WKU WP On-Line Application

1)  If you have not already done so, read the Application Information page.  Make special note of the application deadline.
2)  Fill out this form fully.  Incomplete forms will not be processed.
3)  In addition to submitting this form on-line, you will need to have your principal complete and submit "Page 3" of the application.  To facilitate this, you may print "Page 3" for submission by mail, or you may direct your principal to the on-line version for electronic transmittal.


PAGE 1

APPLICANT

Name: 

Preferred e-mail address: 
 

Home Address                                                    Home Phone 
                    Street 
        City/State/Zip 

School Address                                                   School Phone 
        School Name 
                    Street 
        City/State/Zip 

School Fax 

EDUCATION (start with most recent)

Name of Institution Dates of Attendance Degree Date Received

Fields of Study: 

EXPERIENCE
Total years experience: 

(A) List the teaching positions you have held, beginning with the current year.
 
Name of School Dates Grade Levels Subjects Taught

(B) List courses, workshops, and professional teaching of writing meetings, memberships, and conferences you have participated in.

Date:


If necessary and you are selected as a finalist, would you be willing to come to Western Kentucky University at your own expense for a personal interview with the Project staff?
Yes No

If you are selected for the Project and decide to participate in our Outreach program (designed to provide paid in-service to schools and districts), do you agree to allow the Outreach office to act as your "booking agent" and make all arrangements?

Yes No


PAGE 2

Respond in a brief paragraph to each of the following questions.
 

1. Do you enjoy writing? What do you write?

2. What problems have you encountered in teaching students to write? How have you attempted to solve them?

3. Identify a standards-based unit you've taught that involved writing, one that satisfied both you and your students.  What other units are you interested in designing?

4. Why do you want to be a participant in this year's WKU Writing Project? What do you think you could bring to the Project?

5. Describe a book you've read recently which has impacted on your teaching.

 
 

Don't forget to have your principal complete "Page 3" of the application.
(See instructions at the top of this page.)

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