:

Sue Taylor-Foley
Program Director
Instructional Leadership Academy
Phone: 902-299-0611
Email: sue.taylor-foley@elcns.ca