Facilitator Application

Facilitator's Name
Professional Title
Home Address
Employer and Address
Full Time
Primary Email Address

Work Telephone
Home Telephone
Mobile Telephone
IU Number (if applicable)

DEGREE	Date Received	Institution	Field of Study
Bachelor's
Master's
Doctoral
Other Degrees or Certifications

TEACHING EXPERIENCE (Years at each level including current position)
	Higher Education Secondary Education Certification Area
	Are you willing to facilitate outside of your subject area? Yes No Elementary Education
	I am currently facilitating online courses
Colleges/Universities and Specific dates where Facilitator has taught:
Schools and Specific Dates where Facilitator has taught:
Training/Facilitation Experience:
Please share your experience in differentiated instruction, Project-based Learning and/or Inquiry-based Learning. (If applicable)
Please share examples of authentic/real world classroom experience. (If applicable)
Please tell us why you are interested in becoming a Facilitator.
How did you find out about LSI online facilitation?

Signature
Date

Facilitator Qualifications

Early Literacy Series Back to Application

Master's Degree or Reading Specialist Certification (Must correspond to subjects facilitated)
Minimum of 5 years experience in an early childhood/primary program classroom (Prefer K-3 classroom experience)
Experience in adult education (effective interpersonal skills)
Basic computer application skills (email, word processing, etc.)
Must have access to a computer, printer, and have internet access (broadband preferred)
Must have deep content knowledge
Must have a knowledge of current research in early literacy
Must have philosophical alignment with the series
Must be student-centered in his/her approach to learning, both with online learners and K-12 learners
Must be committed to detail—timeliness; responsiveness to the learner; responsibility to the learner

Master's Degree (Must correspond to subjects facilitated)
Minimum of 5 years classroom experience at the high school level (Prefer 7-12 classroom experience)
Must have verifiable knowledge of Differentiated Instruction, and/or Project-based Learning, and/or Inquiry-based Learning
Must have verifiable knowledge of teaching authentically in the classroom.
Experience in adult education (effective interpersonal skills)
Basic computer application skills (email, word processing, etc.)
Must have access to a computer, printer, and have internet access (broadband preferred)
Must have deep content knowledge
Must have philosophical alignment with the series Click here to download philosophical comparison tool.
Must be student-centered in his/her approach to learning, both with online learners and K-12 learners
Must be committed to detail—timeliness; responsiveness to the learner; responsibility to the learner
Must have excellent oral and written communication skills
Must have experience using rubrics for scoring purposes

Master's Degree in Instructional Leadership or Educational Leadership (Must correspond to subjects facilitated)
Must currently hold a formal or informal position in which you mentor and/or coach teachers
Minimum of 5 years classroom experience
Must have working knowledge of current research in organizational theory, instructional leadership and instructional coaching
Experience in adult education (effective interpersonal skills)
Basic computer application skills (email, word processing, etc.)
Must have access to a computer, printer, and have internet access (broadband preferred)
Must have deep content knowledge
Must have philosophical alignment with the series
Must be student-centered in his/her approach to learning, both with online learners and K-12 learners
Must be committed to detail—timeliness; responsiveness to the learner; responsibility to the learner

You cannot work with competing companies/projects/areas while working simultaneously with Learning Sciences International.