HomeMy WebLinkAboutAPPLICATION - RECREATION PROGRAM INSTRUCTORTOWN OF SOUTHOLD
RECREATION DEPARTMENT
PROGRAM INSTRUCTOR APPLICATION
Phone: 631.765.5182 P.O. Box 267
Ken.Reeves@town.southold.ny.us Peconic NY 11958
PLEASE PRINT:
1._______________________________________________________________________________________________________
Last Name First Name Middle Initial
__________________________________________________ _______________________________________________
Mailing Address Legal Address (if different)
__________________________________________________ _______________________________________________
City State Zip Code City State Zip Code
____________________________ ____________________________ ________________________________________
Home Telephone Number Cell phone number E-Mail Address (Please print legibly)
2. Proposed class name: ___________________________________________________________________________________
3. Description of class (please write a brief description of your class) Attach additional sheets if necessary:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
4. How many weeks will the class be taught? __________________________________________________________________
5. Days and times you would like to teach:
1st choice: _______________________________________________________________________________________________
2nd choice: ______________________________________________________________________________________________
3rd choice: _______________________________________________________________________________________________
6. Age range of participants: ________________________________________________________________________________
7. Number of participants you can accommodate: (Minimum) _________ (Maximum) ________
8. Materials fee (if any): ____________________________________________________________________________________
9. List of materials needed: _________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
10. Please list the qualifications that will enable you to teach this course: (Please attach a resume if you have one):
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
11. Have you taught this course elsewhere? _______YES _______NO
If yes, please give detailed information regarding the number of times you’ve taught the class, dates, location, etc.:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
Years of experience teaching the class or working with the issues taught in class: ___________________________________
12. List each high school, college, university and/or technical schools attended:
Type of Date
Full Name of School, City & State Dates of Attendance Were You Type of Course Degree Degree
in which located (Month & Year)Graduated?Major SubjectReceived Received
13. Personal References
Name Address Phone Number
14. Please check the appropriate box to the right of each question:
A. Have you ever been convicted of any crime?
(felony or misdemeanor)………………………………………………………. _______YES _______NO
B. Have you ever forfeited bail bond posted to guarantee your
appearance in court to answer to any criminal charge?................................. _______YES _______NO
C. Were you ever dismissed or discharged from any employment for
reasons other than lack of work or funds?....................................................... _______YES _______NO
D. Did you ever resign from any employment rather than face dismissal?........ _______YES _______NO
E. Did you ever receive a discharge from the armed forces of the United
States which was other than honorable or which was issued under
other than honorable circumstances?................................................................ _______YES _______NO
DECLARATION:
I declare, subject to the penalties of perjury, that the statements made in this application (including statements made in any
accompanying papers) have been examined by me and to the best of my knowledge and belief are true and correct. I further
request and authorize any former or present employer, military records center, police, parole, probation agencies, and former
school to provide to the Town of Southold any and all information including, but not limited to, information as to my character,
habits, work ability, and/or education. In consideration of compliance with this request, I hereby release and discharge said
institutions from any claims, liabilities, or damages.
X
________________________ ____________________________________
Today's Date Signature
Southold Town is an equal opportunity/affirmative action employer.
PROGRAM INSTRUCTOR INFORMATION
Minimum qualifications include a high school diploma or equivalent. Previous
teaching experience is preferred. Must be drug-free and clean criminal history.
Must have good communication skills and ability to deal with general public in a
positive and courteous manner. Must be safety conscious, diplomatic and
professional.
Most of our programs run from 6-8 weeks, one night a week, and range between
1-2 hours each night. It would be up to the instructor to determine how much time
is needed for their particular program. The starting salary for all of our instructors
is $30/hour.
Inquiries and suggestions from community members regarding future planning of
classes and programs are welcomed and encouraged. Programs are added as
needs, interests, and
instructors are identified. If you have a new course idea, or have a friend or
associate who
would like to teach, you are encouraged to contact the department to explore the
possibility of offering the class.
Where are programs held?
Classes are held primarily at the Southold Town Recreation Center in Peconic but
can also be held in other locations such as parks, town facilities, businesses, and
local schools.
Who can teach?
Adults who have skills or knowledge they would like to share are invited to
submit a course proposal. All proposals are reviewed, and if selected, the
instructor will be called for an interview. Instructors are responsible for
developing their own courses and materials. The program staff will arrange for a
space in the community for the instructor to teach his/her class.
Writing Your Proposal
The best teachers are those who have a passion for their subject, a desire to share
it, and expertise in the subject they will be teaching. If you think you meet these
qualifications, then don’t hesitate to submit a proposal. It is important to make
your course sound appealing, and communicate clearly and concisely what you
will be teaching. Good course descriptions will interest people and increase
enrollments.
A Title
A good course title can be the difference between impressive and average
enrollment rates. The purpose of a title is to attract the reader to what you are
offering. A few techniques to consider are: Keep the title simple or catchy (long
complex titles can be confusing and do not catch the reader’s eye). Ask the reader
a question. This makes it personal and involves the reader. Keep it positive and
simple.
A Description of What You Will Be Teaching
The course description should be enticing and interesting so that people will want
to take part in your class. The description should be factually complete and
should provide solid information about the course so people can decide if it will
meet their needs.
Interviews
The program staff reviews all proposals. If your proposal is accepted, an interview
will be scheduled. During the interview your proposal will be discussed in further
detail, including the course dates, times, logistics, and the pay scale. Following
the interview, if your course has been selected to be included in the activity guide
you will be sent a confirmation memo and any additional paperwork that is
required.
What can the Southold Recreation Department offer you as an instructor?
Your experience as a recreation department instructor gives you visibility within
the seasonal activity guide and website. The recreation department brochure is
made available to the public via an insert in our local paper (The Suffolk Times)
and is additionally available at all local libraries, supermarkets, and town hall.
Additionally, it is posted on the town’s recreation department website.
If you have your own business, or are in a private professional service to the
public, being an instructor for the recreation department offers you a new clientele
resource. However, we do not allow “sales pitches” or in-class advertisements of
your company or office. We provide a vehicle for the display of your talent and
expertise.
If you are interested in becoming an instructor with the Town of Southold
Recreation Department, please fill out our application and mail it to the following
address:
SOUTHOLD RECREATION DEPARTMENT
PO BOX 267
PECONIC NY 11958
For additional information, please call the Southold Town Recreation Department
at 765.5182.