Educator Application

We are recruiting exceptional Black educators - retired or active - who can hold a room of 8 to 12 year olds, with warmth, authority and joy; while delivering this transformative work (live, online). Complete this application so we can get to know you. Takes 10 minutes.

Section 1: Basic Information

First name

Last name

Email

Phone

Street address

City

State & Zip

Social link (optional)

Section 2: Teaching Status

Check one

Retired educator

Active educator

Community/youth educator (non-school setting)

How many years have you been in the teaching profession?

Link to CV/LinkedIn

Section 3: Teaching Background

What subject areas did you teach?

Describe your teaching experience with Black children (2-4 sentences)

Do you hold a current or lapsed teaching certification/license?

Currently active

Lapsed - but held

Never certified

Which state(s) issued your certification(s)?

Have you worked with Black children specifically in an educational, mentorship or community setting?

Yes

No

Briefly describe that experience

Section 4: Program fit

Why does this specific opportunity matter to you?

What does the phrase 'unshakeable Black children' mean to you (in your own words)?

Why is identity-building important for Black children ages 8 -12?

How comfortable are you discussing race, culture, pride and belonging with children. Check only one

Very comfortable

Somewhat comfortable

I not sure

Describe a moment when you supported a child through a sensitive or identity-related situation. What did you do to keep the space emotionally safe?

Section 5: Availability and commitment

Can you commit to the same weekly time slot for a full 8-week cohort; with a live 45-60 minute session per week?

Yes

No

Preferred time of day for the live sessions

Morning

Afternoon

Evening

Are you comfortable with 15 minutes of weekly adminstrative tasks; including Educator Portal updates and follow-up emails?

Yes

No

Are you available for certification training prior to starting Cohort 1 ? (training is typically 3 -4 hours)

Yes

No

Would you be interested in leading more than one cohort (if the pilot goes well}?

Yes

No

Not sure yet

When are you available to begin teaching?

Month

Day

Year

Section 6: Technology Readiness

Do you have a quiet, private and professional space in your home/office where you can deliver live, online sessions without background noise, interruprions or distractions?

Yes

No

Do you have reliable high-speed internet access?

Yes

No

Do you have access to a computer or tablet with a working camera and microphone?

Yes

No

How comfortable are you using video-conferencing tools such as Zoom?

Very comfortable

Somewhat comfortable

Would need training

Share your experience using video conferencing tools such as Zoom.

Section 7: Independent Contractor Acknowledgement

This is an independent contractor role, not an employee position. Culture Keepers deliver Identity Journey tm under contract, set their own schedule within the cohort structure, and are responsible for their own taxes (1099).

I

I understand this is an independent contractor role and accept these terms*

I consent to a background check if selected to move forward in the application process.

Agree

Section 8: References .

Please provide 2 professional references who can speak to your teaching ability, professionalism or work with children.

REFERENCE #1 (Provide : Name, relationship, phone or email

REFERENCE # 2 (Provide: Name, relationship, phone or email

Section 9: Final details

Is there anything else you'd like us to know?

Typed full name confirming all information is accurate.

Date