VHS Teacher Application

Please note: Some of the questions on this form require substantial responses. As this form must be submitted online in one sitting, you may want to read through the form now, then compose your answers offline in a word processor, and copy and paste in your answers when you're ready to complete the form.

(Fields marked with an asterisk (*) are required)

Personal and School Information

*First Name	*Last Name
*Primary Email	Second Email
Gender
*School Name	*Position Held
*School Website (URL)
*School District
*School Address
*School City	State Zip
Country (International Only)

*School Phone	School Fax
VHS Consortium (if applicable)

*Home Address
*Home City	State Zip
*Home Phone:

*Have you ever been a Site Coordinator or Teacher for VHS in the past?
*What is the highest degree you have completed?
*In what subjects are you certified?
*Counting this year, how many years have you been teaching?
*What Grades do you currently teach?

NIM Course:

Before you select your desired courses from the list below make sure that you read the course descriptions. Please make sure that you pay special attention to the "Materials Provided" section. Your school is responsible for providing these (or similar) materials to the students who will take your course. It may also be necessary for you to purchase a copy for yourself during the NIM course. You will need to make arrangements with your school to budget the cost of purchasing these materials.

*Please select your desired course from the list below:

*Please select your desired session of NIM from the list below:

*Have you taught this course face to face in the past?

*Are you certified to teach this course?

Please Note: VHS does require teachers to be certified in the discipline of the course(s) that they have chosen

*Why are you interested in teaching the course you have indicated above? Tell us about any experiences, skills or strengths that make you qualified to teach this course

*Please select an alternate course:

Have you taught this course face to face in the past?

*Are you certified to teach this course?

Please Note: VHS does require teachers to be certified in the discipline of the course(s) that they have chosen.

Why are you interested in teaching the alternate course you have selected above? Tell us about any experiences, skills or strengths that make you qualified to teach this course.

Commitment:

Time Commitment
NIM is an intensive course that requires active participation. VHS requires at least four on-line sessions per week. We recognize participation as the posting of comments and assignments within the course. Generally, it is assumed that participants will spend approximately fifteen hours per week on class assignments and participating in class discussions. Ideally, you'll be able to log in every day and, at the absolute minimum, four times a week.

Please note: Length of time needed to complete assignments may vary considerably depending on the speed of your internet connection. For example, the time commitment for a participant working over a 28.8 modem will be greater than that for a participant who is working over a cable modem.

*I understand and will be able to meet the time commitment outlined above.

Resume:

*Please include a copy of your resume. You may cut and paste your resume into the following field or attach a Word document by using the browse button below.

(Fields marked with an asterisk (*) are required)
Before submitting this application for consideration print a copy for your records.

Virtual High School
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