Serving Native Schools Project

Associate of Arts Degree Program

Application

 

 

Full Name_______________________________________________________________

Permanent Mailing Address_________________________________________________

City _________________________SD_______________Zip______________________

Birthdate_______________________Social Security Number______________________

Home Phone Number ______________________________________________________

Email address____________________________________________________________

Currently working as a paraprofessional: Yes No Part-time

School__________________________________________________________________

School Address___________________________________________________________

School Phone Number___________________School Fax Number___________________

Supervisor_______________________________________________________________

How far do you live and/or work from a college or college center?___________________

 

Indicate your comfort level using a computer?

 

 

 

 

What is your educational background (HS diploma, GED, college courses)?

 

 

 

 

How many credits toward an AA degree do you already have?_________________

 

What goals have you set for yourself in regards to your education?

 

 

 

Send to: Susan Conrad, PO Box 490, Kyle, SD 57752 Ph. 455-6094 Fax 455-2603.

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Serving Native Schools Project

Associate of Arts Degree Program

School Commitment Form

 

 

As a partner in the Serving Native Schools Project we agree to:

 

  • Provide 3 hours release time per week for _________________________________to participate in courses.

 

  • To be responsible for securing and maintaining connectivity for video conferencing courses and training during the academic year.

 

 

 

__________________________________________ Date____________________

Signature of Authorized School District

Representative

 

__________________________________________

Position

 


 

Serving Native Schools Project

Associate of Arts Degree Program

Applicant Agreement Form

 

 

 

Applicant will:

         Complete and submit all appropriate application forms.

 

         Complete and submit all required information and reports as necessary for program evaluation.

 

         Notify OLC about any change of employment as soon as possible after such change has occurred.

 

         Notify OLC about any and all changes in contact information (address, phone number, etc.).

 

 

__________________________________________ Date____________________

Signature of Authorized School District

Representative

 

__________________________________________

Position

 

__________________________________________

Signature of Applicant