Dakota Dreams Teacher Leadership Academy Application

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Dakota Dreams Teacher Leadership Academy offers teachers who have taught for three+ years an experience-based learning opportunity to further develop their educational leadership skills and explore administrative roles and responsibilities in schools

Title

A short description to explain the nature of a ticket.

Dakota Dreams Teacher Leadership Academy 2024-2025 Application

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Applicant Information

First Name

Preferred First Name

Middle Name

Last Name

Previous Last Name (if applicable)

Work Phone Number

Cell Phone Number

Work Email Address

Personal Email Address

Home Address

Street Address

Mailing Address (if different than above)

Apartment/Suite #

City

State

Zip Code

Emergency Contact

Contact's First Name

Contact's Last Name

Emergency Contact's Relationship to You

Contact's Phone Number

Additional Information (Optional)

This information allows the South Dakota Board of Regents to complete your profile in its Student Information System. It will not be provided to the selection committee.

Gender

Female Male Prefer Not to Identify

Date of Birth

Social Security Number

Is your ethnicity Hispanic or Latino?

Yes No Prefer not to answer

What is your race? (Select all that apply)

American/Indian or Alaskan Native

Asian

Black

Pacific Islander or Native Hawaiian

White/Caucasian

Prefer Not To Identify

Have you lived in South Dakota for the past 12 months?

Yes No

Citizenship/Nationality

Country of Citizenship

Country of Birth

City of Birth

Employment Information

Current Position

School Name

If Other School Name, Please Identify

School District

If Other School District, Please Identify

Years of Experience

Supervisor Email

Business Officer/Manager Email

Leadership Perspective

Why are you interested in participating in the Dakota Dreams Teacher Leadership Academy? (Limit to 500 words)

What do you hope to accomplish through your participation in the Dakota Dreams Leadership Academy? (Limit to 500 words)

Who has been a mentor to you and how have they been influential in your life? (Limit to 500 words)

My goal is to move into administration within:

I want to be a(n):

Do you already have your master's in education?

Yes

Do you intend to apply the three credits you receive toward a future master's program?

Yes No Unsure

Are you already enrolled in a master’s program?

Yes No

From which institution are you obtaining your master's degree?

If other, indicate what institution you are obtaining your master's degree at

Which Master's Program are you currently obtaining?

Have you participated in the Aspiring Leaders program?

Yes No

What year did you participate in the Aspiring Leaders program?

Required Documents and Submission Materials

Please upload your Resume, one Letter of Reference, and the Supervisor Approval Form

File attachments associated with the ticket.

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Attachment Upload Confirmation

Resume

Letter of Reference

Supervisor Approval Form

By selecting the "submit" button, I certify that:

• The information provided is complete and true to the best of my knowledge.

• If selected, I am fully prepared to be an active participant, I commit to attend all sessions, and I agree to devote the time and resources required to complete the Dakota Dreams Teacher Leadership Academy.

Other Fields

Your name

Your email address

Verification Code