Louisiana Certification Quick Reference Guide

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1 Louisiana Certification Quick Reference Guide October Certification Structure Temporary Authority to Teach (TAT) Practitioner Licenses Alternate Programs Professional Certificate Renewal Guidelines Out-of-State Certification Out-of-Field Authority to Teach (OFAT) Add-On Endorsements Certification Counselors Consultation Form Teach LA Website PRAXIS Requirements Certification Application Packets BESE Update Short Version

2 Louisiana Certification QUICK REFERENCE GUIDE August 2007 TABLE OF CONTENTS Section 1 Section 2 Section 3 Section 4 Section 5 Section 6 Section 7 Section 8 Section 9 Section 10 Section 11 Section 12 Types of Certificates (Certification Structure) This section describes the types of teaching authorizations and certifications in Louisiana. Temporary Authority to Teach (TAT) This section details the hiring conditions and renewal guidelines for issuance of a Temporary Authority to Teach certificate. Practitioner Licenses This section describes the types of Practitioner Licenses (PL1, PL2, PL3, and PL4) issued and the requirements for renewal. Alternate Certification Program Requirements This section provides information on the requirements of the state s three alternate certification paths: Practitioner Teacher Program, Non-Master s/certification Only Program, and Master s Degree Program. Also includes Location of Alternate Programs in Regions 1, 2 and 3. Professional Certificates (Renewal/Reinstatement Guidelines) Out-of-State Teaching Certificates This section describes the requirements and documentation for an Out-of-State teaching certificate. Out-of-Field Authority to Teach (OFAT) This section details the requirements and renewal guidelines for an Out-of-Field Authority to Teach certificate. Add-On Certification Endorsement Requirements This section identifies the course and/or testing requirements that must be met for a certified teacher to add additional certification levels or areas to his/her existing certificate. Certification Counselors Consultation Form Teach LA Praxis Requirements This section lists Praxis tests currently in use in Louisiana, the corresponding passing scores for each, and the effective dates of these requirements. Registration information is also included. Certification Applications This section contains all the forms and application packets required for processing a certification request.

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5 TYPES OF TEACHING AUTHORIZATIONS AND CERTIFICATIONS STANDARD TEACHING AUTHORIZATIONS (Teachers holding standard teaching authorizations and certifications may meet the requirements of the NCLB mandate.) Professional Level Certificates (Issued beginning July 1, 2002) Certificate Type Certificate Guidelines Renewal Guidelines Level 1 Professional Certificate Valid for three-years Level 2 Professional Certificate Valid for five years Level 3 Professional Certificate Valid for five years Type C Valid for three years Type B or Type A Valid for life of continuous service Effective July 2002; Revised August 2007 Teachers must graduate or complete a State-approved teacher preparation program (traditional or alternative path with 2.5 GPA), pass all required PRAXIS exams for area of certification, and be recommended by a university or private provider to receive a Level 1 Professional Certificate. OR Teacher must meet the requirements of an Out-of-State certified teacher. Teachers with a Level 1 Professional Certificate must pass the Louisiana Teacher Assistance and Assessment Program (LATAAP) and teach for three years in their area of certification in an approved educational setting to receive a Level 2 Professional Certificate. Teachers with a Level 1 or Level 2 Certificate are eligible for a Level 3 Certificate if they complete a Masters Degree from a regionally accredited university/college, teach for five years in their area of certification, and pass the Louisiana Teacher Assistance and Assessment Program (LATAAP). Standard Teaching Certificates (Issued prior to July 1, 2002) Type C certificates will not be issued after July 1, A lapsed Level 1 certificate may be renewed once for an additional three years, upon request of the employing district or superintendent (or corresponding administrative officer of a private school system), or upon the presentation of six semester hours of resident, extension, or correspondence credit from a regionally accredited university/college directly related to the area of certification. Teachers must complete 150 continuing learning units (CLUs) of district approved and verified professional development over a five-year time period in order to have a Level 2 Professional License renewed. Teachers must complete 150 continuing learning units (CLUs) of district approved and verified professional development over a five-year time period in order to have a Level 3 Professional License renewed. Teachers currently with a Type C certificate may have their certificate extended or upgraded to a Type B or A upon request according to policy. Teachers currently holding Type A or Type B certificates will continue to hold these certificates, which are valid for life, provided the holder does not allow any period of five or more consecutive years of disuse to accrue and/or the certificate is not revoked by the State Board of Elementary and Secondary Education, acting in accordance with law. Out-of-State Certificate Certificate Type Certificate Guidelines Renewal Guidelines Out-of-State Certificate (OS) Valid for three (3) years Non-renewable Issued to a teacher who has completed a teacher preparation program from a regionally accredited university/college in another state with student teaching or 3 years of experience in the certified area to waive student teaching and who holds a standard teaching certificate in another state. If applicant earned a degree five (5) or more years prior to the date of application, he/she must have been a regularly employed teacher for at least one semester, or 90 consecutive days within the five (5) year period immediately preceding first employment in Louisiana or application for a Louisiana OS certificate. Advancing from an OS to a Professional Level 1, 2 or 3 certificate: The individual must meet all Louisiana Praxis/NTE requirements for their area of certification within the three (3) year validity period of the OS certificate or qualify for PRAXIS exclusion. Praxis exclusion applies to individuals who have at least four (4) years of successful teaching experience in another state and teach on an OS certificate for one year in a Louisiana public school system. The teacher s Louisiana employing authority verifies the out-of- state teaching experience, that he/she has completed one year of successful teaching experience in a Louisiana Public school and that he/she has been recommended for further employment.

6 Practitioner Licenses (Teachers holding standard teaching authorizations and certifications may meet the requirements of the NCLB mandate.) Certificate Type Certificate Guidelines Renewal Guidelines Practitioner Licenses Practitioner Licenses may be issued for one (1) school year, renewed annually and held a maximum of three (3) years while the holder completes an approved alternate program. Teacher must be admitted to and enrolled in a State-approved Practitioner Teacher Program (PL1), Non-Master s Alternate Certification Program (PL2), or PL 1 - Practitioner Program: PL 1 applications must be submitted to the Department by the Program Provider. PL 2 Non-Master s Alternate Program: PL 2 applications must be submitted to the Department by the Louisiana employing school system. PL 3 Master s Alternate Program: PL 3 applications must be submitted to the Department by the Louisiana employing school system. PL 4 - Alternate Post- Baccalaureate Program: This applies to an individual who is not enrolled in one of the three redesigned alternate certification programs listed above and must be submitted by the Louisiana employing school system. Master s Degree Alternate Certification Program (PL3), which necessitates meeting all program requirements including noneducation baccalaureate degree, stipulated GPA, and passing scores on the Praxis PPST and content area exams. A teacher receiving a PL4 license is enrolled in or has completed an Alternate Post-Baccalaureate Program; cannot be enrolled in a redesigned program, has passed Praxis PPST and the current Praxis content specialty exam(s), but has not yet completed all requirements for full certification. The alternate certification teacher (PL1, PL2, and PL3) must remain enrolled in the respective program and fulfill all coursework, teaching assignments, and prescribed activities as identified by the program provider. The PL4 teacher must complete all alternate program coursework that remains, and complete Praxis requirements for the certification area. PL1 teachers must demonstrate progress toward program requirements by successfully completing at least 6 semester hours or equivalent contact hours; PL2 and PL3 teachers must complete 9 semester hours each year to remain on the PL license. Program requirements must be completed within the three-year maximum that the license can be held. Upon completion of three (3) years of employment on this certificate, for continued employment as a teacher in a Louisiana school, holder must full guidelines for a Level 1 or higher-level certificate Extended Endorsement License (EEL) (Teachers holding standard teaching authorizations and certifications may meet the requirements of the NCLB mandate.) Certificate Type Certificate Guidelines Renewal Guidelines Extended Endorsement Individual holds a Louisiana teaching certificate, but is teaching outside of the certified area; and License (EEL) District submits application to LDE; renewable annually for maximum of three years. Individual must have a current passing PRAXIS exam score for the area(s) of EEL certificate; and District must provide a detailed prescription that identifies any additional coursework or exams needed to complete the area/level certification endorsement signed by the Superintendent and the human resources director of the employing local education agency. Teacher must successfully complete a minimum of nine credit hours of coursework per year, applicable toward certification in the content area of the license; or If fewer than nine hours are required to complete the certification, then all of the remaining hours must be taken; or If no credit hours remain to be taken, then the individual must provide evidence of taking the required exams, a minimum of once per year.

7 TEMPORARY AUTHORIZATIONS TO TEACH (Teachers holding non-standard teaching authorizations and certifications DO NOT meet NCLB mandate requirements.) Certificate Type Temporary Authority to Teach (TAT) May be issued for one (1) school year, renewed annually, and held a maximum of three (3) years while the holder pursues alternate certification program admission requirements or certification requirements. Upon completion of the three (3) years of employment on this certificate, for continued employment as a teacher in a Louisiana school system, the holder must fulfill guidelines for a Practitioner License or a higher-level certificate. Certificate Guidelines All applicants must have passing scores on the Praxis Preprofessional Skills Tests (PPSTs) Reading and Writing examinations and at least a 2.0 GPA prior to issuance. Effective September 1, 2006: An ACT composite score of 22 or a SAT combined verbal and math score of 1030 may be used in lieu of Praxis 1 PPST Exams by prospective teachers in Louisiana. Districts may recommend that teachers be given a one-year TAT according to the stipulated eligibility and renewal conditions. Districts submit the application and provide an affidavit signed by the local superintendent verifying that good faith efforts for recruiting certified personnel have been made, including posting all positions on the Teach Louisiana Recruitment Center; that there is no regularly certified, competent, and suitable person available for the position ; and that the applicant is the bestqualified person for the position. a. Issued to an applicant who graduates from a teacher preparation program, does not pass all Praxis exams, and who has not previously qualified for a Louisiana standard teaching authorization. b. Issued to an applicant who holds a minimum of a baccalaureate degree from a regionally-accredited institution, who applies for admission to a Practitioner teacher or other alternate program, but (a) does not pass the Praxis examinations required for admission to the program, and/or (b) has a minimum of a 2.0 GPA but does not have the required 2.20 GPA for admission to an alternate program. c. Issued to an applicant who holds a minimum of a baccalaureate degree from a regionally-accredited college or university and is hired after the start of an available alternate certification program. d. Issued to an applicant who has a minimum of a 2.35 GPA on a 4.00 scale and has completed all other requirements for certification. RENEWAL GUIDELINES Teacher must take the necessary Praxis examinations at least twice a year. a. The teacher must successfully complete a minimum of six (6) credit hours per year in the subject area(s) that he/she is attempting to pass on the Praxis and take the necessary exams at least once a year; and/or b. The teacher must successfully complete a minimum of six (6) credit hours per year to raise the GPA to a 2.20 as required for admission to an alternate program. The teacher must take the appropriate Praxis examinations required for admission to an alternate certification program and, if successful, apply for admission to the alternate program. Teacher must successfully complete a minimum of six (6) semester credit hours per year to obtain the 2.50 GPA on a 4.00 scale that is required for certification purposes. If an applicant fails to complete required renewal guidelines, the TAT will not be renewed. Exception to this policy will be considered in the case of a serious medical condition. Medical Excuse: When serious medical problems of the teacher or his/her immediate family exist, a doctor s statement is required with a letter of assurance from the teacher that the unmet requirements will be completed prior to the beginning of the next school year. Out-of-Field Authorization to Teach (OFAT) May be issued for one school year, renewable annually and may be held a maximum of three (3) years while the holder pursues endorsements (add-on) certification requirements. If a teacher is actively pursuing certification in the field and the LDE has designated the area as an area that requires extensive hours for completion, up to two additional years of renewal may be granted. These designated areas are: Academically Gifted, Early Interventionist, Hearing Impaired, Visually Impaired, and Significant Disabilities One additional year of renewability may be granted for applicant pursuing Mild/Moderate certification. The employing district superintendent must provide a signed statement certifying that "there is no regularly certified, competent, and suitable person available for the position" and that applicant is the best-qualified person available for the position. Individual must hold a valid Louisiana teaching certificate or OS certificate and be teaching outside of their certified area. Teacher must successfully complete a minimum of six credit hours per year of courses from a regionally accredited university/college that leads toward certification in the area in which he/she is teaching; or opt to take all PRAXIS exams required for the add-on certification per the official evaluation provided by the Teacher Certification and Preparation Office. If applicant opts to take PRAXIS exams then all exams must be completed once per year.

8 If an applicant fails to complete the required renewal guidelines, the OFAT will not be renewed. Exception to this policy will be considered in the case of a serious medical condition or the unavailability of required coursework. a. Medical Excuse: When serious medical problems of the teacher or his/her immediate family exist, a doctor's statement is required with a letter of assurance from the teacher that the unmet requirements will be completed prior to the beginning of the next school year. (see Teach LA) b. Required Courses not Available: Documentation that necessary coursework was not available must be provided in the form of letters of verification from all universities in the accessible geographic area of the teacher's domicile. The university letter must verify that the necessary coursework was not offered. Temporary Employment Permit (TEP) May be issued for one (1) school year, renewed annually, and held a maximum of three (3) years while the holder pursues satisfaction of state Praxis requirements. Upon completion of the three years of employment on this certificate, for continued employment in a Louisiana school system, the holder must fulfill guidelines for a Level 1 or higher-level certificate. Under condition (a) the district submits application to LDE; renewable annually for a period not to exceed three total years. Under condition (b) the individual submits application to LDE; renewable annually for a period not to exceed three total years. a. Individual meets all certification requirements, with the exception of passing all portions of the NTE examination, but scores within ten percent of the composite score required for passage of all exams. (Formerly classified as EP) b. Individual meets all certification requirements, with the exception of passing one of the components of the PRAXIS, but has an aggregate score equal to or above the total required on all tests. (Formerly classified as TEP) Process for Renewing Lapsed Professional Certificates Type C, B, and A Certificates and Level 1, 2, and 3 Certificates Process for Reinstating Lapsed Level 1, 2, 3, or Type C,B,A Certificate Superintendent and President of the school board to which the individual has applied for employment must submit a signed affidavit to the LDE stipulating that there is no other applicant who has met all of the certification requirements available for employment for a specific teaching position. Such renewal of the permit shall be accomplished in the same manner as the granting of the original permit. The granting of such emergency teaching permit shall not waive the requirement that the person successfully complete the exam. While employed on an emergency teaching permit, employment period does not count toward tenure. Temporary Employment Permits are issued at the request of individuals, who must submit all application materials required for issuance of a regular certificate to LDE. An individual can be reissued a permit two times only if evidence is presented that the required test has been retaken twice within one year from the date the permit was last issued. 1. A certificate will lapse for disuse if the holder allows a period of five consecutive calendar years to pass in which he/she is not a regularly employed teacher for at least one semester, or 90 consecutive days. 2. To reinstate a lapsed certificate, the holder must present evidence that he/she earned six semester hours of credit from a regionally accredited university/college in state-approved courses (see Teach LA) during the five year period immediately preceding request for reinstatement. 3. If the holder did not earn six semester hours or equivalent, the lapsed certificate may be reactivated upon request (at the level that was attained prior to disuse) for a period of one year, during which time the holder must complete reinstatement requirements. Revised 8/28/07

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10 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA Toll Free #: REQUEST FOR INITIAL (YEAR ONE) TEMPORARY AUTHORITY TO TEACH -TO BE SUBMITTED BY THE EMPLOYING DISTRICT- General Information Temporary Authority to Teach (TAT) Louisiana offers TAT certificates to Louisiana employing public school systems that have not been able to employ certified teachers. Applicants must hold a degree from a regionally accredited college or university; have passing scores on the Praxis Pre-Professional Skills Tests (PPSTs) Reading and Writing examinations and at least a 2.00 GPA; qualify under TAT hiring conditions, and fulfill renewal guidelines each year to be issued another certificate for the subsequent school year. This certificate may be renewed annually for up to three years. Application Process The following items are required as part of a complete application packet: 1. Application for TAT Certificate form with all information provided; 2. Official transcripts (copies not acceptable); 3. PRAXIS/NTE Exams Pre-Professional Skills Tests (PPSTs) Reading and Writing exam scores may be submitted electronically to the Division of Certification and Preparation directly from Educational Testing Services or in the form of the original score report submitted directly from the applicant. The original score report will be returned to the applicant once a verified copy is on file in the teacher certification office. 4. Professional Conduct form with all questions answered and signed by the applicant; 5. $50.00 non-refundable certification fee (check or money order made payable to the Louisiana Department of Education) This fee is required for the initial TAT only. All application materials are to be sent to the Louisiana Department of Education as a single packet. Once the complete set of application materials is received, the application packet will be evaluated for purposes of issuing a Louisiana certificate. Requests that are missing any of the required materials will not be processed; incomplete applications will be returned to the school district with directions as to what is missing in the application. If an original transcript is not included but is being mailed by the university, the applicant must note on the packet that transcripts will be forwarded from the university. Additional Information Contact Information: If there are questions about requirements or the certification process, one should contact the Division of Certification and Preparation at (225) (or toll free at ), or Customerservice@la.gov for assistance. An Equal Opportunity Employer Revised 10/2/06

11 Temporary Authority to Teach (TAT) HIRING CONDITIONS AND RENEWAL GUIDELINES The Temporary Authority to Teach (TAT) applicant must have passing scores on the Praxis Pre-Professional Skills Tests (PPSTs) Reading and Writing exams and at least a 2.00 GPA. Applicants who meet this eligibility standard can apply for a TAT through a district based on the four conditions of eligibility listed below. A TAT may be issued for one (1) school year, renewed annually and held for a maximum of three (3) years while the holder pursues alternate certification program admission requirements or certification requirements. He/she may not be issued a renewal of that certificate for a subsequent school year unless the renewal guidelines for his/her specific hiring condition have been met. Upon completion of three (3) years of employment on this certificate, for continued employment as a teacher in a Louisiana school system, the holder must fulfill guidelines for a Practitioner License or a higher-level certificate. Who is Eligible? Conditions Renewal Guidelines Teacher preparation program graduate who has not met all Praxis requirements Individual with a baccalaureate degree from a regionally accredited college or university who has not yet been officially admitted to an alternate program because he/she has not passed the appropriate Praxis exam(s) and/or lacks the minimum of a 2.20 GPA required for admission Individual with a baccalaureate degree from a regionally accredited college or university who is hired after the deadline date for admission to an alternate program Teacher preparation program graduate who has not met the 2.50 GPA requirement Condition 1 Individual who graduates from a teacher preparation program, but does not pass all required Praxis exams, and who has not previously qualified for a Louisiana standard teaching authorization Condition 2 Individual who holds a minimum of a baccalaureate degree from a regionally accredited institution, who applies for admission to a Practitioner Teacher or other alternate program, but (a) does not pass the Praxis exams required for admission to the program, and/or (b) has a minimum of a 2.00 GPA, but does not have the required 2.20 GPA for admission to an alternate program Condition 3 Individual who holds a minimum of a baccalaureate degree from a regionally accredited institution and who is hired after the start of an available alternate certification program Condition 4 Individual who has a minimum of a 2.35 GPA on a 4.00 scale and has completed all other requirements for certification Teacher must take the necessary Praxis examinations at least twice a year. 2(a) Teacher must successfully complete a minimum of six (6) credit hours per year in the subject area(s) that he/she is attempting to pass on the Praxis and take the necessary exams at least once a year; and/or 2(b) Teacher must successfully complete a minimum of six (6) credit hours per year to raise the GPA to a 2.20 as required for admission to an alternate program. Teacher must take the appropriate Praxis examinations required for admission to an alternate certification program and, if successful, apply for admission to the alternate program. Teacher must successfully complete a minimum of six (6) semester credit hours per year to obtain the 2.50 GPA on a 4.00 scale that is required for certification purposes. If an applicant fails to complete the required renewal guidelines, the TAT will not be renewed. Exception to this policy will be considered in the case of a serious medical condition. Medical Excuse: When serious medical problems of the teacher or his/her immediate family exist, a doctor s statement is required with a letter of assurance from the teacher that the unmet requirements will be completed prior to the beginning of the next school year. (Submit completed Certification of Teacher s or Family Member s Serious Health Condition Form.) Revised 1/13/06

12 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation INITIAL APPLICATION for TEMPORARY AUTHORITY TO TEACH CERTIFICATE School Year: SCHOOL DISTRICT: SOCIAL SECURITY NUMBER: - - DATE OF BIRTH: / / NAME: (First) (Middle) (Maiden/Family) (Married Name) PHONE NUMBER: ( ) _ ADDRESS: TYPE OF DEGREE(S) HELD: (Degree) (College/University) (Year) TAT AREA REQUESTED GRADE LEVEL The applicant for this certificate must fall under one of the following conditions. Please indicate with a check ( ) which condition the applicant qualifies under. Condition 1: Applicant who graduates from a teacher preparation program, but does not pass all required PRAXIS examinations, and who has not previously qualified for a Louisiana standard teaching authorization. Certification area of education program: Condition 2: (a) Applicant who holds a baccalaureate degree from a regionally accredited institution, who applies for admission to a Practitioner teacher or other alternate certification program, but (a) does not pass the PRAXIS examinations required for admission to the program; and/or (b) (b) has a minimum of a 2.00 GPA, but does not have the required 2.20 GPA for admission to an alternate program. Certification area pursuing: Condition 3: Applicant who holds a baccalaureate degree from a regionally accredited institution and is hired after the start of an available alternate certification program. Date of hire: Condition 4: Applicant who has a minimum of a 2.35 GPA on a 4.00 scale and has completed all other requirements for certification. I hereby verify that good faith efforts for recruiting certified personnel have been made, including posting this position for which a TAT is requested on the Teach Louisiana Recruitment Center; that there is no regularly certified, competent, and suitable person available for this position and that the applicant named above is the best qualified person for employment in the position described herein. Signature of Employing Authority Signature of Applicant Date Date Revised 1/13/06

13 LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered) NAME OF APPLICANT: (Including, First, Middle, and Married) ADDRESS: Social Security Number: - - DATE OF BIRTH: Each Question must be answered: Please Check 1. Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? If YES, in what state? 2. Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in what state? 3. Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if adjudication was withheld? If yes, please provide the following information: Specify the Offense: Date of Offense: State and Parish/County of Conviction: Judicial District of Court of Conviction: 4. Have you ever been convicted of a misdemeanor offense that involves any of the following: a. Sexual or physical abuse of a minor child or other illegal conduct with a minor child. b. The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law. YES NO 5. Have you ever been granted a pardon or expungement for any offense as stated in #3 or #4? If you answered YES to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet. I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, and correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teacher certificate. SIGNATURE OF APPLICANT: DATE: Revised 1/13/06

14 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA Toll Free #: REQUEST FOR RENEWAL OF A TEMPORARY AUTHORITY TO TEACH -TO BE SUBMITTED BY THE EMPLOYING DISTRICT- Temporary Authority to Teach (TAT) General Information Louisiana offers TAT certificates to Louisiana employing public school systems that have not been able to employ certified teachers. Applicants must hold a degree from a regionally accredited college or university; have passing scores on the Praxis Pre-Professional Skills Tests (PPSTs) Reading and Writing examinations and at least a 2.00 GPA; qualify under TAT hiring conditions, and fulfill renewal guidelines each year to be issued another certificate for the subsequent school year. This certificate may be renewed annually for up to three years. Renewal Application Process The following items are required as part of a complete application packet and must be received in the Louisiana Department of Education by November 1 st. 1. Application for Renewal of TAT Certificate 2. Renewal Documentation (depending on condition under which TAT was issued) a. Official transcripts (copies not acceptable), if coursework was a condition of renewal; b. PRAXIS/NTE Exam(s), if exams were a condition of renewal. The exam score(s) may be submitted electronically to the Office of Teacher Certification directly from Educational Testing Services, or in the form of the original score report submitted directly from the applicant. The original score report will be returned to the applicant once a verified copy is on file in the teacher certification office. 3. Professional Conduct form with all questions answered and signed by the applicant. All application materials are to be sent to the Louisiana Department of Education as a single packet. Once the complete set of application materials is received, the application packet will be evaluated for purposes of issuing a Louisiana certificate. Requests that are missing any of the required materials will not be processed; incomplete applications will be returned to the school district with directions as to what is missing in the application. If original transcript is not included but is being mailed by the university, applicant must note on the packet that transcripts will be forwarded from the university. Additional Information Contact Information: If there are questions about requirements or the certification process, one should contact the Office of Teacher Certification at (225) (or toll free at ), or Customerservice@la.gov for assistance. An Equal Opportunity Employer Revised 1/13/06

15 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation RENEWAL APPLICATION for TEMPORARY AUTHORITY TO TEACH (TAT) SCHOOL YEAR: - CHECK ONE: TAT RENEWAL YR 2 TAT RENEWAL YR 3 SCHOOL DISTRICT: TAT AREA: APPLICANT S NAME: APPLICANT S SIGNATURE - - SOCIAL SECURITY NUMBER DATE Applicant was employed on a TAT certificate under one of four following conditions: Please indicate with a check ( ) the appropriate condition. (a) (b) Condition 1: Applicant who graduates from a teacher preparation program, but does not pass all required PRAXIS exams, and who has not previously qualified for a Louisiana standard teaching authorization. Condition 2: Applicant who holds a baccalaureate degree from a regionally accredited institution, who applies for admission to a Practitioner teacher or other alternate program, but (a) does not pass the PRAXIS exams required for admission to the program; and/or (b) has a minimum of a 2.00 GPA, but does not have the required 2.20 GPA for admission to an alternate program. Condition 3: Applicant who holds a baccalaureate degree from a regionally accredited institution and is hired after the start of an available alternate certification program. Condition 4: Applicant who has a minimum of a 2.35 GPA on a 4.00 scale and has completed all other requirements for certification. Documents enclosed for the renewal of this certificate: PRAXIS/NTE Score Report Official transcripts showing six semester hours to raise GPA Official transcripts showing six semester hours in the subject area(s) attempted on PRAXIS I hereby verify that good faith efforts for recruiting certified personnel have been made, including posting this position for which a TAT is requested on the Teach Louisiana Recruitment Center; that there is no regularly certified, competent, and suitable person available for this position and that the applicant named above is the best qualified person for employment in the position described herein. Signature of Employing Authority Date Revised 1/13/06

16 Temporary Authority to Teach (TAT) HIRING CONDITIONS AND RENEWAL GUIDELINES The Temporary Authority to Teach (TAT) applicant must have passing scores on the Praxis Pre-Professional Skills Tests (PPSTs) Reading and Writing exams and at least a 2.00 GPA. Applicants who meet this eligibility standard can apply for a TAT through a district based on the four conditions of eligibility listed below. A TAT may be issued for one (1) school year, renewed annually and held for a maximum of three (3) years while the holder pursues alternate certification program admission requirements or certification requirements. He/she may not be issued a renewal of that certificate for a subsequent school year unless the renewal guidelines for his/her specific hiring condition have been met. Upon completion of three (3) years of employment on this certificate, for continued employment as a teacher in a Louisiana school system, the holder must fulfill guidelines for a Practitioner License or a higher-level certificate. Who is Eligible? Conditions Renewal Guidelines Teacher preparation program graduate who has not met all Praxis requirements Individual with a baccalaureate degree from a regionally accredited college or university who has not yet been officially admitted to an alternate program because he/she has not passed the appropriate Praxis exam(s) and/or lacks the minimum of a 2.20 GPA required for admission Individual with a baccalaureate degree from a regionally accredited college or university who is hired after the deadline date for admission to an alternate program Teacher preparation program graduate who has not met the 2.50 GPA requirement Condition 1 Individual who graduates from a teacher preparation program, but does not pass all required Praxis exams, and who has not previously qualified for a Louisiana standard teaching authorization Condition 2 Individual who holds a minimum of a baccalaureate degree from a regionally accredited institution, who applies for admission to a Practitioner Teacher or other alternate program, but (a) does not pass the Praxis exams required for admission to the program; and/or (b) has a minimum of a 2.00 GPA, but does not have the required 2.20 GPA for admission to an alternate program Condition 3 Individual who holds a minimum of a baccalaureate degree from a regionally accredited institution and who is hired after the start of an available alternate certification program Condition 4 Individual who has a minimum of a 2.35 GPA on a 4.00 scale and has completed all other requirements for certification Teacher must take the necessary Praxis examinations at least twice a year. 2(a) Teacher must successfully complete a minimum of six (6) credit hours per year in the subject area(s) that he/she is attempting to pass on the Praxis and take the necessary exams at least once a year; and/or 2(b) Teacher must successfully complete a minimum of six (6) credit hours per year to raise the GPA to a 2.20 as required for admission to an alternate program. Teacher must take the appropriate Praxis examinations required for admission to an alternate certification program and, if successful, apply for admission to the alternate program. Teacher must successfully complete a minimum of six (6) semester credit hours per year to obtain the 2.50 GPA on a 4.00 scale that is required for certification purposes. If an applicant fails to complete the required renewal guidelines, the TAT will not be renewed. Exception to this policy will be considered in the case of a serious medical condition. Medical Excuse: When serious medical problems of the teacher or his/her immediate family exist, a doctor s statement is required with a letter of assurance from the teacher that the unmet requirements will be completed prior to the beginning of the next school year. (Submit completed Certification of Teacher s or Family Member s Serious Health Condition Form.) Revised 1/13/06

17 LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered) NAME OF APPLICANT: (Including, First, Middle, and Married) ADDRESS: Social Security Number: - - DATE OF BIRTH: Each Question must be answered: Please Check YES NO 1. Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? If YES, in what state? 2. Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in what state? 3. Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if adjudication was withheld? If yes, please provide the following information: Specify the Offense: Date of Offense: State and Parish/County of Conviction: Judicial District of Court of Conviction: 4. Have you ever been convicted of a misdemeanor offense that involves any of the following: a) Sexual or physical abuse of a minor child or other illegal conduct with a minor child. b) The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law. 5. Have you ever been granted a pardon or expungement for any offense as stated in #3 or #4? If you answered YES to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet. I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, and correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teacher certificate. SIGNATURE OF APPLICANT: DATE: Revised 1/13/06

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19 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA Toll Free #: APPLICATION MUST BE SUBMITTED BY THE EMPLOYING DISTRICT Practitioner License (PL 2, PL 3 & PL 4) Louisiana offers Practitioner Licenses (PL) to applicants enrolled in approved Louisiana alternate teacher education programs. These applicants must hold a degree from a regionally accredited college or university, qualify under PL hiring conditions, and fulfill renewal guidelines each year to be issued another certificate for the subsequent school year. This certificate may be renewed annually for up to three years. Upon completion of the three years of employment on this certificate, the holder must fulfill guidelines for a Level 1 or higher-level certificate for continued employment in a Louisiana school system. Application Process PRACTITIONER LICENSE INITIAL APPLICATION FOR PL 2, PL 3, and PL 4 The following items are required as part of a complete application packet: 1. Application for PL License with all information provided; 2. Official transcripts (copies not acceptable); 3. PRAXIS/NTE Exam(s), The exam score(s) may be submitted electronically to the Division of Certification and Preparation directly from Educational Testing Services, or in the form of the original score report submitted directly from the applicant. The original score report will be returned to the applicant once a verified copy is on file in the teacher certification office). 4. Program prescription plan that clearly identifies all coursework needed to complete the alternate certification program in which the applicant is enrolled; 5. Professional Conduct form with all questions answered and signed by the applicant; 6. $50.00 non-refundable certification fee (check or money order, payable to the Louisiana Department of Education); This fee is required for the initial PL only. All application materials are to be sent to the Louisiana Department of Education as a single packet. Once the complete set of application materials is received, the application packet will be evaluated for purposes of issuing a Louisiana certificate. Requests that are missing any of the required materials will not be processed; incomplete applications will be returned to the district with directions as to what is missing in the application. If original transcript is not included but is being mailed by the university, applicant must note on the packet that transcripts will be forwarded from the university. Additional Information Contact Information: If there are questions about requirements or the certification process, one should contact Certification and Preparation at (225) (or toll free at ), or Customerservice@la.gov for assistance. Revised 10/2/06

20 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation P.O. Box 94064, Baton Rouge, LA INITIAL APPLICATION for PRACTITIONER LICENSES (PL2, PL3, PL4) SCHOOL YEAR: SOCIAL SECURITY NUMBER: - - DATE OF BIRTH: / / NAME: (First) (Middle) (Maiden/Family) (Married Name) PHONE NUMBER: ( ) ADDRESS: ADDRESS: (Street Address) (City) (Zip Code) DEGREE(S) HELD: (Degree(s) Held) (College/University) (Year) Check the appropriate type of practitioner license for which the applicant is applying: PL2 Non-Master s Alternate Program PL3 Master s Alternate Program PL4 Old Post-Baccalaureate Alternate Program Check one: Coursework incomplete Praxis Exam(s) not completed Student teaching/internship incomplete EMPLOYMENT PLACEMENT CERTIFICATION AREA REQUESTED GRADE LEVEL(S) SCHOOL DISTRICT PROGRAM PROVIDER and DISTRICT INFORMATION NAME OF UNIVERSITY ALTERNATE PROGRAM PROVIDER in which applicant is enrolled SIGNATURE OF EMPLOYING AGENCY I verify that the above-named individual has met ALL requirements for admission and is enrolled in a state-approved Non-Master s Alternate Certification Program, Master s Alternate Certification Program, or old Post-Baccalaureate Alternate Certification Program. DATE SIGNATURE OF TEACHER APPLICANT I verify that I understand and meet all requirements for admission and will follow prescribed renewal guidelines. DATE Revised 10/2/06

21 GUIDELINES FOR PRACTITIONER LICENSES 2, 3, and 4 Practitioner License 2 (PL2) The Non-Master s/certification-only Alternate Program is designed to serve those candidates who may not elect participation in or be eligible for certification under either the Practitioner Teacher Program or the Master s Degree Alternate Program. Candidates in the Non-Master s/certification-only Alternate Program are required to complete hours of coursework. To be fully admitted to the program and issued a license an individual must: 1. Possess a baccalaureate degree from a regionally accredited institution 2. Have a 2.20 GPA on a 4.00 scale 3. Pass the PRAXIS Pre-Professional Skills Tests (PPSTs) and current PRAXIS content area exam(s). If no examination has been adopted for Louisiana in the certification area, candidates must present a minimum of 31 semester hours of coursework specific to the content area. Candidates possessing a graduate degree from a regionally accredited college or university will be exempt from the PPST requirement. Practitioner License 3 (PL3) The PL3 license is for candidates enrolled in a graduate program leading to alternate teacher certification. A Louisiana college or university with an approved teacher education program may choose to offer a Master s Degree Program as either a Master s of Education or a Master s of Arts in Teaching. This program offers flexibility in that the college or university may elect to accept master s level coursework already completed by the applicant. Candidates in a Master s Degree Program complete hours of coursework. To be fully admitted to the program and issued a license, an individual must: 1. Possess a baccalaureate degree from a regionally accredited institution 2. Have a 2.50 GPA on a 4.00 scale 3. Pass the PRAXIS Pre-Professional Skills Tests (PPSTs) and current PRAXIS content area exam(s). If no examination has been adopted for Louisiana in the certification area, candidates must present a minimum of 31 semester hours of coursework specific to the content area. Candidates possessing a graduate degree from a regionally accredited college or university will be exempt from the PPST requirement. 4. Meet other non-course requirements established by the college or university Practitioner License 4 (PL4) This certificate may be issued to an individual who is currently enrolled in or has completed an alternate post-baccalaureate program. They cannot be enrolled in a redesigned program: Practitioner Teacher, Master s Degree, or Non-Master s/certification-only Alternate Program. To be issued this license an individual must: 1. Possess a baccalaureate degree from a regionally accredited institution 2. Have achieved a 2.50 GPA on a 4.00 scale 3. Have a passing score on the PRAXIS Pre-Professional Skills Tests (PPSTs) and current PRAXIS content area exam(s). If no examination has been adopted for Louisiana in the certification area, candidates must present a minimum of 31 semester hours of coursework specific to the content area. 4. Have not yet completed all requirements for full certification. NOTE: August 31, 2006 is the last date for post-baccalaureate candidates in early childhood education, elementary, secondary, and mild/moderate special education to complete their programs. August 31, 2008 is the last date for post-baccalaureate candidates in the all-level (K-12) areas of art, dance, foreign language, health and physical education and music to complete their programs. August 31, 2009 is the last date for post-baccalaureate candidates in the areas of early interventionist, hearing impaired, severe/rprofound, and visual impairments/blind to complete their programs. Revised 10/2/06

22 LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered) NAME OF APPLICANT: (Including, First, Middle, and Married) ADDRESS: Social Security Number: - - DATE OF BIRTH: Each Question must be answered: Please Check YES NO 1. Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? If YES, in what state? 2. Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in what state? 3. Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if adjudication was withheld? If yes, please provide the following information: Specify the Offense: Date of Offense: State and Parish/County of Conviction: Judicial District of Court of Conviction: 4. Have you ever been convicted of a misdemeanor offense that involves any of the following: a) Sexual or physical abuse of a minor child or other illegal conduct with a minor child. b) The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law. 5. Have you ever been granted a pardon or expungement for any offense as stated in #3 or #4? If you answered YES to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet. I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, and correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teacher certificate. SIGNATURE OF APPLICANT: DATE: Revised 10/2/06

23 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA Toll Free #: PRACTITIONER LICENSE RENEWAL APPLICATION FOR PL 2, PL 3, and PL 4 APPLICATION MUST BE SUBMITTED BY THE EMPLOYING DISTRICT Practitioner License (PL 2, PL 3, PL 4) Louisiana offers Practitioner Licenses (PL) to applicants enrolled in approved Louisiana alternative teacher education programs. These applicants must hold a degree from a regionally accredited college or university, qualify under PL hiring conditions, and fulfill renewal guidelines each year to be issued another certificate for the subsequent school year. The PL2, PL3, and PL4 are valid for one school year. The license may be renewed annually for up to three years if evidence of completion of renewal requirements is submitted. To renew, the individual must continue enrollment and/or progress in the alternate program and must have fulfilled all coursework, teaching assignments, and prescribed activities as identified by the program provider. Upon completion of the three years of employment on this certificate, the holder must fulfill guidelines for a Level 1 or higher-level certificate for continued employment in a Louisiana school system. Application Process The following items are required as part of a complete application packet: 1. Renewal Application for PL (2, 3, or 4) License with all information provided 2. Current Official transcripts that will demonstrate progress in alternate certification program 3. PRAXIS/NTE Exam(s) (if applicable) 4. Professional Conduct form with all questions answered and signed by the applicant All application materials are to be sent to the Louisiana Department of Education as a single packet. Once the complete set of application materials is received, the application packet will be evaluated for purposes of issuing a Louisiana certificate. Requests that are missing any of the required materials will not be processed; incomplete applications will be returned to the district with directions as to what is missing in the application. If original transcript is not included but is being mailed by the university, you must note on the packet that transcripts will be forwarded from the university. Additional Information Contact Information: If there are questions about requirements or the certification process, one should contact Certification and Preparation at (225) (or toll free at ), or Customerservice@la.gov for assistance. Revised 10/2/06

24 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation P.O. Box 94064, Baton Rouge, LA RENEWAL APPLICATION for PRACTITIONER LICENSES (PL2, PL3, PL4) SCHOOL YEAR: SOCIAL SECURITY NUMBER: - - DATE OF BIRTH: / / NAME: (First) (Middle) (Maiden/Family) (Married Name) PHONE NUMBER: ( ) ADDRESS: ADDRESS: (Street Address) (City) (Zip Code) DEGREE(S) HELD: (Degree(s) Held) (College/University) (Year) Check the appropriate type of practitioner license for which a renewal is requested: PL2 Non-Master s/certification Only Alternate Program PL3 Master s Alternate Program PL4 Old Post-Baccalaureate Alternate Program Check one: Coursework incomplete Praxis Exam(s) not completed Student teaching/internship incomplete Check the renewal year. Year Two Year Three EMPLOYMENT PLACEMENT CERTIFICATION AREA REQUESTED GRADE LEVEL(S) SCHOOL DISTRICT PROGRAM PROVIDER and DISTRICT INFORMATION NAME OF UNIVERSITY ALTERNATE PROGRAM PROVIDER in which applicant is enrolled SIGNATURE OF EMPLOYING AGENCY I verify that the above-named individual remains enrolled in a state-approved Non-Master s Alternate Certification Program, Master s Alternate Certification Program, or old Post- Baccalaureate Alternate Certification Program and has met renewal requirements. DATE SIGNATURE OF TEACHER APPLICANT I verify that I understand and meet all requirements for admission and will follow prescribed renewal guidelines. DATE Revised 10/2/06

25 RENEWAL GUIDELINES FOR PRACTITIONER LICENSES 2, 3 and 4 Program requirements must be completed within the three-year maximum that a license can be held. Upon completion of three years of employment on this certificate, the holder must fulfill guidelines for a Level 1 or higher-level certificate for continued employment in a Louisiana school system. Practitioner License 2 (PL2) To renew, the individual must remain enrolled in the Non- Master s/certification-only Alternate Program. In addition, the PL2 teacher must demonstrate progress toward program requirements by successfully completing a minimum of nine (9) semester hours of coursework each year (to the extent that required semester hours remain in the program to be completed), teaching assignments, and prescribed activities identified by the program provider. Documentation of progress must include a current transcript aligned to the program prescription plan. Practitioner License 3 (PL3) To renew, the individual must remain enrolled in the Master s Degree Alternate Program. In addition, the PL3 teacher must demonstrate progress toward program requirements by successfully completing a minimum of nine (9) semester hours of coursework each year (to the extent that required semester hours remain in the program to be completed), teaching assignments, and prescribed activities identified by the program provider. Documentation of progress must include a current transcript aligned to the program prescription plan. Practitioner License 4 (PL4) To renew the individual must remain enrolled in the postbaccalaureate program, if applicable, and address his/her specific certification deficiency in all areas that apply: If deficient in coursework, candidate must fulfill a minimum of six (6) semester hours of coursework each year (to the extent that required semester hours remain in the program to be completed). Documentation of progress must include a current transcript aligned to the post-baccalaureate program prescription plan. If deficient in PRAXIS requirements, candidate must attempt any remaining exam(s) at least twice each year. Documentation of progress must include the official score report(s) from Educational Testing Service (ETS). If deficient in program requirements for the internship/student teaching, candidate must demonstrate progress toward fulfillment of these requirements. NOTE: August 31, 2006 is the last date for post-baccalaureate candidates in early childhood education, elementary, secondary, and mild/moderate special education to complete their programs. August 31, 2008 is the last date for post-baccalaureate candidates in the alllevel (K-12) areas of art, dance, foreign language, health and physical education and music to complete their programs. August 31, 2009 is the last date for post-baccalaureate candidates in the areas of early interventionist, hearing impaired, severe/profound, and visual impairments/blind to complete their programs. Revised 10/2/06

26 LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered) NAME OF APPLICANT: (Including, First, Middle, and Married) ADDRESS: Social Security Number: - - DATE OF BIRTH: Each Question must be answered: Please Check YES NO 1. Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? If YES, in what state? 2. Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in what state? 3. Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if adjudication was withheld? If yes, please provide the following information: Specify the Offense: Date of Offense: State and Parish/County of Conviction: Judicial District of Court of Conviction: 4. Have you ever been convicted of a misdemeanor offense that involves any of the following: a) Sexual or physical abuse of a minor child or other illegal conduct with a minor child. b) The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law. 5. Have you ever been granted a pardon or expungement for any offense as stated in #3 or #4? If you answered YES to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet. I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, and correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teacher certificate. SIGNATURE OF APPLICANT: DATE: Revised 10/2/06

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28 Features Admission to the Program Knowledge of the Learner/Learning Environment Methodology and Teaching (Contentspecific methods courses and clinical/ field experiences) Student Teaching or Internship Prescriptive Hours ALTERNATE TEACHER CERTIFICATION PROGRAMS* Practitioner Teacher Program Master s Degree Program Non-Master s/certification-only Program Coursework plus on-the job streamlined Can be full-time or part-time Most flexible option for career switchers approach Candidate completes with Master s Can be full-time or part-time Requires full-time commitment Degree plus teacher certification Available for Grades PK-3, 1-5, 4-8, 6-12, Can be offered by private providers Available for Grades PK-3, 1-5, 4-8, 6- All-level (K-12), and all special education Available for Grades PK-3, 1-5, 4-8, 6-12, All-level (K-12), and all special areas certification 12, All-level (K-12), and Mild/Moderate education areas certification special education certification PROGRAM REQUIREMENTS GPA 2.50 GPA GPA Minimum of a non-teacher education baccalaureate degree Pass PRAXIS Pre-professional Basic Skills Tests (reading, writing, mathematics) Individuals who already possess a graduate degree or appropriate ACT/SAT scores will be exempted from this requirement. Pass content-specific PRAXIS exam for area/level of certification being sought; If no exam adopted in LA in certification area must have 31 semester hours specific to content area. 9 hours coursework (12hrs for PK-3) (intensive summer segment) plus two 3-hour seminars (spring semester, fall semester) 12 hours (internship) 1-9 hours (to be used only for candidate who demonstrates areas of need) Total Hours (24-33 for PK-3) Special Education Candidates Additional Certification Requirements 15 hours 12 hours hours 6 hours 6 9 hours (internship or student teaching) None available 6 hours (internship or student teaching) 1-9 hours (can be pre-planned courses for a program, or individualized hours for a candidate who demonstrates areas of need) Candidates enrolled in Special Education Programs: Early Interventionist, Mild/Moderate 1-12, Hearing Impaired K-12, Visually Impaired K- 12, and Significant Disabilities will complete course work and field/clinical experiences specific to the needs of infants, toddlers and children exceptionality. Completed program with a 2.50 GPA Passed the required pedagogy PRAXIS exam requirements Demonstrated proficiency in BESE Reading Competencies by (1) completing same number of reading course hours required by statute for undergraduate teacher preparation programs: PK-3 or Elementary 1-5, nine hours; Middle Grades 4-8, six hours; Secondary 6-12 or All- Level K-12, three hours or (2) passing state reading competency assessment *See the Teacher Preparation Center on the TEACH LOUISIANA website ( for location of programs throughout the state

29 LOCATION OF APPROVED ALTERNATE CERTIFICATION PROGRAMS INSTITUTION Centenary College REGION Grambling State University 8 Louisiana College Louisiana State University Alexandria Louisiana State University Baton Rouge Louisiana State University Shreveport 7 6 PRACTITIONER TEACHER PROGRAM (PL1) Grades 1-5 Special Education M/M Grades 1-5 Grades 6-12 Ag, Bio, Bus, CS, C, EarthSci, Eng, EnvironSci, FCS, Fr, GS, Ger, J, Math, Mkt, P, S, SS, Span, TechEd Grades K-12 Art, H&PE, IM, VM Special Education M/M MASTER S DEGREE ALTERNATE PROGRAM (PL3) Grades 1-5 Grades 6-12 Bio, Bus, C, Eng, GS, Fr, Ger, Math, P, SS, Span NON-MASTER S/ CERTIFICATION-ONLY PROGRAM (PL2) Grades 1-5 Grades 6-12 Bio, Bus, C, Eng, GS, Fr, Ger, Math, P, SS, Span Grades 1-5 Grades 6-12 Ag, Bio, Bus, CS, C, Eng, FCS, Fr, GS, Ger, J, Math, Mkt, P, S, SS, Span, TechEd Grades K-12 Art, IM,VM, H&PE 6 Grades 1-5 Grades 6-12 Bio, Eng, SS, Math Grades K-12 H&PE 2 7 Holmes Grades 1-5 Holmes Grades 6-12 Bio, C, Eng, Fr, Math, P, SS Grades K-12 IM, VM Grades 1-5 Grades 6-12 Bio, C, Eng, Math, P, SS Special Education M/M CONTACT Dr. Sue Hernandez 2911 Centenary Blvd. Shreveport, LA (318) Melanie Monroe P.O. Box 1186 Grambling, LA (318) Dr. Michael Shamblin Director of Alternative Certification P.O. Box 585 Pineville, LA (318) (318) Dr. Judy Rundell, Chair Department of Education 8100 Highway 71 South Alexandria, LA (318) Bridget Robicheaux 221 Peabody Hall Baton Rouge, LA (225) Dr. Dave Gustavson College of Education and Human Development One University Place Shreveport, LA (318) Practitioner Licenses (PL1, PL2 and PL3) are available to individuals who are officially enrolled in an approved program and employed by a Louisiana school system. The type of PL is determined by the program in which one is enrolled. The university or program provider submits the PL1 application to the LA Dept. of Education. The PL2 and PL3 applications are submitted by the employing school district. Revised 10/6/2007 1

30 LOCATION OF APPROVED ALTERNATE CERTIFICATION PROGRAMS INSTITUTION Louisiana Tech University McNeese State University 5 Nicholls State University 3 PRACTITIONER REGION TEACHER PROGRAM (PL1) 8 Grades 1-5 Grades 4-8 Math, Sci Grades 6-12 Ag, Bio, Bus, C, EarthSci, Eng, FCS, Fr, Math, P, S, SS Grades 1-5 Grades 4-8 Grades 6-12 Bio, Bus, C, Eng, Math, SS Special Education M/M MASTER S DEGREE ALTERNATE PROGRAM (PL3) Grades PK-3 Grades 1-5 Grades 4-8 Math, Sci Grades 6-12 Ag, Bio, Bus, C, EarthSci, Eng, FCS, Fr, Math, P, S, Span, SS Grades K-12 Art, IM, VM, H&PE Special Education M/M, EI, VI Grades 1-5 Grades 6-12 Ag, Bio, Bus, C, Eng, EnvironSci, FCS, Fr, L, Math, S, SS, Span Special Education M/M NON-MASTER S/ CERTIFICATION-ONLY PROGRAM (PL2) Grades PK-3 Grades 1-5 Grades 4-8 Math, Sci Grades 6-12 Ag, Bio, Bus, C, EarthSci, Eng, FCS, Fr, Math, P, S, Span, SS Grades PK-3 Grades 1-5 Grades 6-12 Ag, Bio, Bus, C, Eng, EnvironSci, Math, SS, Fr, Span Grades K-12 Art, H&PE, Special Education M/M Grades 1-5 Grades 4-8 Eng, Math, SS, Sci Grades 6-12 Bio, Bus, C, Eng, FCS, Fr, GS, Math, SS, Span Special Education M/M CONTACT Melanie Gleason College of Education P. O. Box 3092 Ruston, LA (318) Brandy Fisher Burton College of Education P.O. Box Lake Charles, LA (337) Dr. Deborah Bordelon College of Education P.O. Box 2053 Polk Hall Thibodaux, LA (985) Northwestern State University Our Lady of Holy Cross College 6 Grades 1-5 Grades 4-8 Grades 6-12 Bio, Bus, C, Eng, FCS, Fr, GS, Ger, J, Math, P, S, Span, SS Special Education M/M Grades PK-3 Grades 1-5 Grades 4-8 Grades 6-12 Bio, Bus, C, Eng, FCS, Fr, GS, Ger, J, Math, P, S, SS Special Education M/M Grades K-12 H&PE, IM, VM, V&IM 1 Grades 1-5 Grades 6-12 Bio, Bus, C, Eng, FCS, Fr, GS, Math, P, Span, S, SS Suzanne Williams Office of Teacher Certification 109B Teacher Education Center, Northwestern State Univ. Natchitoches, LA (318) Dr. Myles Seghers 4123 Woodland Drive New Orleans, LA (504) Practitioner Licenses (PL1, PL2 and PL3) are available to individuals who are officially enrolled in an approved program and employed by a Louisiana school system. The type of PL is determined by the program in which one is enrolled. The university or program provider submits the PL1 application to the LA Dept. of Education. The PL2 and PL3 applications are submitted by the employing school district. Revised 10/6/2007 2

31 LOCATION OF APPROVED ALTERNATE CERTIFICATION PROGRAMS INSTITUTION Southeastern Louisiana University Southern University Baton Rouge Southern University New Orleans REGION 2 2 PRACTITIONER TEACHER PROGRAM (PL1) MASTER S DEGREE ALTERNATE PATH (PL3) Grades 1-5/Mild-Moderate (dual) Grades 1-5 Grades 6-12 Bio, Bus, C, Eng, FCS, Fr, GS, Ger, Math, P, SS, Span Special Education M/M, EI NON-MASTER S/ CERTIFICATION-ONLY ALTERNATE PATH (PL2) Grades 6-12 Ag, Bio, Bus, C, CS, Eng, FCS, Math, P, SS, S,TechEd Grades K-12 Art, IM, VM, H&PE, Fr, Ger, L, Span Special Education EI Grades PK-3 Grades 1-5 Grades 4-8 Grades 6-12 Bio, C, CS, Eng, Fr, GS, Math, P, SS, Span Grades K-12 Art, H&PE,IM, Fr, Span Special Education M/M 1 Grades PK-3 Grades 1-5 Tulane University 1 Grades PK-3 Grades 6-12 Bio, C, Eng, Fr, Ger, It, Math, P, SS Grades K-12 Dance University of Louisiana Lafayette University of Louisiana Monroe 8 4 Grades PK-3 Grades 1-5 Grades 6-12 Bio, C, EarthSci, Eng, FCS, Math, P, S, SS Grades K-12 Art, Fr, Span, H&PE, IM, VM, IM&VM Special Education M/M Grades PK-3 Grades 1-5 Grades 4-8 Grades 6-12 Ag, Bio, C, EarthSci, Eng, FCS, Fr, GS, Ger, Math, P, S, SS, Span, TechEd Grades K-12 Art, H&PE,IM,VM Special Education M/M, EI CONTACT Dr. Bill Neal SLU Hammond, LA (985) Dr. Verjanis Peoples P.O. Box 9983 Baton Rouge, LA (225) or Celina Carson 6400 Press Drive New Orleans, LA (504) Linda McKee, Acting Director Teacher Prep and Cert Program 421 Newcomb Hall New Orleans, LA (504) Dr. Gerald Carlson College of Education P.O. Box Lafayette, LA (337) Dr. Beverly Flowers-Gibson College of Education & Human Development University of LA Monroe Monroe, LA (318) Practitioner Licenses (PL1, PL2 and PL3) are available to individuals who are officially enrolled in an approved program and employed by a Louisiana school system. The type of PL is determined by the program in which one is enrolled. The university or program provider submits the PL1 application to the LA Dept. of Education. The PL2 and PL3 applications are submitted by the employing school district. Revised 10/6/2007 3

32 LOCATION OF APPROVED ALTERNATE CERTIFICATION PROGRAMS INSTITUTION REGION University of New Orleans 1 Xavier University of Louisiana 1 The New Teacher Project Teach Louisiana Consortium PRACTITIONER TEACHER PROGRAM (PL1) Grades 4-8 Grades 6-12 Bio, C, GS, Math Special Education M/M Grades 6-12 Bio, C, GS, Math, P Special Education M/M 2 Grades 1-5 Grades 4-8 English, SS, Math, Science Grades 6-12 Bio, C, Eng, Fr, GS, Math, P, SS, Span Special Education M/M 2 Grades PK-3 Grades 1-5 Grades 4-8 Math,Sci,Eng Grades 6-12: Bio, C, Eng, Fr, GS, Math, P, Span, SS Special Education M/M MASTER S DEGREE ALTERNATE PATH (PL3) Grades 1-5 Grades 6-12 Bio, C, Eng, Fr, Math, Span, SS Special Education M/M NON-MASTER S/ CERTIFICATION-ONLY ALTERNATE PATH (PL2) Grades PK-3 Grades 1-5 Grades 4-8 Grades 6-12 Bio, C, Eng, Fr, GS, Math,P, SS, Span Special Education M/M, EI, SD CONTACT Dr. James Meza College of Education ED Lakeshore Drive New Orleans, LA (504) Dr. Renee Akbar Division of Education One Drexel Drive New Orleans, LA (504) The New Teacher Project P. O. Box New Orleans, LA Amanda Anderson (504) lptp@tntp.org Dr. Angelle Stringer LA Resource Center for Educators 7305 Florida Blvd., Suite D Baton Rouge, LA (225) TLC@LRCE.org Practitioner Licenses (PL1, PL2 and PL3) are available to individuals who are officially enrolled in an approved program and employed by a Louisiana school system. The type of PL is determined by the program in which one is enrolled. The university or program provider submits the PL1 application to the LA Dept. of Education. The PL2 and PL3 applications are submitted by the employing school district. Certification Areas Ag Agriculture FCS Family and Consumer Sciences Math Mathematics Art Art (Visual) Fr French M/M Mild/Moderate Bio Biology GS General Science P Physics Bus Business Ger German Sci Science (Middle School) C Chemistry H&PE Health and Physical Education SD Significant Disabilities CS 1 Computer Science IM Instrumental Music SS Social Studies EarthSci 1 Earth Science It 1 Italian Span Spanish EI Early Interventionist Birth to 5yrs J 1 Journalism S Speech (and drama) Eng English L 1 Latin TechEd Technology Education EnvironSci 1 Environmental Science Mkt 1 Marketing VI Visual Impairments/Blind VM Vocal Music 1 The Praxis specialty area exam has not been adopted for use by Louisiana at this time. Alternate candidates must present a minimum of 31 semester hours of coursework specific to the content area for admission to the program. Revised 10/6/2007 4

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34 Process for Renewing Lapsed Professional Certificates Type C, B, and A Certificates and Level 1, 2, and 3 Certificates Type C and Level 1 certificates for beginning teachers in Louisiana shall be valid for three years. Teachers who have had the required academic preparation and the necessary number of years of successful teaching experience in their properly certified field and have successfully completed the Louisiana Teacher Assistance and Assessment program may have Type C certificates converted into Type B or Type A certificates, or may have Level 1 certificates converted into Level 2 or Level 3 certificates, with validation subject to the terms and conditions hereinafter set forth. Type B and A certificates shall be valid for life; and Level 2 and Level 3 certificates shall be valid for five years and renewable with 150 Continuing Learning Units (CLUs) of professional development. The period of validity is subject to the provision that the holder does not allow any period of five or more consecutive calendar years of disuse to accrue and/or the certificate is not revoked by the State Board of Elementary and Secondary Education acting in accordance with law. Type C, Type B, and Type A certificates will lapse for disuse if the holder thereof allows a period of five consecutive calendar years to pass in which he is not a regularly employed educator for at least one semester (90 consecutive days). Level 1, 2 and Level 3 professional certificates will lapse for disuse (a) if the holder thereof allows a period of five consecutive calendar years to pass in which he is not a regularly employed educator for at least one semester [90 consecutive days], or (b) if the holder fails to complete the required number of professional development hours during his employ. Full reinstatement of a lapsed certificate shall be made only on evidence that the holder earned six semester hours (or equivalent) of resident, extension, correspondence, or online credit in courses approved by the Division of Teacher Certification and Higher Education or a dean of a Louisiana College of Education. The six semester credit hours must be earned during the five-year period immediately preceding reinstatement. If the holder of a lapsed certificate has not earned the required six credit hours, the lapsed certificate may be reactivated (at the level that was attained prior to disuse) for a period of one year, during which time the holder of certificate is required to complete six semester credit hours of coursework and present evidence of successful completion to the Division of Teacher Certification and Higher Education. Failure to complete the necessary coursework during the one-year reactivation period will result in a lapsed certificate that cannot be reinstated until evidence of completed coursework is provided.

35 Type of Approved Coursework (Diagnostic & Prescriptive Reading) Reading in the Content Area Other Content in Reading Early Numeracy Concepts of Mathematics Other Content in Mathematics Type of Approved Coursework Content in English/ Language Arts Content in Science Content in Social Studies Content Specific to Subject Area of Certification Classroom and/ or Behavior Management Technology in the Classroom Teaching in an Inclusive Setting Vocational and Transition Services for APPROVED COURSES TO REINSTATE LAPSED CERTIFICATES (Six semester hours of coursework required) Early Childhood (PK, K, PK-3) Elementary Grades (1-4, 1-5, 1-6, 1-8) Middle Grades (4-8, 5-8) Secondary Grades (6-12, 7-12) Special Education (1-12) X X X X X X X X X X All-Level (K-12) Areas (Art, Dance, Foreign Language, H&PE, Music) X X X X X X X X X X X X X X Early Childhood (PK, K, PK-3) Elementary Grades (1-4, 1-5, 1-6, 1-8) Middle Grades (4-8, 5-8) Secondary Grades (6-12, 7-12) Special Education (1-12) X X X X X X X X X X X X All-Level (K-12) Areas (Art, Dance, Foreign Language, H&PE, Music) X X X X X X X X X X X X X X X X X X X X X X Students NOTES: 1. Teachers with multiple certification areas may complete coursework specific to any of their certification areas. 2. Coursework must be reflected on a transcript from a regionally accredited institution. 3. Coursework must be gained within the five-year period immediately preceding reinstatement of the certificate. 4. Coursework cannot be a repeat of prior coursework shown on a transcript, unless the student failed or earned a D in the course. X

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37 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA Toll Free #: Dear Prospective Louisiana Educator: We are pleased that you are interested in obtaining a Louisiana teaching certificate. The instructions outlined in this application packet are designed to facilitate the process of obtaining your Louisiana certificate. Louisiana Certification OUT-OF-STATE CERTIFICATION APPLICATION PACKET Louisiana offers two types of teaching certificates to applicants holding a standard out-of-state teaching certificate. Both are valid certificates and make the holder eligible for a teaching assignment in a Louisiana classroom. The certificate that is issued to the applicant depends on whether or not the applicant has met Louisiana s Praxis and/or NTE testing requirements. 1. Level 1 Professional Certificate is a standard, three-year Louisiana teaching certificate that authorizes certification for the levels or subjects available in Louisiana and that are consistent with those currently on the applicant s Out-of-State teaching certificate. A Level 1 certificate is issued to individuals who have completed the Louisiana PRAXIS and/or NTE requirements. 2. Out-of-State Certificate is a standard, three-year, non-renewable Louisiana teaching certificate that authorizes certification for the levels or subjects available in Louisiana and that are consistent with those currently on the applicant s Out-of-State teaching certificate. An Out-of-State certificate is issued to individuals who have not met Louisiana s PRAXIS and/or NTE requirements. Exemption from PRAXIS and/or NTE Requirements An applicant who holds a valid, standard Out-of-State teaching certificate, has at least four years of successful teaching experience in another state as verified by the previous out-of-state school district/county s satisfactory annual evaluation results, and teaches on an OS certificate for one (1) year in a Louisiana public school system, shall not have to complete the required examinations or to submit examination scores from any examination previously taken in another state as prerequisite to the granting of a Level 1 certificate in Louisiana, provided that: a. The teacher meets all other requirements for a Louisiana certificate as required by law or board policy. b. The local superintendent or his designee of the public school system employing the teacher has recommended the teacher for employment for the following school year and has requested that the teacher be granted a valid Louisiana teaching certificate. Upon meeting conditions (a) and (b), the individual holding the Out-of-State certificate may apply through his/her school district for a professional level certificate. An Equal Opportunity Employer Revised 9/11/07

38 Eligibility for Teaching Area(s) on a Louisiana Certificate The teaching areas designated on the certificate are based upon verification of the completion of an out-ofstate teacher preparation program that included student teaching, an internship, or three years of successful teaching experience in the certification area. If an alternate program was completed, then the attached Program Verification Form must be submitted with the application. Louisiana Teacher Assistance and Assessment Program All teachers new to Louisiana public schools are required to complete Louisiana Teacher Assistance and Assessment Program (LaTAAP). If you are an experienced teacher with a minimum of two creditable years (within the past five years) of public school teaching experience from another state and are entering service for the first time in a Louisiana public school system, you are eligible to apply for exclusion from LaTAAP. To be considered for exclusion from LaTAAP, a teacher must apply within the first six weeks of his/her employment by a Louisiana public school system. Procedures and necessary forms to request exclusion may be obtained from the LaTAAP contact person in your Louisiana employing public school district. A teacher from another state may provide evidence of National Board Certification for exclusion from LaTAAP. The Out-of-State LaTAAP Exclusion Request Form, and a copy of their valid NBC certificate must be submitted to the Louisiana employing school district. Upon fulfillment of the LaTAAP requirements and verification of three years of successful teaching experience in the area of certification, a Level 1 teaching certificate may be converted to a Level 2 teaching certificate. A Level 3 teaching certificate may be issued with verification of five years of successful teaching experience in the area of certification and a master s degree. Both the Level 2 and 3 certificates must be requested by the Louisiana employing authority. The Level 2 and 3 certificates are valid for five years and are renewable with completion of 150 continuing learning units (CLUs). Application Process All information should be mailed to: Division of Certification and Preparation, LA Department of Education, P. O. Box 94064, Baton Rouge, LA, The following items are required as part of a complete application packet: 1. Out-of-State Application for Teaching Certificate with all information provided 2. Official transcripts (copies not acceptable) 3. Copy of the teaching certificate you currently hold from another state or a letter from that state s Department of Education verifying eligibility for a certificate in the area(s) of certification 4. Institutional/Private Provider Recommendation form to be completed only if your transcript does not provide clear evidence of a student teaching or internship experience 5. School Experience Verification form signed by the appropriate employing authority is required for individuals who did not complete student teaching or an internship. The form is submitted to provide evidence of three years of successful teaching experience in the area of certification being requested in lieu of student teaching 6. Professional Conduct form with all questions answered and signed and dated by the applicant; 7. Original Praxis/NTE score report (if applicable) and 8. $50.00 non-refundable certification fee (check or money order, payable to the Louisiana Department of Education) 9. LaTAAP- (if applicable) All application materials are to be sent to the Louisiana Department of Education as a single packet. Once the complete set of application materials is received, the application packet will be evaluated for purposes of issuing a Louisiana teaching certificate. We regret that we are unable to process requests that are missing any of the required materials; incomplete applications will be returned to the applicant identifying needed documentation.

39 Additional Information Employment: For employment opportunities contact the personnel directors at the state s 68 public school districts concerning employment opportunities. A Louisiana Teacher Certification and Recruitment website can be accessed at Contact Information: If there are questions about requirements or the certification process, please contact the Division of Certification and Preparation at (225) (or toll free at ) or Customerservice@la.gov for assistance.

40 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation Out-of-State Application for Teaching Certificate Toll Free #: PLEASE TYPE OR PRINT IN INK Social Security No: - - Date of Birth: / / Name: (First) (Middle) (Maiden) (Married) Address: (Street) (City) (State) (Zip Code) Phone: Home: ( ) Work: ( ) Parish of Residence: EDUCATION PROGRAM TYPE COMPLETED: Undergraduate Teacher Preparation Program Alternate Post Baccalaureate Program EDUCATIONAL QUALIFICATIONS Degree(s) Earned Institution(s) Date Degree(s) Earned DETAILS OF TEACHING EXPERIENCE (attach additional pages as needed) Elem. Grade(s), High School Subject(s) Name(s) of School(s) School Year(s) Give Dates Taught, or Supervisory/Admin. Service NOTE: If you have not taught as a regular teacher within the past five years in an elementary or secondary school, you are required to complete six semester credits related to the teaching field(s) from a regionally accredited college/university. The credits must be earned during the five-year period immediately preceding the date of application. PRAXIS/NTE scores to be reported directly by ETS: Yes No I certify that the information and documentation contained in my application required for certification in Louisiana are true and accurate to the best of my information, knowledge, and belief, and hereby authorize and direct the producer of any test I have taken as required by law and all college and/or university officials and all former employers to release information regarding my scores, grades, or employment to the Louisiana Department of Education upon its request, for the purpose of verifying the information and documentation contained in this application and packet to determine my eligibility for certification in Louisiana. Signature of Applicant: Date: To be used by Certification Office Only: NASDTEC Clearinghouse Search: Yes No Supervisor: Date:

41 INSTITUTIONAL/PRIVATE PROVIDER RECOMMENDATION FORM Applicant s Name: Social Security No.: - - (First) (Middle) (Maiden) (Married) Is the applicant eligible for a regular certificate (not temporary or provisional) based upon completion of an approved teacher education standard or alternate program? Yes No Indicate whether the teacher candidate completed a student teaching experience or an internship experience. Clearly identify the grades level(s) and subject(s) of the student teaching or internship. Check one: Candidate completed STUDENT TEACHING Candidate completed INTERNSHIP Check the grade level of Student Teaching or Internship experience: Preschool/Kindergarten Elementary Grades Middle Grades High School Identify the subject(s) taught or indicate self-contained (all subjects): If the internship or student teaching was in Special Education, identify the area of special education: Identify the teaching area(s) in which the candidate completed his/her program, the date of completion, and the name of the institution or provider. The appropriate university or provider official must sign form. This form indicates that the above-named candidate graduated from or completed our approved teacher education program in: Date of Program Completion: Name of Institution/Provider: Signature of University/Provider Official: PLEASE RETURN THIS FORM DIRECTLY TO CANDIDATE. DO NOT FORWARD THIS FORM TO THE DEPARTMENT OF EDUCATION.

42 Louisiana Teacher Assistance and Assessment Program Instructions for Out-of-State Exclusion All teachers new to Louisiana public schools are required to complete Louisiana Teacher Assistance and Assessment Program (LaTAAP). Successful completion of the LaTAAP program and three years of successful teaching experience are required to move from a Level 1 Professional certificate to a Level 2 Professional certificate. If you are an experienced teacher with a minimum of two creditable years (within the past five years) of public school teaching experience from another state and are entering service for the first time with a Louisiana public school system, you are eligible to apply for exclusion from LaTAAP. To be considered for exclusion from LaTAAP, a teacher must apply within the first six weeks of his/her employment by a Louisiana public school system. The procedures and form to be followed when requesting out-of-state exclusion from LaTAAP are available from the LaTAAP contact person in the employing Louisiana public school district.

43 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation EXPERIENCE VERIFICATION FORM PLEASE CHECK CATEGORY THAT APPLIES TO APPLICATION: Higher Level Certificate 1 Administrative Experience Out-of-State PRAXIS Exclusion 2 Student Teaching/Internship Waiver Verification of Experience for Ancillary Area PLEASE TYPE OR PRINT IN INK Louisiana Certificate Type/Number: Social Security Number: - - Name: Date of Birth: / / (First) (Middle) (Maiden) (Married) Address: Home Phone #: ( ) (Street) (City/State) (Zip Code) PARISH/ DISTRICT/ COUNTY NAME OF SCHOOL Type of School Public Private School School Grade Level(s) Taught Subject(s) Taught School Year(s) Taught POSITION (teacher, principal, etc.) Higher Request: If this form is being submitted for a higher level certificate, it must be submitted directly from the Louisiana employing school system. 2 Out-of-State Exclusion: I certify that the experience as listed above was successful, complete, and correct according to the official records on file in the Louisiana public school system providing this verification of employment. The above individual will be reemployed by this system for the next school year in accordance with the out-of-state certification policy. This verification must be sent from an employing or previously employing school system. TO THE BEST OF MY KNOWLEDGE, THE EXPERIENCE CORRECTLY LISTED ABOVE WAS SUCCESSFUL. ORIGINAL SIGNATURE OF EMPLOYING AUTHORITY TITLE AND DISTRICT OF EMPLOYING AUTHORITY ORIGINAL SIGNATURE OF APPLICANT DATE For certification use only: Teacher Assessment Completed: Yes No

44 LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered) NAME OF APPLICANT: (Including, First, Middle, and Married) ADDRESS: Social Security Number: - - DATE OF BIRTH: Each Question must be answered: Please Check YES NO 1. Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? If YES, in which state? 2. Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in which state? 3. Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if adjudication was withheld? If yes, please provide the following information: Date of Conviction: State of Conviction: Court Jurisdiction of Conviction: 4. Have you ever been convicted of a misdemeanor offense that involves any of the following: a. Sexual or physical abuse of a minor child or other illegal conduct with a minor child. b. The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law. 5. Have you ever been granted a pardon for any offense as stated in #3 or #4? If you answered YES to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet. I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teacher certificate. SIGNATURE OF APPLICANT: DATE:

45 LOUISIANA REQUIREMENTS PRAXIS/NTE SCORES PRE-PROFESSIONAL SKILLS TESTS Paper Administrations (Required for all Louisiana candidates to enter teacher preparation programs.) PRE-PROFESSIONAL SKILLS TEST Test # Score Effective Date PPST:R Pre-Professional Skills Test: Reading PPST:W Pre-Professional Skills Test: Writing PPST:M Pre-Professional Skills Test: Mathematics Effective 1/16/ Effective 7/1/ Effective 7/1/10 PRE-PROFESSIONAL SKILLS TESTS Computer Based Administrations PRE-PROFESSIONAL SKILLS TEST Test # Score Effective Date PPST:R Pre-Professional Skills Test: Reading PPST:W Pre-Professional Skills Test: Writing PPST:M Pre-Professional Skills Test: Mathematics Prior to1/16/02 PPST:R Pre-Professional Skills Test: Reading PPST:W Pre-Professional Skills Test: Writing PPST:M Pre-Professional Skills Test: Mathematics Effective 1/16/ Effective 7/1/ Effective 7/1/10 Core Battery Exams Communications Skills (CS) General Knowledge (GK) Professional Knowledge (PK) Prior to 9/1/99 Effective September 1, 2006 : An ACT composite score of 22 or a SAT combined verbal and math score of 1030 may be used in lieu of Praxis 1 PPST Exams by prospective teachers in Louisiana. Certification Area CONTENT AND PEDAGOGY REQUIREMENTS Content Name of Praxis Test Exam Score PLT K-6 (#0522) Early Childhood PK-3 Elementary Content Knowledge (0014) Prior to 5/31/04 Effective 6/1/ Pedagogy: Principles of Learning & Teaching PLT 5-9 PLT 7-12 (#0523) (#0524) Prior to 6/1/04: PLT K-6 or ECE 0020; After 5/31/04: Early Childhood Education 0020 (Score 510) Grades 1-5 Elementary Content Knowledge (0014) Prior to 5/31/04 Effective 6/1/ Grades 4-8 Generic Middle School: Content Knowledge (0146) Effective 6/1/04, this exam not available for certification purposes; middle grades candidates required to pass one or more content specific middle grades exams. Grades 4-8 Mathematics Middle School Mathematics (0069) Grades 4-8 Science Middle School Science (0439) Prior to 5/31/ Effective 6/1/ Effective 6/1/ Grades 4-8 Social Studies Middle School Social Studies (0089) Grades 4-8 English/Language Arts Middle School English/Language Arts (0049)

46 GRADES 6-12 CERTIFICATION AREAS Score PLT 7-12 Agriculture Agriculture (0700) Effective 7/1/ Biology Biology & General Science (0030) Prior to 6/30/ Biology: Content Knowledge (0235) Effective 7/1/ Business Business Education (0100) Prior to 5/31/ Effective 6/1/ Chemistry Chemistry/Physics/General Science (0070) Prior to 6/30/ Chemistry: Content Knowledge (0245) Effective 7/1/ English English Language, Literature, & Composition: Content Knowledge (0041) Pedagogy (0043) Family & Consumer Sciences (formerly Home Economics) Family & Consumer Sciences (0120) French French (0170) Prior to 5/31/ French: Content Knowledge (0173) Effective 6/1/ General Science Biology & General Science (0030) OR Chemistry/Physics/General Science (0070) Prior to 6/30/05 General Science: Content Knowledge (0435) Effective 7/1/05 German German (0180) German: Content Knowledge (0181) Effective 7/1/06 Mathematics Mathematics (0060) Prior to 5/31/04 Mathematics: Content Knowledge (0061) Effective 6/1/04 Effective 6/1/07 Effective 6/1/10 Physics Chemistry/Physics/General Science (0070) Prior to 6/30/06 Physics: Content Knowledge (0265) Effective 7/1/ School Librarian Library Media Specialist (0310) Social Studies Social Studies: 161 Content Knowledge (0081) Interpretation of Materials (0083) Spanish Spanish (0190) Prior to 5/31/ Spanish: Content Knowledge (0191) Effective 6/1/ Speech Speech Communications (0220) Effective 7/1/ Technology Education (formerly Industrial Arts) Technology Education (0050) Effective 7/1/ Computer Science Earth Science At this time, a content area exam is not required for Environmental Science certification in Louisiana. Journalism Latin Marketing (formerly Distributive Education) 161 ALL-LEVEL K-12 CERTIFICATION AREAS Score PLT K-6 PLT 5-9 PLT 7-12 Grades K-12 Art Art: Content Knowledge (0133) Effective 7/1/ or 154 or 161 Grades K-12 Dance None Available** or 154 or 161 Grades K-12 Foreign Languages French (0170) Prior to 5/31/04 French: Content Knowledge (0173) Effective 6/1/04 German (0180) German: Content Knowledge (0181) Effective 7/1/06 Spanish (0190) Prior to 5/31/04 Spanish: Content Knowledge (0191) Effective 6/1/04 Grades K-12 Music Music Education (0110) Prior to 5/31/04 Music: Content Knowledge (0113) Effective 6/1/04 Grades K-12 Health and Physical Education (0090) Prior to 5/31/04 Physical Education Phys. Education: Content Knowledge (0091) Effective 6/1/04 **At this time, a content area exam is not required for certification in Louisiana or 154 or or 154 or or 154 or 161

47 SPECIAL EDUCATION AREAS Area Content Exam Score Pedagogy Requirement Score All Special Education Area(s) Prior to 6/1/04: PLT K-6 (161), PLT 5-9 (154) OR PLT 7-12 (161) Elementary Education: Content Knowledge Educ. of Exceptional Students: Core Early Interventionist (0014) Effective 7/1/ Content Knowledge (0353) Effective 6/1/ Hearing Impaired Mild to Moderate Disabilities Significant Disabilities Visual Impairments/Blind Elementary Education: Content Knowledge (0014) Effective 7/1/ Effective 6/1/04 ALL Candidates must pass a content area exam appropriate to certification level 1-5, 4-8, 6-12 (e.g., 0014, or core subject-specific exams for middle or secondary grades) Prior to 6/1/04, a content area exam was required only for entry into a Mild/ Moderate 1-12 Practitioner Teacher Program, Non-Master s Certification-Only Alternate Program, and Master s Alternate Program. Elementary Education: Content Knowledge (0014) Effective 7/1/ Elementary Education: Content Knowledge (0014) Effective 7/1/ Educ. of Exceptional Students: Core Content Knowledge (0353) & Early Childhood Education (0020) Effective 7/1/05 Educ. of Exceptional Students: Core Content Knowledge (0353) & Educ. of Deaf and Hard of Hearing Students (0271) Effective 6/1/04 *Educ. of Exceptional Students: Core Content Knowledge (0353) & Educ. of Exceptional Students: Mild/Moderate Disabilities (0542) Effective 1/1/05 *Note: (0353) and (0542) are not content area exams. Educ. of Exceptional Students: Core Content Knowledge (0353) & Educ. of Exceptional Students: Severe to Profound Disabilities (0544) Effective 6/1/ Educ. of Exceptional Students: Core Content Knowledge (0353) Effective 6/1/ ADMINISTRATIVE AREAS Certification Area Name of Praxis Test Area Test Score Principal Educational Leadership: Administration & Supervision (0410) Prior to 1/1/ Educational Leader Level 1 School Leaders Licensure Assessment (1010) Effective 7/1/ Educational Leader Level 3 School Superintendent Assessment (1020) Effective 7/1/ All Praxis scores used for certification must be sent directly from ETS to the State Department of Education electronically, or the original Praxis score report from ETS must be submitted with candidate s application.

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49 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA Toll Free #: REQUEST FOR OUT-OF-FIELD AUTHORIZATION TO TEACH -TO BE SUBMITTED BY EMPLOYING DISTRICT- General Information OUT-OF-FIELD AUTHORIZATION TO TEACH (OFAT) Louisiana offers OFAT certificates to Louisiana employing public school systems that have not been able to employ certified teachers. These applicants must hold a Louisiana teaching certificate, but are teaching outside of their certified area. These applicants must obtain a prescription/outline of coursework required for add-on certification in the area of the teaching assignment and fulfill renewal guidelines each year to be issued another certificate for the subsequent school year. Districts may request a maximum of two OFAT areas. This certificate may be renewed annually for up to three years. Application Process The following items are required as part of a complete application packet: 1. Application for OFAT Certificate form with all information provided; 2. Professional Conduct form will all questions answered and signed by the applicant; 3. $25.00 non-refundable certification fee (fee should be submitted in the form of a school district check or money order, made payable to Louisiana Department of Education). This fee is required for the initial OFAT only. All application materials are to be sent to the Louisiana Department of Education as a single packet. Once the complete set of application materials are received, the application packet will be evaluated for purposes of issuing a Louisiana certificate. We regret that we are unable to process requests that are missing any of the required materials; incomplete applications will be returned to the applicant with directions as to what is missing in the application. Additional Information Contact Information: If there are questions about requirements or the certification process, please contact the Office of Teacher Certification at (225) (or toll free at ), or Customerservice@la.gov for assistance. An Equal Opportunity Employer Revised 6/2004

50 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation APPLICATION for INITIAL OUT-OF-FIELD AUTHORIZATION TO TEACH District Name: School Name: Address of School : Name: Date of Birth: / / (First) (Middle) (Maiden/Family) (Married) SS#: - - Regular Certificate Number: SCHOOL SESSION Subject area(s) to be taught (as listed in Bulletin 746): Grade Level: A prescription/outline of course work required for add-on certification in the area of the teaching assignment will be enclosed with the initial OFAT certificate. The employing school district should give every applicant for an Out-of-Field Authorization to Teach Certificate a copy of the guidelines and prescription/outline upon receipt of the certificate. Teacher must successfully complete a minimum of six credit hours per year of courses that lead toward certification in the area in which he/she is teaching; or the secondarycertified teacher who is teaching out-of-field may opt to take the required PRAXIS/NTE content specialty examination for the specific 7-12 academic certification area, under this stipulation, the exam(s) must be attempted at least once per year. I hereby certify that there is no regularly certified, competent, and suitable person available for this position and that the applicant named above is the best qualified person for employment in the position herein above described. District can request OFAT certificate only in the area(s) for which applicant has been hired. Signature of Employing Authority Date I hereby certify that I have been informed of all stipulations of this certificate and understand all renewal guidelines. Signature of Applicant Date

51 Out-of-Field Authority to Teach (OFAT) Hiring Conditions and Renewal Guidelines A teacher may hold a one-year Out-of-Field Authorization to Teach, renewable annually, for a maximum of three years. If the teacher is actively pursuing certification in the field and LDE designates the certification area as one requiring extensive hours for completion, two additional years of renewability may be granted. Applicant Status: Conditions: Renewal Guidelines: Applicant holds a standard Louisiana teaching certificate. Individual holds a Louisiana teaching certificate, but is teaching outside of the certified area. Teacher must obtain a prescription/outline of course work required for add-on certification in the area of the teaching assignment. Teacher must successfully complete a minimum of six credit hours per year of courses that lead toward certification in the area in which he/she is teaching; or the secondary-certified teacher who is teaching out-of-field may opt to take the required PRAXIS/NTE content specialty examination for the specific 7-12 academic certification area, under this stipulation, the exam(s) must be attempted at least once per year. If District changes area at the time of renewal, Teacher must fulfill coursework or Praxis requirements as stated above, for either the old or newly requested OFAT area. The district must support a teacher's efforts in this area. An Out-of-Field Authorization to Teach, valid for one school year, may be issued for districts that recommend that the candidate be issued this certificate, with completion of the stipulations listed in the above guidelines. To employ an individual on an Out-of-Field Authorization to Teach, the local superintendent must verify that there is no regularly certified, competent and suitable person available for employment. An individual may be issued an Out-of-Field Authorization to Teach annually for a maximum of three years, only if evidence is presented to the State Department of Education that the individual is pursuing a specific certification area. If the teacher is actively pursuing an area that LDE designates as one requiring extensive hours for completion, the Department may elect to issue the authorization for an additional two years.

52 LOUISIANA DEPARTMENT OF EDUCATION TEACHER CERTIFICATION AND HIGHER EDUCATION PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered) NAME OF APPLICANT: (Including, First, Middle, and Married) ADDRESS: Social Security Number: - - DATE OF BIRTH: Each Question must be answered: Please Check YES NO 1. Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? If YES, in what state? 2. Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in what state? 3. Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if adjudication was withheld? If yes, please provide the following information: Date of Conviction: State of Conviction: Court Jurisdiction of Conviction: 4. Have you ever been convicted of a misdemeanor offense that involves any of the following: a. Sexual or physical abuse of a minor child or other illegal conduct with a minor child. b. The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law. 5. Have you ever been granted a pardon or expungement for any offense as stated in #3 or #4? If you answered YES to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet. I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, and correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teacher certificate. SIGNATURE OF APPLICANT: DATE:

53 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA Toll Free #: RENEWAL FOR OUT-OF-FIELD AUTHORIZATION TO TEACH -TO BE SUBMITTED BY EMPLOYING DISTRICT- General Information RENEWAL FOR OUT-OF-FIELD AUTHORIZATION TO TEACH (OFAT) This certificate may be renewed annually for up to three years. The employing district must submit an official transcript showing the completion of six semester hours from the prescription/outline provided by the Office of Certification OR submit the necessary PRAXIS/NTE Exams(s) for the area(s) of certification. The coursework must also be in the area(s) listed on the initial OFAT certificate or the newly requested OFAT area(s), Application Process The following items are required as part of a complete application packet: 1. Application for Renewal of OFAT Certificate form with all information provided; 2. Professional Conduct form with all questions answered and signed by the applicant; 3. Copy of prescription/outline 4. Official updated transcripts (copies not acceptable) 5. PRAXIS/NTE Exam(s) (The exam(s) scores may be submitted electronically to the Office of Teacher Certification directly from Educational Testing Services, or in the form of the original score report submitted directly from the applicant. The original score report will be returned to the applicant once a verified copy is on file in the teacher certification office). 6. No fee is required for the renewal of an OFAT Certificate When the complete application packet is received from the employing system, a determination will be made regarding applicant s eligibility for a Renewal of the Out-of-Field Authorization to Teach Certificate. If additional information is required at that time, you will be advised. Additional Information Contact Information: If there are questions about requirements or the certification process, please contact the Office of Teacher Certification at (225) (or toll free at ), or Customerservice@la.gov for assistance. An Equal Opportunity Employer Revised 3/29/2005

54 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation APPLICATION FOR RENEWAL OF OUT-OF- FIELD AUTHORIZATION TO TEACH District Name: School Name: Address of School : Name: Date of Birth: / / (First) (Middle) (Maiden/Family) (Married) SS#: - - Regular Certificate Number: OFAT Renewal (Yr.2) OFAT Renewal (Yr. 3) SCHOOL SESSION Subject area(s) to be taught (as listed in Bulletin 746): Grade Level: The employing district must submit an official transcript showing the completion of six semester hours from the prescription/outline provided by the Office of Certification OR submit the necessary PRAXIS Exams(s) for the area(s) of certification. The coursework must also be in the area(s) listed on the initial OFAT certificate or the newly requested OFAT area(s). Please check the appropriate box indicating which guidelines have been completed for renewal of OFAT certificate: PRAXIS/NTE Score Report showing required exam(s) successfully completed or; PRAXIS/NTE Score Report showing required exam(s) attempted at least once per year or; Official transcripts showing the completion of six semester hours. I hereby certify that there is no regularly certified, competent, and suitable person available for this position and that the applicant named above is the best qualified person for employment in the position herein above described. District can request OFAT certificate only in the area(s) for which applicant has been hired. Signature of Employing Authority Date I hereby certify that I have been informed of all stipulations of this certificate and understand all renewal guidelines. Signature of Applicant Date

55 Out-of-Field Authority to Teach (OFAT) Hiring Conditions and Renewal Guidelines A teacher may hold a one-year Out-of-Field Authorization to Teach, renewable annually, for a maximum of three years. If the teacher is actively pursuing certification in the field and LDE designates the certification area as one requiring extensive hours for completion, two additional years of renewability may be granted. Applicant Status: Conditions: Renewal Guidelines: Applicant holds a standard Louisiana teaching certificate. Individual holds a Louisiana teaching certificate, but is teaching outside of the certified area. Teacher must obtain a prescription/outline of course work required for add-on certification in the area of the teaching assignment. Teacher must successfully complete a minimum of six credit hours per year of courses that lead toward certification in the area in which he/she is teaching; or the secondary-certified teacher who is teaching out-of-field may opt to take the required PRAXIS content specialty examination for the specific 7-12 academic certification area, under this stipulation, the exam(s) must be attempted at least once per year. If District changes area at the time of renewal, Teacher must fulfill coursework or Praxis requirements as stated above, for either the old or newly requested OFAT area(s). The district must support a teacher's efforts in this area. An Out-of-Field Authorization to Teach, valid for one school year, may be issued for districts that recommend that the candidate be issued this certificate, with completion of the stipulations listed in the above guidelines. To employ an individual on an Out-of-Field Authorization to Teach, the local superintendent must verify that there is no regularly certified, competent and suitable person available for employment. An individual may be issued an Out-of-Field Authorization to Teach annually for a maximum of three years, only if evidence is presented to the State Department of Education that the individual is pursuing a specific certification area. If the teacher is actively pursuing an area that LDE designates as one requiring extensive hours for completion, the Department may elect to issue the authorization for an additional two years. The employing school district should give every applicant for an Out-of-Field Authorization to Teach certificate a copy of the guidelines at the time of initial application and for each renewal.

56 LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered) NAME OF APPLICANT: (Including, First, Middle, and Married) ADDRESS: Social Security Number: - - DATE OF BIRTH: Each Question must be answered: Please Check YES NO 1. Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? If YES, in what state? 2. Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in what state? 3. Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if adjudication was withheld? If yes, please provide the following information: Date of Conviction: State of Conviction: Court Jurisdiction of Conviction: 4. Have you ever been convicted of a misdemeanor offense that involves any of the following: a. Sexual or physical abuse of a minor child or other illegal conduct with a minor child. b. The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law. 5. Have you ever been granted a pardon or expungement for any offense as stated in #3 or #4? If you answered YES to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet. I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, and correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teacher certificate. SIGNATURE OF APPLICANT: DATE:

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58 Teacher Certification Add-On (Endorsement) Policy August 2007 For purposes of add-on endorsements, reference to a Praxis exam means the current applicable exam in policy with the current established passing scores. PK-3 Add-On (Endorsement) For individual holding a valid elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8) For individual holding a valid upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), secondary school certificate (e.g., 6-12, 7-12, 9-12), special education certificate (other than Early Interventionist), or an all-level K-12 certificate (art, dance, foreign language, health, PE, H&PE, music) For individual holding a valid Early Interventionist certificate Elementary 1-5 Add-On (Endorsement) For individual holding a valid early childhood certificate (e.g., PK-K, PK-3) For individual holding an upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), secondary certificate (e.g., 6-12, 7-12, 9-12), special education certificate, or an all-level K-12 certificate (art, dance, foreign language, health, PE, H&PE, music) Middle School 4-8 Specialty Area Add-On (Endorsement) English, Mathematics, Science, or Social Studies For individual holding a valid early childhood certificate (e.g. PK-K, PK-3), elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), secondary certificate (e.g., 6-12, 7-12, 9-12), special education certificate, or an all-level K-12 certificate (art, dance, foreign language, health, PE, H&PE, music) Requirements 1. Achieve passing score for PRAXIS Early Childhood Education Exam (#0020) or Accumulate twelve (12) credit hours of combined Nursery School and Kindergarten coursework. 1. Achieve passing score for PRAXIS Elementary Education: Content Knowledge (#0014) 2. Achieve passing score for PRAXIS Early Childhood Education Exam (#0020) or Accumulate twelve (12) credit hours of combined Nursery School and Kindergarten coursework. 3. Accumulate nine (9) semester hours of reading coursework. 1. Achieve passing score for PRAXIS Elementary Education: Content Knowledge Exam (#0014) 2. Twelve (12) credit hours of combined Nursery School and Kindergarten coursework (art, math, science, social studies) 3. Nine (9) semester hours of reading coursework. Requirements 1. Achieve passing score for PRAXIS Elementary Education: Content Knowledge (#0014) 2. Achieve passing score for PRAXIS Principles of Learning and Teaching K-6 3. Accumulate nine (9) semester hours of reading, twelve (12) semester hours of mathematics, twelve (12) semester hours of science, and twelve (12) semester hours of social studies coursework. 1. Achieve passing score for PRAXIS Elementary Education: Content Knowledge (#0014) ; or Accumulate twelve (12) semester hours of mathematics, twelve (12) semester hours of science, twelve (12) semester hours of English language arts, and twelve (12) semester hours of social studies coursework. 2. Achieve passing score for PRAXIS Principles of Learning and Teaching K-6 3. Accumulate nine (9) semester hours of reading coursework. Requirements 1. Achieve passing score for PRAXIS Middle School: Specialty Area Exam in the content area; or Accumulate thirty (30) credit hours in the specialty content area 2. Achieve passing score for PRAXIS Principles of Learning and Teaching Accumulate six (6) semester hours of reading

59 Secondary 6-12 Specialty Area Add-On (Endorsement) in Core Content Area as defined in NCLB [English, Foreign Language, Math, Science, Social Studies] For individual holding a valid early childhood certificate (e.g. PK-K, PK-3), elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), or special education certificate For individual holding a valid secondary certificate (e.g., 6-12, 7-12, 9-12), or an all-level K-12 certificate (art, dance, foreign language, health, PE, H&PE, music) Secondary Specialty Area Add-On (Endorsement) Non-NCLB [Agriculture, Business, Computer Science, Family & Consumer Sciences, Journalism, Marketing, Technology Education Speech] For individual holding a valid early childhood certificate (e.g. PK-K, PK-3), elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), or special education certificate For individual holding a valid secondary certificate (e.g., 6-12, 7-12, 9-12), or an all-level K-12 certificate (art, dance, foreign language, health, PE, H&PE, music) All-Level (K-12) Area Add-On (Endorsement) in Art, Dance, Foreign Language, Health/Physical Education, Music For individual holding a valid early childhood certificate (e.g. PK-K,PK-3), elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), secondary certificate (e.g., 6-12, 7-12, 9-12), special education certificate, or an all-level K-12 certificate (art, dance, foreign language, health, PE, H&PE, music) Requirements 1. Achieve passing score for PRAXIS Secondary Specialty Area Exam(s) in the content area or Accumulate thirty (30) credit hours in the specialty content area 2. Achieve passing score for PRAXIS Principles of Learning and Teaching Achieve passing score for PRAXIS Secondary Specialty Area Exam(s) in the content area or Accumulate thirty (30) credit hours in the specialty content area Requirements 1. Achieve passing PRAXIS score for Secondary Specialty Area Exam(s) in the content area or Accumulate twenty-one (21) credit hours in the specialty content area 2. Achieve passing score for PRAXIS Principles of Learning and Teaching Achieve passing score for PRAXIS Secondary Specialty Area Exam(s) in the content area or Accumulate twenty-one (21) credit hours in the specialty content area Requirements 1. Achieve passing score for PRAXIS specialty area exam in area of endorsement or Accumulate thirty (30) semester hours in the specialty area NOTE: An individual already certified in one Music Education area (Instrumental Music OR Vocal Music) may add the second music area with coursework, as follows: To add Instrumental Music, twelve (12) semester hours to include brass, percussion, string, and woodwind instruments; To add Vocal Music, twelve (12) semester hours to include piano and voice. Special Education Areas Effective November 2004: The chart below identifies requirements to be completed in order to add-on a special education certification area within levels to an existing valid teaching certificate. Academically Gifted Add-On (Endorsement) Effective 11/2004 For individual holding a valid early childhood certificate (e.g., PK-K, PK-3), elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), Requirements 1. Master s degree from a regionally accredited institution of higher education 2. Fifteen (15) graduate hours of prescribed coursework from the

60 upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), secondary certificate (e.g., 6-12, 7-12, 9-12), all-level K-12 certificate, or special education certificate following list either within a Master s degree program or as an addon to an existing Master s: Characteristics/Study of Gifted Individuals Methods of Teaching the Gifted Social and Emotional Needs of the Gifted Creative Thinking and Problem Solving OR Curriculum Development for the Gifted Educational Technology 3. Three (3) hours in a practicum for academically gifted; or an internship for college credit in academically gifted; or three (3) years of successful teaching in academically gifted. NOTE: Academically gifted certification will be valid only in the teaching area(s) in which one is certified. The secondary teacher of academically gifted students who is to award Carnegie Units in the secondary subject area(s) must be certified in the subject area(s) in which Carnegie Units are awarded. Early Interventionist Birth to Five Add-on (Endorsement) Effective 11/2004 For individual holding a valid early childhood certificate (e.g., PK-K, PK-3), elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), secondary certificate (e.g., 6-12, 7-12, 9-12), all-level K-12 certificate (art, dance, foreign language, health, PE, H&PE, music), or special education certificate Hearing Impaired K-12 Add-On (Endorsement) Effective 11/2004 For individual holding a valid early childhood certificate (e.g., PK-K, PK-3), elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), secondary certificate (e.g., 6-12, 7-12, 9-12), all-level K-12 certificate (art, dance, foreign language, health, PE, H&PE, music), or special education certificate Elementary and secondary teachers who are also certified in academically gifted may offer approved special education elective (enrichment) courses at either the elementary or secondary level. Requirements 1. Achieve passing score for PRAXIS Early Childhood Education (0020) and Education of Exceptional Children: Core Content Knowledge (0353). 2. Eighteen (18) credit hours that pertain to infants, toddlers, and preschoolers: 1. Foundations in Early Childhood Education and Early Intervention 2. Understanding and Working with Families of Young Children 3. Assessment in Early Intervention 4. Early Intervention Methods 5. Teaming, Physical and Medical Management in Early Intervention 6. Communication and Literacy in Early Intervention. 3. Nine (9) semester hours of reading coursework. Requirements 1. Twenty-one (21) credit hours that pertain to children with hearing impairments: Introduction to Special Education Physiological, Psychosocial, Historical, Sociological, and Cultural Aspects of Deafness Language Development that Includes Linguistic Principles and Assessment Strategies in Language Acquisitions for Deaf and Hard-of-Hearing Speech and Speech Reading Educational Audiology, Auditory Assistive Devices and Technology Instructional Strategies and Curriculum Development for Deaf and Hard-of-Hearing Students Communication Methodology 2. Three (3) credit hours of internship with students with hearing impairments or three (3) years of successful teaching experience of students with hearing impairments

61 Mild/Moderate Special Education Add-On (Endorsement) For individual holding a valid early childhood certificate (e.g. PK-K, PK-3), elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8) upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), secondary certificate (e.g., 6-12, 7-12, 9-12), an all-level K-12 certificate (art, dance, foreign language, health, PE, H&PE, music), or special education certificate Significant Disabilities 1-12 Add-On (Endorsement) Effective 11/2004 For individual holding a valid Early Childhood certificate (e.g., PK-K, PK-3), elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), secondary certificate (e.g., 6-12, 7-12, 9-12), all-level K-12 certificate (art, dance, foreign language, health, PE, H&PE, music) or special education certificate Visual Impairments/Blind K-12 Add-On (Endorsement) Effective 11/2004 For individual holding a valid Early Childhood certificate (e.g., PK-K, PK-3), elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), upper elementary or middle school certificate 3. Signed, Cued, or Oral communication proficiency, as evidenced by one or more of the following means: Signed: c) Intermediate on the Educational Sign Skills Evaluation: Teacher (ESSE:T) [See d) Advanced on the Sign Communication Proficiency Interview (SCPI); or e) Level III of the Educational Interpreter Performance Assessment. Cued: c) Mini-Proficient as measured on the Basic Cued Speech Proficiency Rating Test (BCSPR c1983, Beaupre); Oral: c) Successfully passing an additional course in Methods in Oral/Auditory Education. 4. Achieve passing score for PRAXIS Education of Exceptional Students: Core Content Knowledge (0353) and Education of Exceptional Students: Hearing Impairment (0271)Students: Hearing Impairment (0271) Requirements 1. Fifteen (15) semester hours of special education course-work five 3-hour courses, as follows: Methods/Materials for Mild/Moderate Exceptional Children Assessment and Evaluation of Exceptional Learners Behavioral Management of Mild/Moderate Exceptional Children Vocational and Transition Services for Students with Disabilities Practicum in Assessment and Evaluation of M/M Exceptional Learners 2. Achieve passing score for PRAXIS Education of Exceptional Students: Core Content Knowledge (0353) and Education of Exceptional Students: Mild to Moderate Disabilities (0542) Requirements 1. Twenty-one (21) credit hours that pertain to children with significant disabilities: Assessment and Evaluation Curriculum Development, Modifications, and Transition Planning Behavior Support Instructional Strategies Communication Collaborative Techniques and Family Partnerships Characteristics of Students with Significant Disabilities, Physical Support, Health and Safety 2. Three (3) credit hours of internship of students with significant disabilities or three (3) years of successful teaching experience of students with significant disabilities 3. Achieve passing score for PRAXIS Education of Exceptional Students: Core Content Knowledge (0353) and Education of Exceptional Students: Severe to Profound Disabilities (0544) Requirements 1. Twenty-one (21) credit hours that pertain to children with visual impairments: Educational Implications of Low Vision and Blindness Orientation and Mobility for the Classroom Teacher

62 (e.g., 4-8, 5-8, 6-8), secondary certificate (e.g., 6-12, 7-12, 9-12), all-level K-12 certificate (art, dance, foreign language, health, PE, H&PE, music), or special education certificate Assessment and Evaluation Techniques, Including Functional Vision Evaluation and Reading Media Assessment Assistive Technology for Students with Visual Impairments Instructional Strategies and Materials for Students with Visual Impairments Introduction to Braille, Including Literary and Nemeth Codes Braille II 2. Three (3) credit hours of internship with students who are visually impaired or blind or three (3) years of successful teaching experience of students who are visually impaired or blind 3. Achieve passing score for PRAXIS Education of Exceptional Students: Core Content Knowledge (0353) Special Education Areas Effective Prior to November 2004: The chart below identifies requirements to be completed in order to add-on a special education certification area within levels to an existing valid teaching certificate. The policies listed below must be completed prior to July 1, 2007, to be exempt from any of the PRAXIS exam requirements for add-on certification. Academically Gifted Add-On (Endorsement) All coursework must be completed prior to 7/1/2007 to become certified under this policy. For individual holding a valid Early Childhood certificate (e.g., PK-K, PK-3), elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), secondary certificate (e.g., 6-12, 7-12, 9-12), all-level K-12 certificate, or special education certificate Early Interventionist Birth to Five Add-on (Endorsement) All coursework must be completed prior to 7/1/2007 to become certified under this policy. For individual holding a valid early childhood (e.g. PK-K, PK-3) elementary grades (e.g. 1-4, 1-5, 1-6, or 1-8), or special education certificate (except gifted) Requirements 1. A master s degree from a regionally accredited institution of higher education. 2. A minimum of twenty-one (21) semester hours of credit, as follows: A. Nine (9) semester hours of graduate credit in the teaching area in which the teacher is certified to teach. Advanced methods courses in the subject areas will also be accepted for elementary certified teachers. B. Six (6) semester hours of graduate credit to include three (3) semester hours in each of the following areas: 1) Characteristics/Study of Gifted Individuals 2) Methods of Teaching the Gifted C. Six (6) semester hours of graduate credit to be completed from the following list: 1) Curriculum Development for the Gifted 2) Interpretation of Assessment Data on the Gifted 3) Techniques of Counseling the Gifted 4) Research 5) Creative Thinking and Problem Solving 6) Introduction to Education of Exceptional Children 3. Three semester hours in a practicum involving academically gifted students; or an internship for college credit in academically gifted, with supervision provided by faculty in the college of education; or three (3) years of successful teaching experience in academically gifted. NOTE: Academically gifted certification will be valid only in the teaching area(s) in which one is certified. Requirements 1. Twenty-four (24) semester hours that must include three semester hours in each of the following: Foundations of Early Childhood Special Education (birth to five) Families of Young Children with Special Needs Assessment (including the Young Child)

63 Hearing Impaired Add-On All coursework must be completed prior to 7/1/2007 to become certified under this. For individual holding a valid early childhood certificate (e.g., PK-K, PK-3), elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), secondary certificate (e.g., 6-12, 7-12, 9-12), all-level K-12 certificate (art, dance, foreign language, health, PE, H&PE, music), or special education certificate Severe/Profound Add-On All coursework must be completed prior to 7/1/2007 to become certified under this policy. For individual holding a valid early childhood certificate (e.g., PK-K, PK-3), elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), secondary certificate (e.g., 6-12, 7-12, 9-12), all-level K-12 certificate (art, dance, foreign language, health, PE, H&PE, music), or special education certificate Curriculum and Methods for Early Childhood Education Early Childhood Special Education (must include information on infants/toddlers and preschoolers with disabilities) Physical and Medical Management, including Health Management and Basic Nutrition Interdisciplinary and Interagency Teaming A practicum in Early Intervention; or a one-year internship in Early Intervention with supervision provided by the faculty of the college of education; or three (3) years of successful teaching experience with infant/preschool age children with disabilities. Requirements 1. Twenty-seven (27) semester hours to include three semester hours from each area listed below: Introduction to Education of Exceptional Children Foundations of Education of the Hearing Impaired Language Development for Hearing Impaired (including linguistic principles in language acquisition of normal hearing children and hearing impaired children) Speech Development for Hearing Impaired (must include speech reading) Introduction to Audiology and Auditory Training *Sign Communication I *Sign Communication II Instructional Strategies/Curriculum Adaptations for Hearing Impaired (must include training in prevocational/vocational skills) A practicum in hearing impaired; or a one-year internship for college credit in hearing impaired, with supervision provided by faculty in the college of education; or three (3) years of successful teaching experience with the hearing impaired at the level of certification (elementary or secondary). *The individual achieving a rating of Survival on the Sign Language Proficiency Interview/Sign Communication Proficiency Interview may substitute that rating for Sign Communication I. *The individual achieving a rating of Intermediate Plus on the SLPI/SCPI may institute the rating for Sign Communication I and Sign Communication II. NOTE: Certification is awarded at the level of the regular teaching certificate held by the applicant. Requirements 1. Twenty-seven (27) semester hours to include three semester hours from each area listed below: Introduction to Education of the Exceptional Child; or Introduction to Education of Students with Severe/Profound Disabilities Curriculum Design for Students with Severe/Profound Disabilities Vocational and Transition Services for Students with Disabilities Instructional Strategies for Students with Severe/Profound Disabilities

64 Visually Impaired Add-On All coursework must be completed prior to 7/1/2007 to become certified under this policy. For individual holding a valid early childhood certificate (e.g., PK-K, PK-3), elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), secondary certificate (e.g., 6-12, 7-12, 9-12), all-level K-12 certificate (art, dance, foreign language, health, PE, H&PE, music), or special education certificate Educational Diagnostician For individual holding a valid Type B or Level 2 Louisiana teaching certificate, and meet one of the following guidelines: Health and Safety Management, Team Functioning and Family Involvement for Students with Severe/Profound Disabilities Learning and Classroom Behavior Principles for Students with Severe/Profound Disabilities; or Behavior Management Practicum in Tests and Measurements (emphasizing informal testing) Communication Strategies Appropriate For Students with Severe/Profound Disabilities A practicum in Severe/Profound Disabilities; or a one-year internship for college credit in teaching students with severe/profound disabilities, with supervision provided by college of education faculty; or three (3) years of successful teaching experience with students with severe/profound disabilities. Requirements 1. Twenty-four (24) semester hours to include three semester hours from each area listed below: Introduction to Education of Exceptional Children Introduction to Education of Visually Impaired Instructional Strategies for Visually Impaired (must include training in prevocational/vocational skills) Low Vision and Its Educational Implications Braille (Library of Congress Literary Braille certification will fulfill this requirement) Orientation and Mobility for Visually Impaired Students Introduction to Educational Screening, Assessment and Evaluation, or Tests and Measurements A practicum in visually impaired; or a one-year internship for college credit in visually impaired, with supervision provided by faculty in the college of education; or three (3) years of successful teaching experience with the visually impaired at the level of certification (elementary, secondary, preschool). NOTE: Certification is awarded at the level of the regular teaching certificate held by the applicant. The secondary teacher of the visually impaired who is to award Carnegie Units must be certified in the subject area(s) in which Carnegie Units are awarded. Requirements 1. Master s degree in education earned from a regionally accredited institution of higher education; 2. Hold a valid Type B or Level 2 Louisiana teaching certificate, and meet one of the following guidelines: A. Hold generic special education certification, with at least one (1) year of classroom teaching experience in a properly certified area of special education; or B. Hold certification in at least two (2) special education disability areas (e.g., mentally retarded, learning disabled), with at least one (1) year of teaching experience in a properly certified area of special education. Academically gifted is not an accepted special education area. 3. Reading credit, as follows: a. Elementary/middle grades majors: Six (6) semester hours in diagnosis and remediation of reading problems, three (3)

65 Adapted Physical Education For individual holding a valid standard Louisiana teaching certificate in Physical Education Adult Education Instructor For individual holding a valid standard Louisiana teaching certificate semester hours of which may be undergraduate coursework; b. Secondary/all-level majors: Nine (9) semester hours of reading coursework, with six (6) of the semester hours in diagnosis and remediation of reading problems and three (3) of the semester hours in foundations of reading. Three (3) of the required semester hours may be undergraduate coursework. 3. Have completed a minimum of twenty-one (21) semester hours of graduate credit, to include three (3) semester hours in each of the following areas: a. Applied learning theory b. Behavioral intervention strategies, including systematic behavioral assessment (this course must include 25 child contact hours) c. Consulting teacher strategies d. Precision assessment and diagnostic/prescriptive strategies e. Test theory, three (3) semester hours; f. Educational diagnosis g. Supervised internship, to include 100 child contact clock hours* NOTE: *This course must include fieldwork involving the administration, scoring, and interpretation of norm-referenced and criterion-referenced individual educational tests; working with School Building Level Committees; teacher consultation, and implications for educational intervention through the development of the individualized assessment/intervention plan. This course may be completed while employed on a provisional endorsement. Provisional Endorsement: A one-year provisional endorsement as an Educational Diagnostician may be issued if all requirements have been completed, with the exception of the 100-contact-hour internship. The intern employed on a provisional endorsement must work under a certified Educational Diagnostician who has a minimum of five (5) years of field experience in that position. At the time of employment, the Louisiana employing authority must submit verification of the supervision component. Until the internship is completed and the provisional status is removed from the intern s certificate, the supervising Educational Diagnostician shall sign all reports and evaluations involving the intern. ADDITIONAL ADD-ON POLICIES Requirements Twenty-one (21) semester hours to include the following: 1. Motor development and learning 2. Introduction to the study of exceptional children 3. Tests and measurements (physical education, or educational, or psychological) 4. Introducing physical education for all children with disabilities 5. Behavioral and educational impairment and physical education, two (2) semester hours; plus practicum in behavioral and educational impairment and physical education, one (1) semester hour (for a total of 3 semester hours) 6. Chronic disability and physical education, two (2) semester hours; plus practicum in chronic disability and physical education, one (1) semester hour (for a total of 3 semester hours); 7. The physical education curriculum for children with disabilities Requirements Twelve (12) semester hours to include the following: 1. Introduction to or foundations of adult education 2. Practicum in adult education

66 Aerospace Education For individual holding a valid standard Louisiana teaching certificate Bilingual Specialist For individual holding a valid standard Louisiana elementary, secondary, or alllevel foreign language certificate Child Search Coordinator For individual holding a valid standard Louisiana certification as a teacher, social worker, guidance counselor, school psychologist, speech therapist, or other related special education area Computer Literacy For individual holding a valid standard Louisiana elementary or secondary teaching certificate Cooperative Office Education For individual holding a valid standard Louisiana secondary certificate for the area of Business Education 3. Six (6) semester hours from the following areas: a) Materials, methods, and/or curricular development in adult education b) Reading instruction in adult education c) Adult learning and development d) Use of community resources e) Administration and supervision of adult education f) Guidance and counseling in adult education g) Competency-based adult education h) Independent study, special problems, or issues in adult education Requirements 1. Six (6) semester credit hours in an approved aerospace education workshop; and/or 2. Valid private pilot's license or higher rating and at least three semester hours of credit in an approved aerospace education workshop. Requirements Six (6) semester hours to include the following: 1. Bilingual Methods I (practical training in the teaching of language arts and social studies in a bilingual-bicultural setting); and 2. Bilingual Methods II (practical training in the teaching of math and science in a bilingual-bicultural setting). Requirements 1. Master's degree 2. Six (6) semester hours in special education 3. Three (3) years of experience in the certified or licensed area NOTE: Persons functioning as Child Search Coordinators prior to September 1, 1989, who are certified/licensed special education personnel are not bound by these requirements and will be certified, provided they are recommended for continuation of employment by the parish supervisor/director of special education and approved by the superintendent of the LEA. Requirements 1. Nine (9) semester hours of coursework to include three (3) semesters hours in each of the following areas: a. Introduction to computer literacy and microcomputers b. Computer science education elective that includes evaluation and use of hardware and software c. Computer programming 2. For certified business education teachers who completed a data processing course and a word processing course that included computer applications, six (6) semester hours of the requirement for computer literacy certification (1.a. and 1.b.) may be waived. 3. A person who was successfully employed as a teacher of computer education for a minimum of three (3) years prior to September 1, 1986, may be certified in computer literacy and have the authorization added to his/her Louisiana elementary or secondary teaching certificate, entitling him/her to teach computer literacy at the elementary or the secondary level, depending upon the level of certification. Requirements 1. Six (6) semester hours to include Principles and/or Philosophy of Vocational Education and Cooperative Education Methods (Method and/or Techniques of Teaching Cooperative Education) 2. Have a minimum of 1,500 hours of employment in business and office occupations approved by the Office of Vocational Education, Louisiana Department of Education. Partial fulfillment of this work experience may be met through completion of a practicum for credit (supervised work experience) offered by the institution concerned.

67 Driver and Traffic Safety Education For individual holding a valid standard Louisiana teaching certificate Educational Technology Facilitation For individual holding a valid Type B or Level 2 Louisiana teaching certificate Two (2) hours will be credited for each hour of supervised practicum work experience. Requirements 1. Valid Louisiana driver s license 2. Driving record free of conviction of major accidents and/or repeated traffic violations 3. Specialized education, as follows: a. General safety education, three (3) semester hours (basic safety information home, school, traffic, community, and industrial safety and general information on the psychology of accident prevention) b. Basic Information Course in Driver Education, three (3) semester hours (investigation of problems facing drivers, such as those of pedestrians, cycles, alcohol and drugs, and traffic engineering; and study in the philosophy of driver education as it exists in our society) c. Curricular Innovations and Instructional Devices, three (3) semester hours (in-depth study of driver education and traffic safety curricular materials, and familiarization with related instructional devices) d. First Aid, one (1) semester hour 4. Conviction of repeated traffic violations or any major crime or accident involved in or related to the operation of a motor vehicle could result in revocation of this endorsement. Requirements 1. Complete one of the following options: Option A: Minimum of nine (9) semester hours of graduate credit in educational technology (three semester hours per course): a. Design and development of multimedia instructional units b. Educational telecommunications, networks, and the internet c. Technology leadership in schools; or Option B: A minimum of three (3) online courses, to include a. Effective instructional technology: an introduction (this course focuses on the NETS-T and will include an introduction to educational telecommunications, networks and the Internet); b. Effective instructional technology: building a portfolio of exemplars (this course focuses on building a portfolio of teacher and student work that demonstrates the understandings and skills as they relate to the NETS-T and the Louisiana K-12 Educational Technology Standards); c. An additional course to be selected from a menu of Departmentapproved online course offerings. Developed courses falling under this menu include the following: Lessons by design, bridging the gap, universal design for learning, and technology support for math and the K-12 classroom 2. Certified teachers who served as facilitator of educational technology at the building level may petition the Division of Teacher Certification and Higher Education to be grandfathered in for an Educational Technology Facilitation endorsement if they met one of the following qualifications by August 31, 2002: a. Hold certification in computer literacy; earned an additional six (6) semester hours in educational technology courses; and served as a facilitator of educational technology at the school, district, regional, or state level successfully for the past three (3) years as verified by the employing authority; b. Served as a facilitator of educational technology at school, district, regional, or state level successfully for the past five (5) years, as verified by the employing authority.

68 Education Technology Leader For individual holding a valid Type A or Level 3 Louisiana teaching certificate English as a Second Language For individual holding a valid standard Louisiana teaching certificate Montessori For individual holding a valid standard Louisiana teaching certificate Requirements 1. Master s degree from a regionally accredited institution of higher education 2. Minimum of twenty-one (21) semester hours of graduate credit, as follows: A. Education technology coursework, nine (9) semester hours: 1) Design and development of multimedia instructional units 2) Educational telecommunications, networks, and the internet 3) Technology leadership in schools B. Educational technology leadership coursework, twelve (12) semester hours: 1) Technology planning and administration 2) Professional development for K-12 technology integration 3) Educational technology research, evaluation, and assessment 4) Advanced telecommunications and distance education 3. Persons who have met requirements A.-3. may be issued a nonrenewable, non-extendable Educational Technology Leadership provisional certificate that is valid for three (3) years. 4. Certified teachers who served as coordinators of educational technology at the district, regional, and/or state levels may petition the Division of Teacher Certification and Higher Education to be grandfathered in with an Educational Technology Leadership certification if they met the following qualifications by August 31, 2002: a. Hold certification in computer literacy; earned an additional nine (9) semester hours in educational technology courses; and served as a coordinator of educational technology above the building level (at the district, regional, or state level) for the past three years, as verified by the employing authority; or b. Served as a coordinator of educational technology above the building level (at the district, regional, or state level) successfully for the past five (5) years, as verified by the employing authority. Requirements 1. Twelve (12) semester hours to include the following coursework, with the understanding that this certification applies only to teachers of children with limited English-speaking ability: a. Methods for teaching English as a second language (theories and practical approaches and techniques for teaching English as a second language to elementary, secondary, and adult education students) b. Introduction to language and culture (the relationship of language acquisition to social and cognitive development); c. Structure of the English language (a study of the distinctive sound patterns and grammatical systems of American English) d. Curriculum design for the multicultural classroom (adapting curricula for the multi-ethnic classroom as well as a review of existing English as a second language materials elementary, secondary, and adult education levels). NOTE: English as a Second Language certification will be valid only in the teaching area(s) in which one is certified. Requirements Completion of training from one of the following entities: 1. American Montessori Society 2. Association Montessori Internationale 3. St. Nicholas Training Course of London 4. The Montessori World Education Institute 5. Montessori Institute of America

69 School Library Service For individual holding a valid standard Louisiana elementary or secondary teaching certificate 6. Southwestern Montessori Training Institute 7. Any other course jointly approved by the State Board of Elementary and Secondary Education and the Louisiana Montessori Association Requirements Twenty-one (21) semester hours in library science, as follows: 1. Elementary and/or secondary school library materials, nine (9) semester hours; 2. Organization, administration, and interpretation of elementary and/or secondary school library service, six (6) semester hours; 3. Elementary and/or secondary school library practice, three (3) semester hours. NOTE: Persons who have already served three (3) years as full-time school librarians and who completed all library science courses except elementary and secondary school library practice, may satisfy this requirement by a minimum one-year, on-the-job internship with supervision provided by the Library Science faculty of the College of Education for six (6) semester hours of credit. ADMINISTRATIVE ADD-ON POLICIES Educational Leader - Level 1 (Effective12/31/05) This is the certification authorization needed by those who fill school and district educational leadership positions (e.g., assistant principal, principal, parish or city supervisor of instruction, supervisor of child welfare and attendance, special education supervisor, or comparable school/district leader positions). This endorsement is valid for five years and is renewable every five years based upon successful completion and verification of required continuing learning units. An Educational Leader Certificate Level 1 may be obtained through either a master's degree path or through an alternate path. Master's Degree Path. To receive an entry-level certificate in educational leadership, the candidate must: 1. Hold or be eligible to hold a valid Louisiana Type B or Level 2 teaching certificate or have a comparable level out-of-state teaching certificate and three years of teaching experience in his/her area of certification; 2. Complete a competency-based graduate degree preparation program in the area of educational leadership from a regionally accredited institution of higher education; and 3. Have a passing score on the School Leaders Licensure Assessment (SLLA), in accordance with state requirements. Three alternate paths are available to individuals seeking an Educational Leader Certificate Level 1. Alternate Path 1: For persons who already hold a master's degree and are seeking to add Educational Leader certification to a valid teaching certificate: 1. Hold or be eligible to hold a valid Louisiana Type B or Level 2 teaching certificate or have a comparable level out-of-state teaching certificate and three years of teaching experience in his/her area of certification; 2. Have previously completed a graduate degree program from a regionally accredited institution of higher education; 3. Meet competency-based requirements, as demonstrated by completion of an individualized program of educational leadership from a regionally accredited institution of higher education. An individualized program will be developed based on a screening of each candidate's competencies upon entering into the graduate alternative certification program; and 4. Have a passing score on the School Leaders Licensure Assessment (SLLA) in accordance with state requirements. Alternate Path 2: For persons who already hold a master's degree in education and are seeking to add Educational Leader certification to a valid teaching certificate: 1. Hold or be eligible to hold a valid Louisiana Type B or Level 2 teaching certificate or have a comparable level out-of-state teaching certificate and three years of teaching experience in his/her area of certification; 2. Have previously completed a graduate degree program in education from a regionally accredited institution of higher education; 3. Provide documented evidence of leadership experiences (240 clock hours or more) at the school and/or district level; and 4. Have a passing score on the School Leaders Licensure Assessment (SLLA) in accordance with state requirements. Alternate Path 3: For persons who already hold a baccalaureate degree from a regionally accredited institution of higher education and are seeking to add Educational Leader certification to a valid teaching certificate through a competencybased educational leader practitioner (residency) program. The applicant must: 1. Hold or be eligible to hold a valid Louisiana Type B or Level 2 teaching certificate or have a comparable level out-of-state teaching certificate and three years of teaching experience in his/her area of certification;

70 2. Demonstrate strong knowledge of instruction through a rigorous screening process by an approved program provider; 3. Complete a competency-based educational leader practitioner/residency preparation program in the area of educational leadership from a state-approved private provider or a regionally accredited institution of higher education; and 4. Have a passing score on the School Leaders Licensure Assessment (SLLA) in accordance with state requirements. Renewal Requirements: For purposes of maintaining a valid endorsement, holders of an Educational Leader Level 1 endorsement are required to complete 150 continuing learning units of professional development consistent with the Individual Professional Growth Plan (IPGP) over a five-year time period. The starting date of the five-year cycle depends on the type of teaching certificate that the individual holds. If an individual holds a Louisiana Professional Teaching Certificate Level 2, then the renewal date is tied to the renewal date on the professional teaching certificate. If an individual holds a Louisiana Type B Teaching Certificate or a comparable level out-of-state teaching certificate, then the renewal time period begins with the date of issue of the Educational Leader Level 1 endorsement. Upon employment as a school/district educational leader, an individual with an Educational Leader Level 1 endorsement must enroll in the state-approved Educational Leader Induction Program under the direction of the Louisiana Department of Education. Once employed as a school/district educational leader, the individual has three years to complete the induction program. Educational Leader - Level 2 (Effective 12/31/05) This endorsement is valid for five years and is renewable every five years based upon successful completion and verification of required continuing learning units. To receive an Educational Leader Certificate Level 2, the individual must: 1. Hold a valid Level 1 Educational Leader certificate, Louisiana provisional principal certification, or comparable level outof-state educational leader certificate; 2. Have three years of teaching experience in his/her area(s) of certification; 3. Have completed the Educational Leader Induction Program under the administration of the Louisiana Department of Education: a. The induction period begins upon the candidate's first full-time administrative appointment (permanent or acting) as an assistant principal, principal, parish or city supervisor of instruction, supervisor of child welfare and attendance, or comparable school/district leader position; b. The Educational Leader Induction Program must be completed within a three-year period; 4. Have three years of educational leadership experience at the level of assistant principal or above. Renewal Requirements: For purposes of maintaining a valid endorsement, holders of an Educational Leader Level 2 endorsement are required to complete 150 continuing learning units of professional development consistent with the Individual Professional Growth Plan (IPGP) over a five-year time period. The starting date of the five-year cycle depends on the type of teaching certificate that the individual holds. If an individual holds a Louisiana Professional Teaching Certificate Level 2, then the renewal date is tied to the renewal date on the professional teaching certificate. If an individual does not hold a Louisiana Professional Teaching Certificate Level 2, but does hold an Educational Leader Level 1 endorsement, then the renewal date is tied to the renewal date on the Educational Leader Level 1 endorsement. If an individual holds neither a Louisiana Professional Teaching Certificate Level 2 nor an Educational Leader Level 1 endorsement, then the renewal time period begins with the date of issue of the Educational Leader Level 2 endorsement. Education Leader - Level 3 (Superintendent) (Effective 12/31/05) This certification endorsement is required to serve as a school system superintendent or assistant superintendent. This certificate is valid for five years and is renewable every five years, based upon successful completion and verification of required continuing learning units. Eligibility requirements: 1. Valid Louisiana Level 2 Educational Leader certificate or one of the Louisiana administrative/supervisory certifications that preceded the 2006 Educational Leadership Certification structure; 2. Five years of teaching experience in his/her area of certification; 3. Five years of successful administrative or management experience in education at the level of assistant principal or above. The assistant principal experience would be limited to a maximum of two years of experience in that position; and

71 4. Passing score on the School Superintendent Assessment (SSA), in keeping with state requirements. Renewal Requirements: For purposes of maintaining a valid endorsement, holders of an Educational Leader Level 3 endorsement are required to complete 150 continuing learning units of professional development consistent with the Individual Professional Growth Plan (IPGP) over a five year time period. The starting date of the five year cycle depends on the type of teaching certificate that the individual holds. If an individual holds a Louisiana Professional Teaching Certificate Level 3, then the renewal date is tied to the renewal date on the professional teaching certificate. If an individual does not hold a Louisiana Professional Teaching Certificate Level 3, but does hold an Educational Leader Level 2 endorsement, then the renewal date is tied to the renewal data that is in use for the previous Educational Leader endorsement. If an individual holds neither a Louisiana Professional Teaching Certificate Level 3, nor an Educational Leader Level 2 endorsement, then the renewal time period begins with the date of issue of the Educational Leader Level 3 endorsement. Teacher Leader Endorsement (OPTIONAL) 1. As part of the educational leadership certification structure, there is an option for a teacher to become certified as a Teacher Leader. 2. Valid Type B, Level 2, or higher Louisiana teaching certificate; 3. Completion of a state-approved Teacher Leader Institute that requires, at minimum, the equivalent of six (6) graduate hours, or 90 contact hours, including a combination of face-to-face and field-based professional development activities that a. may include the use of a cohort approach; b. provides support from and monitoring by current outstanding administrators serving as mentors and/or facilitators; c. includes an electronic component (on-line and/or compressed video) to ensure each participant s access to key resources and to build a statewide network of qualified administrator candidates that could include the development of cohorts; and d. requires the development and presentation of a culminating portfolio that provides evidence that knowledge gained and skills acquired are aligned with national and state leader standards. 4. To renew the Teacher Leader Endorsement every five (5) years, a teacher leader must complete a minimum of 150 continuing learning units of professional development that are consistent with the leader s Individual Professional Growth Plan (IPGP). Elementary School Principal (Last date for completion is 12/31/08) 1. Type A or Level 3 Louisiana teaching certificate for the elementary school; 2. Master s degree from regionally accredited institution of higher education; 3. Five (5) or more years of classroom teaching at elementary school level; 4. Score of 620 on the Educational Administration and Supervision Area Exam of the PRAXIS/NTE (mandatory for individuals seeking initial certification as a principal on or after August 16, 1986); 5. Minimum of thirty (30) semester hours of graduate credit, as follows: A. Educational Administration and Instructional Supervision, nine (9) semester hours: 1) Foundations of or Introduction to Educational Administration, or Theory of Educational Administration 2) Elementary School Principal 3) Principles of Instructional Supervision in the Elementary School B. Professional Education, twenty-one (21) semester hours: 1. Eighteen (18) semester hours: a) Educational Research b) History or Philosophy of Education c) Elementary School Curriculum d) School Law e) School Finance f) School Personnel Administration 2. Three (3) semester hours of educational administration electives to be selected from the following: a) School-Community Relations b) School Facilities c) Program Development and Evaluation (either in professional education or in areas outside of professional education). 6. Persons who meet the above requirements are eligible for a provisional elementary school principal endorsement. Upon employment as a principal or assistant principal, an individual with provisional principal endorsement must enroll in the two-year Principal Internship Program. 7. A regular elementary school principal endorsement will be added to the standard Type A or Level 3 certificate upon

72 satisfactory completion of the two-year Principal Internship Program. 8. Persons holding provisional or regular principal endorsements at the elementary school level may serve as principal of an elementary, middle, secondary, or combination grade-level school. 9. Elementary school assistant principals are required to meet the same standards as secondary school principals. Secondary School Principal (Last date for completion is 12/31/08) 1. Type A or Level 3 Louisiana teaching certificate for the secondary school; 2. Master s degree from regionally accredited institution of higher education; 3. Five (5) or more years of classroom teaching at the secondary school level; 4. Score of 620 on the Educational Administration and Supervision Area Exam of the PRAXIS/NTE (mandatory for individuals seeking initial certification as a principal on or after August 16, 1986); 5. Minimum of thirty (30) semester hours of graduate credit, as follows: A. Educational Administration and Instructional Supervision, nine (9) semester hours: 1) Foundations of or Introduction to Educational Administration, or Theory of Educational Administration 2) Secondary School Principal 3) Principles of Instructional Supervision in the Secondary School B. Professional Education, Twenty-One (21) semester hours: 1. Eighteen (18) semester hours: a) Educational Research b) History or Philosophy of Education c) Secondary School Curriculum d) School Law e) School Finance f) School Personnel Administration 2. Three (3) semester hours of educational administration electives to be selected from the following: a) School-Community Relations b) School Facilities c) Program Development and Evaluation (either in professional education or in areas outside of professional education). 6. Persons who meet requirements of Item A above are eligible for a provisional secondary school principal endorsement. Upon employment as a principal or assistant principal, an individual with provisional principal endorsement must enroll in the two-year Principal Internship Program. 7. A regular secondary school principal endorsement will be added to the standard Type A or Level 3 certificate upon satisfactory completion of the two-year Principal Internship Program. 8. Persons holding provisional or regular principal endorsements at the secondary school level may serve as principal of an elementary, middle, secondary, or combination grade-level school. 9. Secondary school assistant principals are required to meet the same standards as elementary school principals. Parish or City Supervisor of Instruction (Last date for completion is 12/31/08) 1. A valid Type A or Level 3 Louisiana Teaching Certificate 2. An earned master's degree from a regionally accredited institution of higher education. 3. A minimum of thirty-three (33) semester hours of graduate credit as follows: A. Fifteen (15) semester hours in Educational Administration and Supervision to include the following: 1) Foundations and Theory of Educational Administration. 2) Principles of Instructional Supervision (six semester hours). 3) Curriculum: Three semester hours must be at the elementary school level and three semester hours at the secondary level. B. Fifteen (15) semester hours of professional education, to include three (3) semester hours in each of the following areas: 1) Educational Research 2) History or Philosophy of Education 3) School Law 4) Six semester hours of electives from Instructional Evaluation, Statistics, Testing and Measurement, Learning Theory, or Program Development and Evaluation (in professional education or area/s outside professional education) C. Three (3) semester hours to be selected from Practicum in Instructional Supervision or Internship in Instructional Supervision. Internship or clinical experience in elementary or secondary school administration may be substituted for this requirement. 4. Persons who have met the requirements of items A through A-3 may be issued a nonrenewable, nonextendable Supervisor of Instruction provisional certificate valid for three years. *This title will apply to all persons, regardless of title, who serve as a supervisor of instruction.

73 School Superintendent (Last date for completion is 12/31/08) 1. Hold a valid Type A or Level 3 Louisiana Teaching Certificate. 2. Have had five (5) years of successful school experience (state, parish, or city) as a superintendent, assistant superintendent, supervisor of instruction, or principal in a State-approved system, or experience certified as equivalent to any of these by the Board of Elementary and Secondary Education. 3. Hold an earned master's degree from a regionally accredited institution of higher education. 4. Have completed forty-eight (48) semester hours of graduate credit, to include the following: A. Thirty (30) semester hours in educational administration and supervision of instruction, to include the following: 1) Foundations of (Introductory) Educational Administration or Theory of Educational Administration 2) School Law 3) Principles of Instructional Supervision (Elementary or Secondary) 4) School Community Relations 5) Principalship (Secondary or Elementary School) 6) School Finance 7) Twelve semester hours of electives in educational administration and instructional supervision from: School Facilities; School Personnel Administration; Group Dynamics; Office and Business Management; Clinical Supervision or Internship or Practicum in Educational Administration or Instructional Supervision, Program Development and Evaluation (in professional education or areas outside professional education) B. Twelve (12) semester hours in professional education, to include three (3) semester hours in each of the following areas: 1) Educational Research 2) History or Philosophy of Education 3) Elementary School Curriculum 4) Secondary School Curriculum C. Six (6) semester hours of electives from cognate fields outside professional education related to educational administration and supervision in business, political science, psychology, sociology, or speech. 5. Assistant superintendents who supervise any part of the instructional program are required to meet the same standards as superintendents. 6. Assistant superintendents for noninstructional areas* shall be certified as a school superintendent or meet the following requirements: A. A minimum of five (5) years of demonstrated successful administrative experience at a managerial level in education and/or related fields, either in the public or private sector. B. Possess an earned master s degree from a regionally accredited institution of higher education in either education administration, business administration, public administration, or a related area of study including, but not limited to, accounting, finance, banking, insurance and law. The responsibilities assumed by this category of administrators must be related to noninstructional programs and the experience obtained while at that level may not be used for meeting the certification requirements for superintendent. *Noninstructional areas include finance, management, facilities planning, and ancillary programs. Parish/City Supervisor/Director of Special Education (Last date for completion is 12/31/08) 1. A valid Type A or Level 3 Louisiana Teaching Certificate with certification as a special education teacher. 2. Five (5) years of successful professional experience, at least three of which must have been in special education. 3. An earned master's degree from a regionally accredited institution of higher education. 4. A minimum of thirty-three (33) semester hours of graduate credit, as follows: A. Six (6) semester hours in Special Education Administration to address competencies in the following areas: 1) Administration and Organization of Special Education (3) semester hours 2) Special Education Compliance (3) semester hours B. Twenty-four (24) semester hours of professional education/ instructional supervision, three (3) semester hours to be completed in each of the following areas: 1) Foundations and Theory of Educational Administration 2) Educational Research 3) History and Philosophy of Education 4) School Law 5) School Finance 6) Curriculum 7) Principles of Instructional Supervision 8) Three semester hours of electives to be selected from Instructional Evaluation, Statistics, Testing and Measurement, Learning Theory, or Program Development and Evaluation (in professional education or areas outside professional education). C. Three (3) semester hours to be selected from:

74 1) Practicum in Special Education Administration; or 2) Internship in Special Education Administration 5. Persons who have met the requirements of Items 1 through 3, three (3) semester hours from 4-A, and twelve (12) semester hours from 4-B may be issued a nonrenewable, nonextendable Supervisor/Director of Special Education provisional certificate, valid for three years. *This title will apply to all persons, regardless of title, who serve as a Supervisor/Director of Special Education. Special School Principal (Last date for completion is 12/31/08) 1. Certification requirements for Elementary and or Secondary School Principal. 2. Graduate training in special education, including at least one course in administration/ supervision of special education, and generic certification in one or more areas of exceptionalities served by that school. 3. Five (5) years of successful professional experience, at least three of which must have been in special education. 4. The same certification standards as those required of principals if serving as an assistant principal. Supervisor of Child Welfare and Attendance and/or Visiting Teacher (Last date for completion is 12/31/08) 1. The applicant must hold a valid Type A or Level 3 Louisiana teaching certificate. 2. The applicant must hold a master's degree from a regionally accredited institution, including fifteen (15) semester hours of professional education at the graduate level to include three (3) semester hours in each of the following areas: a. Principles of Guidance and Counseling b. Supervision of Child Welfare and Attendance and/or Visiting Teacher c. School law d. Social psychology e. Psychology of Child Growth and Development or Human Growth and Development Social Workers licensed under R.S. 37:2701 et seq. shall be certified as Visiting Teachers. Supervisors of School Libraries 1. Type A or Level 3 Louisiana certificate authorizing school library service; 2. Five (5) or more years of successful experience as a school librarian; 3. Master s degree in library science from a regionally accredited institution, including twelve (12) semester hours of graduate training in library science and a minimum of twenty-one (21) semester hours of undergraduate credit in library science. Supervisor of Parish/City Materials and/or Media Centers 1. Type A or Level 3 Louisiana teaching certificate; 2. Advanced degree from a regionally accredited institution; 3. Fifteen (15) semester hours of graduate course work in non-book media: a. Utilization of audiovisual materials three (3) semester hours b. Media design and production three (3) semester hours c. Administration of media programs - three (3) semester hours d. Six (6) semester hours of electives from courses such as photography, educational television, programmed instruction, media research, advanced production techniques, and communication theory Child Search Coordinator 1. Child Search Coordinators must be certified or licensed as a teacher, social worker, guidance counselor, school psychologist, psychologist, speech therapist, or other related special education field. 2. Master's degree from a regionally accredited college or university; 3. At least six (6) semester hours in special education; 4. Three (3) years of experience in the certified or licensed area. Counselor K Valid teaching certificate; 2. Master's degree in school counseling from a regionally accredited institution, or a master's degree with the equivalent hours and courses required for a master's degree in school counseling; 3. Graduate training must include twenty-four (24) semester hours of professional courses distributed so that at least one course will be taken in each of the basic areas listed below: a. Principles and Administration of School Counseling Programs b. Career and Lifestyle Development c. Individual Appraisal d. Counseling Theory and Practice e. Group Processes f. Human Growth and Development

75 g. Social and Cultural Foundations in Counseling h. Supervised Practicum in a School Setting 4. Renewal Guidelines: If certificate holder allows a period of five (5) consecutive calendar years to pass in which he/she is not a regularly employed educator for at least one (1) semester [90 consecutive days], the certificate lapses for disuse. To reinstate a lapsed certificate, the holder must present evidence that he/she earned six (6) semester hours of credit in state-approved courses during the five-year period immediately preceding request for reinstatement (see Appendix C). 5. Professional Counselor in the School Setting: Applicant must meet the above requirements for counselor in a school setting and hold current licensure as a Licensed Professional Counselor in Louisiana (LPC), in accordance with Act 892 L.S et seq. Reading Specialist 1. The applicant must hold a valid Type B or Level 2 Louisiana teaching certificate. 2. The applicant must hold an advanced degree from a regionally accredited institution. 3. Included in or beyond the advanced degree of study must be twelve (12) graduate hours of course work in reading education, including: a. Foundations or survey of reading instructions, three (3) semester hours b. Diagnosis and correction of reading difficulties, including a testing/ tutorial practicum under the supervision of qualified personnel, six (6 )semester hours c. Reading in the content areas, three (3) semester hours Reading Specialist Certification will be valid for teaching and/or supervision of reading in grades Revised 8/28/07

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77 Division of Certification and Preparation P.O. Box Baton Rouge, LA Teacher Information: Name: CERTIFICATION CONSULTATION FORM LOUISIANA DEPARTMENT OF EDUCATION EEL TEACHER Employing School District/School: Toll Free #: Address: (Street) (City) (State) (Zip Code) Telephone#: Current PRAXIS Content Examination(s): EEL Teaching Assignment(s): Certificate Issued EEL EEL 2 EEL 3 Area of Certification Held on Type A, B, C, Level 1, 2, 3, or OS. (Attach LDE feedback sheet)) EEL Renewal Requirements 1. Teacher must obtain a prescription/outline of coursework required for add-on certification in the area(s) of the teaching assignment signed by the Superintendent and the human resources director of the employing local education agency; and 2. Successfully complete a minimum of nine credit hours per year of courses that lead toward certification requirements in the area(s) in which he/she is teaching. NOTE: If fewer than nine hours are required to complete the certification, then all of the remaining hours must be taken; or If no credit hours remain to be taken, then the individual must provide evidence of taking the required PRAXIS exams a minimum of once per year. PROGRESS MADE TOWARD COMPLETION OF COURSEWORK PRAXIS REQUIREMENTS TO ADD ENDORSEMENT(S) Cr Courses Remaining (9 credit hours per year) Hrs Praxis Exam (s) Remaining Comments: Signature of Teacher Signature of Certification Counselor Date Date

78 Division of Certification and Preparation P.O. Box Baton Rouge, LA Teacher Information: Name: CERTIFICATION CONSULTATION FORM LOUISIANA DEPARTMENT OF EDUCATION TEP TEACHER Employing School District/School: Toll Free #: Address: (Street) (City) (State) (Zip Code) Telephone#: Degree(s): GPA: College/University: Certificate Issued TEP Eligibility TEP Renewal Requirements Issued to an individual who meets all An individual can be reissued a permit two times certification requirements with the exception only if evidence is presented that the required exam TEP of passing one of the components of the NTE/Praxis examination(s), but who has an has been retaken twice within one year from the date the permit was last issued. TEP2 aggregate score equal to or above the total required on all NTE/Praxis exams for the TEP3 area of certification. Area (teacher ed prep program) *Individuals who were previously issued a TAT are not eligible for a TEP. Remaining Exam: Praxis I or NTE Scores Praxis II Content Scores Pedagogy Exams Scores Reading Elementary (0014) PLT K-6 Writing Early Childhood PK-3 (0014) ECE 0020 or 0521 Mathematics Middle Grades PLT 5-9 Communication Skills (prior to 9/1/99) General Knowledge (prior to 9/1/99) Professional Knowledge (prior to 9/1/99) Secondary Grades PLT 7-12 All-Level Grades PLT K-6 or 5-9, or 7-12 Mild/Moderate (0014, Middle or Core Secondary) SPED COMMENTS Signature of Teacher Signature of Certification Counselor Date Date

79 Division of Certification and Preparation P.O. Box Baton Rouge, LA Teacher Information: Name: CERTIFICATION CONSULTATION FORM LOUISIANA DEPARTMENT OF EDUCATION TAT TEACHER Employing School District/School: Toll Free #: Address: (Street) (City) (State) (Zip Code) Telephone#: Degree(s): GPA: Preferred University Provider: Certificate Issued TAT TAT2 TAT3 Condition under which TAT was issued Condition #1 (Program Completer w/praxis deficiency) Condition #2a and/or #2b (Praxis or GPA deficiency ; applies for admittance into an Alternate program) Area Condition #3 (Hired after the start of an available alternate certification program) (Attach LDE feedback sheet)) Condition #4 (Program Completer w/gpa deficiency) TAT Renewal Requirements Teacher must take the necessary Praxis examinations at least twice a year. 2a. Teacher must successfully complete a minimum of six (6) credit hours per year in the subject area(s) that he/she is attempting to pass on the Praxis and take the necessary exams at least once a year; and/or 2b. Teacher must successfully complete a minimum of six (6) credit hours per year to raise GPA to a 2.20 as required for admission to an alternate program. Teacher must take the appropriate Praxis examinations required for admission to an alternate certification program and, if successful, apply for admission to the alternate program. Teacher must successfully complete a minimum of six (6) semester credit hours per year to obtain the 2.50 GPA on a 4.00 scale that is required for certification purpose. Passed Praxis I Passed Praxis II Passed Pedagogy Exams Yes No ( PPST or NTE) Yes No Content Exams Yes No Reading* Elementary /PK-3* (0014) ECE Writing* Middle Grades * PLT K-6 Mathematics* Secondary Grades* PLT 5-9 Communication Skills (prior to 9/1/99) All-Level Grades* PLT 7-12 General Knowledge (prior to 9/1/99) Mild/Moderate* (0014, Middle or Core Secondary) SPED An ACT composite score of 22 or a SAT combined verbal and math score of 1030 may be used in lieu of Praxis I PPST exams by prospective teachers in Louisiana. *The above exams are required for admission to an alternate program. COMMENTS Signature of Teacher Signature of Certification Counselor Date Date

80 Division of Certification and Preparation P.O. Box Baton Rouge, LA Teacher Information: Name: CERTIFICATION CONSULTATION FORM LOUISIANA DEPARTMENT OF EDUCATION OFAT TEACHER Employing School District/School: Toll Free #: Address: (Street) (City) (State) (Zip Code) Telephone#: Preferred University Provider: Certificate Issued OFAT OFAT 2 OFAT 3 OFAT 4 OFAT 5 (Attach LDE feedback sheet)) OFAT Teaching Assignment(s): OFAT Renewal Requirements The teacher must successfully complete one of the following: 1. six semester hours per year in the area(s) that he/she is teaching; 2. the Praxis exam(s) required for certification in the area(s) that he/she is teaching. Under this stipulation, the exam(s) must be attempted at least once per year. Note: The course work and Praxis exam(s) required for certification will be per official evaluation provided by the Division of Certification and Preparation. PROGRESS MADE TOWARD COMPLETION OF COURSEWORK PRAXIS REQUIREMENTS TO ADD ENDORSEMENT(S) Cr Courses Remaining (6 credit hours per year) Hrs Praxis Exam (s) Remaining Comments: Signature of Teacher Signature of Certification Counselor Date Date

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84 LOUISIANA REQUIREMENTS PRAXIS/NTE SCORES PRE-PROFESSIONAL SKILLS TESTS Paper Administrations (Required for all Louisiana candidates to enter teacher preparation programs.) PRE-PROFESSIONAL SKILLS TEST Test # Score Effective Date PPST:R Pre-Professional Skills Test: Reading PPST:W Pre-Professional Skills Test: Writing PPST:M Pre-Professional Skills Test: Mathematics Effective 1/16/02 Effective 7/1/07 Effective 7/1/10 PRE-PROFESSIONAL SKILLS TESTS Computer Based Administrations PRE-PROFESSIONAL SKILLS TEST Test # Score Effective Date PPST:R Pre-Professional Skills Test: Reading PPST:W Pre-Professional Skills Test: Writing PPST:M Pre-Professional Skills Test: Mathematics PPST:R Pre-Professional Skills Test: Reading PPST:W Pre-Professional Skills Test: Writing PPST:M Pre-Professional Skills Test: Mathematics Prior to1/16/02 Effective 1/16/02 Effective 7/1/07 Effective 7/1/10 Core Battery Exams Communications Skills (CS) General Knowledge (GK) Professional Knowledge (PK) Prior to 9/1/99 Effective September 1, 2006 : An ACT composite score of 22 or a SAT combined verbal and math score of 1030 may be used in lieu of Praxis 1 PPST Exams by prospective teachers in Louisiana. Certification Area CONTENT AND PEDAGOGY REQUIREMENTS Content Name of Praxis Test Exam Score PLT K-6 (#0522) Early Childhood PK-3 Elementary Content Knowledge (0014) Prior to 5/31/04 Effective 6/1/ Pedagogy: Principles of Learning & Teaching PLT 5-9 PLT 7-12 (#0523) (#0524) Prior to 6/1/04: PLT K-6 or ECE 0020; After 5/31/04: Early Childhood Education 0020 (Score 510) PROPOSED Effective Date 1/1/08: PLT Early Childhood 0521 (Score 172) Grades 1-5 Elementary Content Knowledge (0014) Prior to 5/31/04 Effective 6/1/ Grades 4-8 Generic Middle School: Content Knowledge (0146) Effective 6/1/04, this exam not available for certification purposes; middle grades candidates required to pass one or more content specific middle grades exams. Grades 4-8 Mathematics Middle School Mathematics (0069) Grades 4-8 Science Middle School Science (0439) Prior to 5/31/ Effective 6/1/ Effective 6/1/ Revised 9/10/07

85 Grades 4-8 Social Studies Middle School Social Studies (0089) Grades 4-8 English/Language Arts Middle School English/Language Arts (0049) GRADES 6-12 CERTIFICATION AREAS Score PLT 7-12 Agriculture Agriculture (0700) Effective 7/1/ Business Business Education (0100) Prior to 5/31/ Effective 6/1/ English English Language, Literature, & Composition: Content Knowledge (0041) Pedagogy (0043) Family & Consumer Sciences (formerly Home Economics) Family & Consumer Sciences (0120) French French (0170) Prior to 5/31/ French: Content Knowledge (0173) Effective 6/1/ German German (0180) Prior to 6/30/ German: Content Knowledge (0181) Effective 7/1/ Mathematics Mathematics (0060) Prior to 5/31/ Mathematics: Content Knowledge (0061) Effective 6/1/04 Effective 6/1/07 Effective 6/1/ School Librarian Library Media Specialist (0310) Social Studies Social Studies: 161 Content Knowledge (0081) Interpretation of Materials (0083) Science Areas Biology Biology & General Science (0030) Prior to 6/30/ Biology: Content Knowledge (0235) Effective 7/1/ Chemistry Chemistry/Physics/General Science (0070) Prior to 6/30/ Chemistry: Content Knowledge (0245) Effective 7/1/ Earth Science None Available** 161 Environmental None Available** 161 General Science General Science: Content Knowledge (0435) Effective 7/1/ Biology & General Science (0030) Prior to 6/30/05 or Chemistry/Physics/General Science (0070) Prior to 6/30/ Physics Chemistry/Physics/General Science (0070) Prior to 6/30/ Physics: Content Knowledge (0265) Effective 7/1/ Spanish Spanish (0190) Prior to 5/31/ Spanish: Content Knowledge (0191) Effective 6/1/ Speech Speech Communications (0220) Effective 7/1/ Technology Education (formerly Industrial Arts) Technology Education (0050) Effective 7/1/ Computer Science, Journalism Latin, Marketing (formerly Distributive Education) At this time, a content area exam is not required for certification in Louisiana ALL-LEVEL K-12 CERTIFICATION AREAS Score PLT K-6 PLT 5-9 PLT 7-12 Grades K-12 Art Art: Content Knowledge (0133) Effective 7/1/ or 154 or 161 Grades K-12 Dance None Available** or 154 or 161 French: Content Knowledge (0173) Effective 6/1/ Grades K-12 Foreign German: Content Knowledge (0181) Effective 7/1/ Languages Spanish: Content Knowledge (0191) Effective 6/1/ or 154 or 161 Grades K-12 Music Music: Content Knowledge (0113) Effective 6/1/ or 154 or 161 Grades K-12 Health and Phys. Education: Content Knowledge (0091) 161 or 154 or 161 Physical Education Effective 6/1/ **At this time, a content area exam is not required for certification in Louisiana. Revised 9/10/07

86 SPECIAL EDUCATION AREAS Area Content Exam Score Pedagogy Requirement Score All Special Education Area(s) Prior to 6/1/04: PLT K-6 (161), PLT 5-9 (154) OR PLT 7-12 (161) Elementary Education: Content Knowledge Educ. of Exceptional Students: Core Early Interventionist (0014) Effective 7/1/ Content Knowledge (0353) Effective 6/1/04 Educ. of Exceptional Students: Core Content Knowledge (0353) & Early Childhood Education (0020) Effective 7/1/ Hearing Impaired Mild to Moderate Disabilities Significant Disabilities Visual Impairments/Blind Elementary Education: Content Knowledge (0014) Effective 7/1/ Effective 6/1/04 ALL Candidates must pass a content area exam appropriate to certification level 1-5, 4-8, 6-12 (e.g., 0014, or core subject-specific exams for middle or secondary grades) Prior to 6/1/04, a content area exam was required only for entry into a Mild/ Moderate 1-12 Practitioner Teacher Program, Non-Master s Certification-Only Alternate Program, and Master s Alternate Program. Elementary Education: Content Knowledge (0014) Effective 7/1/ Educ of Exceptional Student: Core Content Knowledge (0353) & PLT: Early Childhood (0521) PROPOSED Effective Date: 1/1/08 Educ. of Exceptional Students: Core Content Knowledge (0353) & Educ. of Deaf and Hard of Hearing Students (0271) Effective 6/1/04 *Educ. of Exceptional Students: Core Content Knowledge (0353) & Educ. of Exceptional Students: Mild/Moderate Disabilities (0542) Effective 1/1/05 *Note: (0353) and (0542) are not content area exams. Educ. of Exceptional Students: Core Content Knowledge (0353) & Educ. of Exceptional Students: Severe to Profound Disabilities (0544) Effective 6/1/04 Elementary Education: Content Knowledge (0014) Effective 7/1/ Educ. of Exceptional Students: Core Content Knowledge (0353) Effective 6/1/ ADMINISTRATIVE AREAS Certification Area Name of Praxis Test Area Test Score Principal Educational Leadership: Administration & Supervision (0410) Prior to 1/1/ Or School Leaders Licensure Assessment (1010) Effective 7/1/ Educational Leader Level 1 School Leaders Licensure Assessment (1010) Effective 7/1/ Educational Leader Level 3 School Superintendent Assessment (1020) Effective 7/1/ All Praxis scores used for certification must be sent directly from ETS to the State Department of Education electronically, or the original Praxis score report from ETS must be submitted with candidate s application. Revised 9/10/07

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88 Louisiana Department of Education Certification of Teacher s or Family Member s Serious Health Condition ** The health care provider of the teacher or of the family member must complete this form. ** Teacher: Return the completed form to your Louisiana Employing Authority, and keep a copy for your own records. Teacher s Name (Print) 1. Patient s name: Relationship to teacher: Child Spouse Parent/Guardian Self 2. Description of serious health condition: The attached form describes what is meant by a serious health condition as set forth under the Family and Medical Leave Act. Does the teacher s condition or family member qualify under any of the categories described? If so, please check the applicable category: None of these 3. Medical Facts: Please briefly describe the medical facts which fit the category checked above: 4. Duration of condition and incapacity 1 : a. Date the condition began: Probable duration of this condition: b. Will it be necessary for the teacher to take time off work only intermittently or to work on a less than full schedule as a result of this condition (including for treatment described in Item 5 below)? Yes No If yes, give the probable frequency and duration: c. If the condition is a chronic condition (condition #4) or pregnancy (#3), state whether the patient is presently incapacitated and the likely duration and frequency of episodes of incapacity: 5. If additional treatments will be required for the condition, please describe: a. The nature of such additional treatments: b. The probable number of such treatments: c. The length of absence required: d. The actual or estimated dates of the treatments, if known: 6. Is the teacher able to perform his or her job duties? Yes No If not, please describe the teacher s restrictions and their duration: Health Care Provider s Name and Signature (Print) (Stamps are not acceptable) Type of Practice: Office Telephone # Date

89 Serious Health Condition Definition as set forth under Family and Medical Leave Act of 1993 A serious health condition is defined in the FMLA regulations as any illness, injury, impairment or physical or mental condition that involves one of the following: 1. Hospital Care: This means inpatient care (that is, an overnight stay) in a hospital, hospice or residential medical care facility, including any period of incapacity or subsequent treatment in connection with or consequent to such inpatient care. 2. Absence plus treatment: A period of incapacity of more than three consecutive calendar days (including any subsequent treatment or period of incapacity relating to the same condition), that also involves: a. Treatment 2 two or more times by a health care provider, by a nurse or physician s assistant under direct supervision of a health care provider, or by a provider of health care services (e.g., physical therapist) under orders of, or on referral by, a health care provider; or b. Treatment by a health care provider on at least one occasion which results in a regimen of continuing treatment 3 under the supervision of the health care provider. 3. Pregnancy: Any period of incapacity due to pregnancy, or for prenatal care. 4. Chronic conditions requiring treatments: A chronic condition which: a. Requires periodic visits for treatment by a health care provider, or by a nurse or physician s assistant under direct supervision of a health care provider; b. Continues over an extended period of time (including recurring episodes of a single underlying condition); and c. May cause episodic rather than a continuing period of incapacity (e.g. asthmas, diabetes, and epilepsy). 5. Permanent/long-term conditions requiring supervision: A period of incapacity, which is permanent or longterm due to a condition for which treatment may not be effective. The employee or family member must be under the continuing supervision of, but need not be receiving active treatment by a health care provider. Examples include Alzheimer s, a severe stroke, or the terminal stages of a disease. 6. Multiple treatments (non-chronic conditions): Any period of absence to receive multiple treatments (including any period of recovery there from) by a health care provider or by a provider of health care services under orders of, or on referral by, a health care provider either for restorative surgery after an accident or other injury, or for a condition that would likely result in a period of incapacity of more than three consecutive calendar days in the absence of medical intervention or treatment, such as cancer (chemotherapy, radiation, etc), severe arthritis (physical therapy), kidney disease (dialysis). 1 Incapacity is defined as inability to work, attend school or perform other regular daily activities due to the serious health condition, treatment therefore, or recovery there from. 2 Treatment includes examinations to determine if a serious health condition exists and evaluations of the condition. Treatment does not include routine physical examinations, eye examinations, or dental examinations. 3 A regimen of continuing treatment includes, for example; A course of prescription medication (e.g. an antibiotic) or therapy requiring special equipment to resolve or alleviate the health condition. A regimen of treatment does not include the taking of over-the counter medications such as aspirin, antihistamines, or salves; or bed-rest, drinking fluids, exercise, and other similar activities that can be initiated without a visit to a health care provider.

90 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA Toll Free #: TEMPORARY EMPLOYMENT PERMIT Eligibility Guidelines A Temporary Employment Permit (TEP) is valid for one school year, renewable annually, and may be held a maximum of three years while the holder pursues satisfaction of state Praxis requirements. Upon completion of the three (3) years of employment on this certificate, for continued employment in a Louisiana school system, the holder must fulfill guidelines for a Level 1 or higher level certificate. A TEP will be granted to those applicants who meet all requirements for a Level 1 certificate with the exception of A or B below: A. Passing one exam of the NTE/PRAXIS examination along with an appropriate aggregate score equal to or above the qualifying score on all the exams required for standard certification; -OR- B. Passing all parts of the NTE Commons examination completed prior to February 20, 1985, with scores within 10% of the composite score required to qualify for standard certification. TEP s qualifying under A. above will be issued at the request of applicants who meet all requirements for regular certification with the exception of one NTE/PRAXIS exam. When applying for a TEP, an individual must submit to Certification and Preparation all application materials required for issuance of a regular certificate. To qualify for a TEP under B. above, a Louisiana employing authority must submit the request and verify that no regularly certified teacher is available for employment. Granting of this permit shall not waive the requirement that the person successfully complete the exam. Application Process The following items are required as part of a complete application packet: 1. Application for Teaching Certificate or letter of recommendation signed by a Louisiana college or university dean of education; verifying all components of the teacher preparation program was successfully completed by the applicant (e.g., courses, student teaching/internship, GPA) with the exception of NTE/Praxis ; 2. TEP Application form; 3. Experience Verification Form signed by the Louisiana employing authority (if applicable); 4. Official transcripts (copies not acceptable); 5. Professional Conduct form with all questions answered and completed form signed by the applicant; An Equal Opportunity Employer Revised 12/29/05

91 6. PRAXIS/NTE Exam(s) The exam score(s) may be submitted to the Division of Certification and Preparation directly from Educational Testing Services, or in the form of the original score report submitted directly from the applicant. The original score report will be returned to the applicant once a verified copy is on file in the teacher certification office. 7. $50.00 non-refundable certification fee (check or money order, payable to the Louisiana Department of Education). The fee is required for the initial TEP only. Temporary Employment Permit - Renewal Process To renew a TEP for the subsequent school year, the applicant or Louisiana employing authority must submit the TEP Application Form, Professional Conduct Form and evidence to the State Department of Education that the PRAXIS exam has been retaken twice within one year from the date the permit was last issued. Additional Information Employment: For employment opportunities one can contact the personnel directors at the state s 68 public school district(s) concerning employment opportunities. A Louisiana Teacher Certification and Recruitment website can be accessed at Contact Information: If there are questions about requirements or the certification process, one should contact the Division of Certification and Preparation at (225) (or toll free at ) or Customerservice@la.gov for assistance. Revised 10/2/06

92 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation TEMPORARY EMPLOYMENT PERMIT APPLICATION PLEASE TYPE OR PRINT IN INK Please check one: Initial TEP TEP2 TEP3 Social Security Number: - - Date of Birth: Name: (First) (Middle) (Maiden) (Married) Address: (Street) (City, State) (Zip Code) Phone Number: ( ) Address: School Year: Area of certification: Complete (A) or (B) below: (A) TEMPORARY EMPLOYMENT PERMIT (AGGREGATED SCORES) I hereby apply for the certificate to which I am entitled, under the regulations of the State Board of Elementary and Secondary Education. Signature of Applicant Date (B) TEMPORARY EMPLOYMENT PERMIT (10% NTE COMMONS EXAM) I hereby certify that there is no regularly certified, competent, and suitable person available for this position and that the applicant named above is within 10% of the appropriate NTE score needed for the standard certification. Signature of Employing Authority Date Title of Employing Authority Revised 10/2/06

93 LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered) NAME OF APPLICANT: (Including, First, Middle, and Married) ADDRESS: Social Security Number: - - DATE OF BIRTH: Each Question must be answered: 1. Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? Please Check YES NO If YES, in what state? 2. Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in what state? 3. Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if adjudication was withheld? If yes, please provide the following information: Specify the Offense: Date of Offense: State and Parish/County of Conviction: Judicial District of Court of Conviction: 4. Have you ever been convicted of a misdemeanor offense that involves any of the following: a. Sexual or physical abuse of a minor child or other illegal conduct with a minor child. b. The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law. 5. Have you ever been granted a pardon or expungement for any offense as stated in #3 or #4? If you answered YES to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet. I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, and correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teacher certificate. SIGNATURE OF APPLICANT: DATE: Revised 10/2/06

94 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA Toll Free #: INITIAL APPLICATION for CAREER AND TECHNICAL TRADE & INDUSTRIAL EDUCATION (CTTIE) TEACHING CERTIFICATE Career and Technical Trade and Industrial Education (CTTIE) Louisiana offers CTTIE certificates that authorize employment of instructors of Secondary Career and Technical Trade and Industrial Education classes. (It does not apply to Technology Education). The instructors must qualify under CTTIE hiring conditions and fulfill renewal guidelines to be issued another certificate. The CTTIE-1 is an entry level certificate that is valid for one year and may be renewed annually for a maximum of five years while the holder completes the required coursework. Three semester hours in professional CTTIE hours must be earned each year until a minimum of 15 semester hours has been completed by those with no degree; 12 semester hours by those with an associate degree; 9 semester hours by those with a bachelor s or higher degree; and 6 semester hours by those with a degree in education. A CTTIE-1 certificate may be converted to a CTTIE-2 certificate upon request once the required hours have been earned. The CTTIE-2 is valid for five years and renewable by completing 150 continuing learning units (CLUs). Application Process The following items are required as part of a complete application packet: 1. Application for Initial CTTIE Certificate with all information provided 2. Copy of high school diploma or official college transcripts 3. Work Experience Verification Form with documentation attached (e.g., letter from employer, W2, tax returns, etc.) 4. Copy of licensure, registry or certification (if applicable) 5. Professional Conduct form with all questions answered and signed by the applicant 6. $50.00 non-refundable certification fee (check or money order, payable to the Louisiana Department of Education When your completed application has been received by the Division of Certification and Preparation, it will be forwarded to Career and Technical Education to make a determination regarding your eligibility for a Louisiana Secondary CTTIE certificate. Requests that are missing any of the required materials will not be processed; incomplete applications will be returned to the employing school system or agency with needed documentation specified. Additional Information Contact Information: If there are questions about requirements or the certification process, please contact the Division of Certification and Preparation at (225) (or toll free at ), or Customerservice@la.gov for assistance. Revised 10/2/06

95 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation P.O. Box 94064, Baton Rouge, LA INITIAL APPLICATION for CAREER AND TECHNICAL TRADE AND INDUSTRIAL EDUCATION (CTTIE-1) CERTIFICATE SOCIAL SECURITY NUMBER: - - DATE OF BIRTH: / / NAME: (First) (Middle) (Maiden/Family) (Married Name) PHONE NUMBER: ( ) ADDRESS: ADDRESS: (Street Address) (City) (Zip Code) HIGH SCHOOL/GED DIPLOMA: (School/Location) (Year) DEGREE(S) HELD: (Degree(s) Held) (College/University) (Year) National/State Licensure/Registry/Certification Held Type: Number: Issuing Agency/Board: Expiration Date: Check the appropriate program area for which you are applying. Career and Technical Trade and Industrial Education Program Area: Health Professions/Related Health Fields Program Area: Jobs for America s Graduates (JAG) EMPLOYMENT PLACEMENT NAME OF SCHOOL or AGENCY: PARISH: SIGNATURE OF EMPLOYING AUTHORITY The applicant s full-time work experience has been verified and does meet the certification experience requirement for the career and technical field for which the applicant has been employed to teach in this city/parish school system/agency. DATE SIGNATURE OF TEACHER APPLICANT I verify that I understand and meet all requirements for a CTTIE certificate and will follow prescribed renewal guidelines. DATE FOR OFFICE USE ONLY: SIGNATURE OF LA DEPT OF EDUCATION DIVISION OF FAMILY, CAREER AND TECHNICAL EDUCATION According to the certification standards in Louisiana Standards for State Certification of School Personnel, Bulletin 746, the above named individual is eligible to teach in the area for which he/she has been hired. DATE Revised 10/2/06

96 WORK EXPERIENCE VERIFICATION FORM List all full-time non-teaching work experience at the journeyman level beginning with present employer first. Please attach documentation that will verify your work experience (e.g., W2, tax returns, letter from employer). Name of Employer From (Month/Year) To (Month/Year) Explanation of Duties TEACHING EXPERIENCE List Teaching Experience In The Section Below. Educational Institution From (Month/Year) To (Month/Year) Subject Taught and/or Type of Class I certify that the information and documentation contained in my application required for certification in Louisiana are true and accurate to the best of my knowledge, and belief and hereby authorize and direct the producer of any test I have taken as required by law and college and/or university officials and all former employers to release information regarding my scores, grades or employment to the Louisiana Department of Education upon its request for the purpose of verifying the information and documentation contained in this application and packet to determine eligibility for certification in Louisiana. Signature of Applicant Date Revised 10/2/06

97 SECONDARY CAREER AND TECHNICAL TRADE AND INDUSTRIAL EDUCATION RENEWAL / UPGRADE GUIDELINES 1. Completion of CTTIE courses is required of each secondary career and technical teacher, regardless of work experience or educational background. These courses are designed to provide a wider knowledge of career and technical trade and industrial education teaching pedagogy and to prepare for teaching a specific career and technical subject. In order to renew the CTTIE-1 certificate and upgrade to a CTTIE-2 certificate, at least three (3) semester hours of CTTIE course work must be earned annually. The CTTIE-2 is valid for five years and renewable by completing 150 continuing learning units (CLUs). After June 30, 2006, VTIE, CTTIE certificate holders who are completing the required hours will be converted to five (5) year CTTIE-2 certificates. The career and technical teacher with the educational credentials listed below will be required to complete the following number of hours of CTTIE course work for a CTTIE-2 certificate: GED, High School Diploma Fifteen (15) semester hours Associate Degree Twelve (12) semester hours Bachelor s Degree Nine (9) semester hours Bachelor s Degree in Education Six (6) semester hours 2. The CTTIE coursework required to renew/upgrade secondary career and technical certification may be taken from the following list of approved college courses: New Instructor Workshop (mandatory course required for all CTTIE teachers) Foundations of Vocational Technical Education Preparation of Vocational Technical Education Instructional Materials Management of the Vocational Technical Education Classroom(s)/Laboratory(ies) Occupational Safety and Health Testing and Evaluation in Vocational Technical Education Teaching Special Needs Students in Vocational Technical Education Methods of Teaching Vocational Technical Education Occupational Analysis and Course Development Ethics and Diversity in the Workplace/Classroom Computer Technology in the Classroom 3. The schools offering the CTTIE certification courses are: University of Louisiana at Lafayette Dr. Thomas Davies, Dept. Head Dept. of Industrial Technology College of Engineering P. O. Box Lafayette, LA Telephone (337) FAX (337) Contact: Dr. Herbert Hebert Louisiana Technical College System Baton Rouge Campus 3250 N. Acadian Thruway E. Baton Rouge, LA Telephone (225) FAX (225) Contact: Lynn Hitchcock, Dean of Instruction Sowela Campus Dr. Clarence Hughes, Dean of Associate Studies LTC-Sowela Campus P. O. Box Lake Charles, LA Telephone (337) FAX (337) To renew or upgrade the VTIE, CTTIE, CTTIE-1 or 2 certificates, submit the following to the Louisiana Department of Education: Completed Renew/Upgrade Career and Technical Trade and Industrial Education Application Updated official transcript of CTTIE courses earned Professional Conduct Form To add-on another CTTIE area to an existing certificate, provide written documentation (W2, tax returns, letter from employer) verifying appropriate years of experience. Revised 10/2/06

98 LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered) NAME OF APPLICANT: (Including, First, Middle, and Married) ADDRESS: Social Security Number: - - DATE OF BIRTH: Each Question must be answered: Please Check YES NO 1. Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? If YES, in what state? 2. Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in what state? 3. Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if adjudication was withheld? If yes, please provide the following information: Specify the Offense: Date of Offense: State and Parish/County of Conviction: Judicial District of Court of Conviction: 4. Have you ever been convicted of a misdemeanor offense that involves any of the following: a) Sexual or physical abuse of a minor child or other illegal conduct with a minor child. b) The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law. 5. Have you ever been granted a pardon or expungement for any offense as stated in #3 or #4? If you answered YES to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet. I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, and correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teacher certificate. SIGNATURE OF APPLICANT: DATE: Revised 10/2/06

99 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA Toll Free #: RENEW or UPGRADE APPLICATION CAREER AND TECHNICAL TRADE AND INDUSTRIAL EDUCATION (CTTIE) CERTIFICATE Renewal / Upgrade of a CTTIE Certificate The CTTIE or CTTIE-1 certificate may be renewed annually for a maximum of five years while the holder completes required coursework. Three semester hours in professional CTTIE hours must be earned each year until a minimum of 15 semester hours has been completed by those with no degree; 12 semester hours by those with an associate degree; 9 semester hours by those with a bachelor s or higher degree; and 6 semester hours by those with a degree in education. A CTTIE- 1 certificate may be converted to a CTTIE-2 certificate upon request once the required hours have been earned. After June 30, 2006, VTIE, CTTIE certificate holders who are completing the required hours will be converted to five (5) year CTTIE-2 certificates. Evidence of an official transcript must be provided showing the appropriate semester hours earned from the approved list of CTTIE courses. Application Process The following items are required as part of a complete application packet: 1. Application for Renewal or Upgrade of CTTIE Certificate with all information provided; 2. Professional Conduct form with all questions answered and signed by the applicant; 3. Official updated transcripts (copies and grade reports are not acceptable) 4. Updated copy of licensure, registry or certification (if applicable) 5. No fee is required for the renewal of a VTIE, CTTIE or CTTIE-1 Certificate. 6. A $25.00 non-refundable certification fee (check or money order, payable to the Louisiana Department of Education) is required for the following: Upgrading a VTIE, CTTIE or CTTIE-1 certificate to a five-year CTTIE-2 certificate Renewing a five-year CTTIE-2 certificate Adding another career and technical area to an existing certificate When the complete application packet is received, a determination will be made regarding applicant s eligibility for a renewal or upgrade of the CTTIE Certificate. If additional information is required at that time, applicant will be advised. Additional Information Contact Information: If there are questions about requirements or the certification process, one should contact the Division of Certification Preparation at (225) (or toll free at ), or Customerservice@la.gov for assistance. An Equal Opportunity Employer Revised 10/2/06

100 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation P. O. Box Baton Rouge, Louisiana RENEW OR UPGRADE APPLICATION CAREER AND TECHNICAL TRADE AND INDUSTRIAL EDUCATION (CTTIE) CERTIFICATE District Name: School/Agency Name: Address of School/Agency: Name: Date of Birth: / / (First) (Middle) (Maiden/Family) (Married) SS#: - - CTTIE Certificate Number: CTTIE Teaching Area(s): Please check the appropriate box below: Renewal of VTIE, CTTIE or CTTIE-1 Certificate (Attach current official transcript showing 3 semester hours earned.) Upgrade to five-year CTTIE-2 Certificate (Attach current official transcript of completed hours and $25.00 fee.) Add the following career and technical area to my certificate (Attach documentation of appropriate work experience and $25.00 fee.) Renewal of five-year CTTIE-2 Certificate (Attach Continuing Learning Units of Professional Development Form signed by Applicant and Employing School District.) I hereby certify that I have been informed of all stipulations of this certificate and understand all renewal guidelines. Signature of Applicant Date Revised 10/2/06

101 LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered) NAME OF APPLICANT: (Including, First, Middle, and Married) ADDRESS: Social Security Number: - - DATE OF BIRTH: Each Question must be answered: Please Check YES NO 1. Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? If YES, in what state? 2. Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in what state? 3. Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if adjudication was withheld? If yes, please provide the following information: Specify the Offense: Date of Offense: State and Parish/County of Conviction: Judicial District of Court of Conviction: 4. Have you ever been convicted of a misdemeanor offense that involves any of the following: a) Sexual or physical abuse of a minor child or other illegal conduct with a minor child. b) The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law. 5. Have you ever been granted a pardon or expungement for any offense as stated in #3 or #4? If you answered YES to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet. I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, and correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teacher certificate. SIGNATURE OF APPLICANT: DATE: Revised 10/2/06

102 STATE OF LOUISIANA POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA DEPARTMENT OF EDUCATION Toll Free #: Dear Prospective Louisiana Teacher: We are pleased that you are interested in obtaining a Louisiana certificate through the Foreign Associate Teacher Program. The instructions outlined in this application packet are designed to facilitate the process of obtaining your Louisiana Foreign Language Special Certificate. Foreign Language Special Certificate PK-8 (FLES) Guidelines Louisiana offers FLES certificates to applicants holding degrees and credentials from another country in a specialized language, elementary grades, or middle grades and who are participating in the Louisiana Department of Education (LDE) Foreign Associate Teacher Program. A FLES certificate allows one to teach either foreign language or immersion classes at the elementary or middle school level. The Foreign Language Special PK 8 Certificate is valid for three years. After three years, the FLES certificate may be renewed for one additional three-year period. Applicants who continue to be employed in a Louisiana public or private school after six years must meet the appropriate certification requirements to receive a Level I teaching certificate. Application Process REQUEST FOR FOREIGN LANGUAGE ELEMENTARY SPECIAL PK 8 CERTIFICATION All information should be mailed to: Division of Certification and Preparation, LA Department of Education, P. O. Box 94064, Baton Rouge, LA, The following items are required as part of a complete application packet: 1. Application form with all information provided 2. Copy of degree transcript indicating an earned bachelor s degree in education or equivalent preparation program in education from a foreign country or higher level degree. The status of the degree will be determined by the Louisiana Department of Education, Division of Standards, Assessment, and Accountability. If the LDE staff cannot make a determination of degree equivalency, the candidate must have his/her credentials evaluated by the American Association of Collegiate Registrars and Admissions Officers (AACRAO), Office of International Education Services. In the case of an AACRAO evaluation the determination must include a course-by-course evaluation. 3. Copy of teaching certificate issued in applicant s native country 4. Professional Conduct form with all questions answered and signed and dated by the applicant 5. $50.00 non-refundable certification fee (fee should be submitted in the form of a personal check or money order made payable to Louisiana Department of Education) An Equal Opportunity Employer Revised 6/22/04

103 When your completed application package has been received by the Office of Teacher Certification, it will then be sent to David Beste or Terri Hammatt, World Language Director, Division of Student Standards, Assessment, and Accountability, to make a determination regarding your eligibility for a Louisiana Foreign Language Special PK 8 Certificate. Contact Information If you have any questions regarding these requirements or the certification process, please telephone or either the office of Certification and Preparation at (225) , (this is a toll free number for U.S. residents only), or Terri Hammatt, at (225) , terri.hammatt@la.gov or David Beste at (225) , david.best@la.gov.

104 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation P. O. Box Baton Rouge, LA APPLICATION FOR FOREIGN LANGUAGE ELEMENTARY SPECIAL PK 8 CERTIFICATION Social Security Number: Date of Birth: Name Address Parish of Residence: (First) (Middle) (Maiden) (Married) (Street) (City) (Zip Code) Certification Requested in: French Spanish (Check those that apply) M / D / Y FLES Immersion Elementary: PK - 5 Elementary: PreK - 5 Middle School: 6-8 Middle School: 6 8 Math Middle School: 6 8 Social Studies Middle School: 6 8 Science Middle School: 6 8 English/Language Arts Degree(s) Held: Degree(s) Year Granted Institution Name: College/University Country Type of Certification held in native country: Type Subject/grade level(s) Issuance Date Experience: Year(s) School Year(s) School Year(s) School I certify that the above information is complete and correct according to the records on file in this office. Terri Hammatt, World Language Director Division of Student Standards and Assessments Date

105 LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered) NAME OF APPLICANT: (Including, First, Middle, and Married) ADDRESS: Social Security Number: - - DATE OF BIRTH: Each Question must be answered: Please Check YES NO 1. Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? If YES, in which state? 2. Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in which state? 3. Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if adjudication was withheld? If yes, please provide the following information: Specify the Offense: Date of Offense: State and Parish/County of Conviction: Judicial District of Court of Conviction: 4. Have you ever been convicted of a misdemeanor offense that involves any of the following: a. Sexual or physical abuse of a minor child or other illegal conduct with a minor child. b. The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law. 5. Have you ever been granted a pardon or expungement for any offense as stated in #3 or #4? If you answered YES to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet. I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teacher certificate. SIGNATURE OF APPLICANT: DATE:

106 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA Toll Free #: ANCILLARY CERTIFICATION APPLICATION PACKET Dear Prospective Louisiana Ancillary Teacher: We are pleased that you are interested in obtaining a Louisiana ancillary certificate. The instructions outlined in this application packet are designed to facilitate the process of obtaining a Louisiana ancillary certificate. Ancillary Louisiana Certification Louisiana offers ancillary certificates to applicants holding degrees or credentials in a specialized area. The guidelines for each type of ancillary certificate are included in this packet. Application Process All information should be mailed to: Division of Certification and Preparation, LA Department of Education, P. O. Box 94064, Baton Rouge, LA, The following items are required as part of a complete application packet: 1. Application for Ancillary Certificate form with all information provided 2. Official transcripts, if applicable (copies not acceptable) 3. Copy of licensure (if applicable) 4. Experience Verification form signed by the appropriate employing authority required to provide evidence of successful experience for the ancillary certificate being requested 5. Professional Conduct form with all questions answered and signed and dated by the applicant 6. Certification Fee Initial Certificate - $50.00 non-refundable certification fee (check or money order, payable to the Louisiana Department of Education) Renewal of Certificate - $25.00 non-refundable certification fee (check or money order, payable to the Louisiana Department of Education). This renewal fee applies to all ancillary certificates with the exception of Artist certificates. All application materials are to be sent to the Louisiana Department of Education as a single packet. Once the complete set of application materials is received, the application packet will be evaluated for purposes of issuing a Louisiana ancillary certificate to the applicant. We regret that we are unable to process requests that are missing any of the required materials; incomplete applications will be returned to the applicant specifying needed documentation. Additional Information Employment: Contact the personnel directors at the state s 68 public school district(s) concerning employment opportunities. A Louisiana Teacher Certification and Recruitment website can be accessed at An Equal Opportunity Employer Revised 2/13/07

107 Contact Information: If there are questions about requirements or the certification process, please contact the Division of Certification and Preparation at (225) (or toll free at ), or for assistance. Revised 1/19/07

108 ANCILLARY CERTIFICATE TYPES CERTIFICATION AREA Artist (Valid for one school session) Art Therapist (Valid as long as individual remains in same system) Audiologist-Provisional (Valid 3 years nonrenewable) Audiologist-Qualified (Valid as long as holder maintains a current LA Audiologist license) Child Nutrition Program Supervisor (Food Service) (Valid for life with continuous service) Child Nutrition Program Supervisor (Nutrition) (Valid for life with continuous service) Child Nutrition Program Supervisor Provisional (Nutrition or Food Service) (Valid for school year; renewable annually) Child Search Coordinator (Valid as long as ancillary certificate remains valid) Dance Therapist (Bachelor s) (Valid as long as individual remains in same system) Dance Therapist (Master s) (Valid as long as individual remains in same system) DOCUMENTATION REQUIRED 1. Verification from system that applicant will be employed to teach specific art area 2. Evidence of substantial professional recognition (e.g., letters from representatives of the arts community, gallery directors, art center directors, reporters) 3. Evidence of substantial artistic or creative accomplishments (e.g., newspaper articles, programs, playbills, published music scores, brochures ) Photos, slides and actual artwork are not acceptable 1. Official transcripts showing the completion of an Art Therapy degree program from a regionally accredited college or university 2. Copy of registration from American Art Therapy Association 3. Verification of pre-clinical experience 1. Official transcripts showing a master s degree in audiology earned at a regionally accredited college or university 2. Verification that applicant will work under the supervision of a licensed audiologist 1. Official transcripts showing a master s degree in audiology earned at a regionally accredited college or university 2. Copy of current Louisiana licensure as an Audiologist 1. Master s degree in Home Economics, Family & Consumer Sciences, Institutional Management, Nutrition, Dietetics, Business Administration, Food Technology or Public Health Nutrition earned at a regionally accredited college or university 2. Three years of experience in home economics, family & consumer science, or quantity food management. 3. Twenty-one (21) semester hours (See Bulletin 746 for full list of coursework) 1. Master s degree in Home Economics, Family & Consumer Sciences, Institutional Management, Nutrition, Dietetics, Business Administration, Food Technology or Public Health Nutrition earned at a regionally accredited college or university 2. Three years of experience in home economics, family & consumer science, or quantity food management 3. Forty-two (42) semester hours (See Bulletin 746 for full list of coursework) 1. Special certificate can be issued to an applicant serving in this capacity with the understanding that six (6) semester hours are completed each year for renewal 1. Must hold valid ancillary certificate for social worker, speech therapist, school psychologist, speech pathologist, or guidance counselor 2. Master s degree earned at a regionally accredited college or university 3. At least six (6) semester hours in special education coursework 4. Three years of experience in certified area 1. Official transcript showing the completion of a degree in Dance Therapy from a regionally accredited college or university 2. Official transcripts showing the completion of two (2) semesters of a practicum completed in both a clinical and school setting 3. Copy of registration by the American Dance Therapy Association 1. Official transcripts showing the completion of a master s degree in Dance Therapy from a regionally accredited college or university 2. Copy of registration by the American Dance Therapy Association Revised 1/19/07

109 Family and Consumer Science (Occupational Programs) (Valid for three years; renewable) Junior ROTC (Valid for five (5) years; renewable upon request of the Louisiana employing authority.) Music Therapist (Valid as long as individual remains in same system) Nonpublic Montessori (Valid for life with continuous service) Occupational Therapist-Provisional (Valid 2 years -nonrenewable) Occupational Therapist- Qualified (Valid 5 Years renewable) Physical Therapist- Provisional (Valid 2 years nonrenewable) Physical Therapist- Qualified (Valid 5 Years renewable) Recreation Therapist (Bachelor s) (Valid as long as individual remains in same system) Recreation Therapist (Master s) (Valid as long as individual remains in same system) School Counselor (Valid for three-years renewable) School Librarian (Valid for five years renewable) School Nurse- Type C (Valid 3 years renewable) School Nurse- Type B (Valid 5 years renewable) School Nurse- Type A (Valid for life with continuous service) 1. Bachelor s degree in subject area of Family and Consumer Science earned at a regionally accredited college or university 2. Twelve (12) semester hours in professional education courses, to include the organization and administration of Family and Consumer Sciences occupational programs 3. Two thousand (2000) hours of work experience in the occupational area 1. Retirement from active duty in the retired grades of E-6 through E-9, WO- 1 through CWO-5, 03 though 06; and 2. Official Recommendation by appropriate branch of the military service with certification by the appropriate Department of defense. 1. Official transcript showing the completion of a degree in Music Therapy from a regionally accredited college or university 2. Copy of registration by the National Association of Music Therapy, Inc. 3. Verification of pre-clinical experience 1. Diploma indicating the completion of an approved Montessori training program 1. Copy of Louisiana Temporary Occupational Therapist License 1. Copy of Valid Louisiana Occupational Therapist License 2. Verification of two years of experience as a occupational therapist 1. Copy of Louisiana Temporary Physical Therapist License 1. Copy of Valid Louisiana Physical Therapist License 2. Verification of two years of experience as a occupational therapist 1. Official transcripts showing the completion of Introduction to the Exceptional Child-three semester hours and Psychology of the Exceptional Child-three semester hours 2. Copy of registration by the National Therapeutic Society 1. Official transcripts showing the completion of a Recreation Therapy Degree from a regionally accredited college or university 2. Official transcripts showing the completion of Introduction to the Exceptional Child-three semester hours and Psychology of the Exceptional Child-three semester hours 3. Copy of registration by the National Therapeutic Society 4. Verification of pre-clinical experience 1. Official transcripts showing the completion of a master s degree from a regionally accredited college or university 2. Completion of coursework required for school counselor 3. Counseling practicum completed in a school setting 1. Official transcripts showing the completion of a master s degree in library science. 2. Passing score on PRAXIS 0310 Library Media Specialist exam. 1. Copy of current Louisiana registered nurse license 2. Verification of two years of service as a registered nurse 1. Official transcripts showing six (6) semester hours of nursing or health related courses earned at a regionally accredited college or university (If individual already has degree in nursing or health related area, the six (6) hours are not required.) 2. Completed Experience Verification Form verifying three years service as a Type C School Nurse 3. Copy of current Louisiana registered nurse license 1. Official transcripts of baccalaureate degree in nursing or health related area earned at a regionally accredited college or university 2. Completed Experience Verification Form verifying five years service as a Type B School Nurse 3. Copy of current Louisiana registered nurse license Revised 1/19/07

110 School Psychologist- Provisional (Valid 1 year, renewable once) School Psychologist- Level B (Valid 5 years) School Psychologist- Level A (Valid 5 years) School Psychology- Supervisor (Valid as long as certificate is valid) Social Worker- Provisional (Valid 3 years - nonrenewable) Social Worker- Qualified (Valid as long as individual holds a current license) Speech Pathologist Assistant (Valid for three years) Speech Pathologist (Provisional) (Valid for three years; nonrenewable) Speech Pathologist (Qualified) (Valid as long as individual holds a current license) Speech Therapist (Valid 3 years) Talented (Valid as long as individual remains in same system) 1. Official transcript showing the completion of a bachelor s degree from a regionally accredited college or university 2. Letter from director of training program verifying completion of sixty (60) required semester hours, with the exception of the internship 1. Official transcript showing the completion of a master's or specialist degree in School Psychology, including an internship earned at a regionally accredited college or university 1. Official transcript showing the completion of a doctorate degree in school psychology, including an internship earned at a regionally accredited college or university 1. Valid Type A or B school psychologist certificate 2. Verification of three years of supervised experience as a school psychologist; two years must have been in Louisiana 1. Official transcripts indicating master's degree in social work earned at a regionally accredited college or university 2. Copy of Louisiana Provisional Graduate Social Worker Certificate and verification that applicant will work under Licensed Social Worker 1. Official transcripts showing the completion of a master s degree in social work earned at a regionally accredited college or university 2. Copy of Louisiana Graduate Social Worker Certificate or Clinical Social Worker License 3. Verification of experience in a social worker setting 1. Official transcripts showing the minimum of a bachelor s degree in speech/language pathology earned at a regionally accredited college or university 2. Verification of 100 clock hours of supervised clinical practicum either in the form of licensure, letter from program director, or a copy of a Louisiana provisional speech pathologist license 1. Master s degree in speech pathology earned at a regionally accredited college or university 1. Master s degree in speech pathology earned at a regionally accredited college or university 2. Copy of current Louisiana licensure as a Speech Pathologist 1. Official transcripts showing master s degree in speech communication disorders earned at a regionally accredited college or university 2. Copy of American Speech and Hearing Association (ASHA) license or letter from the director of an ASHA approved training program verifying that all requirements have been met, with the possible exception of the Clinical Fellowship Year (CFY) year 1. Verification from system that applicant will be employed to teach specific talented area 2. Verification of a minimum of one year of working with students in the specific arts area at the specific level. 3. Master s degree in Music, Art, or Theatre earned at a regionally accredited college or university -or- 4. Verification of substantial artistic or creative accomplishment over an extended period of time (e.g., copies of newspaper articles, programs, brochures, playbills, published music, magazine articles, catalogs, letters from peers) Photos, slides, and/or actual art work are not acceptable. Revised 1/19/07

111 LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION ANCILLARY APPLICATION Initial Ancillary Certificate Renewal of Ancillary Certificate PLEASE TYPE OR PRINT IN INK Social Security Number - - Date of Birth Name of Applicant: (First) (Middle) (Maiden) (Married) Address: (Street) (City) (State) (Zip Code) Phone: Home: ( ) Work: ( ) Parish of Residence: EDUCATIONAL QUALIFICATIONS Degree(s) Earned Institution(s) Date Degree(s) Earned REQUESTED CERTIFICATE (Please check appropriate box) Artist Family & Consumer Science (Occ) School Social Worker Artist: Art Provisional Artist: Creative Writing Junior ROTC Artist: Dance School Librarian Qualified Artist: Drama Artist: Music School Nurse Artist Visual Arts School Nurse-Type C Talented School Nurse-Type B Talented: Music Audiologist School Nurse-Type A Talented: Theatre Provisional Talented: Visual Arts Qualified Speech Language Pathologist-Assistant Therapists Child Nutrition Program Supervisor Speech Pathologist Art Therapist Food Service Provisional Dance Therapist Nutrition Qualified Music Therapist One-Year Provisional Occupational Therapist School Psychologist Physical Therapist Child Search Coordinator Level A Recreation Therapist Level B Speech Therapist Counselor K-12 Provisional Supervisor Montessori Signature of Applicant: Date: Employing School District: Signature of Employing School/School District: Date: The signature of the employing school or school district may be required for a Renewal or a Higher Level Certificate. Revised 1/19/07

112 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation EXPERIENCE VERIFICATION FORM PLEASE CHECK CATEGORY THAT APPLIES TO APPLICATION: Higher Level Certificate 1 Administrative Experience Out-of-State PRAXIS Exclusion 2 Student Teaching/Internship Waiver Verification of Experience for Ancillary Area PLEASE TYPE OR PRINT IN INK Louisiana Certificate Type/Number: Social Security Number: - - Name: Date of Birth: / / (First) (Middle) (Maiden) (Married) Address: Home Phone #: ( ) (Street) (City/State) (Zip Code) PARISH/ DISTRICT/ COUNTY NAME OF SCHOOL Type of School Public School Private School Grade Level(s) Taught Subject(s) Taught School Year(s) Taught POSITION (teacher, principal, etc.) Higher Request: If this form is being submitted for a higher level certificate, it must be submitted directly from the Louisiana employing school system. 2 Out-of-State Exclusion: I certify that the experience as listed above was successful, complete, and correct according to the official records on file in the Louisiana public school system providing this verification of employment. The above individual will be re-employed by this system for the next school year in accordance with the out-of-state certification policy. TO THE BEST OF MY KNOWLEDGE, THE EXPERIENCE CORRECTLY LISTED ABOVE WAS SUCCESSFUL. ORIGINAL SIGNATURE OF EMPLOYING AUTHORITY TITLE AND DISTRICT OF EMPLOYING AUTHORITY ORIGINAL SIGNATURE OF APPLICANT DATE For certification use only: Teacher Assessment Completed: Yes No Revised 1/19/07

113 LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered) NAME OF APPLICANT: (Including, First, Middle, and Married) ADDRESS: Social Security Number: - - DATE OF BIRTH: Each Question must be answered: Please Check YES NO 1. Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? If YES, in which state? 2. Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in which state? 3. Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if adjudication was withheld? If yes, please provide the following information: Date of Conviction: State of Conviction: Court Jurisdiction of Conviction: 4. Have you ever been convicted of a misdemeanor offense that involves any of the following: a. Sexual or physical abuse of a minor child or other illegal conduct with a minor child. b. The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law. 5. Have you ever been granted a pardon for any offense as stated in #3 or #4? If you answered YES to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet. I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teaching certificate. SIGNATURE OF APPLICANT: DATE: Revised 1/19/07

114 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA Toll Free #: PACKET FOR APPLICANT HOLDING FOREIGN CREDENTIALS AND SEEKING LOUISIANA CERTIFICATION Dear Prospective Louisiana Educator: We are pleased that you are interested in obtaining a Louisiana teaching certificate. We are eager to work with qualified educators who hold valid teaching certificates from other countries. The instructions outlined in this application packet are designed to facilitate the process of obtaining your Louisiana certificate. If you hold a bachelor s degree from an institution that is accredited by one of the United States regional accrediting bodies, you should follow the guidelines of the out-of-state application packet. Certification Options The Louisiana Department of Education does not translate foreign credentials or evaluate transcripts from colleges and universities outside of the United States unless the institution is accredited by one of the U.S. regional accrediting agencies. Your records can be evaluated by a dean of education at a regionally accredited institution in the United States, and that dean can provide guidance toward the completion of a teacher education program. If your credentials are accepted as the equivalent of the teacher education program at that institution, the dean may recommend you for Louisiana certification when you have achieved the appropriate scores on the PRAXIS/National Teacher Examinations. Colleges/universities in Louisiana are not obligated to evaluate foreign credentials and/or transcripts. If a college/university within Louisiana chooses to evaluate a foreign transcript or credential for a candidate, the following procedure will apply. 1. The applicant shall submit the credentials to a regionally accredited institution for evaluation. If the institution is located in Louisiana, the Dean of the College of Education must recommend the applicant for certification based upon the requirements set forth in Bulletin 746, Louisiana Standards for State Certification of School Personnel. If the institution is located in another state/country, the guidelines prescribed for out-of-state applicants must be followed. -OR- 2. You may choose to submit your credentials to the American Association of Collegiate Registrars and Admissions Officers (AACRAO), Office of International Education Services. The applicant shall submit his/her credentials to the American Association of Collegiate Registrars and Admissions Officers (AACRAO), Office of International Education Services, for evaluation, at the following address: One Dupont Circle, NW Suite #520 Washington, D.C (202) FAX (202) The original evaluation from AACRAO on Script Safe paper must be submitted to the Department of Education, Teacher Certification and Higher Education, and must include a statement verifying the comparability of the baccalaureate degree in the field of education with a course-by-course evaluation. An Equal Opportunity Employer Revised 5/25/05

115 Application Process All information should be mailed to: Division of Certification and Preparation LA Department of Education P. O. Box Baton Rouge, LA The following items are required as part of a complete application packet: 1. Foreign Application for Teaching Certificate form with all information provided 2. Official Evaluation from AACRAO (copies not acceptable) 3. Institutional/Private Provider Recommendation form to be completed only if your foreign transcript has been evaluated by a regionally accredited college or university in the United States 4. Professional Conduct form with all questions answered and the completed form signed and dated by the applicant 5. Original Praxis/NTE score report (if applicable) and 6. $50.00 non-refundable certification fee (check or money order, payable to the Louisiana Department of Education) All application materials are to be sent to the Louisiana Department of Education as a single packet. Once the complete set of application materials is received, the application packet will be evaluated for purposes of issuing a Louisiana teaching certificate to the applicant. We regret that we are unable to process requests that are missing any of the required materials; incomplete applications will be returned to the applicant identifying needed documentation to complete the application. Additional Information Employment: For employment opportunities, contact the personnel directors at the state s 68 public school districts concerning employment opportunities. The Louisiana Teacher Certification and Recruitment website can be accessed at Contact Information: If there are questions about requirements or the certification process, please contact the Division of Certification and Preparation at (225) or (this is a toll free number for U.S. residents only) or Customerservice@la.gov for assistance.

116 PLEASE TYPE OR PRINT IN INK LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation Out-of-State Application for Teaching Certificate Toll Free #: Social Security No: - - Date of Birth: / / Name: (First) (Middle) (Maiden) (Married) Address: (Street) (City) (State) (Zip Code) Phone: Home: ( ) Work: ( ) Parish of Residence: EDUCATION PROGRAM TYPE COMPLETED: Undergraduate Teacher Preparation Program Alternate Post Baccalaureate Program EDUCATIONAL QUALIFICATIONS Degree(s) Earned Institution(s) Date Degree(s) Earned DETAILS OF TEACHING EXPERIENCE (attach additional pages as needed) Elem. Grade(s), High School Subject(s) Name(s) of School(s) School Year(s) Give Dates Taught, or Supervisory/Admin. Service NOTE: If you have not taught as a regular teacher within the past five years in an elementary or secondary school, you are required to complete six semester credits related to the teaching field(s) from a regionally accredited college/university. The credits must be earned during the five-year period immediately preceding the date of application. PRAXIS/NTE scores to be reported directly by ETS: Yes No Applying for Out-of-State Exclusion from Louisiana Yes No Teacher Assistance and Assessment Program I certify that the information and documentation contained in my application required for certification in Louisiana are true and accurate to the best of my information, knowledge, and belief, and hereby authorize and direct the producer of any test I have taken as required by law and all college and/or university officials and all former employers to release information regarding my scores, grades, or employment to the Louisiana Department of Education upon its request, for the purpose of verifying the information and documentation contained in this application and packet to determine my eligibility for certification in Louisiana. Signature of Applicant: Date: To be used by Certification Office Only: NASDTEC Clearinghouse Search: Yes No Supervisor: Date:

117 INSTITUTION/PRIVATE PROVIDER RECOMMENDATION FORM Applicant s Name: Social Security No.: - - (First) (Middle) (Maiden) (Married) Is the applicant eligible for a regular certificate (not temporary or provisional) based upon completion of an approved teacher education standard or alternate program? Yes No Indicate whether the teacher candidate completed a student teaching experience or an internship experience. Clearly identify the grades level(s) and subject(s) of the student teaching or internship. Check one: Candidate completed STUDENT TEACHING Candidate completed INTERNSHIP Check the grade level of Student Teaching or Internship experience: Preschool/Kindergarten Elementary Grades Middle Grades High School Identify the subject(s) taught or indicate self-contained (all subjects): If the internship or student teaching was in Special Education, identify the area of special education: Identify the curriculum in which the candidate completed his/her program, the date of completion, and the name of the institution or provider. The appropriate university or provider official must sign form. This form indicates that the above-named candidate graduated from or completed our approved teacher education program in: Date of Program Completion: Name of Institution/Provider: Signature of University/Provider Official: PLEASE RETURN THIS FORM DIRECTLY TO CANDIDATE. DO NOT FORWARD THIS FORM TO THE DEPARTMENT OF EDUCATION.

118 LOUISIANA REQUIREMENTS PRAXIS/NTE SCORES PRE-PROFESSIONAL SKILLS TESTS Paper Administrations (Required for all Louisiana candidates to enter teacher preparation programs.) PRE-PROFESSIONAL SKILLS TEST Test # Score Effective Date PPST:R Pre-Professional Skills Test: Reading PPST:W Pre-Professional Skills Test: Writing PPST:M Pre-Professional Skills Test: Mathematics Effective 1/16/ Effective 7/1/ Effective 7/1/10 PRE-PROFESSIONAL SKILLS TESTS Computer Based Administrations PRE-PROFESSIONAL SKILLS TEST Test # Score Effective Date PPST:R Pre-Professional Skills Test: Reading PPST:W Pre-Professional Skills Test: Writing PPST:M Pre-Professional Skills Test: Mathematics Prior to1/16/02 PPST:R Pre-Professional Skills Test: Reading PPST:W Pre-Professional Skills Test: Writing PPST:M Pre-Professional Skills Test: Mathematics Effective 1/16/ Effective 7/1/ Effective 7/1/10 Core Battery Exams Communications Skills (CS) General Knowledge (GK) Professional Knowledge (PK) Prior to 9/1/99 Effective September 1, 2006 : An ACT composite score of 22 or a SAT combined verbal and math score of 1030 may be used in lieu of Praxis 1 PPST Exams by prospective teachers in Louisiana. Certification Area CONTENT AND PEDAGOGY REQUIREMENTS Content Name of Praxis Test Exam Score PLT K-6 (#0522) Early Childhood PK-3 Elementary Content Knowledge (0014) Prior to 5/31/04 Effective 6/1/ Pedagogy: Principles of Learning & Teaching PLT 5-9 PLT 7-12 (#0523) (#0524) Prior to 6/1/04: PLT K-6 or ECE 0020; After 5/31/04: Early Childhood Education 0020 (Score 510) Grades 1-5 Elementary Content Knowledge (0014) Prior to 5/31/04 Effective 6/1/ Grades 4-8 Generic Middle School: Content Knowledge (0146) Effective 6/1/04, this exam not available for certification purposes; middle grades candidates required to pass one or more content specific middle grades exams. Grades 4-8 Mathematics Middle School Mathematics (0069) Grades 4-8 Science Middle School Science (0439) Prior to 5/31/ Effective 6/1/ Effective 6/1/ Grades 4-8 Social Studies Middle School Social Studies (0089) Grades 4-8 English/Language Arts Middle School English/Language Arts (0049)

119 GRADES 6-12 CERTIFICATION AREAS Score PLT 7-12 Agriculture Agriculture (0700) Effective 7/1/ Biology Biology & General Science (0030) Prior to 6/30/ Biology: Content Knowledge (0235) Effective 7/1/ Business Business Education (0100) Prior to 5/31/ Effective 6/1/ Chemistry Chemistry/Physics/General Science (0070) Prior to 6/30/ Chemistry: Content Knowledge (0245) Effective 7/1/ English English Language, Literature, & Composition: Content Knowledge (0041) Pedagogy (0043) Family & Consumer Sciences (formerly Home Economics) Family & Consumer Sciences (0120) French French (0170) Prior to 5/31/ French: Content Knowledge (0173) Effective 6/1/ General Science Biology & General Science (0030) OR Chemistry/Physics/General Science (0070) Prior to 6/30/05 General Science: Content Knowledge (0435) Effective 7/1/05 German German (0180) German: Content Knowledge (0181) Effective 7/1/06 Mathematics Mathematics (0060) Prior to 5/31/04 Mathematics: Content Knowledge (0061) Effective 6/1/04 Effective 6/1/07 Effective 6/1/10 Physics Chemistry/Physics/General Science (0070) Prior to 6/30/06 Physics: Content Knowledge (0265) Effective 7/1/ School Librarian Library Media Specialist (0310) Social Studies Social Studies: 161 Content Knowledge (0081) Interpretation of Materials (0083) Spanish Spanish (0190) Prior to 5/31/ Spanish: Content Knowledge (0191) Effective 6/1/ Speech Speech Communications (0220) Effective 7/1/ Technology Education (formerly Industrial Arts) Technology Education (0050) Effective 7/1/ Computer Science Earth Science At this time, a content area exam is not required for Environmental Science certification in Louisiana. Journalism Latin Marketing (formerly Distributive Education) 161 ALL-LEVEL K-12 CERTIFICATION AREAS Score PLT K-6 PLT 5-9 PLT 7-12 Grades K-12 Art Art: Content Knowledge (0133) Effective 7/1/ or 154 or 161 Grades K-12 Dance None Available** or 154 or 161 Grades K-12 Foreign Languages French (0170) Prior to 5/31/04 French: Content Knowledge (0173) Effective 6/1/04 German (0180) German: Content Knowledge (0181) Effective 7/1/06 Spanish (0190) Prior to 5/31/04 Spanish: Content Knowledge (0191) Effective 6/1/04 Grades K-12 Music Music Education (0110) Prior to 5/31/04 Music: Content Knowledge (0113) Effective 6/1/04 Grades K-12 Health and Physical Education (0090) Prior to 5/31/04 Physical Education Phys. Education: Content Knowledge (0091) Effective 6/1/04 **At this time, a content area exam is not required for certification in Louisiana or 154 or or 154 or or 154 or 161

120 SPECIAL EDUCATION AREAS Area Content Exam Score Pedagogy Requirement Score All Special Education Area(s) Prior to 6/1/04: PLT K-6 (161), PLT 5-9 (154) OR PLT 7-12 (161) Elementary Education: Content Knowledge Educ. of Exceptional Students: Core Early Interventionist (0014) Effective 7/1/ Content Knowledge (0353) Effective 6/1/ Hearing Impaired Mild to Moderate Disabilities Significant Disabilities Visual Impairments/Blind Elementary Education: Content Knowledge (0014) Effective 7/1/ Effective 6/1/04 ALL Candidates must pass a content area exam appropriate to certification level 1-5, 4-8, 6-12 (e.g., 0014, or core subject-specific exams for middle or secondary grades) Prior to 6/1/04, a content area exam was required only for entry into a Mild/ Moderate 1-12 Practitioner Teacher Program, Non-Master s Certification-Only Alternate Program, and Master s Alternate Program. Elementary Education: Content Knowledge (0014) Effective 7/1/ Elementary Education: Content Knowledge (0014) Effective 7/1/ Educ. of Exceptional Students: Core Content Knowledge (0353) & Early Childhood Education (0020) Effective 7/1/05 Educ. of Exceptional Students: Core Content Knowledge (0353) & Educ. of Deaf and Hard of Hearing Students (0271) Effective 6/1/04 *Educ. of Exceptional Students: Core Content Knowledge (0353) & Educ. of Exceptional Students: Mild/Moderate Disabilities (0542) Effective 1/1/05 *Note: (0353) and (0542) are not content area exams. Educ. of Exceptional Students: Core Content Knowledge (0353) & Educ. of Exceptional Students: Severe to Profound Disabilities (0544) Effective 6/1/ Educ. of Exceptional Students: Core Content Knowledge (0353) Effective 6/1/ ADMINISTRATIVE AREAS Certification Area Name of Praxis Test Area Test Score Principal Educational Leadership: Administration & Supervision (0410) Prior to 1/1/ Educational Leader Level 1 School Leaders Licensure Assessment (1010) Effective 7/1/ Educational Leader Level 3 School Superintendent Assessment (1020) Effective 7/1/ All Praxis scores used for certification must be sent directly from ETS to the State Department of Education electronically, or the original Praxis score report from ETS must be submitted with candidate s application.

121 LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered) NAME OF APPLICANT: (Including, First, Middle, and Married) ADDRESS: Social Security Number: - - DATE OF BIRTH: Each Question must be answered: Please Check YES NO 1. Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? If YES, in which state? 2. Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in which state? 3. Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if adjudication was withheld? If yes, please provide the following information: Date of Conviction: State of Conviction: Court Jurisdiction of Conviction: 4. Have you ever been convicted of a misdemeanor offense that involves any of the following: a. Sexual or physical abuse of a minor child or other illegal conduct with a minor child. b. The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law. 5. Have you ever been granted a pardon for any offense as stated in #3 or #4? If you answered YES to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet. I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teaching certificate. SIGNATURE OF APPLICANT: DATE:

122 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA Toll Free #: Dear Prospective Applicant, We are pleased that you are interested in obtaining a Louisiana ancillary certificate to serve as a provisional and/or qualified educational interpreter. We are eager to work with individuals such as you who are qualified in their area of expertise. The instructions outlined in this application packet are designed to facilitate the process of obtaining your Louisiana ancillary certificate. Application Process The following items are required as part of a complete application packet: 1. Application for Provisional and/or Qualified Interpreter/Transliterator Certificate form with all information provided; 2. Official transcripts, if applicable (copies not acceptable); 3. Copy of required licensure or examination required; 4. Professional Conduct form with all questions answered and signed by the applicant; 5. $50.00 non-refundable certification fee (check or money order, payable to the Louisiana Department of Education). 6. All information should be mailed to: Certification and Preparation, P. O. Box 94064, Baton Rouge, LA, All application materials are to be sent to the Louisiana Department of Education as a single packet. Once the complete set of application materials are received, the application packet will be evaluated for purposes of issuing a Louisiana ancillary certificate to the applicant. We regret that we are unable to process requests that are missing any of the required materials; incomplete applications will be returned to the applicant with directions as to what is missing in the application. Contact Information EDUCATIONAL INTERPRETER/TRANSLITERATOR APPLICATION PACKET If you have any questions regarding these requirements or the certification process, please contact Andrew Vaughan, Acting Director, Division of Certification and Preparation at (225) If you have questions about the status of the approval of your application, contact June Street, Division of Educational Improvement and Assistance, at (225) or at june.street@la.gov. An Equal Opportunity Employer Revised 9/18/07

123 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation P. O. Box Baton Rouge, LA APPLICATION FOR ANCILLARY Initial Elementary Secondary Educational INTERPRETER Certificate Renewal Social Security Number: - - Date of Birth: / / LA Cert. #: Name: (First) (Middle) (Maiden) (Married) Address: (Street) (City) (State) (Zip Code) Requested Certificate (Please check appropriate certificate [Provisional or Qualified]) Provisional Interpreter Certificate: The Provisional Educational Interpreter certificate is valid for one year, may be renewed annually at the request of the Louisiana employing authority, and can be held for a maximum of three years. This certificate is renewable upon completion of ten contact hours of professional development annually. Course credit leading to a Qualified Certificate may be applied towards the ten hours. These hours shall be accrued beginning with the issuance of the Provisional Educational Interpreter Certificate. Guideline(s) Completed for Issuance of Provisional Certificate: Completed Interpreter Preparation Program Possess SLPI or SCPI, at Specified Level Certified as a Sign Language Interpreter/Transliterator Certified as a Cued Speech Transliterator Possess Specified Level Pre-hire EIPA Qualified Interpreter Certificate: Valid for five years and may be renewed every five years at the request of the Louisiana employing authority upon completion of six semester hours of credit or equivalent continuing professional development (90 Contact hours). The six hours of credit or 90 equivalent clock hours shall be directly and substantively related to one or more of the permits or certificates held by the applicant or related to the applicant s professional competency. These hours shall be accrued beginning the date of issuance of the Qualified Educational Interpreter Certificate. Guideline(s) Completed for Issuance of Qualified Elementary and/or Secondary Certificate: Pass the Educational interpreter Performance Assessment, Written Test; Pass a standardized videotaped version of the Educational Interpreter Performance Assessment at a level of 3.0: American Sign Language (ASL), Manually Coded English (MCE), or Pidgin Signed English (PSE) at the Elementary and/or Secondary level. NOTE: An individual who does not meet Qualified Educational Interpreter Certificate requirements may apply for a provisional certificate. To be completed by Department personnel only: I certify that the above information is complete and correct according to the records on file in this office. Signature of Department Staff Date To be signed by Louisiana employing authority: I hereby request the renewal of this individual s Ancillary Interpreter certificate: Signature of employing School/School District Date

124 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation P. O. Box Baton Rouge, LA APPLICATION FOR ANCILLARY Initial Renewal Educational TRANSLITERATOR Certificate Social Security Number: - - Date of Birth: / / LA Cert. #: Name: (First) (Middle) (Maiden) (Married) Address: (Street) (City) (State) (Zip Code) Requested Certificate (Please check appropriate certificate [Provisional or Qualified]) Provisional TRANSLITERATOR Certificate: The Provisional Educational Transliterator certificate is valid for one year, may be renewed annually at the request of the Louisiana employing authority, and can be held for a maximum of three years. Guideline(s) Completed for Issuance of Provisional Certificate: (Please check one) Hold certification as a cued speech transilterator from a national or state recognized organization or certifying body; or Pass the Cued American English Competency Screening Qualified TRANSLITERATOR Certificate: Valid for five years and may be renewed every five years at the request of the Louisiana employing authority upon completion of six semester hours of credit or equivalent continuing professional development (90 Contact hours). The six hours of credit or 90 equivalent clock hours shall be directly and substantively related to one or more of the permits or certificates held by the applicant or related to the applicant s professional competency. These hours shall be accrued beginning the date of issuance of the Qualified Educational Transliterator Certificate. Guideline(s) Completed for the Issuance of a Qualified Certificate: Pass the Cued Language Transliterator State level Performance Assessment; or attain a level of 3.5 on the Educational Interpreter Performance Assessment Cued Speech (EIPA-CS); and Pass the Cued Language Transliterator State Level Written Assessment. NOTE: An individual who does not meet Qualified Educational Transliterator Certificate requirements may apply for a provisional certificate. To be completed by Department personnel only: I certify that the above information is complete and correct according to the records on file in this office. Signature of Department Staff To be signed by Louisiana employing authority: I hereby request the renewal of this individual s Ancillary Interpreter certificate: Signature of employing School/School District Revised 7/24/07 Date

125 LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered) NAME OF APPLICANT: (Including, First, Middle, and Married) ADDRESS: Social Security Number: - - DATE OF BIRTH: Each Question must be answered: Please Check YES NO Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? If YES, in what state? Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in what state? Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if adjudication was withheld? If yes, please provide the following information: Specify the Offense: Date of Offense: State and Parish/County of Conviction: Judicial District of Court of Conviction: Have you ever been convicted of a misdemeanor offense that involves any of the following: a. Sexual or physical abuse of a minor child or other illegal conduct with a minor child. b. The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law. Have you ever been granted a pardon or expungement for any offense as stated in #3 or #4? If you answered YES to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet. I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, and correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teacher certificate. SIGNATURE OF APPLICANT: DATE:

126 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA Toll Free #: REQUEST FOR EXTENDED ENDORSEMENT LICENSE -TO BE SUBMITTED BY LOUISIANA EMPLOYING PUBLIC SCHOOL DISTRICT- General Information Extended Endorsement License (EEL) Extended Endorsement Licenses (EELs) are offered to Louisiana employing public school systems that have not been able to employ teachers certified in the area of need. Individuals applying for an EEL must hold a valid Louisiana teaching certificate (Level 1, 2, 3, Type A, B, C, or OS), have a passing current PRAXIS content examination score (in the area(s) of application), and be teaching outside of their certification area. Applicants will submit the appropriate Add-On Evaluation chart(s) available on as a prescription/outline of coursework and/or to identify PRAXIS exam(s) required for certification in the area of the teaching assignment. The prescription/outline must be signed by the Superintendent and Human Resources Director of the employing local education agency. Applicants must fulfill renewal guidelines each year to be issued another certificate for the subsequent school year. Districts may request a maximum of two teaching areas. The EEL may be renewed annually for up to three years. Application Process The following items are required as part of the application packet: 1. Complete Application for Initial EEL form with all information provided; 2. Complete Professional Conduct form with all questions answered and signed by the applicant; 3. Prescription/Outline of coursework and/or PRAXIS exam(s) required for add-on certification in the area of the teaching assignment (use Add-On Evaluation chart available on signed by the Superintendent and the Human Resources Director of the employing local education agency; 4. $25.00 non-refundable certification fee (fee should be submitted in the form of a personal check or money order, made payable to Louisiana Department of Education). This fee is required for the initial EEL only; 5. Original PRAXIS content exam score card must be provided if the score does not appear on Application materials are to be sent to the Louisiana Department of Education as a single packet. The application packet will be reviewed upon receipt. Requests that are missing any of the required materials will not be processed. Incomplete applications will be returned to the applicant with the missing parts identified. Additional Information Contact Information: If there are questions about requirements or the certification process, please contact the Division of Certification and Preparation at (225) (or toll free at ), or Customerservice@la.gov for assistance. An Equal Opportunity Employer Revised 7/24/07

127 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation APPLICATION for INITIAL EXTENDED ENDORSEMENT LICENSE SCHOOL SESSION - District Name: School Name: Applicant s Name: (First) (Middle) (Maiden/Family) (Married) Applicant s Home Address: (Street) (City) (Zip) Date of Birth: / / SS#: - - Cert. Type and Number: Subject area(s) to be taught (as listed in Bulletin 746): Grade Level: A prescription/outline of course work required for add-on certification in the area of the teaching assignment will be enclosed with the initial Extended Endorsement License. The employing school district should give every applicant for an Extended Endorsement License a copy of the prescription/outline upon receipt of the certificate. Teacher must successfully complete a minimum of nine credit hours per year of courses that lead toward certification in the area(s) in which he/she is teaching. If fewer than nine hours are required to complete the certification, then all of the remaining hours must be taken. If no credit hours remain to be taken, then the individual must provide evidence of taking the required exams a minimum of once per year. I hereby certify that there is no regularly certified, competent, and suitable person available for this position and that the applicant named above is the best qualified person for employment in the position herein above described. District can request EEL certificate only in the area(s) for which applicant has been hired. Signature of Human Resource Director Date Signature of Superintendent Date I hereby certify that I have been informed of all stipulations of this certificate and understand all renewal guidelines. Signature of Applicant Date

128 Extended Endorsement License (EEL) Hiring Conditions and Renewal Guidelines A teacher may hold a one-year Extended Endorsement License, renewable annually, for a maximum of three years. Applicant Status: Conditions: Renewal Guidelines: Applicant holds a standard Louisiana teaching certificate. Type A, B, C, Level 1, 2, 3, or OS. Individual holds a Louisiana teaching certificate, but is teaching outside of the certified area. -And- Individual has passed the current PRAXIS content area exam(s) appropriate for the content area(s) being requested. 1. Teacher must submit a prescription/outline of course work required for add-on certification in the area(s) of the teaching assignment (use Add-On Evaluation chart available on signed by the Superintendent and the Human Resources Director of the employing local education agency; and 2. Successfully complete a minimum of nine credit hours per year of courses that lead toward certification requirements in the area(s) in which he/she is teaching. NOTE: If fewer than nine hours are required to complete the certification, then all of the remaining hours must be taken; or If no credit hours remain to be taken, then the individual must provide evidence of taking the required PRAXIS exams a minimum of once per year.

129 LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered) NAME OF APPLICANT: (Including, First, Middle, and Married) ADDRESS: Social Security Number: - - DATE OF BIRTH: Each Question must be answered: Please Check YES NO 1. Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? If YES, in what state? 2. Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in what state? 3. Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if adjudication was withheld? If yes, please provide the following information: Date of Conviction: State of Conviction: Court Jurisdiction of Conviction: 4. Have you ever been convicted of a misdemeanor offense that involves any of the following: a. Sexual or physical abuse of a minor child or other illegal conduct with a minor child. b. The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law. 5. Have you ever been granted a pardon or expungement for any offense as stated in #3 or #4? If you answered YES to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet. I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, and correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teacher certificate. SIGNATURE OF APPLICANT: DATE:

130 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA Toll Free #: REQUEST FOR CERTIFICATION CHANGE AND/OR ACTION Dear Applicant: We are pleased that you are interested in making a change or upgrade to your Louisiana teaching certificate. The instructions outlined in this application packet are designed to facilitate the process of obtaining an updated Louisiana teaching certificate. Louisiana allows applicants to add degrees, request name changes, add teaching endorsements, receive higher certificates, receive duplicate certificates, extend certificates, reinstate certificates, and request evaluations. When a complete application is received, a determination will be made regarding the requested action. If additional information is needed or a deficiency exists, you will be notified in writing. Changing a Name on a Certificate To request a change of name on a certificate, submit a completed application, a copy of marriage license or document of legal name change, and professional conduct form. A $25.00 certification fee is required. Receiving a Duplicate Certificate To request a duplicate certificate, submit a completed application and professional conduct form. A $10.00 certification fee is required. Adding a Degree(s) to a Certificate To request the addition of a degree(s) to a certificate, submit an official transcript, completed application, and professional conduct form. Any request for a +30 endorsement must include verification of all excess graduate coursework earned during the master s degree program. This verification must come from the dean of the graduate school. A $25.00 fee is required. Extending or Renewing a Type C, Level 1, Type B, Level 2, Type A, Level 3 or Nonpublic* Type B*, Level 2*, Type A*, or Level 3* Certificates An expired Type C or Level 1 certificate may be renewed for one additional three-year period upon the request of a Louisiana employing authority. However, if the holder of a Type C, B, A, or Level 1, Nonpublic* Level 2* or 3* certificate has not been employed as the teacher of record for at least one semester during a period of five years, his/her certificate can be reinstated only upon the presentation of six semester hours of credit earned at a regionally accredited institution. Such credit hours shall be resident, extension, or correspondence credit in courses approved by the Division of Certification and Preparation or a dean of a Louisiana college of education. The six semester credit hours of extension must be earned during the five-year period immediately preceding reinstatement. To request the extension or reinstatement of a certificate, submit an official transcript (when applicable), completed application and professional conduct form. A $25.00 fee is required. An Equal Opportunity Employer Revised 2/25/07

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