Kenan Fellows Program for Teacher Leadership

All submissions must be completed by Friday, January 22nd, 2021.

Personal Information

Name *

Prefix First Middle Last

Personal Email *

School Email

Home Address *

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone *

Cell Phone

I identify my gender as:

Race

School Information

School District *

Please select the school district where you are currently employed.

If other please specify.

School *

Subject

Please select all that apply.

If CTE please specify.

If other please specify.

Grade

Please select all that apply.

Grade Column 1

Please select all that apply.

Grade Column 2

School Address *

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone *

Fax

Educational Information

List all colleges or universities you have attended. *

Begin with the most recent. Click the plus sign to add more.

College/University	Location	Major	Degree	Start Date	End Date or enter "Current"

Teaching Experience

Areas of Certification *

Years of Teaching Experience *

National Board Certification Status *

Teach for America (TFA) *

NC Teaching Fellows *

Employment History

List your employment experience. *

Begin with your current position. Click the plus sign to add more.

Position/Title	Employer	Location	Start Date	End Date or enter "Current"

Other Information

List all presentations made in the last 5 years. Please specify if your audience was at the local, statewide or national level. *

Enter most recent first. Click the plus sign to add more.

Audience	Title of Presentation/Publication	Name of Conference or Workshop/Article	Date of Presentation/Publication

List all grants that you have received in the last 5 years, include dates and the amount.

Enter most recent first. Click the plus sign to add more.

Name of Grant	Amount of Award ($)	Date Awarded

Provide specific examples of your role as a teacher leader and whether it was at the department, school, system, state or national level. *

Enter most recent first. Click the plus sign to add more.

Name of Role or Activity	Influence Level	Start Date	End Date or enter "Current"

Do you teach at a Title 1 school? *

Yes
No
I don't know

How did you hear about the Kenan Fellows Program for Teacher Leadership? *

If other please specify.

Project Preferences

All applications will be considered for every opportunity available within the defined ranges of the applicant’s school district as listed on the current year’s fellowship descriptions at Kenanfellows.org.

I am interested in:

Check all that apply.

All opportunities in my area.
Specific opportunities in my area.
A University setting in my area.
A Business/Industry setting in my area.
An Informal Education setting in my area.

Please list 1-3 opportunities.

I have prior experience in the following:

Check all that apply.

University/Community College Research Lab/Training Facility
Business/Industry Setting
Informal Education Setting (e.g. museum, botanical garden, etc.)
I have no prior experience in any of these settings

Essay

The Kenan Fellows Program for Teacher Leadership seeks teachers to be part of a network of accomplished educators who model innovative and relevant instructional practices. Kenan Fellows work to build leadership and instructional skills and develop new resources based on unique summer internships. Please respond to the following three questions and use specific examples when possible.

Why are you interested in becoming a Kenan Fellow?
Describe your community/students/school. What does a typical instructional day in your class/job look like?
What changes/additions/resources would you like to incorporate either personally or professionally?

You may choose to submit your response in 1 of 2 ways. Please select one option.

Write a brief essay of no more than 500 words that addresses the 3 questions listed above. Save the document as a PDF file and upload it to the application.
Create a 3-5 minute video that addresses the 3 questions listed above. Please provide the URL for your video in the text box below. We strongly encourage you to upload your video as a Youtube link and to double check the link prior to submission to ensure its functionality.

File Upload

Max. file size: 64 MB.

Video URL

Letters of Recommendation

Two letters of recommendation are required in support of your application. One must be from an administrator, and the other should be from an individual familiar with your work as an educator. Once you have submitted your application, we will email them instructions for submitting an online letter of recommendation on your behalf. In addition, we may contact them by phone for additional information.

Name *

First Last

Position *

Email *

Phone Number *

Name *

First Last

Position *

Email *

Phone Number *

Certification

I understand, if I am selected, the Kenan Fellows Program requires a commitment of me including participation in three weeks of a summer internship, 7 days of attendance at two professional development institutes, and completion of a product to be disseminated to other educational professionals.

Disclaimer: The Kenan Fellows Program is funded through gifts, contracts and grants. Consequently, Kenan Fellowships are contingent upon the continued availability of such funding. In the rare event that existing funding is terminated or continued funding is unavailable, Kenan Fellowships may be subject to early termination.

If you have any questions about the application process you may reach the Kenan Fellows Program staff at (919) 515-5118 or email us at kenanfellows@ncsu.edu.

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