Los Rios Community College District

American River College Supplemental Application for Mathematics Assistant Professor Position #: 0001099 Name: Date:

Please complete this form to assist the screening committee in obtaining a full and accurate picture of your experience and qualifications.
Indicate those mathematics courses for which you have earned college credit. Check "U" for undergraduate courses and/or "G" for graduate courses. U G Topic Abstract Algebra Advanced Calculus Asymptotic Analysis Complex Analysis Differential Geometry Fluid Dynamics Functional Analysis Geometry History of Math Linear Algebra Mathematical Biology Mathematical Modeling Non-Euclidean/Projective Geometry Number Theory Numerical Analysis U G Topic Operations Research Ordinary Differential Equations Partial Differential Equations Probability Real Analysis Set Theory Statistics Symbolic Logic Topology Other (specify) Other (specify) Other (specify) Other (specify) Other (specify) Other (specify)

Indicate those mathematics education courses for which you have earned college credit. Check "U" for undergraduate courses and/or "G" for graduate courses. U G Topic Curriculum Development in Mathematics Math Pedagogy/Methods of Teaching Math Computer Technology in Math Education Educational Psychology Primary Mathematics Education Secondary Mathematics Education Research in Mathematics Education Other (specify) Other (specify)

Indicate those mathematics courses which you have taught. Check the "H" for courses taught at a high school and check the "C" for courses taught at a college or university. H C Topic Arithmetic Prealgebra Elementatry Algebra Intermediate Algebra College Algebra Geometry Statistics Trigonometry Precalculus Differential Calculus Integral Calculus Multivariate Calculus Differential Equations H C Topic Life/Social Science Calculus Business Calculus Modern Business Math Linear Algebra Symbolic Logic Finite Math Mathematical Ideas Other (specify) Other (specify) Other (specify) Other (specify) Other (specify) Other (specify)

A full-time academic year is 30 semester-hours, or 45 quarter-hours. Estimate the number of fulltime academic years in your teaching experience to date at the high-school level and at the college level. High school years: _________ College years: __________ Please indicate which technological tools you have used. Check the "S" if you used it as a student (or other non-teaching context). Check the "T" if you used it in teaching. S T Tool Nongraphing calculator Graphing calculator MathXL/MyMathLab Mathematica Maple Derive LiveMath Geometer's Sketchpad S T Tool SAS SPSS Academic Systems Aleks Desire2Learn Blackboard Other (specify) Other (specify)

Please answer the questions below to indicate your experience with various modes of distance education. Enter "yes" or leave blank. Have you taken an on-line course? Have you taught an on-line course? Have you taken an in-class/on-line hybrid course? Have you taught an in-class/on-line hybrid course? Have you taken a broadcast/TV-based course? Have you taught a broadcast/TV-based course? Please check any departmental or school activity in which you have participated Academic Senate Budgeting Chair/Spokesperson Curriculum Grant-writing Hiring Lab Coordinator Peer Mentoring Peer Review Professional Development Please check any organization to which you belong AMATYC AMS CMC^3 MAA NCTM SIAM ASA Other (specify) Other (specify) Other (specify) Scheduling Student Advising Student Club Advisor Technology Committee Textbook Selection Travel Committee Tutoring Center Coordinator Other (specify) Other (specify) Other (specify)