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Collaborating Academic Partnership Program

Professional Biography of Instructor

In addition to this electronic Professional Biography you MUST have your official sealed University transcript indicating Masters Degree or above sent to:

Kathie Kurns, Program Coordinator
Collaborating Academic Partnership Program
College of Education
Aurora University
347 S. Gladstone Avenue
Aurora, IL 60506

Complete all relevant sections of this form, and click the Submit Request button to send the document.

An asterisk (*) indicates required fields. The system will not accept the form until all required fields are completed.

GENERAL INFORMATION
* Name of Collaborating Academic Partnership you will be teaching for:
* Name of Instructor (Last, First, Middle Initial):
Maiden Name if Applicable:
* Address:
* City:   * State:   * ZIP:
Home Telephone:   * Area Code:   * Phone Number:
Email Address:
* Social Security Number:
* School/Business:
Work Phone:   * Area Code:   * Phone Number:


EDUCATIONAL RECORD
Undergraduate Education  
Undergraduate Degree:
Date:
Institution:
Major:
Minor:
Masters or Professional Education  
Masters or Professional Degree:
Date:
Institution:
Field(s)
Doctoral Education  
Have you earned a doctorate degree? Yes    No    (If "no", skip ahead to Certification)
Degree Held
Date:
Institution:
Field(s):
Dissertation Title:


CERTIFICATION
Certification:


EMPLOYMENT RECORD
List Position or Title, Dates of Employment, and Employer's Name and Location for last two positions held:
List prior post-secondary teaching experience; include course name, institution or organization, and dates:
Academic Activities, Memberships
and Honors:
Publications (Please give complete bibliographical information):
ACKNOWLEDGEMENT
INSTRUCTOR RESPONSIBILITIES

We are fortunate to have highly qualified instructors participating in the various staff development programs offered through a myriad of Aurora affiliated partnerships. Your knowledge and practical experience permit the Collaborating Academic Partnership Program to fulfill its role in fostering the continued professional growth of our state's K-12 teachers. As an instructor in Aurora University's Collaborating Academic Partnership Program you are sponsored/employed by a member partner and approved by the university to instruct appropriate off campus courses in the CAPS program. Consequently, the designated partner contact person for each respective partnership is responsible for acquainting you with the appropriate university policies and procedures regarding registration and grade reporting. We ask that instructors work with the appropriate partner contact person when developing new courses and in the scheduling of an existing course for offering.

The appropriate partner contact will supply the following to the instructor:

  • Syllabus development guidelines
  • Copies of the approved course syllabus for each student
  • Class roster and grade report
  • Course Registration/Transcript forms
  • Student Perception of Teaching forms & mailing envelope

The instructions for registration, class roster completion, grade reporting, etc. accompany the Class Roster/Grade Sheet multiple copy form. The class roster becomes the official university hardcopy verifying student course completion. Please take care in its completion. Be certain to allow sufficient time during the first class meeting for students to register properly and receive a copy of the approved syllabus.

An important reminder: It is vital for proper accounting and grade reporting that on all official forms and communication with the university the exact approved Aurora University course title, course number, course dates, and course location be recorded accurately. Lastly, please turn grades in to the appropriate partner contact person no later than two weeks after the last class session.

Type your name and date as verification that you have read these responsibilities. After submitting this page you will receive a reply page: please save and/or print a copy for your records.

* Your name
* Date

In addition to this electronic Professional Biography you MUST have your official sealed University transcript indicating Masters Degree or above sent to:
Kathie Kurns, Program Coordinator
Collaborating Academic Partnership Program
College of Education
Aurora University
347 S. Gladstone Ave.
Aurora, IL 60506

Revised September 2006
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