The Council for Educational Change $10,000 Leonard Miller Principal Leadership Award Application

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This application can be submitted by the Principal or another on behalf of the Principal, such as school staff, partner, or community member. This application is available in a reader version below for you to review before starting. Only attachments requested in the application are allowed. The application must be submitted by midnight on September 28, 2012. Please save your answers to a separate (working) file before completing the application. You may then email this file and all the attachments to thastings@changeeducation.org if you run into difficulty while completing the online version.

Please note: The online software does not allow detailed formatting, or the ability to run a word count. We suggest you compose your narrative answers in a word processor with minimal formatting and transfer your final responses into the system.

For assistance, contact Tracey Hastings, 954.727.9909 or thastings@changeeducation.org.

A. Contact Information

This application can be submitted by the Principal or another individual on behalf of the Principal, such as, but not limited to, school staff, partner, community member or parent. Only fill out the Submitter information if someone other than the Principal is applying on behalf of Principal.

Principal's Name: *

Principal's School: *

Principal's District: *

Principal's Phone Number: *

School Address: *

Principal's eMail: *

Name of Submitter: if Submitter is not the Principal

Submitter's Phone Number: if Submitter is not the Principal

Submitter's eMail Address: if Submitter is not the Principal

Relationship of Submitter to Principal: if Submitter is not the Principal

B. Eligibility

If you can answer yes to ALL questions in this ELIGIBILITY SECTION, you are eligible for this Award and should continue applying.

Have you been a Principal for at least 3 years?: *

Yes

Do you intend to continue a career in education as a Principal or in some other capacity for at least two more years?: *

Yes

Have you participated in a Council program or activity? (can be current or former participation): *

Yes

Please list all Council programs/activities that you have participated in and the years of participation. : *

Council programs/activities: PASS, Executive PASS, Florida Leadership Academy, Florida Leadership Academy Historian Project, ASAP/ELA, Assistant Principal Leadership Forum (sent a school AP to attend), Teacher Retention and Mentoring Initiatives, Leader to Leader, SPSnapshot, and SUPI. (The Council is a MDCPS SUPI Partner.)

C. School Information, school year 2011 - 2012

Student Enrollment: *

Free and Reduced Lunch Student %: *

Limited English Proficiency Student %: *

Number of Exceptional Student Education Students: *

Minority Student %: *

D. Award Criteria

In this section, you will provide information about the Principal’s accomplishments in the Award’s three criteria: 1) increased student achievement, 2) empowerment/development of staff, and 3) engagement of meaningful business and community partnerships. No attachments other than those requested are allowed.

Criteria 1: INCREASED STUDENT ACHIEVEMENT

Increased Student Achievement: *

Describe how your school increased student achievement and accomplished academic gains and growth, sharing the Principal’s leadership role in this effort. (300 word limit). Please note that the required attachments for this section will report your FCAT and AYP achievement information.

Attachment 1, School Accountability Report: *

Florida Department of Education, Florida School Grade, School Accountability Report for your school, 2008-2009, 2009-2010, 2010-2011. Available at FLDOE website: www.fldoe.org
To view a sample School Accountability Report, click the link at the bottom of this page.

If your school did not receive a grade or participate in some testing during the designated years, please explain:

Attachment 2, Adequate Yearly Progress (AYP) Report: *

AYP report for your school, 2008-2009, 2009-2010, 2010-2011, available at FLDOE website: www.fldoe.org
To view a sample AYP Report, click the link at the bottom of this page.

Attachment 3, Letter of Recommendation: *

Please attach a letter which shows how the Principal’s leadership raised achievement. It can come from a student, staff, parent, partner, community member or other. One page limit.

Criteria 2: EMPOWERMENT AND DEVELOPMENT OF SCHOOL STAFF

This section captures information about the Principal’s leadership in building capacity for effective teaching and learning.

School Year 2011-2012. Number of instructional staff: *

2. Number of non-instructional staff: *

3. Percentage of teacher retention: *

Attachment 4, Letter of Recommendation: *

Please attach a letter from a staff member who benefited from the Principal’s leadership in developing and empowering staff. Please include results. One page limit.

Criteria 3: ENGAGEMENT OF BUSINESS & COMMUNITIY PARTNERSHIPS

This section captures information about the Principal’s leadership in recruiting and involving partners to support the school community, school improvement and increased student achievement.

School Year 2011-2012. Number of partnerships (not including parents): *

2. Number of volunteer hours for the 2011 - 2012 school year: *

3. Number of parents involved with the school: *

Attachment 5, Partnership Information: *

Please download, complete, and attach the Partnership Information form found at the bottom of this application.

Attachment 6, Letter of Recommendation: *

Please attach a letter from an active business partner concerning the Principal’s leadership in the area of partnership. One page limit.

This concludes the application. Thank you for applying and good luck!

Attachment	Size
Application 2011.pdf	38.78 KB
Sample of School Accountability Report.pdf	18.07 KB
Sample of AYP Report.pdf	99.7 KB
Partnership Information.pdf	31.89 KB
LeonardMillerAwardFAQ.pdf	73.58 KB

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The Council for Educational Change $10,000 Leonard Miller Principal Leadership Award Application

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F. Fred Pezeshkan

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