Incomplete or unsigned forms will be returned to applicant.

Similar documents
West Georgia RESA 99 Brown School Drive Grantville, GA

WASHINGTON STATE. held other states certificates) 4020B Character and Fitness Supplement (4 pages)

Northwest Georgia RESA

George E. Sims, Jr. Nursing Scholarship Application PERSONAL INFORMATION. WellStar West Georgia Medical Center s

Freshman Admission Application 2016

SMILE Noyce Scholars Program Application

Emergency Medical Technician Course Application

EMPLOYMENT APPLICATION Legislative Counsel Bureau and Nevada Legislature 401 S. Carson Street Carson City, NV Equal Opportunity Employer

International Undergraduate Application for Admission

Master of Arts in Teaching with Elementary Teacher Certification Oakland and Macomb County Programs

Meeting these requirements does not guarantee admission to the program.

Department of Social Work Master of Social Work Program

Cy-Fair College Teacher Preparation and Certification Program Application Form

Pharmacy Technician Program

Application Paralegal Training Program. Important Dates: Summer 2016 Westwood. ABA Approved. Established in 1972

DUAL ENROLLMENT ADMISSIONS APPLICATION. You can get anywhere from here.

IN-STATE TUITION PETITION INSTRUCTIONS AND DEADLINES Western State Colorado University

Discrimination Complaints/Sexual Harassment

KENT STATE UNIVERSITY

Information Packet. Home Education ELC West Amelia Street Orlando, FL (407) FAX: (407)

Chapter 9 The Beginning Teacher Support Program

West Hall Security Desk Attendant Application

Santa Fe Community College Teacher Academy Student Guide 1

Oakland University OU STEP

Bellevue University Admission Application

Massachusetts Juvenile Justice Education Case Study Results

District Superintendent

California State University, Los Angeles TRIO Upward Bound & Upward Bound Math/Science

Hiring Procedures for Faculty. Table of Contents

Title II, Part A. Charter Systems and Schools

2012 Summer Fellowship in Translational Research & Bioethics International Institute of Bioethics & Patient Care Advancement

Pierce County Schools. Pierce Truancy Reduction Protocol. Dr. Joy B. Williams Superintendent

NATIVE VILLAGE OF BARROW WORKFORCE DEVLEOPMENT DEPARTMENT HIGHER EDUCATION AND ADULT VOCATIONAL TRAINING FINANCIAL ASSISTANCE APPLICATION

SCHOLARSHIP GUIDELINES FOR HISPANIC/LATINO STUDENTS

MSW Application Packet

Table of Contents. Internship Requirements 3 4. Internship Checklist 5. Description of Proposed Internship Request Form 6. Student Agreement Form 7

Background Checks and Pennsylvania Act 153 of 2014 Compliance. Frequently Asked Questions

UW-Waukesha Pre-College Program. College Bound Take Charge of Your Future!

STUDENT APPLICATION FORM 2016

The Louis Stokes Scholar Internship A Paid Summer Legal Experience

NOVIA UNIVERSITY OF APPLIED SCIENCES DEGREE REGULATIONS TRANSLATION

Application for Postgraduate Studies (Research)

ESIC Advt. No. 06/2017, dated WALK IN INTERVIEW ON

Arizona GEAR UP hiring for Summer Leadership Academy 2017

HIGHLAND HIGH SCHOOL CREDIT FLEXIBILITY PLAN

CERTIFIED TEACHER LICENSURE PROFESSIONAL DEVELOPMENT PLAN

GRADUATE APPLICATION GRADUATE SCHOOL. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014

(2) "Half time basis" means teaching fifteen (15) hours per week in the intern s area of certification.

Youth Apprenticeship Application Packet Checklist

A Guide to Supporting Safe and Inclusive Campus Climates

ALL DOCUMENTS MUST BE MAILED/SUBMITTED TOGETHER

ADMINISTRATIVE DIRECTIVE

Application for Admission

Texas Board of Professional Engineers Professional Practice Update / Ethics

New Student Application. Name High School. Date Received (official use only)

Policy Manual Master of Special Education Program

THE BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN, NEW YORK 11212

APPLICANT INFORMATION. Area Code: Phone: Area Code: Phone:

Requirements for the Degree: Bachelor of Science in Education in Early Childhood Special Education (P-5)

CIN-SCHOLARSHIP APPLICATION

Western Colorado Peace Officers Academy

IUPUI Office of Student Conduct Disciplinary Procedures for Alleged Violations of Personal Misconduct

Part - I Particulars of Applicant: 1. Name (Full Name in Block Letters) 2. Date of Birth 3. Place of Birth 4. Address for communication

DEPARTMENT OF ART. Graduate Associate and Graduate Fellows Handbook

ADMISSION TO THE UNIVERSITY

2017 TEAM LEADER (TL) NORTHERN ARIZONA UNIVERSITY UPWARD BOUND and UPWARD BOUND MATH-SCIENCE

Field Experience Verification and Mentor Teacher Evaluation Form

M.Ed. IN EDUCATIONAL PSYCHOLOGY PROGRAM

Baker College Waiver Form Office Copy Secondary Teacher Preparation Mathematics / Social Studies Double Major Bachelor of Science

Anyone with questions is encouraged to contact Athletic Director, Bill Cairns; Phone him at or

Grant/Scholarship General Criteria CRITERIA TO APPLY FOR AN AESF GRANT/SCHOLARSHIP

ADULT VOCATIONAL TRAINING PROGRAM APPLICATION

Advertisement No. 2/2013

CHAPTER 30 - NC BOARD OF MASSAGE AND BODYWORK THERAPY SECTION ORGANIZATION AND GENERAL PROVISIONS

Missouri 4-H University of Missouri 4-H Center for Youth Development

TRANSFER APPLICATION: Sophomore Junior Senior

Schenectady County Is An Equal Opportunity Employer. Open Competitive Examination

EARL WOODS SCHOLAR PROGRAM APPLICATION

Xenia High School Credit Flexibility Plan (CFP) Application

THE LUCILLE HARRISON CHARITABLE TRUST SCHOLARSHIP APPLICATION. Name (Last) (First) (Middle) 3. County State Zip Telephone

Frequently Asked Questions and Answers

Application for Admission to Postgraduate Studies

Tamwood Language Centre Policies Revision 12 November 2015

UNDERGRADUATE APPLICATION. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014

Spring Valley Academy Credit Flexibility Plan (CFP) Overview

ProMedica Defiance Regional Hospital Physicians Scholarship Fund Guidelines and Application

The FPA Diversity Scholarship Program is available for the following FPA National Conferences:

The following faculty openings are managed by our traditional hiring process:

Loudoun Scholarship Application

GRADUATE SCHOOL DOCTORAL DISSERTATION AWARD APPLICATION FORM

Certification Requirements

Northern Virginia Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated Scholarship Application Guidelines and Requirements

Please complete these two forms, sign them, and return them to us in the enclosed pre paid envelope.

with Specific Procedures for UT Extension Searches

Birmingham City University BA (Hons) Interior Design

Bihar State Milk Co-operative Federation Ltd. - COMFED: P&A: Advertisement No. - 2/2014 Managing Director


APPLICATION FOR SPD STUDY AWARDS

ADULT VOCATIONAL TRAINING (AVT) APPLICATION

4-H Ham Radio Communication Proficiency Program A Member s Guide

Transcription:

GaTAPP is a collaboratively designed educational program that prepares qualified interns with requisite competencies that that meet the professional standards required for initial teacher certification preparation in Georgia Hiring school systems must send the completed application and resume to: West Georgia RESA Attn: Tonya Dean 99 Brown School Road Grantville, GA 30220 770-583-2528 tdean@garesa.org Incomplete forms will not be accepted. Incomplete or unsigned forms will be returned to applicant.

What is GaTAPP? The Georgia Teacher Academy for Preparation and Pedagogy (Georgia TAPP) is a classroom-based teacher preparation option for individuals who have the basic qualifications to teach P-12 students but have not completed a teacher preparation program. The program is not intended to replace regular college teacher education programs. It is, instead, an alternative option for individuals who hold a bachelor s degree or higher but who did not complete teacher education requirements as part of their degree programs. Georgia TAPP seeks to equip teacher candidates with the skills to ensure a reasonable expectation of initial success in their classrooms, and to put in place a supervised internship/induction program that will help them move toward subsequent mastery of teaching. West Georgia RESA s Teacher Academy for Preparation and Pedagogy was established in 2001 and initially included programs for middle-grades, secondary, or P-12 special education. In May of 2009, additional routes were approved by the Georgia Professional Standards Commission creating different paths to clear renewable certification. The GaTAPP program (1-3 years) begins with an intensive two week summer session that is required for all GaTAPP candidates. Along with teaching responsibilities, the candidates are required to attend a monthly meeting at RESA during the two year period. An extensive portfolio will be maintained during the internship that will include unit and lesson plans, logs, lesson plans, observations and required admission documents. Over the course of the internship, candidates will participate in a minimum of 150 (100 for One Year Supervised Practicum) hours of observations, mentor/supervisor/administrator meetings and school information sessions. This requirement will increase with those in the special education certification program. West Georgia RESA GaTAPP/FY11 2

Documentation for Candidate Application Please check the following documents that are included in the Candidate s application packet: GA PSC Required Fields for Teacher Data Entry Form Candidate Application Form Intern Recommendation Form Two (2) Professional Recommendation letters Superintendent Assurance Form RESA/System Partnership Agreement Payment and Payment Information Form Has received clearance for a non-renewable certificate Positive screening from a criminal background check Official Transcripts from an accredited college / university indicating a Bachelor s degree Evidence of passing the GACE Basic Skills Tests or the Praxis I OR having an exemption based on SAT, ACT or GRE scores OR Master s transcript Evidence of passing GACE Content Assessment Tests or the Praxis II Evidence of passing GACE Pedagogy Assessment One Year Supervised Practicum only West Georgia RESA GaTAPP/FY11 3

Required Forms The following pages have forms with information requested that is required by the Georgia Professional Standards Commission and West Georgia RESA for every GaTAPP candidate. These forms should be completed and returned along with the previously listed required documents to the human resource office of the employing school system. In order to complete the application/acceptance process, all forms must be complete in addition to submission of all required documents. West Georgia RESA GaTAPP/FY11 4

SSN FName Date of Birth Georgia Professional Standards Commission (PSC) Required Fields For Teacher-Candidate Data Entry by Section Gender (circle one) Female Male Ethnicity (circle one) Address City State Zip Phone Home E-Mail PERSONAL INFORMATION LName American Indian Asian Black Hispanic Multi-Racial White Other School E-Mail Seeking Certification in: Major 1 Institution Year Completion COLLEGE DEGREE Masters Institution Year Completion TEACHING ASSIGNMENT (This section asks questions about teacher candidates teaching assignment(s).all of this information is required for GaPSC. System Completes Start Date (mm/dd/yyyy) System School Is this a Special Education Assignment? (circle one) Yes No Grade Level Taught (circle one) K-5 6-8 9-12 P-12 Pk Secondary Not Specified Subject Matter Taught (circle) Business Ed English Foreign Lang Math Music Science Technology Ed Physical Ed Reading Self Contained History Not Specified Candidates Mentor FName LName Cert # Phone Email Candidates School Administrator FName LName Cert # Phone Email Incomplete/unsigned forms will not be accepted West Georgia RESA GaTAPP/FY11 5

Please respond in a narrative format to the following questions: 1. Briefly describe how your past work and / or academic experiences qualify you to pursue a teaching career in this field: (Attach another sheet if necessary) 2. Why do you want to teach? What characteristics/attributes/attitudes do you have that may have led you to this decision? (Attach another sheet if necessary) West Georgia RESA GaTAPP/FY11 6

INTERN RECOMMENDATION FORM Teacher Academy for Preparation and Pedagogy Intern s Name SS# School System School Phone # The above intern has registered as a participant in the West Georgia Teacher Academy for Preparation and Pedagogy. Admission into the program requires official assurance that the intern satisfies all eligibility criteria. As a professional colleague, please assist by responding in the appropriate section. 1. School System Personnel Director As a duly authorized administrator I certify that the school system holds official records and documentation as verification that the intern, named above: Completed a baccalaureate or higher degree from a regionally accredited college or university; Graduated with an overall GPA of 2.5 or higher if within the last 10 years; Has applied to the Georgia Professional Standards Commission for an intern teaching certificate; Has received clearance for Teacher Certification through the positive screening of a criminal background check; Has passed GACE Basic Skills Tests (or Praxis I or exempted the requirement with SAT, ACT, or GRE scores). Has passed GACE Content Assessment Test (Signature) (Title) (Date) 2. School System Superintendent or Designee As a duly authorized administrator I certify that the school system: Has issued the intern a contract of employment; Agrees to provide the intern a minimum of five days of release time for field experience observations; Agrees to provide candidate with school level administor and mentor support; Ensures that payment is made to West Georgia RESA either by the system or the candidate. (Signature) (Title) (Date) 3. Alternative Preparation Intern To assure the success of the Alternative Preparation program and your success as an intern, please verify that you have read the Alternative Preparation Intern Handbook, and that you understand the program expectations and requirements. (Signature) (Please Print Name) (Date) EQUAL OPPORTUNITY EMPLOYER West Georgia Regional Educational Service Agency does not discriminate on the basis of age, sex, race, color, national origin, or disability in its educational programs, support services, activities, and employment practices. West Georgia RESA GaTAPP/FY11 7

Superintendent s Assurance Form Realizing the benefit that the program provides our school system and the community it serves in staffing critical teaching areas, I am assuring West Georgia RESA TAPP that: The TAPP Candidate is eligible for an Intern Name Certificate and has been employed by Board of School System Education for the - school year in a classroom teaching position. Year Year All candidate records and application materials for employment are complete and are on file in the system personnel office. The Candidate has completed his/her West Georgia RESA application packet and forwarded it to the appropriate person at West Georgia RESA. The school and school system agree to provide the mentor teacher the equivalent of at least two days in the summer in addition to regular planning time. The school and school system agree to provide at least one building level administrator and one central office level administrator release time from other duties and responsibilities to work with the candidate on an as needed basis, to observe the candidate s performance in the classroom, and to provide feedback, instruction, guidance, and support. Our school and school system agree to provide the Candidate with release time to observe other classes and to conference with the teachers observed. Our school and school system agree to provide the Candidate at least five school days release time throughout the internship to observe in a school significantly different in socio-economic status and in ethnicity from the school where the Candidate teaches. The Principal, or his/her designee, will arrange schedules for the above activities at the request of the mentor teacher. The Principal will conduct at least one extended GTOI or system required observation with feedback to the Candidate each semester of teaching. The school system and its personnel are committed to making the West Georgia RESA TAPP Candidate a successful teacher and member of the professional community and to retaining this person in the West Georgia RESA Teacher Academy for Preparation and Pedagogy. System Approval: Superintendent s Name (Printed or Typed) Superintendent s Signature West Georgia RESA GaTAPP/FY11 8

WEST GA. RESA/SYSTEM PARTNERSHIP AGREEMENT WEST GEORGIA RESA Acts as the information resource and provider for the GaTAPP Candidates Accept recommendations for practicum candidates meeting all eligibility requirements from local school systems Provide orientation for the school-based administrator and establish roles and responsibilities for all team members Train mentors in the program requirements, assessments, and practices for all beginning teacher candidates Observe the beginning teacher candidate for the duration of a class at least six times during the school year, three times per semester Conduct pre and post observation conferences Supervise beginning teacher candidates Assess lesson plans Observe classroom practices Model effective teaching practices Make recommendations if needed Call additional CST meetings when necessary, specifically for beginning teacher candidates at risk Provide (or recommend other providers of) the Georgia Special Requirements courses Meet with and chair a Candidate Support Team a minimum of 2 times a year Recommend, in partnership with the school/system, to continue or to cease the relationship with each teacher candidate based on evidence of continuous progress LOCAL SCHOOL SYSTEM Recommends beginning teachers meeting all eligibility requirements for the GaTAPP West Georgia RESA OYSP Candidate Only Ensure that all beginning teachers recommended hold a bachelor s degree in the teaching field or closely related field to which they are seeking certification and meet the minimum GPA requirement set by the PSC (2.5 in all college-level work completed within the last ten years or has been accepted into a master s level program) Ensure that all beginning teachers recommended meet the GACE Basic Skills Tests requirement, either with passing or exempting scores (SAT-1000, ACT-43, or GRE-1030), pass the GACE Content Assessment, AND pass the GACE Pedagogy Assessment if OYSP Candidate Ensure that all beginning teachers recommended have been offered a full-time teaching position OYSP Candidate Only Ensure that the one-year supervised practicum begins at the start of the beginning teacher s employment and that the school based mentor observes the candidate a minimum of four times during the year. Assign a school-based mentor and a school administrator to participate in the 3-person support team for each beginning teacher Discuss the fee payment with the beginning teacher candidates to determine who is responsible for the payment Evaluate and supervise the beginning teacher candidates according to the practice for all other new teachers Assure that the mentor will attend training by West Georgia RESA in the roles and responsibilities expected Make decisions concerning renewal/non-renewal of the beginning teacher candidates contracts according to the practice for all other new teachers Ensure that the beginning teacher is allowed five full days to observe exemplary teachers in fields relevant to the desired area of certification RESA Program Coordinator Date System Superintendent or Designee Date School Principal Date West Georgia RESA GaTAPP/FY11 9

West Georgia RESA PAYMENT INFORMATION West Georgia RESA requires that a fee of $4000.00 be paid for year one of the program. Complete payment options are listed below: Option 1: Enclosed with this application is payment in the amount of $1000.00 to cover the initial West Georgia RESA GaTAPP fee for the 2012-2013 school year. An additional installment of $2,000.00 is due July 31, 2013 and the final payment of $1,000.00 is due October 1, 2013. I agree to pay $1,000.00 per year for each additional year required to compete the program. I understand that the second and third year fees are due by July 31 and October 1, 2012 of each additional year to continue in the program. Applicant s Signature Date Please Note: Initial payment is required when the application is submitted. Applications will not be processed unless payment is submitted with the application. Option 2. Attached is the employing school system purchase order or check to pay the $4000.00 West Georgia RESA GaTAPP application fee for the first year TAPP program. The school system will be billed $1,000.00 for each additional year by August 1 st. System Approval: Superintendent Signature Date I have read and do understand the West Georgia RESA Teacher Academy for Preparation and Pedagogy requirements as stated in the Candidate s Application packet. I am committed to the work and personal preparation that are necessary for me to become a teacher of the highest quality and a productive member of this professional community. Authorization signature required. See below. Applicant s Signature Date West Georgia RESA GaTAPP/FY11 10

West Georgia RESA STATUS OF REQUIRED DOCUMENTS TRANSCRIPT(S) Check One Applicable Box, Sign, & Date 1. Official college Transcript or a copy from the system central office is attached (in sealed/unopened envelope). 2. Official Transcript from college (list all additional colleges below) was requested on and is being mailed to West Georgia RESA. 3. Official Transcript has already been submitted to West Georgia RESA on. Applicant Signature Date List All colleges attended (transcripts are required from all): 1. 2. 3. 4. 5. West Georgia RESA GaTAPP/FY11 11

West Georgia RESA STATUS OF REQUIRED DOCUMENTS GACE or PRAXIS SCORES 1. GACE Basic Skills Assessment Report is attached. Praxis I Scores prior to August 31, 2006 may be sent in place of the GACE Basic Skills Tests. 2. I am exempt from taking the GACE Basic Skills Test based on SAT (1000), ACT (43), or GRE (1030) scores (A copy of my scores is attached) or completion of a Master s Program from an accredited college or university. 3. GACE content Assessment Report or Praxis II in the content area you are seeking certification is attached. I understand that RESA cannot submit a Provider Verification Form until all entrance requirements are meet. Applicant Signature Date West Georgia RESA GaTAPP/FY11 12

Personal Affirmation: The PSC requires all applicants to complete the following personal affirmation questions. THE PSC INVESTIGATES ALL YES ANSWERS. All YES answers require a written explanation (your statement of what occurred) and supporting documentation. False statements made in this application will open an investigation and may result in a sanction, including revocation or denial of a certificate. Failure to complete this section will result in your application not being processed. Circle the appropriate answer for each question. DO NOT include matters that the PSC has investigated or is currently investigating. 1. Have you ever had any adverse action taken against any professional certificate, license or permit, or are you the subject of any pending investigation(s) by any agency other than the Georgia Professional Standards Commission? (Adverse action includes but is not limited to: warning, reprimand, suspension, revocation, denial, voluntary surrender, disbarment.) Yes or No 2. Have you ever retired, resigned, been dismissed, terminated, or otherwise separated from any employment position for inappropriate conduct with children, or are you the subject of any pending investigation(s)? Yes or No 3. Have you ever retired, resigned, been non-renewed or otherwise separated from any employment position for a violation of any profession s laws, rules, standards or Code of Ethics, or are you the subject of any pending investigation(s)? Yes or No 4. Have you ever received a less than honorable or dishonorable discharge from any branch of the armed services? (If yes, provide a copy of form DD214.) Yes or No 5. Have you ever been found guilty for any crime involving a child, minor or a person in custody (i.e. student)? Yes or No 6. For any felony or any misdemeanor involving moral turpitude, have you ever: Pled guilty; Entered a plea of nolo contendere; Been found guilty; Pled guilty to a lesser offense; Been granted first offender treatment without adjudication of guilt; Participated in a pre-trial diversion or program; Been placed under a court order whereby an adjudication or sentence was withheld? Been found not guilty by reason of insanity? Yes or No 7. Have you ever retired, resigned, been dismissed, terminated, or otherwise separated from any employment position while under investigation for the commission of any felony or any misdemeanor involving moral turpitude? Yes or No 8. Have you ever been charged, convicted, or pled to a lesser offense for any sexual offense? Yes or No Candidates Signature: West Georgia RESA GaTAPP/FY11 Date: 13