Finger Lakes Community College Office of Concurrent Enrollment Gemini Program Instructor Application

Finger Lakes Community College
Office of Concurrent Enrollment
Gemini Program Instructor Application
Last Name
Address
First Name
Number
Middle Initial
Street
Telephone Number(s)
City
State
Zip Code
Social Security Number (necessary to create course in system)
Email Address (work)
Email Address (home)
FLCC Course(s) Requested:
Date Submitted:
School District:
Anticipated Start of Course:
Have you ever taught a Gemini course(s) before?
If yes, what course(s) have you taught?
□ Yes □ No
____________________________________
Have you ever taught at Finger Lakes Community College before?
□ Yes □ No
If yes, what course(s) have you taught?
____________________________________
Name of School
High School Graduate?
Degree
Yes ____ No ____
Undergraduate
College(s)
Graduate/
Professional
Other
(Specify)
1
Years Attended
Diploma/Degree
NA
NA
Foreign Language Instructors Only: Indicate all foreign languages you can speak, read and/or write.
FLUENT
GOOD
FAIR
SPEAK
READ
WRITE
Teaching/Employment Experience
(Please begin with your current employer.)
Institution Name
Dates: From:
Address
Courses Taught
To:
Telephone Number(s)
Institution Name
Dates: From:
Address
Courses Taught
To:
Telephone Number(s)
Institution Name
Dates: From:
Address
Courses Taught
To:
Telephone Number(s)
Institution Name
Dates: From:
Address
Courses Taught
Telephone Number(s)
2
To:
Additional Information
List all NYS permanent teaching certifications that you hold:
Summarize special job-related skills and qualifications acquired from employment or other interests and
experiences (specialized training, apprenticeships, etc.):
In addition to this application please submit the following:
 Resume (optional, but recommended to provide additional
information on your qualifications)
 Unofficial copies of both undergraduate and graduate transcripts
 Anticipated course outline (must align with the FLCC course syllabus
and include textbook information). FLCC course descriptions and
syllabi are available at www.flcc.edu/courses. See information on
pgs. 4-5 regarding how to create a course outline.
Instructor’s Statement: Please read and sign.
I certify that the information provided in this packet is true, correct, and complete. I
authorize the use of any information in this application to certify my statements. I
authorize employers and/or personal reference(s) to answer all questions concerning
my ability to perform as a Gemini instructor.
________________________________
Signature of Instructor
_____________
Date
Please return all application materials to:
The Office of Concurrent Enrollment
3325 Marvin Sands Drive
Canandaigua, NY 14424
585.785.1669
Fax: 585.785.1820
FLCC does not discriminate on the basis of race, color, creed, religion, national origin, sex, age,
marital status, sexual orientation, disability, or veteran status in its educational programs,
admissions, activities, or employment policies.
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HOW TO CREATE A COURSE OUTLINE
FLCC has a course syllabus for each course offered at the College. The course
syllabus is a summary of the FLCC course of study and ensures that course
descriptions, outcomes and topics are consistent regardless of the
instructor/section.
All FLCC instructors are required to create a detailed course outline specific to
their course/section. A course outline informs students how the course syllabus
requirements will be met in each section of the course. It is a contract between
the student and the instructor and should include all course expectations. All
components of the FLCC course syllabus must be addressed in the course
outline.
Using the FLCC course syllabus as a guide, please submit a separate
course outline for each FLCC course you intend to teach (Ex. HIS 110 and
HIS 111 must be two separate course outlines as they are two separate
college courses).
Course outlines should include the following information:
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Name and Contact Information (however you prefer to communicate
with students)
Name of the College (FLCC or Finger Lakes Community College)
Course Prefix and Number (Ex. ENG 101)
Course Name (Ex. Composition I)
Semester (Ex. Fall 2013) – date must be changed on outline each
semester and resubmitted to FLCC
Credit Hours and Contact Hours (found in FLCC course syllabus)
Catalog Description (use description found in FLCC course syllabus)
Student Learning Outcomes (use description found in FLCC course
syllabus)
College Learning Outcomes (use description found in FLCC course
syllabus)
Required Course Materials (including textbook, software, calculators,
etc.) All Gemini sections must use the FLCC textbook.
Methods of Instruction: See FLCC course syllabus for minimum
requirements; add others per your preference.
Ex. Lecture, labs, readings, class discussions/debates, collaborative/group
learning, student presentations, audio-visual presentations, etc.
Assessment Measures: See FLCC course syllabus for minimum
requirements; add others per your preference. Be specific and provide
details of all major assignments including tests, quizzes, papers,
portfolios, projects, presentations, etc. Include the weight of assignments
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

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(by percentages, points, etc.) Ex. Tests=50%, Labs=20%,
Presentations=30%.
Instructor Policies and Classroom Procedures: These may include
attendance policy, make-up/late assignments, student conduct, use of
electronic devices, etc.
Outline of Topics Covered (use topics found in FLCC course syllabus).
Additional topics may be covered at your discretion if time allows. Be as
detailed as possible and include dates and/or chapters from the textbook
that coincide with the topics.
Include the FLCC Grading Scale below (required for all Gemini
instructors):
A
AB+
B
BC+
93 & above
90 – 92
88 – 89
83 – 87
80 – 82
78 – 79
4.0
3.7
3.3
3.0
2.7
2.3
C
CD+
D
DF
73 – 77
70 – 72
68 – 69
63 – 67
60 – 62
59 & lower
2.0
1.7
1.3
1.0
0.7
0.0
It is important that your course outline contain all of the above information
because it is used to assist students with transferability and is required for
accreditation. A course outline also helps FLCC department chairs/coordinators
to accurately evaluate the course and ensure it is consistent with other course
sections.
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