Alternate Leadership Activity Application Please fill out this form to propose an activity for earning the Leadership Premium. Remember, the activity must have an impact outside your classroom, must be outside of contract hours, and you may not already be receiving funding for this activity from the district or privately. Where do you work?*THSBasinTMSRUESDESVESTESOtherPlease describe the activity your are proposing.*Are you already being paid for this activity?*YesNoWhat hours and days will you be completing this activity?*How much total time do you expect to spend this school year on this activity?*Please share how this activity realtes to the district goals in the areas of student achievement, safety, fiscal responsibility, facilities, and/or community relations.*How does this activity have an impact outside of your own classroom?*Who will be overseeing your work on this activity?*Please include any additional comments you would like the committee to know about your proposed activity.