AGS 2013 Faculty Application Survey

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1. Title

	Choose a Title
Your Title	Title Your Title Choose a Title

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2. Name

Name First Name
Last Name

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3. Email Address (please review for accuracy)

Email Address (please review for accuracy) Email address

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4. If hired, an employment packet will be mailed at the beginning of May. Please list the appropriate address for this mailing.

If hired, an employment packet will be mailed at the beginning of May. Please list the appropriate address for this mailing. Street Address or PO Box
City
State
ZIP Code

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5. Permanent Address (please do not use a college address)

Permanent Address (please do not use a college address) Permanent Street Address or PO Box
City
State
ZIP Code

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6. Phone Numbers (include area codes)

Phone Numbers (include area codes) Cell Phone
Home Phone
Business Phone

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7. AGS Teaching Position Desired

	First Choice	Second Choice
Position	AGS Teaching Position Desired Position First Choice	Second Choice

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8. Employment Information

Employment Information Current Position
Company/Employer
Location

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9. Please list three professional references. Include names, positions, phone numbers, and working relationships.

Please list three professional references. Include names, positions, phone numbers, and working relationships. Reference 1
Reference 2
Reference 3

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10. Years of Teaching Experience

Years of Teaching Experience Total Years
Years Teaching High School Students

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11. Educational Background (Please list the following relevant information with the most recent degree first: Years, Degrees, Schools, Disciplines)

Educational Background (Please list the following relevant information with the most recent degree first: Years, Degrees, Schools, Disciplines)

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12. Where did you hear about this opportunity? Please check all that apply.

Where did you hear about this opportunity? Please check all that apply. AGS website

colleague

college career services office

Department of Education website

Facebook or similar online social network

friend

newspaper ad

online forum

school

Other (please specify)

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13. Please read the AGS Overview explaining all aspects of AGS. It can be found on the AGS web page, www.hendrix.edu/ags, or one can be sent to you by calling 501-450-1279. Please write a statement which articulates your reasons for seeking a position at AGS, your personal approach to fulfilling the goals of AGS, and the methods of teaching you would apply.

Please read the AGS Overview explaining all aspects of AGS. It can be found on the AGS web page, www.hendrix.edu/ags, or one can be sent to you by calling 501-450-1279. Please write a statement which articulates your reasons for seeking a position at AGS, your personal approach to fulfilling the goals of AGS, and the methods of teaching you would apply.

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14. AGS is a "round-the-clock" program. Faculty and staff are expected to get involved outside the classroom. Give some examples of evening or weekend activities, programs, games, or events that you would be interested in planning and hosting. Activities from previous years can be found on our website.

AGS is a "round-the-clock" program. Faculty and staff are expected to get involved outside the classroom. Give some examples of evening or weekend activities, programs, games, or events that you would be interested in planning and hosting. Activities from previous years can be found on our website.

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15. I will be available for full-time employment for four days of Orientation (June 5-8) and six weeks of AGS (June 9 - July 20). There is a holiday break from 10:30 a.m. July 3 - 8:00 a.m. July 8. I understand that there are also regular required events occurring during evenings and on weekends.

I will be available for full-time employment for four days of Orientation (June 5-8) and six weeks of AGS (June 9 - July 20). There is a holiday break from 10:30 a.m. July 3 - 8:00 a.m. July 8. I understand that there are also regular required events occurring during evenings and on weekends. Yes

No

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16. Finalists will be notified by the end of January. Interviews with in-state candidates will be conducted in Conway on Saturday, February 9, 2013. Phone interviews with out-of-state candidates will be conducted on the same day.

Finalists will be notified by the end of January. Interviews with in-state candidates will be conducted in Conway on Saturday, February 9, 2013. Phone interviews with out-of-state candidates will be conducted on the same day. I will be available to come to Conway.

I need a phone interview.

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17. By typing your name and today's date here, you agree that all information is truthful to the best of your knowledge and that you wish to submit your application.

By typing your name and today's date here, you agree that all information is truthful to the best of your knowledge and that you wish to submit your application. Full Name
Current Date

Click below to submit your application. It will automatically connect to an AGS page requesting you to email us your resume.

PLEASE NOTE: If there are errors in your application, you will remain on this page and there will be error messages above the incomplete entries. Please correct errors and click the button again.