Next Generation Leadership Academy 2020-2021 APPLICATION
- 1 - Rev. 5/2020
Student Information
Last Name First Name Initial
Gender M F U.S. Citizen Yes No Date of Birth
Street Address
Apt. or c/o etc.
City State ZIP
Home Phone E-Mail
Ethnic Classification (For statistical purposes only)
American Indian or Alaskan Native (1) Asian/Pacific Islander (2) Black Non Hispanic (3)
White Non-Hispanic (4) Hispanic (5) Multi-cultural (6)
Education
Name of Institution
Location
Dates Attended
Degree (if earned)
Major/Major Subjects
Current Employment Information
Employer Name
Current Position Current School
School Address
City State ZIP
Dates of Employment (mm/yy-mm/yy) Years in Division
Leadership Goal
Please check the position that most closely describes your next goal as an educational leader:
Lead Teacher Assistant Principal Principal Director
Assistant Superintendent Superintendent Other
What steps have you taken or do you plan to take to reach this goal?
In what ways do you envision participation in the NLGA this year helping you advance your goal as an
educational leader?
Next Generation Leadership Academy 2020-2021 APPLICATION
- 2 -
Instructional/Administrative Professional Experience
Organization
Position Held
Awards/Community Service/Professional Development
Awards (one description per line)
Community Service (one description per line)
Professional Development (one description per line)
Essays
Please submit a typed (font size 12) one-page response to each of the following questions. Limit each response
to a single page and write your response on the corresponding pages that follow.
What is your philosophy of public education and how do you apply this philosophy in your current role?
Describe the educational leader you would like to become.
Describe what you believe is leadership in education.
Describe the ideal school (identify level) as you envision it.
Photography & Videography
Videos and photographs taken during NGLA events may be used in print or electronic format in University of
Richmond publications, advertising or online. If you do not wish to be included in videos or photographs, please
alert the photographer and/or videographer.
Signature Date
Next Generation Leadership Academy 2020-2021 APPLICATION
- 3 -
Candidate Selection Rubric: Candidate should insert name, division, and school, then submit
the rubric to the candidate’s principal. The candidate’s principal should complete the rubric and
return it to the candidate. Please include the completed form with candidate application.
The purpose of the Candidate Selection Rubric is to assist in the selection of participants in the Next Generation
Leadership Academy (NGLA). Please complete a rubric for each individual from your school applying to
participate in the Academy. The rubric serves as a tool for identifying qualities in candidates judged important for
future school leaders.
Candidate
Division School
Principal Date
Leadership Competency
The candidate demonstrates potential
to…
Little
Potential
(1)
Some
Potential
(2)
High
Potential
(3)
Exceptional
Potential
(4)
Row
Value
Develop professional relationships with
high performing administrators within the
division.
Use strategic planning skills in his or her
current position.
Use data to diagnose the needs of the
school and/or develop a school
improvement plan.
Employ leadership skills that guide and
inspire teachers and teaching staff.
Develop the ability to identify and assess
key leadership challenges.
Focus on improving student achievement
as a school leader.
Understand the diverse needs of the
learning community.
Seek out resources needed to attain
professional goals.
Develop high expectations for self, staff
and student performance.
Behave with integrity, fairness, and positive
ethics.
Add Row Value” column to calculate Total Score
Comments: Please include any information you feel is pertinent to the candidate’s participation in the Next
Generation Leadership Academy.
Next Generation Leadership Academy 2020-2021 APPLICATION
- 4 -
Essay 1: What is your philosophy of public education and how do you apply this philosophy in
your current role?
Begin essay 1 here.
Next Generation Leadership Academy 2020-2021 APPLICATION
- 5 -
Essay 2: Describe the educational leader that you would like to become.
Begin essay 2 here.
Next Generation Leadership Academy 2020-2021 APPLICATION
- 6 -
Essay 3: Describe what you believe is leadership in education.
Begin essay 3 here.
Next Generation Leadership Academy 2020-2021 APPLICATION
- 7 -
Essay 4: Describe the ideal school (identify level) as you envision it.
Begin essay 4 here.