Louisiana Certification and Preparation Quick Reference Guide

1. Certification Structure 2. Professional Certificate Renewal Guidelines 3. Non-Standard Teaching Certificates a. Temporary Authority to Teach (TAT) b. Out-of-Field Authority to Teach (OFAT) c. Temporary Employment Permit (TEP) 4. Alternate Teacher Education Programs 5. Practitioner Licenses 6. Add-On Policies 7. Acceptable Courses for Certification 8. Application Packets: a. Ancillary Application Packet b. Career and Technical Trade & Industrial Education (CTTIE) c. Change of Action Packet d. Extended Endorsement License (EEL) e. Foreign Language Special Certificate (FLES) f. Foreign Application Packet g. Out-of-State Administrative Packet h. Out-of-State Certification Packet 9. Para Professional Tuition Exemption Program 10. Regional Certification Counselors a. consultation Forms 11. BESE Actions “Short Version” 12. Revocation, Denial and Fraud Policy 13. Teach Louisiana 14. Miscellaneous Effective July 2002; Revised 2007

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) Level 1 Professional Certificate -Eligibility Renewal Guidelines. A Level 1 certificate is valid for three years and Requirements - Louisiana graduate: may be renewed once. While holding a Level 1 certificate, a teacher Level 1 must successfully complete the LaTAAP and accrue three years of Professional a. Successfully complete a state-approved teaching experience in the area of certification. traditional or alternate teacher preparation Certificate program; (Valid for three b. have a minimum 2.50 grade point average (GPA) years) on a 4.00 scale; c. present appropriate scores on the NTE core battery (common exams) or the corresponding Praxis exams (Pre-Professional Skills Tests in reading, writing, and Mathematics); the Principles of Learning and Teaching (PLT) or other pedagogy exam required for the area(s) of certification; and the specialty area exam in the certification area in which the teacher preparation program was completed or in which the initial certificate was issued; and d. be recommended by a state-approved university or private program provider for certification. Level 2 Teachers with a Level 1 Professional Certificate Teachers must complete 150 clock hours of professional must pass the Louisiana Teacher Assistance and development over a five-year time period in order to have a Level 2 Professional Assessment Program and teach for three years to Professional License renewed. Certificate receive a Level 2 Professional Certificate. Level 3 Teachers with a Level 1 or Level 2 Certificate are Teachers must complete 150 clock hours of professional eligible for a Level 3 Certificate if they complete a development over a five-year time period in order to have a Level 3 Professional Masters Degree, teach for five years, and pass the Professional License renewed. Certificate Louisiana Teacher Assistance and Assessment Program. Standard Teaching Certificates (Issued prior to July 1, 2002) Type C Type C certificates will not be issued after July 1, 2002. Certificate Type B Certificate Candidates 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 Type A not revoked by the State Board of Elementary and Secondary Education, acting in accordance with law. Certificate Out-of-State Certificate A teacher certified in Individual submits application to Teacher must take and pass the appropriate PRAXIS examinations another state who meets LDE. Valid for three years and -OR- all requirements for a non-renewable. Teacher provides evidence of at least four years of successful teaching experience in Louisiana certificate, another state, completes one year of employment as a teacher in Louisiana public except for the PRAXIS school systems, and secures recommendation of the local superintendent of the examinations. employing school system for continued employment

Revised June 18, 2007 Practitioner Licenses Teachers holding standard teaching authorizations and certifications may meet the requirements of the NCLB mandate. One-year license The District and the Teacher must be admitted to and enrolled The alternate certification teacher (PL1, PL2, and that can be held a alternate certification in a State-approved Practitioner Teacher PL3) must remain enrolled in the respective maximum of three program provider must Program (PL1), Non-Master’s Alternate program and fulfill all coursework, teaching years, renewable identify the individual as a Certification Program (PL2), or Master’s assignments, and prescribed activities as identified annually. practitioner teacher (PL1), a Degree Alternate Certification Program by the program provider. The PL4 teacher must non-master’s alternate (PL3), which necessitates meeting all complete all alternate program coursework that certification program program requirements including remains, complete all Praxis requirements for the teacher (PL2), a master’s baccalaureate degree, stipulated GPA, and certification area, and achieve a 2.50 GPA. alternate certification passing scores on the Praxis PPST and program teacher (PL3), or content area exams. A teacher receiving a Program requirements must be completed within as a teacher who is not in PL4 license is not in a new alternate the three-year maximum that the license can be one of the three new certification program, has passed the Praxis held. alternate certification content specialty exam or has 31 hours in PL2 and PL3 teachers must demonstrate progress programs (PL4) but qualifies the content area of certification, but has not toward program requirements by successfully for a PL. yet completed all requirements for full completing at least 9 semester hours each year to certification. remain on the PL license. NON-STANDARD TEMPORARY AUTHORIZATIONS TO TEACH* (Teachers holding non-standard teaching authorizations and certifications DO NOT meet NCLB mandate requirements.) Temporary Districts may recommend Requirements to renew Temporary that teachers be given one- Authorization to Teach and/or Move to Authority to year TAT’s according to Conditions Another Certification Level Teach (TAT) the stipulated eligibility and renewal conditions. a. Issued to an applicant who Teacher must take the necessary Praxis

graduates from a teacher examinations at least twice a year. May be issued for one (1) Districts submit the preparation program, does not school year, renewed application and provide an pass all Praxis exams, and who annually, and held a affidavit signed by the local has not previously qualified for a maximum of three (3) superintendent verifying Louisiana standard teaching years while the holder that good faith efforts for authorization. pursues alternate recruiting certified b. Issued to an applicant who holds a a. The teacher must successfully complete a certification program personnel have been minimum of a baccalaureate minimum of six (6) credit hours per year in the admission requirements or made, including posting all degree from a regionally- subject area(s) that he/she is attempting to certification requirements. positions on the Teach accredited institution, who applies pass on the Praxis and take the necessary Upon completion of the Louisiana Recruitment for admission to a Practitioner exams at least once a year; and/or three (3) years of Center; that “there is no teacher or other alternate program, employment on this regularly certified, but (a) does not pass the Praxis b. The teacher must successfully complete a certificate, for continued competent, and suitable examinations required for minimum of six (6) credit hours per year to raise employment as a teacher person available for the admission to the program, and/or the GPA to a 2.20 as required for admission to in a Louisiana school position”; and that the (b) has a minimum of a 2.0 GPA an alternate program. system, the holder must applicant is the best- but does not have the required fulfill guidelines for a qualified person for the 2.20 GPA for admission to an Practitioner License or a position. alternate program. higher-level certificate. c. Issued to an applicant who holds a The teacher must apply for admission to an minimum of a baccalaureate alternate certification program and take the degree from a regionally- appropriate Praxis examinations required for accredited college or university admission to that program. and is hired after the start of an available alternate certification program. d. Issued to an applicant who has a Teacher must successfully complete a minimum of minimum of a 2.35 GPA on a 4.00 six (6) semester credit hours per year to obtain the scale and has completed all other 2.50 GPA on a 4.00 scale that is required for requirements for certification. 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 District submits application a. Individual holds a Louisiana Teacher must obtain a prescription/outline of to LDE; renewable teaching certificate, but is course work required for add-on certification in the Authorization to annually for maximum of teaching outside of the certified area of the teaching assignment. Teach (OFAT) three years, with fee to be area. paid by the district. A teacher may hold a Teacher must successfully complete a minimum of one-year Out-of-Field The employing district six credit hours per year of courses that lead Authorization to Teach, superintendent must toward certification in the area in which he/she is renewable annually, for a provide a signed statement teaching; or the secondary-certified teacher who is maximum of three years. certifying that "there is no teaching out-of-field may opt to take and pass the If the teacher is actively regularly certified, required PRAXIS content specialty examination for pursuing certification in competent, and suitable the specific 7-12 academic certification area, the field and LDE person available for the under this stipulation, the exam(s) must be designates the certifica- position" and that applicant attempted at least twice per year. tion area as one requiring Revised June 18, 2007 extensive hours for is the best-qualified person The district must support a teacher's efforts in this completion, two additional available for the position. area. years of renewability 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. Extended District submits application a. Individual holds a Louisiana a. Teacher must successfully complete a to LDE; renewable teaching certificate, but is minimum of nine credit hours of coursework Endorsement annually for maximum of teaching outside of the certified per year, applicable toward certification in the License (EEL) three years. area. content area of the license.

b. Individual must have a passing b. If fewer than nine hours are required to PRAXIS exam score for the complete the certification, then all of the area(s) of EEL certificate. remaining hours must be taken. c. District must provide a detailed prescription that identifies any c. If no credit hours remain to be taken, then the additional coursework or exams individual must provide evidence of taking the needed to complete the required exams, a minimum of once per year. area/level certification endorsement signed by the Superintendent and the human resources director of the employing local education agency. Temporary Under condition (a) the a. Individual meets all certification Superintendent and President of the school board district submits application requirements, with the exception to which the individual has applied for employment Employment to LDE; renewable of passing all portions of the NTE must submit a signed affidavit to the LDE Permit (TEP) annually for a period not to examination, but scores within stipulating that there is no other applicant who has exceed three total years. ten percent of the composite met all of the certification requirements available score required for passage of all for employment for a specific teaching position. exams. (Formerly classified as Such permit shall be in effect for not more than one EP) year, but may be renewed annually, twice. One can remain on this temporary certificate for a period not to exceed three years. 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 Under condition (b) the period does not count toward tenure. individual submits b. Individual meets all certification Temporary Employment Permits are issued at the application to LDE; requirements, with the exception request of individuals, who must submit all renewable annually for a of passing one of the application materials required for issuance of a period not to exceed three components of the PRAXIS, but regular certificate to LDE. An individual can be re- total years. has an aggregate score equal to issued a permit two times only if evidence is or above the total required on all presented that the required test has been retaken tests. (Formerly classified as within one year from the date the permit was last TEP) issued. One can remain on this temporary certificate for a period not to exceed three years.

Revised June 18, 2007 Process for Renewing Lapsed Professional Certificates Type C, B, and A Certificates and Level 1, 2, and 3 Certificates

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.

*A declination letter sent to a school district must be corrected within 10 working days. If the district does not comply with the request for additional information within the 10 days, the district must remove the teacher upon the 11th working day.

Revised June 18, 2007 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.

APPROVED COURSES TO REINSTATE LAPSED CERTIFICATES (Six semester hours of coursework required) All-Level (K-12) Early Elementary Middle Secondary Special Areas (Art, Type of Childhood Grades (1-4, Grades Grades Education Dance, Foreign Approved (PK, K, 1-5, 1-6, 1-8) (4-8, (6-12, (1-12) Language, Coursework PK-3) 5-8) 7-12) H&PE, Music) (Diagnostic & Prescriptive X X X X X Reading) Reading in the X X X X X Content Area Other Content in Reading X X X X X X Early Numeracy X X X X Concepts of Mathematics Other Content in Mathematics X X X X All-Level (K-12) Early Elementary Middle Secondary Special Areas (Art, Type of Childhood Grades (1-4, Grades Grades Education Dance, Foreign Approved (PK, K, 1-5, 1-6, 1-8) (4-8, (6-12, (1-12) Language, Coursework PK-3) 5-8) 7-12) H&PE, Music) Content in

English/ X X X X Language Arts Content in X X X X Science

Content in X X X X Social Studies Content Specific to Subject Area of X X X X Certification Classroom and/ or Behavior X X X X X X Management Technology in the Classroom X X X X X X Teaching in an Inclusive X X X X X X Setting Vocational and Transition X Services for 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. Subchapter B. Nonstandard Teaching Authorizations §321. Introduction A. There are four types of nonstandard teaching authorizations issued in Louisiana: Temporary Authority to Teach (TAT); Out-of-Field Authorization to Teach (OFAT); Temporary Employment Permit (TEP); and Nonpublic Temporary Certificate (T). Nonstandard authorizations are of a temporary nature but may be renewed under specified guidelines. AUTHORITY NOTE: Promulgated in accordance with R.S. 17:6 (A)(10), (11), (15); R.S. 17:7(6); R.S. 17:10; R.S. 17:22(6); R.S. 17:391.1-391.10; R.S. 17:411. HISTORICAL NOTE: Promulgated by the Board of Elementary and Secondary Education, LR 32:1803 (October 2006). §323. Temporary Authority to Teach (TAT) A. Temporary Authority to Teach (TAT)—issued for one school year, renewed annually, and held a maximum of three years while the holder pursues alternate certification program admission requirements or certification requirements. Upon completion of the three 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. B. An applicant must have passing scores on the Praxis Pre-professional Skills Tests (PPSTs) Reading and Writing examinations and at least a 2.0 GPA. Applicants who meet this eligibility standard can apply for a TAT based on the following four conditions of eligibility. 1. Condition 1: 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. a. Renewal Guidelines 1: The teacher must take the necessary Praxis examinations at least twice a year. 2. Condition 2: 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 does not pass the Praxis examination(s) required for admission to the program, and/or has a minimum of a 2.0 GPA but does not have the required 2.20 GPA for admission to an alternate program: a. Renewal Guidelines. Teacher must successfully complete a minimum of six credit hours per year in the subject area(s) that he/she is attempting to pass on the Praxis and take the necessary examinations at least once a year; and/or b. Renewal Guidelines. The teacher must successfully complete a minimum of six credit hours per year to raise the GPA to a 2.20 as required for admission to an alternate program. 3. Condition 3: 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. a. Renewal Guidelines 3: 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. 4. Condition 4: 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. a. Renewal Guidelines 4: Teacher must successfully complete a minimum of six credit hours per year to obtain the required 2.50 GPA on a 4.00 scale that is required for certification purposes. C. TAT Stipulations 1. Districts may recommend that teachers be given the one year TAT according to the stipulated eligibility and renewal conditions. 2. 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 for which TATs are issued on the Teach Louisiana website; that "there is no regularly certified, competent, and suitable person available for the position;" and that applicant is the best-qualified person for the position. STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.louisianaschools.net

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) 342- 3490 (or toll free at 1-877-453-2721), or email [email protected] for assistance.

“An Equal Opportunity Employer” Revised 10/2/06

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 Condition 1 Teacher must take the necessary Praxis graduate who has not met all Praxis examinations at least twice a year. Individual who graduates from requirements a teacher preparation program, but does not pass all required Praxis exams, and who has not previously qualified for a Louisiana standard teaching authorization Individual with a baccalaureate degree Condition 2 2(a) Teacher must successfully complete from a regionally accredited college or a minimum of six (6) credit hours per year Individual who holds a university who has not yet been in the subject area(s) that he/she is minimum of a baccalaureate officially admitted to an alternate attempting to pass on the Praxis and take degree from a regionally program because he/she has not the necessary exams at least once a year; accredited institution, who passed the appropriate Praxis and/or applies for admission to a exam(s) and/or lacks the minimum of Practitioner Teacher or other 2(b) Teacher must successfully complete a 2.20 GPA required for admission alternate program, but (a) does a minimum of six (6) credit hours per year not pass the Praxis exams to raise the GPA to a 2.20 as required for required for admission to the admission to an alternate program. 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 Individual with a baccalaureate degree Condition 3 Teacher must take the appropriate Praxis from a regionally accredited college or examinations required for admission to an Individual who holds a university who is hired after the alternate certification program and, if minimum of a baccalaureate deadline date for admission to an successful, apply for admission to the degree from a regionally alternate program alternate program. accredited institution and who is hired after the start of an available alternate certification program Teacher preparation program Condition 4 Teacher must successfully complete a graduate who has not met the 2.50 minimum of six (6) semester credit hours Individual who has a minimum GPA requirement per year to obtain the 2.50 GPA on a 4.00 of a 2.35 GPA on a 4.00 scale scale that is required for certification and has completed all other purposes. requirements for certification 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.

Revised 1/13/06

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: ( __ ) _ E-MAIL 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 Date ______Signature of Applicant Date Revised 1/13/06

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) Social Security Number: ______- ______-______

ADDRESS: DATE OF BIRTH:

Please Each Question must be answered: 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.

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 D. 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. 1. 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 Chapter 14 of this bulletin for the form entitled "Certification of Teacher's or Family Member's Serious Health Condition" and for definition of "Serious Health Condition" as set forth under the Family and Medical Leave Act of 1993. AUTHORITY NOTE: Promulgated in accordance with R.S. 17:6 (A)(10), (11), (15); R.S. 17:7(6); R.S. 17:10; R.S. 17:22(6); R.S. 17:391.1-391.10; R.S. 17:411. HISTORICAL NOTE: Promulgated by the Board of Elementary and Secondary Education, LR 32:1803 (October 2006).

STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.louisianaschools.net

REQUEST FOR RENEWAL OF A 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.

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 1st.

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) 342-3490 (or toll free at 1- 877-453-2721), or email [email protected] for assistance.

“An Equal Opportunity Employer” Revised 1/13/06 LOUISIANA DEPARTMENT OF EDUCATION Teacher Certification and Higher Education

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: ______- ______- ______SOCIAL SECURITY NUMBER ______APPLICANT’S SIGNATURE DATE

Applicant was employed on a TAT certificate under one of four following conditions: Please indicate with a check (√) the appropriate condition. 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: (a) 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) (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

______Signature of Employing Authority Date Revised 1/13/06

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 Condition 1 Teacher must take the necessary Praxis graduate who has not met all Praxis examinations at least twice a year. Individual who graduates from requirements a teacher preparation program, but does not pass all required Praxis exams, and who has not previously qualified for a Louisiana standard teaching authorization Individual with a baccalaureate Condition 2 2(a) Teacher must successfully complete degree from a regionally accredited a minimum of six (6) credit hours per year Individual who holds a college or university who has not in the subject area(s) that he/she is minimum of a baccalaureate yet been officially admitted to an attempting to pass on the Praxis and take degree from a regionally alternate program because he/she the necessary exams at least once a year; accredited institution, who has not passed the appropriate and/or applies for admission to a Praxis exam(s) and/or lacks the Practitioner Teacher or other 2(b) Teacher must successfully complete minimum of a 2.20 GPA required alternate program, but (a) does a minimum of six (6) credit hours per year for admission not pass the Praxis exams to raise the GPA to a 2.20 as required for required for admission to the admission to an alternate program. 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 Individual with a baccalaureate Condition 3 Teacher must take the appropriate Praxis degree from a regionally accredited examinations required for admission to an Individual who holds a college or university who is hired alternate certification program and, if minimum of a baccalaureate after the deadline date for successful, apply for admission to the degree from a regionally admission to an alternate program alternate program. accredited institution and who is hired after the start of an available alternate certification program Teacher preparation program Condition 4 Teacher must successfully complete a graduate who has not met the 2.50 minimum of six (6) semester credit hours Individual who has a minimum GPA requirement per year to obtain the 2.50 GPA on a 4.00 of a 2.35 GPA on a 4.00 scale scale that is required for certification and has completed all other purposes. requirements for certification 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.

Revised 1/13/06

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) Social Security Number: ______- ______-______

ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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?______

SIGNATURE OF APPLICANT: DATE:

Revised 1/13/06 §325. Out-of-Field Authorization to Teach (OFAT) A. Out-of-Field Authorization to Teach (OFAT)—issued for one school year, renewable annually, and may be held a maximum of three years while the holder pursues endorsement (add-on) certification requirements. If the teacher is actively pursuing certification in the field and the Louisiana Department of Education has designated the area as an area that requires extensive hours for completion, up to two additional years of renewal may be granted. B. Eligibility Requirements: Issued to an applicant who holds a valid Louisiana Out-of-State Certificate; Temporary Employment Permit; or a Type C, Type B, Type A, Level 1, Level 2, or Level 3 teaching certificate but is teaching outside of the certified area(s). C. Renewal Requirements: 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 coursework and Praxis exam(s) required for certification will be per official evaluation provided by the Division of Teacher Certification and Higher Education. D. OFAT Stipulations 1. Districts must 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 consulting the Teach Louisiana website; that "there is no regularly certified, competent, and suitable person available for the position;" and that the applicant is the best-qualified person for the position. 2. If the teacher is actively pursuing certification in the field and the Louisiana Department of Education designates the area as an area that requires extensive hours for completion, up to two additional years of renewal may be granted. Designated areas are as follows. a. Applicants pursuing certification in Academically Gifted, Significant Disabilities, Early Interventionist, Hearing Impaired, and Visual Impairments/Blind may be granted two additional years of renewal. b. Applicants pursuing certification in Mild/Moderate may be granted one additional year of renewal. 3. 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 Chapter 14 of this bulletin for the form entitled "Certification of Teacher's or Family Member's Serious Health Condition" and for definition of "Serious Health Condition" as set forth under the Family and Medical Leave Act of 1993. 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. AUTHORITY NOTE: Promulgated in accordance with R.S. 17:6 (A)(10), (11), (15); R.S. 17:7(6); R.S. 17:10; R.S. 17:22(6); R.S. 17:391.1-391.10; R.S. 17:411. HISTORICAL NOTE: Promulgated by the Board of Elementary and Secondary Education, LR 32:1804 (October 2006), amended LR 33:2355 (November 2007).

STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.doe.state.la.us

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 Division of Certification and Preparation at (225) 342-3490 (or toll free at 1-877-453-2721), or email [email protected] for assistance.

“An Equal Opportunity Employer” Revised 10/29/07

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 attempt all PRAXIS exams required for add-on certification in the area of the OFAT 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

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. 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. Applicant Status: Conditions: Renewal Guidelines: Applicant holds a standard Individual holds a ♦ Teacher must obtain a prescription/outline of course Louisiana teaching Louisiana teaching work required for add-on certification in the area of the certificate. certificate, but is teaching teaching assignment. outside of the certified ♦ Teacher must successfully complete a minimum of six area. credit hours per year of courses that lead toward certification in the area in which he/she is teaching; or

♦ Attempt all PRAXIS exams required for add-on certification in the area of the OFAT 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.

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) Social Security Number: ______- ______-______

ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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.

SIGNATURE OF APPLICANT: DATE:

STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.doe.state.la.us

REQUEST FOR OUT-OF-FIELD AUTHORIZATION TO TEACH

-TO BE SUBMITTED BY EMPLOYING DISTRICT- General Information

“An Equal Opportunity Employer” Revised 10/29/07

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:

______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

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) Social Security Number: ______- ______-______

ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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.

SIGNATURE OF APPLICANT: DATE:

§326. Temporary Employment Permit (TEP) A. Temporary Employment Permit (TEP)—Issued 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 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. B. Eligibility Guidelines 1: Issued to an applicant who meets all certification requirements with the exception of passing all portions of the NTE Commons examination completed prior to February 20, 1985, but who scores within 10 percent of the composite score required for passage of all exams. NOTE: This was formerly classified as an Emergency Permit. 1. The Louisiana employing authority must submit the application to the Department of Education. 2. The Louisiana employing authority must submit a signed affidavit to the State Department of Education stipulating that there is no other applicant meeting all certification requirements who is available for employment for a specific teaching position. 3. Granting of this permit shall not waive the requirement that the person successfully complete the exam. C. Eligibility Guidelines 2: Issued to an individual who meets all certification requirements with the exception of passing one of the components of the NTE/Praxis examination(s) completed after February 20, 1985, but who has an aggregate score equal to or above the total required on all NTE/Praxis exams for the area of certification. The individual must submit the application and all required materials to the Department of Education. D. Renewal Requirements: An individual can be reissued a permit two times only if evidence is presented that the required exam has been retaken twice within one year from the date the permit was last issued. AUTHORITY NOTE: Promulgated in accordance with R.S. 17:6 (A)(10), (11), (15); R.S. 17:7(6); R.S. 17:10; R.S. 17:22(6); R.S. 17:391.1-391.10; R.S. 17:411. HISTORICAL NOTE: Promulgated by the Board of Elementary and Secondary Education, LR 32:1804 (October 2006).

STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.louisianaschools.net

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

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 www.teachlouisiana.net .

♦ Contact Information: If there are questions about requirements or the certification process, one should contact the Division of Certification and Preparation at (225) 342-3490 (or toll free at 1-877-453-2721) or email [email protected] for assistance.

Revised 10/2/06

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: ( ) E-Mail Address:

School Year: 20____ - 20____

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 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 Features 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 2.20-2.50 GPA 2.50 GPA 2.20-2.50 GPA Admission to the Minimum of a non-teacher education baccalaureate degree Program 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. Knowledge of the Learner/Learning 9 hours coursework (12hrs for PK-3) 15 hours 12 hours Environment (intensive summer segment)

Methodology and plus Teaching (Content- 12-15 hours 6 hours specific methods two 3-hour seminars courses and clinical/ (spring semester, fall semester) field experiences) Student Teaching or 6 – 9 hours 6 hours Internship 12 hours (internship) (internship or student teaching) (internship or student teaching) 1-9 hours Prescriptive 1-9 hours (can be pre-planned courses for a program, Hours (to be used only for candidate who None available or individualized hours for a candidate who demonstrates areas of need) demonstrates areas of need) Total Hours 21-30 33-39 24-33 (24-33 for PK-3) Candidates enrolled in Special Education Programs: Early Interventionist, Mild/Moderate 1-12, Hearing Impaired K-12, Visually Impaired K- Special Education 12, and Significant Disabilities will complete course work and field/clinical experiences specific to the needs of infants, toddlers and children Candidates exceptionality. Completed program with a 2.50 GPA Additional Passed the required pedagogy PRAXIS exam requirements Certification Demonstrated proficiency in BESE Reading Competencies by (1) completing same number of reading course hours required by statute for Requirements 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 (www.teachlouisiana.net) for location of programs throughout the state.

8-7-07

LOCATION OF APPROVED ALTERNATE CERTIFICATION PROGRAMS

PRACTITIONER MASTER’S DEGREE NON-MASTER’S CERTIFICATION INSTITUTION CONTACT TEACHER PROGRAM ALTERNATE PROGRAM ONLY PROGRAM (PL2) INFORMATION (PL1) (PL3) Centenary N/A Grades 1-5 Grades 1-5 Dr. Sue Hernandez College Grades 6-12 Bio, Bus, Ch, Eng, Fr, Grades 6-12 Bio, Bus, Ch, Eng, Fr, GS, 2911 Centenary Blvd. GS, Ger, Math, Phy, SS, Spa Ger, Math, Phy, SS, Spa Shreveport, LA 71134 (318) 869-5066 Grambling State Grades 1-5 N/A N/A Dr. Sean Warner University Special Education M/M GSU Drawer 4219 Grambling, LA 71245 (318) 274-2231 Louisiana Grades 1-5 N/A Grades 1-5 Dr. Michael Shamblin College Grades 6-12 Ag, Bio, Bus, Grades 6-12 Ag, Bio, Bus, CS, Ch, Eng, P. O. Box 585 CS, Ce, ES, Eng, EnS, FCS, FCS, Fr, GS, Ger, Jour, Math, Mkt, Phy, Pineville, LA 71359 Fr, GS, Ger, Jour, Math, Mkt, Spe, SS, Spa, TechEd (318) 487-7303 Phy, Spe, SS, Spa, TechEd (318) 451-2824 Grades K-12 Art, H&PE, InstM, VocM Sepcial Education M/M Louisiana State N/A N/A Grades 1-5 Dr. Judy Rundell, Chair University Grades 6-12 Bio, Eng, SS, Math Department of Education Alexandria Grades K-12 8100 Hwy. 71 South H&PE Alexandria, LA 71302 (318) 473-6474 Louisiana State N/A Holmes Grades 1-5 Grades K-12 Inst & VocM Bridget Robicheaux University Baton Holmes Grades 6-12 221 Peabody Hall Rouge Bio, Ch, Fr, Math, Phy, SS Baton Rouge, LA 70803 (225) 578-2331 Louisiana State N/A N/A Grades 1-5 Dr. Dave Gustavson University Grades 6-12 Bio, Ch, Eng, Math, Phy, College of Education and Shreveport SS Human Development Special Education M/M One University Place Shreveport, LA 71115-2399 (318) 795-4279

PRACTITIONER MASTER’S DEGREE NON-MASTER’S CERTIFICATION INSTITUTION CONTACT TEACHER PROGRAM ALTERNATE PROGRAM ONLY PROGRAM (PL2) INFORMATION (PL1) (PL3) Louisiana Tech Grades 1-5 Grades PK-3 Grades PK-3 Melanie Gleason University Grades 4-8 Math & Sci Grades 1-5 Grades 1-5 College of Education Grades 6-12 Grades 4-8 Math & Sci Grades 4-8 Math & Sci P.O.Box 3092 Ag, Bio, Bus, Ch, ES, Eng, Grades 6-12 Ag, Bio, Bus, Ch, ES, Grades 6-12 Ag, Bio, Bus, Ch, ES, Eng, Ruston, LA 71272 FCS, Fr, Math, Phy, Spe, SS Eng, FCS, Fr, Math, Phy, Spa, Spe, FCS, Fr, Math, Phy, Spa, Spe, SS (318) 257-2849 SS Grades K-12 Art, H&PE, InstM, VocM Special Education M/M, EI, VI McNeese State N/A Grades 1-5 Grades PK-3 Brandy Fisher University Grades 6-12 Ag, Bio, Bus, Ch, Grades 1-5 Burton College of Education Eng, EnvS, FCS, Fr, Lat, Spe, SS, Grades 6-12 Ag, Bio, Bus, Ch, Eng, P. O. Box 93255 Spn EnvS, FCS, Fr, Lat, Spe, SS, Spa Lake Charles, LA 70609 Special Education M/M Grades K-12 Art, H&PE (337) 475-5415 Special Education M/M Nicholls State Grades 1-5 N/A Grades 1-5 Dr. Deborah Bordelon University Grades 4-8 ELA, Math, Sci, Grades 4-8 ELA, Math, Sci, SS College of Education SS Grades 6-12 Bio, Bus, Ch, Eng, FCS, Fr, P. O. Box 2053 Grades 6-12 Bio, Bus, Ch, GS, Math, SS, Spa Polk Hall Eng, Math, SS Special Education M/M Thibodaux, LA 70310 Special Education M/M (985) 448-4325 Northwestern Grades 1-5 Grades PK-3 Grades K-12 Suzanne Williams State University Grades 4-8 ELA, Math, Sci, Grades 1-5 H&PE, InstM, VocM, Inst & VocM Office of Teacher Cert. SS Grades 4-8 ELA, Math, Sci, SS 109B Teacher Education Grades 6-12 Bio, Bus, Ch, Grades 6-12 Bio, Bus, Ch, Eng, Center Eng, FCS, Fr, GS, Ger, Jour, FCS, Fr, GS, Ger, Jour, Math, Northwestern State Univ. Math, Phy, Spe, SS, Spa Phy, Spe, SS, Spa Natchitoches, LA 71457 Special Education M/M Special Education M/M (318) 357-6144 Our Lady of Holy N/A N/A Grades 1-5 Dr. Myles Seghers Cross College Grades 6-12 Bio, Bus, Ch, Eng, FCS, Fr, 4123 Woodland Dr. GS, Math, Phy, Spa, Spe, SS New Orleans, LA 70139 (504) 398-2214

PRACTITIONER MASTER’S DEGREE NON-MASTER’S CERTIFICATION INSTITUTION CONTACT TEACHER PROGRAM ALTERNATE PROGRAM ONLY PROGRAM (PL2) INFORMATION (PL1) (PL3) Southeastern N/A Grades 1-5/M/M (Dual Prog) Grades 6-12 Dr. Bill Neal Louisiana Grades 1-5 Ag, Bio, Bus, Ch, CS, Eng, FCS, Math, SLU 10671 University Grades 6-12 Bio, Bus, Ch, Eng, Phy, SS, Sp, TechEd Hammond, LA 70402 FCS, FR, GS, Ger, Math, Phy, SS, Grades K-12 Art, InsM, VocM, H&PE, (985) 549-2217 Spa Fr, Ger, Lat, Sp Special Education M/M/ EI Special Education EI Southern N/A N/A Grades PK-3 Dr. Verganis Peoples University Grades 1-5 P.O. Box 9983 Baton Rouge Grades 4-8 ELA, Math, Sci, SS Baton Rouge, LA 70813 Grades 6-12 Bio, Ch, CS, Eng, Fr, GS, (225) 771-3762 Math, Phy, SS, Spa (225) 771-2291 Grades K-12 Art, H&PE, InstM, Fr, Sp Special Education M/M Southern N/A N/A Grades PK-3 Celina Carson University New Grades 1-5 6400 Press Dr. Orleans New Orleans, LA 70126 (544) 286-5042 Tulane N/A N/A Grades PK-3 Linda McKee, Act Director University Grades 6-12 Bio, Ch, Eng, Fr, Ger, It, Teacher Prep and Cert Pro Math, Phy, SS 421 Newcomb Hall Grades K-12 Dance New Orleans, LA 70118 (504) 865-5334 University of N/A N/A Grades PK-3 Dr. Gerald Carlson Louisiana Grades 1-5 College of Education Lafayette Grades 4-8 ELA, Math, Sci, SS P. O. Box 44872 Grades 6-12 Ag, Bio, Ch, ES, Eng, Lafayette, LA 70504 FCS, Fr, GS, Ger, Math, Phy, Spe, SS, (337) 482-6678 Sp, TechEd Grades K-12 Art, H&PE, InstM, VovM Special Education M/M, EI University of N/A Grades PK-3 Dr. Beverly Flowers-Gibson Monroe Grades 1-5 College of Educ & Human Grades 6-12 Bio, Ch, ES, Eng, Development FCS, Math, Phy, Spe, SS ULM Grades K-12 Art, Fr, Spa, H&PE, Monroe, LA 71209 InsM, VocM, Ins&VocM (318) 342-1300 Special Education M/M

PRACTITIONER MASTER’S DEGREE NON-MASTER’S CERTIFICATION INSTITUTION CONTACT TEACHER PROGRAM ALTERNATE PROGRAM ONLY PROGRAM (PL2) INFORMATION (PL1) (PL3) University of Grades 4-8 ELA, Math, Sci, Grades PK-3 Dr. James Meza New Orleans SS Grades 1-5 College of Educ-ED 240 Special Education M/M Grades 4-8 ELA, Math Sci, SS 2000 Lakeshore Dr. Grades 6-12 Bio, Ch, Eng, Fr, GS, New Orleans, LA 70148- Math, Phy, SS, Sp 2530 Special Education M/M, EI, SD (504) 280-6719 Xavier University Grades 6-12 Bio, Ch, GS, Grades 1-5 Dr. Renee Akbar of New Orleans Math, Phy Grades 6-12 Bio, Ch, Eng, Fr, Division of Education Special Education M/M Math, SS, Sp One Drexel Dr. Special Education M/M New Orleans, LA 70125 (504) 483-7536 The New Teacher Grades 1-5 The New Teacher Project Project Grades 4-8 ELA, Math Sci, SS P. O. Box 750757 Grades 6-12 Bio, Ch, Eng, New Orleans, LA 70175- Fr, GS, Math, Phy, SS, Sp 0751 Special Education M/M Amanda Anderson(504) 324-6849 Email: [email protected] Teach Louisiana Grades PK-3 Dr. Angelle Stringer Consortium Grades 1-5 LA Resource Center for Grades 4-8 ELA, Math, Sci Educators Grades 6-12 Bio, Ch, Eng, 7305 Florida Blvd., Suite D Fr, GS, Math, Phy, SS, Sp Baton Rouge, LA 70806 (225) 924-7600 Email: [email protected] Practitioner Licenses (PL1, PL2, 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.

STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.louisianaschools.net

PRACTITIONER LICENSE INITIAL APPLICATION (PL 1)

APPLICATION MUST BE SUBMITTED BY THE PROGRAM PROVIDER Practitioner License (PL1) Louisiana offers Practitioner Licenses (PL) to applicants enrolled in a public or private Practitioner Teacher Program. These applicants must hold a degree from a regionally accredited college or university with a 2.50 or higher grade point average on a 4.00 scale to enter a private provider program; or 2.20 or higher grade point average on a 4.00 scale to enter a college or university program; passing scores on NTE/Praxis Pre-Professional Skills Tests (PPSTs) and current Praxis content area exam(s). Candidates possessing a graduate degree will be exempt from the PPST requirement.

The PL1 license is valid for one school year and renewed annually up to three years if evidence of completion of renewal requirements is submitted. To renew, the individual must remain enrolled in the Practitioner Teacher 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. 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 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, 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 provider, with directions as to what is missing in the application. If an original transcript is not included but is being mailed by the university, it must be noted 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) 342-3490 (or toll free at 1-877-453-2721), or email [email protected] for assistance. “An Equal Opportunity Employer” Revised 10/2/06

LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation P.O. Box 94064, Baton Rouge, LA 70804-9064

INITIAL APPLICATION for PRACTITIONER LICENSE (PL1)

SCHOOL YEAR: ______─______

SOCIAL SECURITY NUMBER:______-______-______DATE OF BIRTH:_____/_____/_____

NAME:______(First) (Middle) (Maiden/Family) (Married Name)

PHONE NUMBER: (____)______E-MAIL ADDRESS: ______

ADDRESS: ______(Street Address) (City) (Zip Code) DEGREE(S) HELD:______(Degree(s) Held) (College/University) (Year)

EMPLOYMENT PLACEMENT

CERTIFICATION AREA REQUESTED GRADE LEVEL(S)

SCHOOL DISTRICT

PROGRAM PROVIDER INFORMATION NAME OF PROVIDER ENTITY

SIGNATURE OF PROGRAM PROVIDER DATE I verify that the above named individual has met ALL requirements for admission into the Practitioner Teacher Program and will follow all guidelines for subsequent renewal of this license.

SIGNATURE OF TEACHER APPLICANT DATE I verify that I understand and meet all requirements for admission and will follow prescribed renewal guidelines.

This completed application form, along with required support documents, must be submitted to the Division of Certification and Preparation at the above address.

Revised 10/2/06 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) Social Security Number: ______- ______-______

ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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?______

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.

SIGNATURE OF APPLICANT: DATE:

Revised 10/2/06 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.louisianaschools.net

PRACTITIONER LICENSE RENEWAL APPLICATION (PL 1)

APPLICATION MUST BE SUBMITTED BY PROGRAM PROVIDER Practitioner License (PL1) Louisiana offers Practitioner Licenses (PL) to applicants enrolled in a public or private Practitioner Teacher Program. These applicants must hold a degree from a regionally accredited college or university with a 2.50 or higher grade point average on a 4.00 scale to enter a private provider program; or 2.20 or higher grade point average on a 4.00 scale to enter a college or university program; passing scores on NTE/Praxis Pre-Professional Skills Tests (PPSTs) and current Praxis content area exam(s). Candidates possessing a graduate degree will be exempt from the PPST requirement.

The PL1 license is valid for one school year and renewed annually up to three years if evidence of completion of renewal requirements is submitted. To renew, the individual must remain enrolled in the Practitioner Teacher Program and fulfill a minimum of six (6) semester hours of coursework or equivalent contact hours per year (to the extent that required semester hours remain in the program to be completed), 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. Application for Renewal of PL License with all information provided; 2. Official transcripts (copies not acceptable), to demonstrate progress in college or university-based practitioner teacher program; 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 provider, with directions as to what is missing in the application. If original transcript is not included but is being mailed by the university, it must be noted 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) 342-3490 (or toll free at 1-877- 453-2721), or email [email protected] for assistance.

“An Equal Opportunity Employer” Revised 10/2/06

LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation P.O. Box 94064, Baton Rouge, LA 70804-9064

RENEWAL APPLICATION for PRACTITIONER LICENSES (PL1)

SCHOOL YEAR: ______─______Renewal for: ______Year 2 ______Year 3

SOCIAL SECURITY NUMBER:______-______-______DATE OF BIRTH:_____/_____/_____

NAME:______(First) (Middle) (Maiden/Family) (Married Name)

PHONE NUMBER: (____)______E-MAIL ADDRESS: ______

ADDRESS: ______(Street Address) (City) (Zip Code)

EMPLOYMENT PLACEMENT

CERTIFICATION AREA REQUESTED GRADE LEVEL(S)

SCHOOL DISTRICT

PROGRAM PROVIDER INFORMATION

NAME OF PROVIDER ENTITY

SIGNATURE OF PROGRAM PROVIDER DATE I verify that the above named individual remains enrolled in the Practitioner Teacher Program and has fulfilled all coursework, teaching assignments, and activities as identified by the program provider during the preceding year.

SIGNATURE OF TEACHER APPLICANT DATE I verify that I have met all requirements for renewal of this PL1 license.

This completed application form, along with required support documents, must be submitted to the Division of Certification and Preparation at the above address.

Revised 10/2/06 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) Social Security Number: ______- ______-______

ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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?______

5. Have you ever been granted a pardon or expungement for any offense as stated in #3 or #4?

SIGNATURE OF APPLICANT: DATE:

Revised 10/2/06 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.louisianaschools.net

PRACTITIONER LICENSE INITIAL APPLICATION FOR PL 2, PL 3, and PL 4

APPLICATION MUST BE SUBMITTED BY THE EMPLOYING SCHOOL OR 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 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) 342-3490 (or toll free at 1-877- 453-2721), or email [email protected] for assistance.

Revised 6/27/07 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation P.O. Box 94064, Baton Rouge, LA 70804-9064

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: (____)______E-MAIL 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 DATE 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.

SIGNATURE OF TEACHER APPLICANT DATE I verify that I understand and meet all requirements for admission and will follow prescribed renewal guidelines.

Revised 6/27/07

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 24-33 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 33-39 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, 2010 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 6/27/07 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) Social Security Number: ______- ______-______

ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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?______

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 6/27/07 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.louisianaschools.net

PRACTITIONER LICENSE RENEWAL APPLICATION FOR PL 2, PL 3, and PL 4

APPLICATION MUST BE SUBMITTED BY THE EMPLOYING SCHOOL OR 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

Revised 6/27/07 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation P.O. Box 94064, Baton Rouge, LA 70804-9064

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: (____)______E-MAIL 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 DATE 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.

SIGNATURE OF TEACHER APPLICANT DATE I verify that I understand and meet all requirements for admission and will follow prescribed renewal guidelines.

Revised 6/27/07 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 post- baccalaureate 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 all- level (K-12) areas of art, dance, foreign language, health and physical education and music to complete their programs.

August 31, 2010 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 6/27/07 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) Social Security Number: ______- ______-______

ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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?______

Revised 6/27/07 Teacher Certification Add-On/Level Change (Endorsement) Policies

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) Requirements For individual holding a valid 1. Prior to 12/31/07 achieve passing score for PRAXIS Early elementary certificate Childhood Education Exam (#0020), after 12/31/07 achieve a (e.g., 1-4, 1-5, 1-6, 1-8) passing score on PLT: Early childhood (0521) or Accumulate twelve (12) credit hours of combined Nursery School and Kindergarten coursework. For individual holding a valid 1. Achieve passing score for PRAXIS Elementary Education: upper elementary or middle school certificate Content Knowledge (#0014) (e.g., 4-8, 5-8, 6-8), secondary school certificate (e.g., 6-12, 7-12, 9- 2. Prior to 12/31/07 achieve passing score for PRAXIS Early 12), special education certificate (other than Early Childhood Education Exam (#0020), after 12/31/07 achieve a Interventionist), or passing score on PLT: Early childhood (0521) an all-level K-12 certificate (art, dance, foreign or language, health, PE, H&PE, music) Accumulate twelve (12) credit hours of combined Nursery School and Kindergarten coursework. 3. Accumulate nine (9) semester hours of reading coursework. For individual holding a valid 1. Achieve passing score for PRAXIS Elementary Education: Early Interventionist certificate 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. Elementary 1-5 Add-On (Endorsement) Requirements For individual holding a valid early childhood 1. Achieve passing score for PRAXIS Elementary Education: certificate (e.g., PK-K, PK-3) 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. For individual holding a lower elementary 1. Achieve passing score for PRAXIS Elementary Education: certificate (1-4), Content Knowledge (#0014) ; or an upper elementary or middle school certificate Accumulate twelve (12) semester hours of mathematics, (e.g., 4-8, 5-8, 6-8), twelve (12) semester hours of science, twelve (12) semester secondary certificate (e.g., 6-12, 7-12, 9-12), hours of English language arts, and twelve (12) semester special education certificate, or hours of social studies coursework. an all-level K-12 certificate (art, dance, foreign 2. Achieve passing score for PRAXIS Principles of Learning and language, health, PE, H&PE, music) Teaching K-6 3. Accumulate nine (9) semester hours of reading coursework.

Middle School 4-8 Specialty Area Add-On (Endorsement)—English, Mathematics, Requirements Science, or Social Studies For individual holding a valid 1. Achieve passing score for PRAXIS Middle School: Specialty early childhood certificate (e.g. PK-K, PK-3), Area Exam in the content area; or elementary certificate Accumulate thirty (30) credit hours in the specialty content (e.g., 1-4, 1-5, 1-6, 1-8), area upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), 2. Achieve passing score for PRAXIS Principles of Learning and secondary certificate (e.g., 6-12, 7-12, 9-12), Teaching 5-9 special education certificate, or an all-level K-12 certificate (art, dance, foreign 3. Accumulate six (6) semester hours of reading language, health, PE, H&PE, music) Secondary 6-12 Specialty Area Add-On (Endorsement) in Core Content Area as Requirements defined in NCLB [English, Foreign Language, Math, Science, Social Studies] For individual holding a valid 1. Achieve passing score for PRAXIS Secondary Specialty Area early childhood certificate (e.g. PK-K, PK-3), Exam(s) in the content area elementary certificate or (e.g., 1-4, 1-5, 1-6, 1-8), Accumulate thirty (30) credit hours in the specialty content upper elementary or middle school certificate area (e.g., 4-8, 5-8, 6-8), or 2. Achieve passing score for PRAXIS Principles of Learning and special education certificate Teaching 7-12 For individual holding a valid 1. Achieve passing score for PRAXIS Secondary Specialty Area secondary certificate Exam(s) in the content area (e.g., 6-12, 7-12, 9-12), or or an all-level K-12 certificate (art, dance, foreign Accumulate thirty (30) credit hours in the specialty content language, health, PE, H&PE, music) area Secondary Specialty Area Add-On (Endorsement) Non-NCLB [Agriculture, Business, Computer Science, Family & Requirements Consumer Sciences, Journalism, Marketing, Technology Education Speech] For individual holding a valid 1. Achieve passing PRAXIS score for Secondary Specialty Area early childhood certificate (e.g. PK-K, PK-3), Exam(s) in the content area elementary certificate or (e.g., 1-4, 1-5, 1-6, 1-8), Accumulate twenty-one (21) credit hours in the specialty upper elementary or middle school certificate content area (e.g., 4-8, 5-8, 6-8), or 2. Achieve passing score for PRAXIS Principles of Learning and special education certificate Teaching 7-12 For individual holding a valid 1. Achieve passing score for PRAXIS Secondary Specialty Area secondary certificate (e.g., 6-12, 7-12, 9-12), or Exam(s) in the content area an all-level K-12 certificate (art, dance, foreign or language, health, PE, H&PE, music) Accumulate twenty-one (21) credit hours in the specialty content area All-Level (K-12) Area Add-On (Endorsement) in Art, Dance, Foreign Requirements Language, Health/Physical Education, Music For individual holding a valid 1. Achieve passing score for PRAXIS specialty area exam in early childhood certificate (e.g. PK-K,PK-3), area of endorsement elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), or upper elementary or middle school certificate Accumulate thirty (30) semester hours in the specialty area (e.g., 4-8, 5-8, 6-8), NOTE: An individual already certified in one Music Education area

secondary certificate (e.g., 6-12, 7-12, 9-12), (Instrumental Music OR Vocal Music) may add the second music special education certificate, area with coursework, as follows: or an all-level K-12 certificate (art, dance, foreign • To add Instrumental Music, twelve (12) semester hours to language, health, PE, H&PE, music) include brass, percussion, string, and woodwind instruments; • To add Vocal Music, twelve (12) semester hours to include piano and voice.

Special Education Add-On/Level Change (Endorsement) Policies Academically Gifted Requirements For individual holding a valid 1. Master’s degree from a regionally accredited institution of early childhood certificate (e.g., PK-K, PK-3), higher education elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), 2. Fifteen (15) graduate hours of prescribed coursework from the upper elementary or middle school certificate following list either within a Master’s degree program or as an (e.g., 4-8, 5-8, 6-8), add-on to an existing Master’s: secondary certificate (e.g., 6-12, 7-12, 9-12), • Characteristics/Study of Gifted Individuals all-level K-12 certificate, • Methods of Teaching the Gifted or special education certificate • 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. 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. Early Interventionist Birth to Five Requirements For individual holding a valid 1. Prior to 12/31/07 achieve passing score for PRAXIS Early early childhood certificate (e.g., PK-K, PK-3), Childhood Education Exam (#0020), after 12/31/07 achieve a elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), passing score on PLT: Early childhood (0521). upper elementary or middle school certificate (e.g., 4-8, 5-8, 6-8), 2. Education of Exceptional Children: Core Content Knowledge secondary certificate (e.g., 6-12, 7-12, 9-12), (0353). all-level K-12 certificate (art, dance, foreign language, health, PE, H&PE, music), or 3. Eighteen (18) credit hours that pertain to infants, toddlers, and special education certificate 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.

Hearing Impaired K-12 Requirements For individual holding a valid 1. Twenty-one (21) credit hours that pertain to children with early childhood certificate (e.g., PK-K, PK-3), hearing impairments: elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), • Introduction to Special Education upper elementary or middle school certificate • Physiological, Psychosocial, Historical, Sociological, and (e.g., 4-8, 5-8, 6-8), Cultural Aspects of Deafness secondary certificate (e.g., 6-12, 7-12, 9-12), • Language Development that Includes Linguistic Principles all-level K-12 certificate (art, dance, foreign and Assessment Strategies in Language Acquisitions for language, health, PE, H&PE, music), or Deaf and Hard-of-Hearing special education certificate • 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 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 www.seecenter.org]; 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) Mild/Moderate: 1-12 Requirements 1. Fifteen (15) semester hours of special education course- For individual holding a valid work—five 3-hour courses, as follows: early childhood certificate (e.g. PK-K, PK-3), • Methods/Materials for Mild/Moderate Exceptional Children elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8) • Assessment and Evaluation of Exceptional Learners upper elementary or middle school certificate • Behavioral Management of Mild/Moderate Exceptional (e.g., 4-8, 5-8, 6-8), Children secondary certificate (e.g., 6-12, 7-12, 9-12), • Vocational and Transition Services for Students with an all-level K-12 certificate (art, dance, foreign Disabilities language, health, PE, H&PE, music), or • Practicum in Assessment and Evaluation of M/M special education certificate 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)

Significant Disabilities 1-12 Requirements 1. Twenty-one (21) credit hours that pertain to children with For individual holding a valid significant disabilities: Early Childhood certificate (e.g., PK-K, PK-3), • Assessment and Evaluation elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), upper elementary or middle school certificate • Curriculum Development, Modifications, and Transition (e.g., 4-8, 5-8, 6-8), Planning secondary certificate (e.g., 6-12, 7-12, 9-12), • Behavior Support all-level K-12 certificate (art, dance, foreign • Instructional Strategies language, health, PE, H&PE, music) or • Communication special education certificate • 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) Visual Impairments/Blind K-12 Requirements 1. Twenty-one (21) credit hours that pertain to children with For individual holding a valid visual impairments: Early Childhood certificate (e.g., PK-K, PK-3), • Educational Implications of Low Vision and Blindness elementary certificate (e.g., 1-4, 1-5, 1-6, 1-8), upper elementary or middle school certificate • Orientation and Mobility for the Classroom Teacher (e.g., 4-8, 5-8, 6-8), • Assessment and Evaluation Techniques, Including secondary certificate (e.g., 6-12, 7-12, 9-12), Functional Vision Evaluation and Reading Media all-level K-12 certificate (art, dance, foreign Assessment language, health, PE, H&PE, music), or • Assistive Technology for Students with Visual Impairments • Instructional Strategies and Materials for Students with special education certificate 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)

ADDITIONAL ADD-ON POLICIES Adapted Physical Education Requirements For individual holding a valid standard Twenty-one (21) semester hours to include the following: Louisiana teaching certificate in 1. Motor development and learning Physical Education 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 Adult Education Instructor Requirements For individual holding a valid Twelve (12) semester hours to include the following: standard Louisiana teaching 1. Introduction to or foundations of adult education certificate 2. Practicum in adult 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 Aerospace Education Requirements For individual holding a valid 1. Six (6) semester credit hours in an approved aerospace standard Louisiana teaching education workshop; and/or certificate 2. Valid private pilot's license or higher rating and at least three semester hours of credit in an approved aerospace education workshop. Algebra I Requirements For individuals holding a minimum of a valid Complete the following professional development programs: Type B or Level 2 Louisiana teaching certificate 1. Algebra I Awareness workshop; (requires 3 years of teaching experience in 2. Topics for Algebra Leaders and Instructors (TALI) workshop (face- certified area). to-face or online); and 3. Algebra I online modules (the entire series) or an approved college-level mathematics course(s) addressing the same content

covered in the Algebra I online modules. 4. Pass the Praxis Middle School Mathematics exam (0069). 5. Pass the Praxis Principles of Learning and Teaching (PLT) 7-12 exam (0524) or a college-level course addressing the same content covered on the Praxis exam.

Bilingual Specialist Requirements For individual holding a valid standard Six (6) semester hours to include the following: Louisiana elementary, secondary, or all- 1. Bilingual Methods I (practical training in the teaching of language level foreign language certificate 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).

Child Search Coordinator Requirements For individual holding a valid standard 1. Master's degree Louisiana certification as a teacher, social 2. Six (6) semester hours in special education worker, guidance counselor, school 3. Three (3) years of experience in the certified or licensed area psychologist, speech therapist, or other NOTE: Persons functioning as Child Search Coordinators prior to related special education area 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. Computer Literacy Requirements For individual holding a valid standard 1. Nine (9) semester hours of coursework to include three (3) Louisiana elementary or secondary semesters hours in each of the following areas: teaching certificate 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. Cooperative Office Education Requirements For individual holding a valid standard 1. Six (6) semester hours to include Principles and/or Philosophy of Louisiana secondary certificate for the Vocational Education and Cooperative Education Methods area of Business Education (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. Two (2) hours will be credited for each hour of supervised practicum work experience. Driver and Traffic Safety Education Requirements For individual holding a valid standard 1. Valid Louisiana driver’s license Louisiana teaching certificate 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. Educational Technology Facilitation Requirements For individual holding a valid Type B or 1. Complete one of the following options: Level 2 Louisiana teaching certificate Option A: Minimum of nine (9) semester hours of graduate credit (requires 3 years of teaching in educational technology (three semester hours per course): experience in certified area) 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 Department-approved 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. Education Technology Leader Requirements For individual holding a valid Type A or 1. Master’s degree from a regionally accredited institution of higher Level 3 Louisiana teaching education certificate (requires 5 years of 2. Minimum of twenty-one (21) semester hours of graduate credit, teaching experience in certified as follows: area) 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. Educational Diagnostician Requirements For individual holding a valid Type B or Hold generic special education certification, with at least one year of Level 2 Louisiana teaching classroom teaching experience in a properly certified area of special certificate (requires 3 years of education or hold certification in at least two special education teaching experience in certified disability areas (e.g., mentally retarded, learning disabled), with at area) least one year of teaching experience in a properly certified area of special education. Academically gifted is not an accepted special education area; Reading requirements are as follows: a. elementary/middle grades majors: six semester hours in diagnosis and remediation of reading problems, three semester hours of which may be undergraduate coursework; or b. secondary/all-level majors: nine semester hours of reading coursework, with six of the semester hours in diagnosis and remediation of reading problems and three of the semester hours in foundations of reading. Three of the required semester hours may be undergraduate coursework; Have completed a minimum of 21 semester hours of graduate credit, as follows: 1. applied learning theory, three semester hours; 2. behavioral intervention strategies, including systematic behavioral assessment (this course must include 25 child contact hours), three semester hours; 3. consulting teacher strategies, three semester hours; 4. precision assessment and diagnostic/prescriptive strategies, three semester hours; 5. test theory, three semester hours; 6. educational diagnosis, three semester hours; and 7. supervised internship, to include 100 child contact clock hours*, three semester hours. *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. NOTE: Provisional Educational Diagnostician. 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 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.

English as a Second Language Requirements For individual holding a valid standard 1. Twelve (12) semester hours to include the following coursework, Louisiana teaching certificate 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. Montessori Requirements For individual holding a valid standard Completion of training from one of the following entities: Louisiana teaching certificate 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 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 School Library Service Requirements For individual holding a valid standard Twenty-one (21) semester hours in library science, as follows: Louisiana teaching certificate 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 (Endorsements) POLICIES Educational Leader - Level 1 (Effective12/31/05) 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. Alternate Path 1. Three alternate paths are available to individuals seeking an Educational Leader Certificate Level 1. The Alternate Path 1 is 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. Three alternate paths are available to individuals seeking an Educational Leader Certificate Level 1. The Alternate Path 2 is 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. Three alternate paths are available to individuals seeking an Educational Leader Certificate Level 1. The Alternate Path 3 is 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 competency-based educational leader practitioner (residency) program (See Chapter 2, §240): 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. 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. 1. 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. 2. 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. 3. 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)

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 out-of-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: 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; The Educational Leader Induction Program must be completed within a three-year period; Have three years of educational leadership experience at the level of assistant principal or above. 2. 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.

a. 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. b. 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. c. 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 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). 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 Counselor K-12 1. 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 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. 1987 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 a. 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 1-12.

Revised 9/11/08

ACCEPTABLE COURSES FOR CERTIFICATION

This list is a guide created by the Certification Office to aid in determining what coursework would be allowed to add-on areas of certification as well as for determining “Highly Qualified” status. The compilation of this list is based on prescribed coursework required in Louisiana university degree programs. **This list is to be used as a guide only, and is by no means a comprehensive listing of coursework that may be acceptable. **

Social Studies: Technology Education (Industrial Arts): Economics Industry Sociology Welding History Communications Geography Drafting Political Science Computer Drafting Philosophy (3 hrs only) Computer Science (3 hrs only) Psychology (3 hrs of non-educ psych only) Metal Technology Humanities (3 hrs only) Electricity Transportation Marketing: Power and Industry Marketing Construction Merchandising Graphic Arts Management Manufacturing Finance (3 hrs only) Professional IA Courses Economics (3 hrs only) Business Law (3 hrs only) Journalism: Office Administration (3 hrs only) Debate Computer Science (3 hrs only) Photojournalism Accounting (6 hrs only) Public Speaking Professional DE courses Mass Media (Writing) Interpersonal Communication Speech: Voice and Articulation Speech/Com (oral, public, debate, etc.) Radio Production Drama News Reporting, editing, and writing Theatre (set design, production, etc.) Oral Interpretation Broadcasting (including radio broadcasting) Broadcast Journalism Television Production Video Media Production Media Management Voice Articulation General Science (any combo of these courses): Business Education Subjects: Biology Marketing (3 hrs only) Zoology Management (6 hrs only) Microbiology Accounting (9 hrs only) Chemistry Comp Info Systems/Comp Literacy (6 hrs only) Earth Science Business Law (3 hrs only) Physics Finance (3 hrs only) Geology Business Communications Physical Science Botany

Agriculture: Physics: Animal Science General Physics Plant Science Physical Science (6 hrs only) Agricultural Science Dairy Science Environmental Science: Farm Management Environmental Science Non-farm Agricultural Business Biology (12 hrs only) Economics (Agricultural) Chemistry (12 hrs only) Agronomy Earth Science (12 hrs only) Agricultural Engineering Business Family & Consumer Science: Marketing Clothing & Textiles Environmental Science Consumer Education Biology Food/Nutrition Chemistry Housing/Furnishings/Equipment Equine Science Human Development Bovine Science Home Ec or Fam & Cons Science

English: Math: English Math coursework Reading (6 hrs only) Earth Science: Biology: Earth Science General Biology Geology Botany Oceanography Zoology Astronomy Microbiology Biochemistry Chemistry (9 hrs only)

Chemistry: General Chemistry Organic Chemistry Inorganic Chemistry Analytical Chemistry Quantitative Chemistry Biochemistry Physical Chemistry

STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.louisianaschools.net

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, 70804-9064. 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

“An Equal Opportunity Employer” Revised 1/4/2008 ♦ Contact Information: If there are questions about requirements or the certification process, please contact the Division of Certification and Preparation at (225) 342-3490 (or toll free at 1-877-453-2721), or email [email protected] for assistance.

Revised 1/19/07 ANCILLARY CERTIFICATE TYPES

CERTIFICATION AREA DOCUMENTATION REQUIRED Artist 1. Verification from system that applicant will be employed to teach specific (Valid for one school session) 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 Art Therapist 1. Official transcripts showing the completion of an Art Therapy degree (Valid as long as individual remains in program from a regionally accredited college or university same system) 2. Copy of registration from American Art Therapy Association 3. Verification of pre-clinical experience Audiologist-Provisional 1. Official transcripts showing a master’s degree in audiology earned at a (Valid 3 years – nonrenewable) regionally accredited college or university 2. Verification that applicant will work under the supervision of a licensed audiologist Audiologist-Qualified 1. Official transcripts showing a master’s degree in audiology earned at a (Valid as long as holder maintains a regionally accredited college or university current LA Audiologist license) 2. Copy of current Louisiana licensure as an Audiologist Child Nutrition Program Supervisor 1. Master’s degree in Home Economics, Family & Consumer Sciences, (Food Service) Institutional Management, Nutrition, Dietetics, Business Administration, (Valid for life with continuous service) 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) Child Nutrition Program Supervisor 1. Master’s degree in Home Economics, Family & Consumer Sciences, (Nutrition) Institutional Management, Nutrition, Dietetics, Business Administration, (Valid for life with continuous service) 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) Child Nutrition Program Supervisor 1. Special certificate can be issued to an applicant serving in this capacity Provisional (Nutrition or Food Service) with the understanding that six (6) semester hours are completed each (Valid for school year; renewable annually) year for renewal Child Search Coordinator 1. Must hold valid ancillary certificate for social worker, speech therapist, (Valid as long as ancillary certificate school psychologist, speech pathologist, or guidance counselor remains valid) 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 Dance Therapist (Bachelor’s) 1. Official transcript showing the completion of a degree in Dance Therapy (Valid as long as individual remains in from a regionally accredited college or university same system) 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 Dance Therapist (Master’s) 1. Official transcripts showing the completion of a master’s degree in Dance (Valid as long as individual remains in Therapy from a regionally accredited college or university same system) 2. Copy of registration by the American Dance Therapy Association

Revised 1/19/07

Family and Consumer Science 1. Bachelor’s degree in subject area of Family and Consumer Science (Occupational Programs) earned at a regionally accredited college or university (Valid for three years; renewable) 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 Junior ROTC 1. Retirement from active duty in the retired grades of E-6 through E-9, WO- (Valid for five (5) years; renewable upon 1 through CWO-5, 03 though 06; and request of the Louisiana employing 2. Official Recommendation by appropriate branch of the military service authority.) with certification by the appropriate Department of defense. Music Therapist 1. Official transcript showing the completion of a degree in Music Therapy (Valid as long as individual remains in from a regionally accredited college or university same system) 2. Copy of registration by the National Association of Music Therapy, Inc. 3. Verification of pre-clinical experience Nonpublic Montessori 1. Diploma indicating the completion of an approved Montessori training (Valid for life with continuous service) program Occupational Therapist-Provisional 1. Copy of Louisiana Temporary Occupational Therapist License (Valid 2 years -nonrenewable) Occupational Therapist- Qualified 1. Copy of Valid Louisiana Occupational Therapist License (Valid 5 Years – renewable) 2. Verification of two years of experience as a occupational therapist Physical Therapist- Provisional (Valid 1. Copy of Louisiana Temporary Physical Therapist License 2 years – nonrenewable) Physical Therapist- Qualified 1. Copy of Valid Louisiana Physical Therapist License (Valid 5 Years – renewable) 2. Verification of two years of experience as a occupational therapist Recreation Therapist (Bachelor’s) 1. Official transcripts showing the completion of Introduction to the (Valid as long as individual remains in Exceptional Child-three semester hours and Psychology of the same system) Exceptional Child-three semester hours 2. Copy of registration by the National Therapeutic Society Recreation Therapist (Master’s) 1. Official transcripts showing the completion of a Recreation Therapy (Valid as long as individual remains in Degree from a regionally accredited college or university same system) 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 School Counselor 1. Official transcripts showing the completion of a master’s degree from a (Valid for three-years – renewable) regionally accredited college or university 2. Completion of coursework required for school counselor 3. Counseling practicum completed in a school setting School Librarian 1. Official transcripts showing the completion of a master’s degree in library (Valid for five years – renewable) science. 2. Passing score on PRAXIS 0310 Library Media Specialist exam. School Nurse- Type C 1. Copy of current Louisiana registered nurse license (Valid 3 years – renewable) 2. Verification of two years of service as a registered nurse School Nurse- Type B 1. Official transcripts showing six (6) semester hours of nursing or health (Valid 5 years – renewable) 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 School Nurse- Type A 1. Official transcripts of baccalaureate degree in nursing or health related (Valid for life with continuous service) 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

School Psychologist- Provisional 1. Official transcript showing the completion of a bachelor’s degree from a (Valid 1 year, renewable once) 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 School Psychologist- Level B 1. Official transcript showing the completion of a master's or specialist (Valid 5 years) degree in School Psychology, including an internship earned at a regionally accredited college or university School Psychologist- Level A 1. Official transcript showing the completion of a doctorate degree in school (Valid 5 years) psychology, including an internship earned at a regionally accredited college or university School Psychology- Supervisor 1. Valid Type A or B school psychologist certificate (Valid as long as certificate is valid) 2. Verification of three years of supervised experience as a school psychologist; two years must have been in Louisiana Social Worker- Provisional 1. Official transcripts indicating master's degree in social work earned at a (Valid 3 years - nonrenewable) regionally accredited college or university 2. Copy of Louisiana Provisional Graduate Social Worker Certificate and verification that applicant will work under Licensed Social Worker Social Worker- Qualified 1. Official transcripts showing the completion of a master’s degree in social (Valid as long as individual holds a work earned at a regionally accredited college or university current license) 2. Copy of Louisiana Graduate Social Worker Certificate or Clinical Social Worker License 3. Verification of experience in a social worker setting Speech Pathologist Assistant 1. Official transcripts showing the minimum of a bachelor’s degree in (Valid for three years) 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 Speech Pathologist (Provisional) 1. Master’s degree in speech pathology earned at a regionally accredited (Valid for three years; nonrenewable) college or university Speech Pathologist (Qualified) 1. Master’s degree in speech pathology earned at a regionally accredited (Valid as long as individual holds a college or university current license) 2. Copy of current Louisiana licensure as a Speech Pathologist Speech Therapist 1. Official transcripts showing master’s degree in speech communication (Valid 3 years) 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 Talented 1. Verification from system that applicant will be employed to teach specific (Valid as long as individual remains in talented area same system) 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

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 or 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 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation

EXPERIENCE VERIFICATION FORM

PLEASE CHECK CATEGORY THAT APPLIES TO APPLICATION:

____ Higher Level Certificate1 ____ Administrative Experience ____ Out-of-State PRAXIS Exclusion2

____ 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/ Type of School Subject(s) POSITION DISTRICT/ NAME OF Grade School Private Taught (teacher, COUNTY SCHOOL Public Level(s) Year(s) School School Taught Taught principal, etc.)

1 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

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) Social Security Number:

______- ______-______ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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?______

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?

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

STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.louisianaschools.net

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 3 semester hours by those with a valid Louisiana teaching certificate and three years of successful teaching experience. 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) 342-3490 (or toll free at 1- 877-453-2721), or email [email protected] for assistance.

Revised 10/29/07

LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation P.O. Box 94064, Baton Rouge, LA 70804-9064

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: (____)______E-MAIL 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 DATE 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.

SIGNATURE OF TEACHER APPLICANT DATE I verify that I understand and meet all requirements for a CTTIE certificate and will follow prescribed renewal guidelines.

FOR OFFICE USE ONLY: SIGNATURE OF LA DEPT OF EDUCATION – DATE 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.

Revised 10/29/07

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 To Explanation of Duties (Month/Year) (Month/Year)

TEACHING EXPERIENCE

List Teaching Experience In The Section Below. Educational From To Subject Taught and/or Institution (Month/Year) (Month/Year) 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 10/29/07

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 ♦ Valid LA teaching certificate (Type A, B, Three (3) semester hours C, Level 1, 2, 3 or OS) and three years of successful teaching experience

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 for all instructors who do not hold a valid Louisiana teaching certificate and do not have three years of successful teaching experience) 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 Louisiana Technical College System Dr. Shelton Houston, Dept. Head Baton Rouge Campus Sowela Campus Dept. of Industrial Technology College of Engineering 3250 N. Acadian Thruway E. Dr. Clarence Hughes, Director of P. O. Box 42972 Baton Rouge, LA 70805 Occupational Education Lafayette, LA 70504-2972 Telephone (225) 359-9204 LTC-Sowela Campus Telephone (337) 482-6968 FAX (225) 359-9306 P. O. Box 16950 FAX (337) 482-6661 Lake Charles, LA 70616-6950 Contact: Dr. Herbert Hebert Contact: Lynn Hitchcock, Dean of Telephone (337) 491-2698 Instruction FAX (337) 491-2135

4. 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 10/29/07

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) Social Security Number: ______- ______-______

ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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?______

Revised 10/29/07 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.doe.state.la.us

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 3 semester hours by those with a valid Louisiana teaching certificate and three years of successful teaching experience. 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; Include verification of three years of successful teaching experience if a holder of a valid Louisiana Type C or Level 1 teaching 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) 342-3490 (or toll free at 1-877-453-2721), or email [email protected] for assistance.

“An Equal Opportunity Employer”

Revised 10/29/07 LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation P. O. Box 94064 Baton Rouge, Louisiana 70804-9064

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

LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION Revised 10/29/07

PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered)

NAME OF APPLICANT: (Including, First, Middle, and Married) Social Security Number: ______- ______-______

ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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?______

SIGNATURE OF APPLICANT: DATE:

Revised 10/29/07 STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.louisianaschools.net

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 3/10/2008

Level 2 and Level 3 teachers must complete 150 clock hours of professional development over a five- year time period in order to have a Level 2 or 3 Professional License renewed. A professional certificate will lapse (a) for disuse if the holder thereof allows a period of five consecutive calendar years to pass in which he/she is not employed as the teacher of record 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/her employ. Reinstatement of a lapsed certificate shall be made only upon evidence that the holder has earned six semester hours of resident, extension, or correspondence 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 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.

Requesting a Higher Type B, A, Level 1, Level 2, or Level 3 Certificate

Teachers with a Type C certificate must complete the Louisiana Assistance and Assessment Program and teach for three years in the certified area to receive a Type B Certificate. Teachers with a Type C or Type B Certificate are eligible for a Type A Certificate if they hold a master’s degree, teach for five years, and complete the Louisiana Assistance and Assessment Program. To request a higher level certificate, submit an official transcript (when applicable), completed application, completed experience verification form, and professional conduct form. A $25.00 fee is required. Teachers with a Level 1 Professional Certificate must complete the Louisiana Assistance and Assessment Program and teach for three years in the certified area 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 hold a master’s degree, teach for five years in the certified area, and complete the Louisiana Assistance and Assessment Program. To request a higher level certificate, submit an official transcript (when applicable), completed application, completed experience verification form, and professional conduct form. A $25.00 fee is required.

Evaluation and/or Addition of Endorsements To have additional teaching and/or administrative endorsements added to a teaching certificate, teachers should submit official transcripts and PRAXIS scores (if applicable), completed application, and professional conduct form. The required certification fee of $25.00 will allow this office to perform two evaluations and/or unlimited additions to the existing certificate. These evaluations and/or additions must be requested at the time of submission.

Verification of Educational Leadership Experience

Three alternate paths are available to individuals seeking Educational Leader Level 1 certification. Alternate path 2 is for persons who already hold a master’s degree in education and are seeking to add Educational Leader Level 1 certification to a valid teaching certificate. Eligibility requirements include the following: a)hold or be eligible to hold a valid LA 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; b) have previously completed a graduate degree program in education from a regionally accredited institution of higher education; c) have a passing score on the School Leaders Licensure Assessment (SLLA) in accordance with state requirements; and d) provide documented evidence of 240 clock hours or more of leadership experiences at the school and/or district level. A list of acceptable leadership experiences is provided within this packet. The applicant must utilize the options on this list in reporting his/her experiences on the Leadership Experience Verification Form provided. For each experience, the applicant must provide a brief description of the specific experience (using the form provided, not to exceed one page) and provide a letter of recommendation or artifact that speaks directly to that activity. The completed forms and artifacts and/or letters of recommendation must be submitted along with this application 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, 70804-9064.

The following items are required as a part of a complete application packet: 1. Application for Change and/or Action form with all information provided 2. Official transcript-if applicable (copies not acceptable) 3. Copy of marriage license (if applicable) 4. Experience Verification form signed by the appropriate employing authority verify teaching experience (if applicable) 5. Special Education Experience Verification form signed by the appropriate special education supervisor as well as the appropriate employing authority (if applicable) 6. Experience Verification form signed by the appropriate employing authority verifying administrative/supervisory experience (if applicable) 7. Professional Conduct form with all questions answered and signed and dated by the applicant; 8. 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 materials are received, the application packet will be evaluated for purposes of processing the requested action. We regret that we are unable to process application packets that are missing any of the required materials; incomplete packets will be returned to the employing school district or the applicant requesting the change on the certificate, identifying needed documentation to complete application. All paperwork that is submitted during an office business day will be dated and scheduled for processing with that daily correspondence.

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 www.teachlouisiana.net . ♦ Contact Information: If there are questions about requirements or the certification process, please contact your employing school district or the Division of Certification and Preparation at (225) 342-3490 (or toll free at 1-877-453-2721), or email [email protected] for assistance.

LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation

REQUEST FOR CERTIFICATION CHANGE AND/OR ACTION

Louisiana Certificate Type/Number: ______Social Security Number: ______- ______- ______

Name: ______Date of Birth: ______(First) (Middle) (Family) (Married)

Address : ______Home Phone #: (______) ______(Street) (City/State) (Zip Code)

E-Mail Address: ______Parish of Residence: ______

Check or List All That Apply Name Change: (name to be added or deleted) Added: (must include marriage license, birth certificate or court document showing name change) Name to be added: Deleted: (birth names cannot be removed without birth certificate or court document showing name change) Married name to be deleted: Addition of Degree(s): Master’s Degree Master’s Plus 30 graduate hours Specialist Degree Doctorate Degree Higher Certificate: (Applications for higher certificates must be sent directly from employing school system) Level 1 Type B or A Level 2 or 3 Addition of the following Secondary area(s) to Secondary certificates based on PRAXIS/NTE scores: 1. 2. Reinstatement of Certificate: Reinstate Type C, B, A, Level 1, 2, 3, Nonpublic Type B*, A*, Level 2*, or 3* and CTTIE Certificates (Applicant must show evidence of six semester hours completed within the past five year period when there has been a five year break in service) Reactivate Standard Certificate for One Year Duplicate Certificate: Last College attended: Date of Graduation:

Extension of Certificate: Extend Type C or Level 1, 2 or 3 Certificate. (For teacher who has not been out of teaching for any five year period) Reactivate Standard Certificate for One Year Evaluate for the following two (2) endorsement(s): 1. 2. Addition of the following area(s) or Endorsement(s): 1. 2.

Signature of Applicant: ______Date: ______Employing School or District: ______Signature of Employing School/School District: ______Date: ______

LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION AND PREPARATION APPLICATION FOR RENEWAL OF LEVEL 2 & 3, LEVEL 2* & 3* AND CTTIE LICENSES

PLEASE TYPE OR PRINT IN INK NAME OF APPLICANT: SOCIAL SECURITY NUMBER: DATE: (Including First, Maiden, and Married)

______/ ______/ ______/ ______/ ______

ADDRESS: LA CERTIFICATE NOW HELD:

Street City State Zip Type:______Number:______

CONTINUING LEARNING UNITS (CLUS) OF PROFESSIONAL DEVELOPMENT OR UNIVERSITY CREDITS

Method used to fulfill CLUs: Number of CLUs Earned College courses: Indicate the number of CLUs earned based upon the completion of coursework at a regionally accredited college or university (3 semester hours = 45 CLUs):

College Name: ______Course(s) Completed:______School and/or District Professional Development: Indicate the number of CLUs earned from participation in and completion of school and/or district level professional development activities. State Department Professional Development: Indicate the number of CLUs earned from participation in and completion of state level professional development activities. Other Providers: Indicate the number of CLUs earned from participation in and completion of professional development activities provided by entities other than colleges/universities, school districts or the State Department of Education. National Board Certification = 150 CLUs:

Submit copy of the NBC earned during the period of certificate validity

Total number of CLUs (must = 150) If an industry certification is required for the course(s) being taught, I hereby certify that I have maintained my industry certification in addition to the CLU requirement and, I hereby apply for the license renewal for which I am qualified.

Signature of Applicant: ______Date: ______

I hereby certify that all supporting records of CLU completion and college/university coursework completion are on file at the district office.

Signature of Employing District: ______Date: ______

LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation

EXPERIENCE VERIFICATION FORM

PLEASE CHECK CATEGORY THAT APPLIES TO APPLICATION: ____ Higher Level Certificate1 ____ Administrative Experience ____ Out-of-State PRAXIS Exclusion2 ____ 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/ Type of School Grade Subject(s) School Position DISTRICT/ NAME OF Public Private Level(s) Taught Year(s) (teacher, COUNTY SCHOOL School School Taught Taught principal, etc.)

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 ____

LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation

LEADERSHIP EXPERIENCE VERIFICATION FORM

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) p Code)

For purposes of obtaining an Educational Leader Level 1 certificate through alternate pathway #2, the applicant must provide documented evidence of 240 clock hours of leadership experiences. The applicant must complete the chart below providing the leadership experience reference number (from the attached list), the explicit number of hours dedicated to each experience, the site at which the experience occurred, the name of the supervisor, and the signature of the supervisor. In addition, for each experience, the applicant must provide a brief description of the specific experience (using the form provided, not to exceed one page) and provide a letter of recommendation or artifact that speaks directly to that activity. The completed forms and artifacts and/or letters of recommendation must be submitted along with this application. A list of acceptable leadership experiences is provided on page 2 of this form; the applicant must utilize the options on this list in reporting his/her experiences. Leadership Number Site of Experience Name of Supervisor Signature of Supervisor Experience of (include school, school district, city, & state) (Please type or print) Ref # Hours

If additional space is needed, please duplicate this sheet.

Original Signature of Current Employing Authority Title and District of Employing Authority

Original Signature of Applicant Date

EDUCATIONAL LEADERSHIP EXPERIENCES

Educational leadership experiences should provide leadership experiences at multiple levels (e.g. observation, participation, and leadership).

Reference Description of Activity (including reference to ELCC Standard, LA Ed Leader Standard, SREB Critical Number Success Factor, as appropriate)

1. Shadowed principal for the day, recorded and correlated principal’s activities to the Louisiana Standards for Educational Leaders; summarized and reflected on the principal’s activities based on a standard set of questions. (ELCC 1-6; LA 1-7) 2. Led an instructional committee that is part of a structured audit or re-examination with the potential re-crafting of a school’s vision or mission, perhaps in preparation for renewal of accreditation by a regional accreditation agency (e.g. SACS) or review by the state department of education. (ELCC 1; LA 1; CSF 1) 3. Led a district principals’ meeting and/or a state leadership conference and made a presentation on effective change practices. (ELCC 6; LA 4; CSF 8) 4. Led the development and scheduling of a special activity at the school. (ELCC 3; LA 3; CSF 10) 5. Led the school leadership team in conducting and analyzing purchases to determine alignment with student needs. (ELCC 3; LA 3; CSF 11) 6. Led the school’s preparation for a technical assistance visit by a comprehensive school reform group such as High Schools that Work, Making Middle Grades Work, Teacher Advancement Program. Worked with the school coordinator to assemble the needed documentation and develop the schedule. (ELCC 6; LA 7; CSF 1, 13) 7. Led a faculty study team in analyzing root causes of poor achievement in core areas such as literacy and numeracy; formulated and implemented a set of actions and assessed the results. (ELCC 2, 3; LA 2, 3; CSF 1,5) 8. Led a faculty study team in examining the effectiveness of lower level courses in advancing student achievement based on results; developed and implemented a plan of action for teaching these students at higher standards. (ELCC 5, 6; LA 4, 7; CSF 6) 9. Led the development of a school website or listserv discussion group devoted to sharing best practices among the faculty or communicating with the community. (ELCC 6; LA 7; CSF 6) 10. Led an articulation project with a feeder school in which the expectations to which the students were held in lower grades are shared with upper grade teachers, so that teachers can hold students to more rigorous expectations as they advance from grade to grade. (ELCC 6 ; LA 7; CSF 6) 11. Observed classrooms for evidence that faculty members have both high expectations for all students and provide consistent academic support to those who need it so they can be successful at an advanced level. Cite specific examples observed throughout the school. (ELCC 1; LA 1; CSF 1) 12. Observed classroom lessons with the principal and used the district’s observational documents and processes to participate in providing feedback to teachers about the extent to which their instruction is standards-based and engaging to students. (ELCC 2; LA 2, 5; CSF 3) 13. Led a professional development session on a new research-validated instructional strategy aligned with the school improvement plan. Follow up by coaching and providing feedback to a small group of teachers as they embed the new strategy into their instructional program. (ELCC 2; LA 2, 5; CSF 3) 14. Led a series of interviews with students focusing on their perceptions of the instructional strategies used by their teachers. Summarize conclusions for the principal. (ELCC 2; LA 2, 5; CSF 3) 15. Observed and interviewed staff development professionals to learn effective staff development strategies to train teachers. (ELCC 2; LA 5; CSF 9) 16. Participated in and critiqued the effective components of a professional development activity. (ELCC 2; LA 5; CSF 9)

17. Observed a teacher who makes excellent use of his/her time each period. (ELCC 2; LA 2; CSF 10) 18. Participated in a dialogue with students who are observed as not being actively involved in the classroom. (ELCC 2; LA 2; CSF 4) 19. Observed teachers using various qualitative and quantitative observation techniques to improve teaching skills. (ELCC 2; LA 2; CSF 2, 3, 5, 9) 20. Participated in clinical supervision cycle using qualitative and/or quantitative observation techniques to improve student learning. (ELCC 2; LA 2, 5; CSF 2, 3, 5, 9) 21. Participated in designing a survey for teachers to identify the types of direct assistance teachers desire from supervisors and from fellow teachers to support student learning, distributed the survey, collected and analyzed data. (ELCC 2; LA 2, 5; CSF 2, 3, 5, 9) 22. Participated in the development of a professional development workshop focused on research-based teaching strategies to meet the learning needs of students in your school. (ELCC 2; LA 2, 5; CSF 2, 3, 5, 9) 23. Participated in an interview of five teachers concerning a program innovation that is being proposed or introduced in your school; classify each teacher according to his or her stage of concern about the innovation. (ELCC 2; LA 2, 5; CSF 2, 3, 5, 9) 24. Led a student mentoring program to provide caring adult role models. (ELCC 1; LA 1; CSF 4) 25. Led and administered, analyzed and shared the results of a student satisfaction survey with appropriate groups. (ELCC 2, 5; LA 2, 7; CSF 4) 26. Led and designed a plan for teachers to share information gained at professional development meetings with appropriate members of the school staff. (ELCC 2; LA 2; CSF 3,5, 9) 27. Participated in the development of the master schedule. (ELCC 3; LA 3; CSF 10) 28. Led an explanation of the master schedule to the administration and faculty. (ELCC 3; LA 3; CSF 10) 29. Led preparation of a schedule that provides teams of teachers with common student time together to give extra help to students failing to meet course standards. (ELCC 3; LA 3; CSF 10) 30. Interviewed district-level fiscal personnel to learn how resources are acquired, allocated and inventoried. (ELCC 3; LA 3; CSF 11) 31. Led a faculty development (department level; grade level or whole school) of a grant application. (ELCC 3; LA 3; CSF 11) 32. Led by chairing one of the school’s annual fundraisers. (ELCC 3 ; LA 3; CSF 11) 33. Served as a school curriculum coordinator, content leader, master teacher, etc. 34. Served as a mentor teacher 35. Served as a school assistant principal or principal 36. Served as a district coordinator, master teacher, content leader 37. Other (must be specific)

BRIEF DESCRIPTION OF EDUCATIONAL LEADERSHIP EXPERIENCE

This form must be completed for each leadership experience identified in the chart found on the Leadership Experience Verification Form.

Leadership Experience Reference No: ______

Number of Hours: ______

Location/Site of Experience: ______

Briefly Describe the Leadership Experience (PLEASE TYPE YOUR EXPLANATION.) Description will vary depending on the particular activity/experience. The description should include such things as goals of the activity, outcomes of the activity, participants involved, lessons learned, and other pertinent information.

Remember that for each leadership experience, you must complete this description page and attach an artifact or letter of reference that speaks to the specific experience.

LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation

SPECIAL EDUCATION EXPERIENCE VERIFICATION FORM

(Inclusion Experience Only) PLEASE TYPE OR PRINT IN INK NAME OF APPLICANT: (Including First, Family, SOCIAL SECURITY NUMBER: DATE: and Married) ______- ______- ______ADDRESS: LA CERTIFICATE NOW HELD:

TYPE: Number:

Area of Special Education Requested: ______Experience Requirements:

A. Three years of successful teaching experience in the pursued area of special education certification as verified by the special education supervisor/director and the employing authority. OR B. At least one year of successful teaching experience in the pursued area of special education and two years of successful teaching as a regular education teacher teaching exceptional children in the pursued area of certification. As a regular education teacher, the applicant must have had responsibility for the implementation of the Individualized Education Program (IEP). Both the special education supervisor/director and the employing authority must verify this teaching experience.

TEACHING EXPERIENCE School Year School System Type of Class - - - RESPONSIBILITY FOR INDIVIDUALIZED EDUCATION PROGRAM Indicate the number and types of exceptional children for whom the applicant had responsibility for the implementation of the Individualized Education Program (IEP).

Number and Types of Exceptional Children School Year

Those signing below certify that the information listed above is accurate:

______Signature of Applicant Signature of Employing Authority ______Signature of Director/Supervisor of Date Special Education

THIS FORM MUST BE COMPLETED IN FULL AND SUBMITTED DIRECTLY BY THE CURRENT LOUISIANA EMPLOYING SCHOOL SYSTEM.

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) Social Security Number:

______- ______-______ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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?______

State of Conviction: _____ Court Jurisdiction of Conviction: ______

SIGNATURE OF APPLICANT: DATE:

§314. Extended Endorsement License (EEL) A. Extended Endorsement License (EEL)―issued for one school year, renewable annually, and may be held a maximum of three years while the holder pursues certification in the content area of the license. B. Eligibility Requirements―issued to an individual who meets the following requirements: 1. the individual holds a valid Louisiana teaching certificate of one of the following types: Level 1, Level 2, Level 3, Type A, Type B, Type C, OS; and 2. the individual has passed the current content area exam(s) appropriate for the content area in which the Extended Endorsement License is being requested; and, 3. the individual provides a detailed prescription that identifies any additional coursework or exams needed to complete the area/level certification endorsement and that is signed by the superintendent and the human resources director of the employing local education agency. C. Renewal Requirements. Teacher must successfully complete a minimum of nine credit hours of coursework per year, applicable toward certification in the content area of the license. 1. If fewer than nine hours are required to complete the certification, then all of the remaining hours must be taken. 2. 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. AUTHORITY NOTE: Promulgated in accordance with R.S. 17:6 (A)(10), (11), (15); R.S. 17:7(6); R.S. 17:10; R.S. 17:22(6); R.S. 17:391.1-391.10; R.S. 17:411.

STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.doe.state.la.us

REQUEST FOR EXTENDED ENDORSEMENT LICENSE

-TO BE SUBMITTED BY LOUISIANA EMPLOYING PUBLIC SCHOOL or 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 www.teachlouisiana.net 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 www.teachlouisiana.net) 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 www.teachlouisiana.net.

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.

“An Equal Opportunity Employer” Revised 1/4/2008

LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation

APPLICATION for INITIAL EXTENDED ENDORSEMENT LICENSE

SCHOOL SESSION ______- ______

District Name: ______Name of School: ______

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 Principal or Superintendent Date

I hereb y certify that I have been informed of all stipulations of this certificate and understand all renewal guidelines.

______Signature of Applicant Date

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 Individual holds a 1. Teacher must submit a prescription/outline of course Louisiana teaching Louisiana teaching work required for add-on certification in the area(s) of certificate. Type A, B, C, certificate, but is teaching the teaching assignment (use Add-On Evaluation Level 1, 2, 3, or OS. outside of the certified chart available on www.teachlouisiana.net) signed by area. the Superintendent and the Human Resources Director of the employing local education agency; and -And- Individual has passed the 2. Successfully complete a minimum of nine credit hours current PRAXIS content per year of courses that lead toward certification area exam(s) appropriate requirements in the area(s) in which he/she is for the content area(s) teaching. being requested. 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.

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) Social Security Number: ______- ______-______

ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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.

STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.doe.state.la.us

Request for Renewal of the Extended Endorsement License

-TO BE SUBMITTED BY LOUISIANA EMPLOYING PUBLIC SCHOOL or 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 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 Form for EEL Renewal with all information provided; 2. Complete Professional Conduct form with all questions answered and signed by the applicant; 3. Official Transcript from a regionally accredited college or university showing the completion of nine semester hours for certification or; 4. Original PRAXIS exam score card must be provided if the score do not appear on www.teachlouisiana.net.

“An Equal Opportunity Employer” Revised 3/12/2008

LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation

Renewal Application Extended Endorsement License

SCHOOL SESSION ______- ______

District Name: ______Name of School: ______

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:

1. 2.

The employing district must submit an official transcript showing the completion of nine 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 EEL certificate or the newly requested EEL area(s). Please check the appropriate box indicating which guidelines have been completed for renewal of EEL certificate:

PRAXIS/NTE Score Report showing all required exam(s) attempted at least once per year or;

Official transcripts showing the completion of nine 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 EEL certificate only in the area(s) for which applicant has been hired.

______Signature of Human Resource Director Date

______Signature of Principal or Superintendent Date

I hereb y certify that I have been informed of all stipulations of this certificate and understand all renewal guidelines.

______Signature of Applicant Date

Extended Endorsement License (EEL) Hiring Conditions and Renewal Guidelines

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) Social Security Number: ______- ______-______

ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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.

STATE OF LOUISIANA POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 DEPARTMENT OF EDUCATION Toll Free #: 1-877-453-2721 http://www.doe.state.la.us

REQUEST FOR FOREIGN LANGUAGE ELEMENTARY

SPECIAL PK – 8 CERTIFICATION

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 All information should be mailed to: Division of Certification and Preparation, LA Department of Education, P. O. Box 94064, Baton Rouge, LA, 70804-9064.

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

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 e-mail either the office of Certification and Preparation at (225) 342-3490, 1-877-453- 2721 (this is a toll free number for U.S. residents only), or Terri Hammatt, at (225) 342-3946, [email protected] or David Beste at (225) 342-3946, [email protected].

LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation P. O. Box 94064 Baton Rouge, LA 70804-9064

APPLICATION FOR FOREIGN LANGUAGE ELEMENTARY SPECIAL PK – 8 CERTIFICATION

Social Security Number: __ __ Date of Birth: M / D / Y Name

(First) (Middle) (Maiden) (Married) Address (Street) (City) (Zip Code)

Parish of Residence:

Certification Requested in: French _____ Spanish _____ (Check those that apply)

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 Date Division of Student Standards and Assessments

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) Social Security Number: ______- ______-______

ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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?______

SIGNATURE OF APPLICANT: DATE:

STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.louisianaschools.net

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 or World Education Services (WES). The applicant shall submit his/her credentials to (AACRAO) or (WES), for evaluation, at the following addresses:

AACRAO WES One Dupont Circle, NW Bowling Green Station Suite #520 P. O. Box 5087 Washington, D.C. 20036-1135 New York, NY 10274-5087 Phone: (202) 296-3359 Phone: (212) 966-6311 FAX (202) 872-8857 FAX: (212) 739-6100 http://www.aacrao.org/credential/ www.wes.org

The original evaluation from AACRAO or WES 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 2/7/08

Application Process All information should be mailed to: Division of Certification and Preparation LA Department of Education P. O. Box 94064 Baton Rouge, LA 70804-9064 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 or WES (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 www.teachlouisiana.net .

♦ Contact Information: If there are questions about requirements or the certification process, please contact the Division of Certification and Preparation at (225) 342-3490 or 1-877-453-2721 (this is a toll free number for U.S. residents only) or email [email protected] for assistance.

Toll Free #: 1-877-453-2721 http://www.louisianaschools.net

LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation Out-of-State Application for Teaching Certificate

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 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:______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.

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 0710 172 Effective 1/16/02 PPST:W – Pre-Professional Skills Test: Writing 0720 171 PPST:M – Pre-Professional Skills Test: Mathematics 0730 170

0710 174 Effective 7/1/07 0720 173 0730 172

0710 176 Effective 7/1/10 0720 175 0730 175

PPST:R – Pre-Professional Skills Test: Reading 5710 172 Effective 1/16/02 PPST:W – Pre-Professional Skills Test: Writing 5720 171 PPST:M – Pre-Professional Skills Test: Mathematics 5730 170

5710 174 Effective 7/1/07 5720 173 5730 172

5710 176 Effective 7/1/10 5720 175 5730 175

Core Battery Exams Communications Skills (CS) 0500 645 Prior to 9/1/99 General Knowledge (GK) 0510 644 Professional Knowledge (PK) 0520 645

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.

CONTENT AND PEDAGOGY REQUIREMENTS Content Pedagogy: Principles of Learning & Certification Name of Praxis Test Exam Teaching Area Score PLT K-6 PLT 5-9 PLT 7-12 (#0522) (#0523) (#0524) Early Childhood PK-3 Elementary Content Knowledge (0014) Prior to 5/31/04 147 Prior to 6/1/04: PLT K-6 or ECE 0020; Effective 6/1/04 150 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 5/31/04 147 161 ------Effective 6/1/04 150 Grades 4-8 Generic Middle School: Content Knowledge (0146) 150 --- 154 --- 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) 148 --- 154 --- Grades 4-8 Science Middle School Science (0439) Prior to 5/31/2006 140 --- 154 --- Effective 6/1/2006 145 Effective 6/1/2009 150 Grades 4-8 Social Studies Middle School Social Studies (0089) 149 --- 154 ---

Grades 4-8 English/Language Middle School English/Language Arts (0049) 160 --- 154 --- Arts GRADES 6-12 CERTIFICATION AREAS Score PLT 7-12 Agriculture Agriculture (0700) Effective 7/1/05 510 ------161

Business Business Education (0100) Prior to 5/31/04 540 ------161 Effective 6/1/04 570 English English Language, Literature, & Composition: Content Knowledge (0041) 160 Pedagogy (0043) 130 ------161 Family & Consumer Sciences (formerly Home Economics) Family & Consumer Sciences (0120) 510 ------161 French French (0170) Prior to 5/31/04 520 ------161 French: Content Knowledge (0173) Effective 6/1/04 156 German German (0180) Prior to 6/30/06 500 ------161 German: Content Knowledge (0181) Effective 7/1/06 151 Mathematics Mathematics (0060) Prior to 5/31/04 550

Mathematics: Content Knowledge (0061) Effective 6/1/04 125 ------161 Effective 6/1/07 130 Effective 6/1/10 135 School Librarian Library Media Specialist (0310) 560 ------Social Studies Social Studies: 161 Content Knowledge (0081) 149 ------Interpretation of Materials (0083) 152 Science Areas Biology Biology & General Science (0030) Prior to 6/30/05 580 ------161 Biology: Content Knowledge (0235) Effective 7/1/05 150 Chemistry Chemistry/Physics/General Science (0070) Prior to 6/30/06 530 161 Chemistry: Content Knowledge (0245) Effective 7/1/06 151 Earth Science None Available** 161 Environmental None Available** 161 General Science General Science: Content Knowledge (0435) Effective 7/1/05 156 161 ------Biology & General Science (0030) Prior to 6/30/05 580 or 530 Chemistry/Physics/General Science (0070) Prior to 6/30/06 Physics Chemistry/Physics/General Science (0070) Prior to 6/30/06 530 161 Physics: Content Knowledge (0265) Effective 7/1/06 141 Spanish Spanish (0190) Prior to 5/31/04 540 ------161 Spanish: Content Knowledge (0191) Effective 6/1/04 160 Speech Speech Communications (0220) Effective 7/1/05 575 ------161 Technology Education ------161 (formerly Industrial Arts) Technology Education (0050) Effective 7/1/05 600 Computer Science, Journalism At this time, a content area exam is not required for ------161 Latin, Marketing (formerly certification in Louisiana. Distributive Education)

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 7/1/05 155 161 or 154 or 161 Grades K-12 Dance None Available** --- 161 or 154 or 161 French: Content Knowledge (0173) Effective 6/1/04 156

German: Content Knowledge (0181) Effective 7/1/06 151 Grades K-12 Foreign Languages Spanish: Content Knowledge (0191) Effective 6/1/04 160 161 or 154 or 161

Grades K-12 Music Music: Content Knowledge (0113) Effective 6/1/04 151 161 or 154 or 161 Grades K-12 Health Phys. Education: Content Knowledge (0091) 161 or 154 or 161 and Physical Education Effective 6/1/04 146

**At this time, a content area exam is not required for certification in Louisiana.

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 7/1/05 150 Content Knowledge (0353) Effective 6/1/04 143

Educ. of Exceptional Students: Core Content Knowledge 143 (0353) & Early Childhood Education (0020) Effective 7/1/05 510

Educ of Exceptional Student: Core Content Knowledge (0353) & 143 PLT: Early Childhood (0521) PROPOSED Effective Date: 1/1/08 172 Hearing Impaired Elementary Education: Content Knowledge Educ. of Exceptional Students: Core Content Knowledge (0353) & 143 (0014) Effective 7/1/05 150 Educ. of Deaf and Hard of Hearing Students (0271) 160 Effective 6/1/04 Mild to Moderate Effective 6/1/04 ALL Candidates must pass a content area *Educ. of Exceptional Students: Core Content Knowledge (0353) & 143 Disabilities exam appropriate to certification level 1-5, 4-8, 6-12 Educ. of Exceptional Students: Mild/Moderate Disabilities (0542) 141 (e.g., 0014, or core subject-specific exams for middle or Effective 1/1/05 secondary grades) Prior to 6/1/04, a content area exam was required only for *Note: (0353) and (0542) are not content area exams. entry into a Mild/ Moderate 1-12 Practitioner Teacher Program, Non-Master’s Certification-Only Alternate Program, and Master’s Alternate Program. Significant Disabilities Elementary Education: Content Knowledge Educ. of Exceptional Students: Core Content Knowledge (0353) & 143 (0014) Effective 7/1/05 150 Educ. of Exceptional Students: Severe to Profound Disabilities (0544) 147 Effective 6/1/04 Visual Elementary Education: Content Knowledge Impairments/Blind (0014) Effective 7/1/05 150 Educ. of Exceptional Students: Core Content Knowledge (0353) Effective 6/1/04 143

ADMINISTRATIVE AREAS

Certification Area Name of Praxis Test Area Test Score Principal Educational Leadership: Administration & Supervision (0410) Prior to 1/1/09 620 Or School Leaders Licensure Assessment (1010) Effective 7/1/06 168 Educational Leader – Level 1 School Leaders Licensure Assessment (1010) Effective 7/1/06 168 Educational Leader – Level 3 School Superintendent Assessment (1020) Effective 7/1/06 154 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.

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) Social Security Number:

______- ______-______ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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?______

State of Conviction: _____ Court Jurisdiction of Conviction: ______

SIGNATURE OF APPLICANT: DATE:

STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.louisianaschools.net

OUT-OF-STATE ADMINISTRATIVE CERTIFICATION PACKET

Dear Prospective Louisiana Educational Leader: We are pleased that you are interested in obtaining a Louisiana leadership certificate. The instructions outlined in this application packet are designed to facilitate the process of obtaining your Louisiana certificate. Louisiana Certification Louisiana offers two types of leadership certificates to applicants holding a out-of-state administrative certificates. 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. Out-of-State Principal Level 1 (OSP1) certificate is a standard, three-year, non-renewable Louisiana certificate issued to an individual who holds out-of-state certification as a principal (or comparable educational leader certificate) and has not met Louisiana’s Praxis and/or NTE requirements. It authorizes the individual to serve as a principal in a Louisiana public school system, and is issued when the individual anticipates immediate administrative employment in a Louisiana public school system. 2. Out-of-State Principal Level 2 (OSP2) certificate is valid for five years and is renewable every five years, based upon successful completion and verification of required continuing learning units. It authorizes the individual to serve as a principal in a Louisiana public school system and is issued when the individual anticipates immediate administrative employment in a Louisiana public school system. 3. Out-of-State Superintendent (OSS) certificate is valid only for the employing Louisiana public school district requesting its issuance. It is valid for five years from date of first appointment as a superintendent and is renewable every five years. Exemption from PRAXIS and/or NTE Requirements Applicants who meet the eligibility requirements shall not have to complete the required examinations or submit scores from any examinations previously taken in another state as a prerequisite to the granting of certification as Out-of-State principal level 2 (OSP2), provided that: a. The applicant completes one year of employment as a principal in a Louisiana public school system while holding the three-year OSP1 certificate; and b. The local superintendent (or designee) of the employing Louisiana public school system has recommended him/her for continued administrative employment in the following school year.

Eligibility for a Louisiana Administrative Certificate The type certificate issued is based upon verification of the completion of guidelines approved by the State Board of Elementary and Secondary Education. The guidelines for each type of certificate are listed as follows:

“An Equal Opportunity Employer” Revised 10/11/06

Out-of-State Principal Level 1 (OSP1) - Standard, three-year, non-renewable certificate 1. Eligibility requirements: a. a valid out-of-state certificate as a principal or comparable educational leader certificate; b. a minimum of four years of successful experience as a principal in another state, as verified by the previous out-of-state school district(s) from satisfactory annual evaluation results; and c. the candidate meets all other requirements for a Louisiana certificate as required by law or board policy. 2. An applicant who meets the above-stated eligibility requirements shall not have to complete the required examinations (School Leaders Licensure Assessment (1010) – Score 168) or to submit scores from any examinations previously taken in another state as a prerequisite to the granting of certification as Out-of-State principal level 2 (OSP2), provided that: a. the applicant completes one year of employment as a principal in a Louisiana public school system while holding the three-year OSP1 certificate; and b. the local superintendent (or designee) of the employing Louisiana public school system has recommended him/her for continued administrative employment in the following school year. 3. Upon employment as a principal or an assistant principal in a Louisiana public school system, an individual holding an OSP1 certificate must enroll or be enrolled in the state-approved Educational Leader Induction Program under the direction of the Louisiana Department of Education. The individual has three years to complete the induction program.

Out-of-State Principal Level 2 (OSP2) - Valid for five years and is renewable every five years 1. Eligibility requirements: a. a valid OSP1 certificate and satisfaction of Louisiana Praxis and/or NTE requirements (School Leaders Licensure Assessment (1010) – Score 168); b. completed the Educational Leader Induction Program under the administration of the Louisiana Department of Education: 1) the induction period begins upon the candidate’s first full-time administrative appointment (permanent or acting) as an assistant principal or principal, and 2) the Educational Leader Induction Program must be completed within a three year period; and c. three years of educational leadership experience at the level of assistant principal or above.

Out-of-State Superintendent (OSS) - Valid for five years and is renewable every five years 1. Eligibility requirements: a. employed by a Louisiana public school system to serve as a superintendent or an assistant superintendent; b. a valid teaching certificate from another state with authorization to serve as a school superintendent; c. a master’s degree from a regionally accredited institution of higher education; d. 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 e. five years of successful teaching experience in a properly certified field.

Application Process All information should be mailed to: Division of Certification Preparation, LA Department of Education, P. O. Box 94064, Baton Rouge, LA, 70804-9064. The following items are required as part of a complete application packet: 1. Out-of-State Administrative Application 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 (For OSS certificate only); 4. Experience Verification form signed by the appropriate employing authority. The form is submitted to provide evidence of teaching and administrative experience; 5. Professional Conduct form with all questions answered, and signed and dated by the applicant; 6. Original Praxis/NTE score report (if applicable); and 7. $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 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. 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 www.teachlouisiana.net.

♦ Contact Information: If there are questions about requirements or the certification process, please contact the Division of Certification and Preparation at (225) 342-3490 (or toll-free at 1-877-453-2721) or e-mail [email protected] for assistance.

LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation Out-of-State Application for Administrative Certificate

Initial Administrative Certificate Requested:

____ Principal Level 1 (OSP1) ____ Principal Level 2 (OSP2) ____ Superintendent (OSS)

Renewal of Administrative Certificate: ____ Principal Level 2 (OSP2) ____ Superintendent (OSS)

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: (____)______E-Mail Address: ______Parish of Residence: ______

EDUCATIONAL QUALIFICATIONS Degree(s) Earned Institution(s) Date Degree(s) Earned

PRAXIS/NTE scores to be reported directly by ETS: _____ Yes _____ No

Signature of Applicant: ______Date: ______

To be used by Certification Office Only: NASDTEC Clearinghouse Search: Yes ___ No___ Supervisor: ______Date:______

LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation

EXPERIENCE VERIFICATION FORM

PLEASE CHECK CATEGORY THAT APPLIES TO APPLICATION:

____ Principal Certificate Level 1 (OSP1) ____ Principal Certificate Level 2 (OSP2)

____ Superintendent (OSS) ____ Out-of-State PRAXIS Exclusion1

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/ Type of School Grade Subject(s) School POSITION DISTRICT/ NAME OF Public Private Level(s) Taught Year(s) (teacher, COUNTY SCHOOL School School Taught Taught principal, etc.)

1 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

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 Social Security Number: Married) ______- ______-______

ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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?______

State of Conviction: _____ Court Jurisdiction of Conviction: ______

SIGNATURE OF APPLICANT: DATE:

STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.louisianaschools.net

OUT-OF-STATE CERTIFICATION APPLICATION PACKET 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 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 approve public or approve nonpublic 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 9/11/08

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-of- state 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 year 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. Effective spring 2005, any teacher from another state who provides evicence of National Board for Professional Teaching Standards (NBPTS) Certification will be excluded from LaTAAP. The NBPTS teacher must submit the Out of State Exclusion Request Form and a copy of the valid NBPTS Certificate to his/her employing 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, 70804-9064. 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.

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 www.teachlouisiana.net.

♦ Contact Information: If there are questions about requirements or the certification process, please contact the Division of Certification and Preparation at (225) 342-3490 (or toll free at 1-877-453-2721) or email [email protected] for assistance.

Toll Free #: 1-877-453-2721 http://www.louisianaschools.net LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation Out-of-State Application for Teaching Certificate

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

Signature of Applicant: ______Date: ______

To be used by Certification Office Only: NASDTEC Clearinghouse Search: Yes ___ No___ Supervisor: ______Date:______

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 _____

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.

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.

LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation

EXPERIENCE VERIFICATION FORM

PLEASE CHECK CATEGORY THAT APPLIES TO APPLICATION:

____ Higher Level Certificate1 ____ Administrative Experience ____ Out-of-State PRAXIS Exclusion2

____ 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/ Type of School Grade Subject(s) School POSITION DISTRICT/ NAME OF Public Private Level(s) Taught Year(s) (teacher, COUNTY SCHOOL School School Taught Taught principal, etc.)

1 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 approved public or approve nonpublic 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. 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 ____

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 Social Security Number: Married) ______- ______-______

ADDRESS: DATE OF BIRTH:

Please Check Each Question must be answered: 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?______

State of Conviction: _____ Court Jurisdiction of Conviction: ______

SIGNATURE OF APPLICANT: DATE:

LOUISIANA REQUIREMENTS—PRAXIS/NTE SCORES

PRE-PROFESSIONAL SKILLS TESTS “Paper Administrations” (Required for all Louisiana candidates to enter teacher preparation programs.)

0710 174 Effective 7/1/07 0720 173 0730 172

0710 176 Effective 7/1/10 0720 175 0730 175

PRE-PROFESSIONAL SKILLS TESTS “Computer Based Administrations” PRE-PROFESSIONAL SKILLS TEST Test # Score Effective Date PPST:R – Pre-Professional Skills Test: Reading 0711 319 PPST:W – Pre-Professional Skills Test: Writing 0721 316 Prior to1/16/02 PPST:M – Pre-Professional Skills Test: Mathematics 0731 315 PPST:R – Pre-Professional Skills Test: Reading 5710 172 Effective 1/16/02 PPST:W – Pre-Professional Skills Test: Writing 5720 171 PPST:M – Pre-Professional Skills Test: Mathematics 5730 170

5710 174 Effective 7/1/07 5720 173 5730 172

5710 176 Effective 7/1/10 5720 175 5730 175

Core Battery Exams Communications Skills (CS) 0500 645 Prior to 9/1/99 General Knowledge (GK) 0510 644 Professional Knowledge (PK) 0520 645

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.

CONTENT AND PEDAGOGY REQUIREMENTS Content Pedagogy: Principles of Learning & Certification Name of Praxis Test Exam Teaching Area Score PLT K-6 PLT 5-9 PLT 7-12 (#0522) (#0523) (#0524) Early Childhood PK-3 Elementary Content Knowledge (0014) Prior to 5/31/04 147 Prior to 6/1/04: PLT K-6 or ECE 0020; Effective 6/1/04 150 After 5/31/04: Early Childhood Education 0020 (Score 510) Grades 1-5 Elementary Content Knowledge (0014) Prior to 5/31/04 147 161 ------Effective 6/1/04 150 Grades 4-8 Generic Middle School: Content Knowledge (0146) 150 --- 154 --- 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) 148 --- 154 --- Grades 4-8 Science Middle School Science (0439) Prior to 5/31/2006 140 --- 154 --- Effective 6/1/2006 145 Effective 6/1/2009 150 Grades 4-8 Social Studies Middle School Social Studies (0089) 149 --- 154 ---

Grades 4-8 English/Language Middle School English/Language Arts (0049) 160 --- 154 --- Arts

GRADES 6-12 CERTIFICATION AREAS Score PLT 7-12 Agriculture Agriculture (0700) Effective 7/1/05 510 ------161

Biology Biology & General Science (0030) Prior to 6/30/05 580 ------161 Biology: Content Knowledge (0235) Effective 7/1/05 150 Business Business Education (0100) Prior to 5/31/04 540 ------161 Effective 6/1/04 570 Chemistry Chemistry/Physics/General Science (0070) Prior to 6/30/06 530 161 Chemistry: Content Knowledge (0245) Effective 7/1/06 151 English English Language, Literature, & Composition: Content Knowledge (0041) 160 Pedagogy (0043) 130 ------161 Family & Consumer Sciences (formerly Home Economics) Family & Consumer Sciences (0120) 510 ------161 French French (0170) Prior to 5/31/04 520 ------161 French: Content Knowledge (0173) Effective 6/1/04 156 General Science Biology & General Science (0030) –OR— 580 Chemistry/Physics/General Science (0070) Prior to 6/30/05 530 ------161

General Science: Content Knowledge (0435) Effective 7/1/05 156 German German (0180) 500 ------161 German: Content Knowledge (0181) Effective 7/1/06 151 Mathematics Mathematics (0060) Prior to 5/31/04 550

Mathematics: Content Knowledge (0061) Effective 6/1/04 125 ------161 Effective 6/1/07 130 Effective 6/1/10 135 Physics Chemistry/Physics/General Science (0070) Prior to 6/30/06 530 161 Physics: Content Knowledge (0265) Effective 7/1/06 141 School Librarian Library Media Specialist (0310) 560 ------Social Studies Social Studies: 161 Content Knowledge (0081) 149 ------Interpretation of Materials (0083) 152 Spanish Spanish (0190) Prior to 5/31/04 540 ------161 Spanish: Content Knowledge (0191) Effective 6/1/04 160 Speech Speech Communications (0220) Effective 7/1/05 575 ------161 Technology Education ------161 (formerly Industrial Arts) Technology Education (0050) Effective 7/1/05 600 Computer Science ------161 Earth Science At this time, a content area exam is not required for Environmental Science certification in Louisiana. Journalism Latin Marketing (formerly Distributive Education)

German (0180) 500 Grades K-12 Foreign German: Content Knowledge (0181) Effective 7/1/06 151 Languages Spanish (0190) Prior to 5/31/04 540 161 or 154 or 161 Spanish: Content Knowledge (0191) Effective 6/1/04 160 Grades K-12 Music Music Education (0110) Prior to 5/31/04 530 161 or 154 or 161 Music: Content Knowledge (0113) Effective 6/1/04 151 Grades K-12 Health and Physical Education (0090) Prior to 5/31/04 550 161 or 154 or 161 Physical Education Phys. Education: Content Knowledge (0091) Effective 6/1/04 146 **At this time, a content area exam is not required for certification in Louisiana.

SPECIAL EDUCATION AREAS Area Content Exam Score Pedagogy Requirement Score

Educ. of Exceptional Students: Core Content Knowledge 143 (0353) & Early Childhood Education (0020) Effective 7/1/05 510 Hearing Impaired Elementary Education: Content Knowledge Educ. of Exceptional Students: Core Content Knowledge (0353) & 143 (0014) Effective 7/1/05 150 Educ. of Deaf and Hard of Hearing Students (0271) 160 Effective 6/1/04 Mild to Moderate Effective 6/1/04 ALL Candidates must pass a content area *Educ. of Exceptional Students: Core Content Knowledge (0353) & 143 Disabilities exam appropriate to certification level 1-5, 4-8, 6-12 Educ. of Exceptional Students: Mild/Moderate Disabilities (0542) 141 (e.g., 0014, or core subject-specific exams for middle or Effective 1/1/05 secondary grades) Prior to 6/1/04, a content area exam was required only for *Note: (0353) and (0542) are not content area exams. entry into a Mild/ Moderate 1-12 Practitioner Teacher Program, Non-Master’s Certification-Only Alternate Program, and Master’s Alternate Program. Significant Disabilities Elementary Education: Content Knowledge Educ. of Exceptional Students: Core Content Knowledge (0353) & 143 (0014) Effective 7/1/05 150 Educ. of Exceptional Students: Severe to Profound Disabilities (0544) 147 Effective 6/1/04 Visual Elementary Education: Content Knowledge Educ. of Exceptional Students: Core Impairments/Blind (0014) Effective 7/1/05 150 Content Knowledge (0353) Effective 6/1/04 143

ADMINISTRATIVE AREAS

Certification Area Name of Praxis Test Area Test Score Principal Educational Leadership: Administration & Supervision (0410) Prior to 1/1/09 620 Educational Leader – Level 1 School Leaders Licensure Assessment (1010) Effective 7/1/06 168 Educational Leader – Level 3 School Superintendent Assessment (1020) Effective 7/1/06 154 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.

STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.louisianaschools.net

PROGRAM REGULATIONS FOR THE TUITION EXEMPTION AND STIPEND PROGRAM FOR TEACHER AIDES AND PARAPROFESSIONALS

I. Program Purpose

The Tuition Exemption and Stipend program for Teacher Aides and Paraprofessionals is a program designed to assist teacher aides and other paraprofessionals who work in state- approved elementary and secondary schools to meet the qualifications for certification as a teacher.

II. Participant Eligibility

A. Teacher aides and paraprofessionals who meet all of the following criteria are eligible to participate.

1. Must not have committed any crime that would result in the denial of a teaching certificate. 2. Must be employed on a full-time basis in a state-approved public or nonpublic elementary or secondary school under the jurisdiction of the State Board of Elementary and Secondary Education.* 3. Must be assigned to one or more specific teachers or schools on a full-time basis to assist with classroom instruction and with other duties related to the instruction of students.* 4. Must have been admitted to an approved teacher education program in a college of education at a public college or university in the state or at a nonpublic institution listed in R.S. 17:7.3 (A) (1). 5. Must have achieved the required scores on the appropriate teacher examination required for entry into a teacher education program. 6. Agrees to practice his or her profession in the public elementary or secondary schools of Louisiana for at least two consecutive years after completion of all required courses for certification and upon becoming certified as a teacher.

*Exceptions for #2 and #3 are appropriate during the semester in which the participant is student teaching.

B. Ineligible Participants

1. Classroom teacher 2. Pupil appraisal personnel 3. Ancillary personnel who do not hold a Louisiana Teaching Certificate 4. Administrator/Supervisor/Counselor 5. Adult education teacher/Teacher in institution offering grades 13-14

“An Equal Opportunity Employer”

6. Other non-instructional personnel 7. Full-time religion teacher 8. Applicant in default to the State of Louisiana for the Education Majors/Post- Baccalaureate Scholarship Program or the Tuition Exemption Program for Teacher Aides and Paraprofessionals 9. Person receiving retirement benefits from a state retirement system

III. Required Course Work/Documentation Required

A. Eligible Courses

1. Participants are eligible for course work prescribed for certification by the dean of the college of education at a Louisiana college or university with an approved teacher education program. 2. Participants must submit an outline of the course work required for certification signed by the dean of the college of education at the college or university. Tuition exemption may be used only for the courses required for certification as outlined by the college of education.

B. Ineligible Courses

1. State funds for tuition exemption may not be used for courses in theology and divinity or for courses that are not listed on the outline of course work required for certification as signed by the dean of the college of education at the college or university.

IV. Course Load Per Semester/Session (The number of courses approved for reimbursement will depend upon available funds.)

A. Participants may pursue

1. One course in the fall or winter session 2. One course in the spring semester 3. Two courses in the summer session

B. Upon approval of the local school superintendent, participants may take

1. Two additional courses in the fall or winter session 2. Two additional courses in the spring semester 3. Two additional courses in the summer session

V. Tuition

A. Paid by the State: The academic registration fee and building use fee per semester hour. The amount paid by the state for any tuition imposed by a nonpublic college shall not be greater than the highest tuition charged by a public college or university for the current semester.

B. Paid by Participant: Other mandated fees charged by universities.

C. Reimbursement shall be made to the colleges and universities by the State Department of Education.

VI. Stipend

A. In addition to tuition exemption, each eligible participant shall receive a stipend at the end of the semester or quarter in which the participant performs his/her student teaching, if funds are available. This stipend will be an amount equal to the salary that would otherwise have been paid by the employing school system if the individual were not participating in the program. The stipend will be paid based on the date that the completed application is received until the funds are depleted.

B. The following documentation must be provided by the participant in order to be deemed eligible to receive the stipend:

1. A statement from the personnel director of the school system by which the participant was most recently employed, stating that the participant would be employed as a paraprofessional if not enrolled in student teaching and the annual salary the individual would be eligible to receive; and 2. A statement of the participant’s student teaching assignment (location and cooperating teacher) from the dean of the college where the participant is enrolled; and 3. A follow-up form by the university stating that the applicant successfully completed student teaching.

VII. Application Process

A. Distribution. Application forms will be distributed to the 68 city/parish superintendents’ offices, the diocesan superintendents’ offices, and Superintendent of Special School District #1, the School for the Deaf, the Louisiana School for the Visually Impaired, charter schools, the Louisiana Special Education Center, the director of the correctional institutions, principals of state-approved, non-diocesan nonpublic schools, and university colleges of education and financial aid offices.

B. Submission Procedures

1. Participants will be required to complete a formal application for tuition exemption on forms prescribed by the State Department of Education. Section I of the form is to be completed by the applicant. 2. Section II of the form is to be completed by the school principal. The superintendent must sign the application if more than one course is requested in the fall or spring semester or more than two courses in the summer session. 3. Section III of the form is to be completed and approved by the dean of the college of education or his designee. Applications are then submitted to the State

3 Department of Education by the college/university, along with the outline of the course work required for certification signed by the dean of the college of education or his/her designee. 4. If an applicant drops a course and/or adds a course, this change must be made on the Tuition Exemption Application Form within 10 days after the first day of class and before the applications are submitted to the State Department of Education. 5. See Section C for deadlines.

C. Deadlines

1. Application forms for the regular semester, quarter, or summer session must be submitted to the specific university official at the time of registration. Courses eligible for reimbursement shall be courses for credit that begin and end within a regular semester or quarter session and that meet the time requirements established by the Board of Trustees for the state’s colleges and universities. 2. Application forms for classes for which registration is held at a time later than regular registration must be submitted during registration or on the first day of the class. Universities will submit these application forms as a supplemental billing.

D. Appeal Procedures

1. Applications denied for the following reasons are ineligible for appeal:

a) The applicant is ineligible to participate. b) The application was submitted after the deadline. c) The application form is incomplete or inaccurate. d) The applicant requests an ineligible course. e) Funds are not available. f) The applicant is employed in a school that is not state approved. g) The application is denied by the university.

2. Any applicant denied for reasons other than those listed above, may appeal the denial in writing to Louisiana Department of Education, Certification and Preparation, P.O. Box 94064, Baton Rouge, LA 70804-9064, within 15 days of the notification of denial.

3. Any applicant denied tuition exemption by the State Department of Education, Certification and Preparation may appeal to the State Board of Elementary and Secondary Education. The applicant must submit the following:

a) A copy of the letter of denial from the SDE; b) A copy of the application form; and c) A letter of justification for the appeal to the Executive Director of the State Board of Elementary and Secondary Education, P.O. Box 94064, Baton Rouge, LA 70804-9064, no later than 15 days following the notification of denial from the State Department of Education.

4 VIII. Participating Universities. Tuition reimbursement shall be limited to the following Louisiana colleges and universities:

Public Nonpublic Grambling State University Centenary College Louisiana State University—Alexandria Dillard University Louisiana State University—Baton Rouge Louisiana College Louisiana State University---Shreveport Loyola University Louisiana Tech University Our Lady of Holy Cross College McNeese State University Xavier University of Louisiana Nicholls State University University of Louisiana at Lafayette University of Louisiana at Monroe University of New Orleans Northwestern State University Southeastern Louisiana University Southern University—Baton Rouge Southern University—New Orleans

Application for admission to colleges and universities must be in compliance with the colleges’ or universities’ regulations, entrance requirements, deadlines, and any other conditions for admissions.

IX. University Reimbursement Procedures

A. At the time of registration, the applicant shall be exempt from paying tuition for eligible course work covered in this program.

B. At the end of each semester, colleges/universities will be reimbursed the total amount owed for each participant. Within 30 days following the end of the fall, spring, and summer semesters, each college or university shall submit an invoice for the total reimbursement owed for each participant. The invoice shall include an alphabetical list of enrolled students, including names, social security numbers, course number/name/hours, grades earned, and amounts for each. Courses that end on or before June 30 must be invoiced by July 15.

C. Tuition shall be paid to the participating colleges and universities for approved courses successfully completed, as evidenced by a grade of “A,” “B,” “C,” or “Pass.”

D. If the course submitted for tuition exemption with the signature of approval of the dean of the college of education or his/her designee is subsequently determined to be ineligible by the State Department of Education, the student will be allowed to drop the course at that time, regardless of the university’s drop policy, and not be required to pay a drop fee. If the student chooses to remain in the course, he/she will be responsible for the total tuition cost as determined by the university.

5 X. Participant Reimbursement Obligations

A. The participant shall be required to enter into a written agreement with the state as evidenced by the signed application form.

B. Repayment of the total tuition received shall be made to the state if the participant

1. Fails to become certified within one year after completing all course work required for certification; 2. Is deemed to be ineligible to participate in the program after the full tuition has been paid to the university; or 3. Does not fulfill the two-year teaching commitment.

C. The participant shall reimburse the State Department of Education all money allocated and paid in his/her behalf or tuition exemption according to the repayment schedule specified by the State Department of Education. In the event repayment is not made by the participant as required, collection will be transferred to the attorney general, and the participant shall be responsible for all costs of collection.

D. Repayment to the university shall be required if the participant:

1. Is found to be ineligible to participate in the program after the review by the State Department of Education; 2. Enrolls in a course that is deemed ineligible and he/she chooses to remain in the course; 3. Drops a course after the deadline for obtaining a full or partial tuition refund from the college or university; or 4. Fails to complete a course successfully as evidenced by “A,” “B,” “C,” or “Pass.”

6 LOUISIANA REGIONAL CERTIFICATION COUNSELORS Parishes/School Districts Certification Counselor Region Served Ingrid Fields Region I Education Service Center Jefferson, Orleans, 4000 Bienville Street, Unit D I Plaquemines, Recovery School New Orleans, LA 70119 District, St. Bernard, St. Charles Phone: (504)219-4709 Email: [email protected] East Baton Rouge, East Brett Craig Feliciana, Iberville, Livingston, Southeastern LA University SLU 10528 Pointe Coupee, St. Helena, St. Hammond, LA 70402 Tammany, Tangipahoa, Phone: (985) 549-2084 ll Washington, West Baton Rouge, Email: [email protected] West Feliciana, City of Baker, City of Bogalusa, Zachary Community, Central Community Position Vacant Ascension, Assumption, Nicholls State University P. O. Box 2037 lll Lafourche, St. James, St. John, Thibodaux, LA 70310 St. Mary, Terrebonne Phone: (985) 449-7136 Email: Lorraine Rubin Acadia, Evangeline, Iberia, 1405 West Pinhook Rd., Suite 112 lV Lafayette, St. Landry, St. Lafayette, LA 70503 Martin, Vermilion Phone: (337) 262-1744 Email:[email protected] Angel Ogea 314 Broad St., 2nd Floor Allen, Beauregard, Calcasieu, V Lake Charles, LA 70601 Cameron, Jefferson Davis Phone: (337) 491-2956 Email:[email protected] George Rhymes Avoyelles, Grant, LaSalle, 6593 Highway 1 Bypass Vl Natchitoches, Rapides, Sabine, Natchitoches, LA 71457 Vernon, Winn Phone: (318) 357-2453 Email:[email protected] Position Vacant 8675 Youree Drive Bienville, Bossier, Caddo, Shreveport, LA 71115 Vll Claiborne, DeSoto, Red River, Phone: (318) 797-0854 Webster Email:

Diane Jenkins Caldwell, Catahoula, Concordia, P.O. Box 1616 East Carroll, Franklin, Jackson, West Monroe, Lincoln, Madison, Morehouse, Vlll LA 71294-1616 Ouachita, Richland, Tensas,

Union, West Carroll, City of Phone: (318) 362-3253 Monroe Email:[email protected] Division of Certification and Preparation CERTIFICATION CONSULTATION FORM P.O. Box 94064 LOUISIANA Baton Rouge, LA 70804-9064 DEPARTMENT OF EDUCATION Toll Free #: 1-877-453-2721 EEL TEACHER http://www.teachlouisiana.net Teacher Information:

Name: Employing School District/School:

Address: (Street) (City) (State) (Zip Code) Telephone#: Email:

Current PRAXIS Content Examination(s): EEL Teaching Assignment(s):

Certificate Issued EEL Renewal Requirements 1. Teacher must obtain a prescription/outline of coursework required for add-on EEL ______certification in the area(s) of the teaching assignment (use Add-On Evaluation chart available on www.teachlouisiana.net) signed by the Superintendent and EEL 2______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 EEL 3______lead toward certification requirements in the area(s) in which he/she is teaching.

Area of Certification Held on Type NOTE: If fewer than nine hours are required to complete the certification, then all A, B, C, Level 1, 2, 3, or OS. 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. (Attach LDE feedback sheet))

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 ______Date ______

Signature of Certification Counselor ______Date

Revised 7/9/07 Division of Certification and Preparation CERTIFICATION CONSULTATION FORM P.O. Box 94064 LOUISIANA Baton Rouge, LA 70804-9064 DEPARTMENT OF EDUCATION Toll Free #: 1-877-453-2721 OFAT TEACHER http://www.teachlouisiana.net Teacher Information:

Name: Employing School District/School:

Address: (Street) (City) (State) (Zip Code) Telephone#: Email:

Preferred University Provider: OFAT Teaching Assignment(s):

Certificate Issued OFAT Renewal Requirements

OFAT ______The teacher must successfully complete one of the following:

OFAT 2______1. six semester hours per year in the area(s) that he/she is teaching;

OFAT 3______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 OFAT 4 ______per year.

OFAT 5 ______Note: The course work and Praxis exam(s) required for certification will be per official (Attach LDE feedback sheet)) 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 ______Date ______

Signature of Certification Counselor ______Date

Revised 7/9/07 Division of Certification and Preparation CERTIFICATION CONSULTATION FORM P.O. Box 94064 LOUISIANA Baton Rouge, LA 70804-9064 DEPARTMENT OF EDUCATION Toll Free #: 1-877-453-2721 TAT TEACHER http://www.teachlouisiana.net Teacher Information:

Name: Employing School District/School:

Address: (Street) (City) (State) (Zip Code) Telephone#: Email:

Degree(s): GPA: Preferred University Provider:

Condition under Certificate Issued which TAT was TAT Renewal Requirements issued ___ Condition #1 Teacher must take the necessary Praxis examinations at least twice a (Program Completer year. TAT ______w/Praxis deficiency) ___ Condition #2a 2a. Teacher must successfully complete a minimum of six (6) credit hours TAT2______and/or #2b per year in the subject area(s) that he/she is attempting to pass on the (Praxis or GPA Praxis and take the necessary exams at least once a year; and/or TAT3______deficiency ; applies for 2b. Teacher must successfully complete a minimum of six (6) credit hours

admittance into an per year to raise GPA to a 2.20 as required for admission to an alternate Alternate program) program.

Area______Condition #3 Teacher must take the appropriate Praxis examinations required for

(Hired after the start of admission to an alternate certification program and, if successful, apply for

admission to the alternate program. an available alternate certification program) (Attach LDE feedback sheet)) ___ Condition #4 Teacher must successfully complete a minimum of six (6) semester credit (Program Completer hours per year to obtain the 2.50 GPA on a 4.00 scale that is required for w/GPA deficiency) 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, SPED Middle or Core Secondary) 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 ______Date ______

Signature of Certification Counselor ______Date Revised 6/14/07 Division of Certification and Preparation CERTIFICATION CONSULTATION FORM P.O. Box 94064 LOUISIANA Baton Rouge, LA 70804-9064 DEPARTMENT OF EDUCATION Toll Free #: 1-877-453-2721 TEP TEACHER http://www.teachlouisiana.net

Teacher Information:

Name: Employing School District/School:

Address: (Street) (City) (State) (Zip Code) Telephone#: Email:

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 has been retaken twice within one year from the NTE/Praxis examination(s), but who has an 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.

*Individuals who were previously issued a Remaining Exam: ______Area______TAT are not eligible for a TEP. (teacher ed prep program)

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 Secondary Grades PLT 7-12 (prior to 9/1/99) General Knowledge All-Level Grades PLT K-6 or 5-9, or 7-12 (prior to 9/1/99) Professional Knowledge Mild/Moderate (0014, Middle SPED (prior to 9/1/99) or Core Secondary)

COMMENTS

______

Signature of Teacher ______Date ______

Signature of Certification Counselor ______Date

Revised 7/16/07 Division of Certification and Preparation CERTIFICATION CONSULTATION FORM P.O. Box 94064 LOUISIANA Baton Rouge, LA 70804-9064 DEPARTMENT OF EDUCATION Toll Free #: 1-877-453-2721 RECRUITMENT CONSULTATION http://www.teachlouisiana.net Teacher Information:

Name: Employing School District/School

Address: (Street) (City) (State) (Zip Code) Telephone#: Email:

Degree(s): GPA: Teaching Assignment:

Preferred Provider: Paraprofessional University:

Long-Term Substitute Bachelor’s Program: University:

Substitute Master’s Program University: Alternate Certification

Clerical Assistant Non Master’s Program

Practitioner Program Retiree

Parent

Classified Staff

Other:

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

Signature ______Date ______

Signature of Certification Counselor ______Date

Revised 6/14/07 Revised 9/11/ 2008 BESE POLICIES Approved/Adopted 8/03-9/08 Adopted September 2003 Item # Policy Title Brief Description Bulletin 746: Validity, Updates the old policy to include language for (1) Level 1-2-3 1 Reinstatement, certificates and the 150 CLU renewal requirement, and (2) Renewal, and specificity in allowance for approved courses to reinstate Extension of lapsed certificates (copy attached) Certificates Adopted October 2003 Bulletin 746: Certificate Anyone called to active military duty will not be penalized for 2 Renewal Requirements time spent in active military service (not held to renewal and Validity Terms for requirements for the certificate nor penalized the year of Those Called to Active eligibility). Military Duty Bulletin 746: Erases the old one-year authorization policy that allowed a 3 Abolishing the one-year temporary (one-year) sanction to teach 1-2 secondary authorization on a subjects in addition to the major subject, while applicant certificate worked toward certification in the teaching area(s), if applicant lacked no more than 6 semester hours to meet minimal certification requirements in the teaching field. Bulletin 746: Adding PL4 certificates can be issued to an individual who (1) is in an 4 the Practitioner License old post-baccalaureate alternate certification program or has 4 category of certificate completed an old post-baccalaureate alternate program; (2) has a GPA of at least 2.50; (3) has passed PPST; (4) has passed content-specific Praxis exam(s) for the area of certification or has completed 31 semester hours in the specific content area of certification; and (5) still lacks full requirements for certification. Adopted November 2003 Bulletin 746: New All- Defines redesigned undergraduate and alternate certification 5A, 5B Level (K-12) Program program structures for all-level areas of art, dance, foreign Structure language, music, and H&PE. Bulletin 746: College of Adds a new, non-education undergraduate route to secondary 6 Arts/Humanities/ teaching credentials (a degree other than education leading to Sciences Degree certification while in an undergraduate program). Pathway to secondary education certification Bulletin 746: Higher Adds language to Type B* and Type A* policy for non-public 7 certificates for teachers to include Level 2* and 3* certificates, plus CLU Nonpublic school requirement for renewal if teacher moves to a public school teachers setting. Bulletin 746: One-year Grace period (for year spanning 7/1/03-6/30/04) for allowing 8 policy for Highly newly hired teachers to complete new middle school exam Qualified Middle School requirements (allowance of old Praxis #0146 as the Teacher requirement during the grace period) Bulletin 746: Nonpublic Adds a new licensure category for nonpublic teachers on 9 Temporary Certificate temporary credentials Bulletin 746: Praxis Adds new exams for French, Math, Middle School Math, 10 Exams and Passing Music, H&PE, Spanish, four special education areas, ParaPro Scores for Louisiana Assessment, plus a new passing score for Elementary Certification Education #0014; establishes effective date of 6/1/04. Revised 9/11/ 2008

Adopted November 2003 (continued) Bulletin 746: Policy for Provides a pathway other than program completion to add 11 Add-on of Teaching certification levels and teaching areas to an existing certificate Level, Teaching Areas Within Levels Bulletin 746: Types of Adds language so that word “assistant” designates only those 12 certificates for Speech/ who have not completed all mandatory supervised Language Pathology experiences and other requirements of La. Board of Assistants—Level 1 Examiners for Speech-Language Pathology/Audiology

Adopted January 2004 13 Bulletin 746: Louisiana Provides the Louisiana definition of highly qualified teachers Definition of Highly and paraprofessionals, per requirements of the No Child Left Qualified Teachers and Behind Act of 2001. Paraprofessionals 14 Bulletin 746: Revised Removes requirement that a practitioner teacher must have LaTAAP Requirements passed the assessment portion of the Louisiana Teacher for the Practitioner Assistance and Assessment Program before that candidate Teacher Program can be issued a professional level teaching certificate. Adopted February 2004 Bulletin 746: Middle Specifies the four content-specific exams for middle school 15 School Praxis Exams teachers. Bulletin 746: Revisions Revises grade levels to PK-3, 1-5, 4-8, and 6-12 for regular 16 to the New Certification undergraduate program structure. Structure Bulletin 746: Revisions Revises grade levels to PK-3, 1-5, 4-8, and 6-12 for alternate 17 to Alternate program structure. Certification Programs Bulletin 746: Policy for Limits time this permit may be held to a total of three years. 18 Temporary Employ- ment Permit

Adopted March 2004 Bulletin 746: Deadline Extends deadline date from July 1, 2004, to August 31, 2004, 19 Date for Completing for teachers to complete add-on requirements under the old Endorsement Require- regulations, prior to the new certification structure of July 1, ments Under Guide- 2002. The new deadline allows candidates an additional lines Preceding July 1, summer semester to complete old requirements. 2002, Certification Structure Bulletin 746: Praxis Specifies exams/passing scores for Business Education, 20 Exams and Passing Middle School Science, and Middle School Social Studies. Scores

Adopted April 2004 21A, 21B Bulletin 746: Process Amends current policy to allow reactivation of lapsed teaching for Renewing Lapsed certificate for a 1-year period, and certificate bearer must Professional Certifi- complete 6 semester hours of coursework within one year of cates; Declination the reactivation date. Provides 10-day timeline for districts to Letter Timeline respond to temporary certificate declination letter. Revised 9/11/ 2008

Adopted May 2004 22 Bulletin 746: SpEd Provides a new undergraduate certification structure for Mild/Moderate Under- Mild/Moderate Special Education at the PK-3, 1-5, 4-8, and graduate Certification 6-12 grade levels. Structure 23 Bulletin 746: Reading Adds requirement for demonstration of reading competencies Competencies Policy by alternate teacher certification program completers, as for Alternate required by Act 28 of the 2003 Legislative Session. Certification Programs Adopted June 2004 24 Bulletin 746: Revises state certification standards for Secondary Career & Secondary Certification Trade & Industrial Education personnel, allowing job appli- of Career & Technical cants holding industry-based certification, or who passed an Trade & Industrial approved NOCTI exam, credit for up to 2 years of work Education Personnel experience in meeting qualifications for position of Instructor. 25 Bulletin 746: Education Adds a certification option (three online courses) as an Technology Facilitation additional pathway for obtaining the add-on endorsement for Endorsement Educational Technology Facilitation. 26 Bulletin 746: Add-on of Streamlines policy by amending language for the add-on Teaching Levels and (endorsement) of certification teaching levels and teaching Teaching Areas Within areas within levels. Levels 27 Bulletins 746 & 741: Amends current Twelve-Hour Rule Policy relative to those Twelve-Hour Rule teaching core academic subjects, effective for the 2006-2007 school year. Adopted July 2004 28 Bulletin 746: Certificate Adds language to Bulletin 746 licensure and Highly Qualified Validity, Reinstatement, policies concerning Continuing Learning Units (CLUs) and Renewal, & Extension High Quality Professional Development relative to tracking of (CLUs) CLUs, beginning date for Highly Qualified purposes, etc. 29 Bulletin 996: Louisiana Amends Bulletin 996 policy to delete from list of state Supplement Standards standards those included within the NCATE standards that are for Accreditation of required for the accreditation of Louisiana institutions of higher Teacher Education education, to eliminate redundancy between the two sets of Institutions standards. 30 Bulletin 1943: Policies Adds language to include a New Teacher Portfolio; renames and Procedures for Pre-conference Interview to “Informal Conference,” Louisiana Teacher Professional Development Plan to “Professional Growth Plan;” Assistance and changes assessment standard to “competent” (2) rating on Assessment each of the 11 Louisiana Components of Effective Teaching. Adopted September 2004 31 Bulletin 746: Add-on of Amends policy to (1) add content exam requirement to add Teaching Levels and Grades PK-3; (2) expand options for demonstrating content Teaching Areas Within mastery to include course work OR Praxis exam; (3) stream- Levels line process for obtaining secondary add-on in a non-core area; (4) allow for all-level (K-12) add-on in H&PE similar to other all-level areas, and clarify distinction between the two all-level music areas. Revised 9/11/ 2008

Adopted September 2004 (continued) 32 Bulletin 746: Reading Allows option for alternate teacher certification program Competencies Policy candidates to either complete a specified number of semester for Alternate hours in reading or pass a reading competency assessment Certification Programs as a demonstration of proficiency in the reading competencies adopted by the State Board. 33 Bulletin 746: Amends language for suspension, revocation, and reinstate- Suspension, Revoca- ment of certificates as well as for the denial of teaching tion, Reinstatement, certificates for criminal offenses (from Legal/Due Process and Denial of Committee meeting) Certificates 34 Bulletin 1525: Guide- Adds Appendix B to Bulletin 1525 to include changes lines for Personnel incorporated into the Louisiana Components of Effective Evaluation Teaching in Domains I-V. Adopted October 2004 36 Bulletin 746: PRAXIS Revises Louisiana PRAXIS/NTE requirements for certification scores for Six Exams in secondary agriculture, biology, general science, speech, and technology education, and in all-level (K-12) art, with passing scores effective 7-1-05. Makes PRAXIS exams available for the first time for agriculture, speech, technology education, and art. 37 Bulletin 996: Seven- (1) Adds preliminary or second-stage approval for new or year Cycle; Preliminary reinstated public/private teacher preparation units; (2) and Second-Stage changes five-year cycle to seven-year cycle for institutions Approval for New and that have successfully completed at least two National Council Reinstated Teacher for Accreditation of Teacher Education [NCATE] evaluation Education Units cycles; (3) allows for technical updates to the bulletin. The first change allows a new unit to begin developing teacher education certification programs; admit students to the new programs; begin assembling needed documentation for full unit accreditation, per state/NCATE standards; and, after the Board has granted Second-Stage Approval to the unit, to recommend students for certification. The second change approves the NCATE plan to extend the accreditation cycle from five to seven years for institutions seeking continued accreditation, while those seeking first-time accreditation would remain on a five-year cycle before moving to a seven- year cycle after the second evaluation visit. 38 Bulletin 746: Amends Highly Qualified definition for “not new” teachers per Modifications to LA’s the state’s HOUSSE option. Allows previous work experience Highly Qualified as a fully certified teacher credited at the rate of three CLUs Definition and HOUSSE for each year of successful experience in the content area, Requirements with a possible maximum of 45 CLUs for experience. 39 Bulletin 746: Certificate This new Bulletin 746 policy goes a step further than current Suspension, Revocation, policy in specifying conditions for suspension/revocation of a Denial Due to Fraudulent teaching certificate due to submission of fraudulent Documentation Pertaining documentation pertaining to certification. The policy also to Certification specifies conditions under which an appeal can occur. Revised 9/11/ 2008

Adopted November 2004 40 Bulletin 746: Foreign Aligns Foreign Language Special Certificate PK-8 policy with Language Special highly qualified requirements under the No Child Left Behind Certificate PK-8 Act. 41 Bulletin 746: Academic Revises policy for adding academic gifted certification to an Gifted certification existing certificate, requiring a master’s degree, 15 hours of graduate-level coursework, plus a 3-hour practicum, an internship, or 3 years experience teaching academic gifted. 42 Bulletin 746: Supervisor Defines Supervisor of Student Teaching policy to include an of Student Teaching option for one who has National Board certification to act as a Policy supervisor of student teachers. 43A, 43B Bulletin 746: Re- Provides new certification structures for Early Interventionist designed Structure for (EI), Significant Disabilities (SD), Hearing Impaired (HI), and Four Special Education Visual Impairments/Blind (VI/B) certification. All four areas Certification Areas include new add-on requirements and alternate certification options for both master’s degree and non-master’s programs. EI also includes an undergraduate structure. 44 Bulletin 746: Highly Amends the start date for collection of Continuing Learning Qualified Policy Units (CLUs) under the state’s HOUSSE option, from January 8, 2002, now in policy, to the beginning of the 2001-2002 school year. 45 Bulletin 746: General/ Defines redesigned three-tiered certification structure for Special Education Mild- blended Mild-Moderate Special Education/General Education Moderate Blended programs at elementary (Grades 1-5), Middle School (Grades Undergraduate 4-8), and Secondary (Grades 6-12) levels. Programs Adopted January 2005 46 Bulletin 746: PRAXIS Revises Louisiana PRAXIS/NTE requirements to include the content exam for exam for Middle School: English/Language Arts (0049) with a Middle School: passing score of 160. English/Language Arts Adopted February 2005 47 Bulletin 746: Assistant This would allow the use of two years of experience as an Principal Experience for assistant principal to count towards the five years of Superintendent administrative experience required for Superintendent Certification certification. 48 Bulletin 1943: Revises Louisiana LaTAAP guidelines to allow for fourth Administrative waivers semester waivers to include 1) moving to another state for fourth semester because of family re-employment, and 2) moving due to participants in LaTAAP military assignments Adopted June 2005 49 Bulletin 746: PRAXIS Change the effective date from June 1, 2004, to January 1, exams required for 2005, for Special Education Mild/Moderate PRAXIS Mild/Moderate Examinations #0353 and #0542. certification 50 Bulletin 746: PRAXIS Establishing an effective date of July 1, 2006, for the following exam requirements for PRAXIS exams and scores: Chemistry Content Knowledge Chemistry, Physics, (0245) – 151, Physics content Knowledge (0265) – 141, German, & Educational German Content Knowledge (0181) – 151, and School Leadership Leaders Licensure Assessment (1010) – 168. Revised 9/11/ 2008

Adopted July 2005 51 Bulletin 746: Ancillary Establishing a new ancillary certificate for individuals who hold guidelines for School Master’s degrees in Library Services. This certificate will be Librarian K-12 valid for five years and renewable. Certification. Adopted September 2005 52 Bulletin 746: This policy will allow out-of-state certified teachers to become Acceptance of National certified in Louisiana in a corresponding area of certification, Board Certification for this will exempt them from the testing requirement and Louisiana Certification LaTAAP. The policy will also allow Louisiana certified teachers the opportunity to add-on corresponding NBC areas to their Louisiana teaching certificates. It will also allow Level 2 or Level 3 certificated individuals the opportunity who earn NBC certification during the validity period to use NBC for renewal of their certificates. 53 Bulletin 746: OFAT This will allow districts employing individuals on OFAT’s in the Renewals areas of Academically Gifted, Early Interventionist, Hearing Impaired, Visually Impaired, and Significant Disabilities the opportunity to request the renewal of that certificate for two additional years. A one-year renewal may be granted for the area of Mild/Moderate. 54 Bulletin 996: This policy requires colleges and universities to provide evidence of the integration of Louisiana Reading Competencies and Grade Level Expectations in teacher preparation programs. Adopted November 2005 55 Bulletin 746: Out-of- Establishing new guidelines for an individual who is certified State Ancillary out-of-state to serve as a principal in a Louisiana school Certificates for Principal system. These guidelines will mirror what is required for the PRAXIS exemption for an out-of-state certified teacher. This policy will require the passage of new legislation. 56 Bulletin 746: New The changes will require the passing of PRAXIS exams PPST: conditions for the hiring Reading & Writing prior to employment on a TAT certificate. of individuals employed Vacant positions must also be advertised on Teach Louisiana on TAT certificates prior to the employment on a non-certified individual. This policy will also allow the employment of individuals who lack the proper GPA for entrance into an alternate program or for full certification. 57 Bulletin 746: The change in the educational diagnostician policy will allow Educational an individual who has completed all guidelines for certification, Diagnostician one-year with the exception of the internship, to be issued a one-year provisional certification provisional certificate in this area. During the time of employment the individual must be supervised by a certified Educational Diagnostician. 58 Bulletin 746: High This change will allow the reduction in the number of credit Qualified Guidelines for hours required in mathematics from nine credit hours to six Paraprofessionals credit hours for those individuals seeking to meet the NCLB Highly Qualified requirements for paraprofessional through the 48 semester hours pathway. Adopted in March 2006 59 Bulletin 746: The change in this policy will allow providers to offer Practitioner Teacher practitioner programs in grades PK-3. Program Revised 9/11/ 2008

60 Bulletin 746: The School Superintendent Assessment exam was approved PRAXIS/NTE for certification for an Educational Leader – Level 3 Requirements (Superintendent) license. 61 Bulletin 746: This change in policy will delete the ISLCC School Leaders Educational Leader Portfolio as a requirement to move from a Level 1 to a Level 2 Certification Policy Educational Leadership certificate. A change was also made in the policy to delete the requirement for an Educational Leader Level 2 and Level 3 to continue to update the educational leader portfolio to renew this certification. 62 Bulletin 746: This policy will require an individual coming from another Out-of-State state, who is applying for a Louisiana teaching certificate, to Certification Policy have the completion of a teacher preparation program in another state. This individual must also be certified or eligible for certification from the state where his/her teacher preparation program was completed. Adopted September 2006 63 Bulletin 746: Louisiana Standards for State Certification of School Personnel 64 Bulletin 746: This policy would use in lieu of the PRAXIS PPST exam an ACT/SAT Scores in ACT composite score of 22 or a SAT combined verbal and Lieu of PPST math score of 1030. 65 Bulletin 746: This policy would be effective on July 1, 2007 to align the PRAXIS PPST Score PPST scores with those used by the University of Louisiana Revision system with an increase in the scores on July 1, 2010. Adopted January 2007 66 Bulletin 746: This policy will allow anyone who has a master’s degree from Child Nutrition Program a regionally accredited college or university to complete Supervisor guidelines for certification in this area. 67 Bulletin 746: This policy allows the issuance of an Ancillary ROTC Ancillary ROTC certificate to an individual who has retired from the active duty Certification in the military or who has been officially recommended by the appropriate branch of the military service, with certification by the appropriate Department of Defense unit, to serve as a Junior Reserve Officers Training Corps Instructor (ROTC). Adopted February 2007 68 Bulletin 746: This revision to the out-of-state application policy clarifies that Out-of-State Policy an individual must have the completion of a teacher education program in another state and hold a teaching certificate from any other state prior to becoming certified in Louisiana. 69 Bulletin 746: This policy extends the blended programs until July 1, 2009. Blended Programs Adopted April 2007 70 Bulletin 746: Ed This policy changes the type and level of the teaching Leader Level 1 certificate required to be certified as an Educational Leader Level 1 and also changes the required number of years of teaching experience from five to three years. The new policy will also allow for two new alternate paths of certification for Educational Leader Level 1 applicants. Revised 9/11/ 2008

71 Bulletin 746: Effective This policy extends the deadline date from January 1, 2007 to Date for Special July 1, 2009 for special education programs in Early Education Programs Interventionist Special Education Birth to Five Years, Significant Disabilities, Hearing Impaired, and Visually Impaired. This extension will allow campuses to continue offering their existing special education programs during spring 2007. Adopted July 2007 72 Bulletin 746: This revision in the requirements for Educational Educational Interpreters Interpreter/Transliterators links the definition of and/or Transliterators interpreters/transliterators to IDEA’s related services definition and separates the requirements for Educational Interpreters and Educational Transliterators. This policy also removes the requirement of first obtaining a provisional certification prior to the issuance of a qualified certificate and allows a provisionally certificated interpreter and/or transliterator the option of a three year window for renewal instead of two years. The grandfather clause for certification is eliminated along with an additional assessment option being added. 73 Bulletin 746: This revision in the requirements for add-on certification as a Counselor K-12 school counselor will allow three years of successful experience as a school counselor to substitute for the required three-semester-hour supervised practicum in a school setting. 74 Bulletin 746: This revision in the requirements for add-on certification as a FLES Certification school counselor will allow three years of successful experience as a school counselor to substitute for the required three-semester-hour supervised practicum in a school setting. 75 Bulletin 746: Extended This policy allows for the issuance of an Extended Endorsement License Endorsement License (EEL) to individuals who hold standard Louisiana teaching certificates (Level 1, Level 2, Level 3, Type C, Type B, Type A, or Out-of-State), pass the current Praxis content exam(s) required for the area in which the EEL is requested, and present detailed prescriptions that identify any additional coursework and/or exams needed to complete requirements for the area/level certification endorsement. The EEL could be renewed annually, upon completion of renewal requirements, for a maximum of three years.

Adopted September 2007 76 Bulletin 746: These chapters were previous appendices that did not show Chapters 11-14 up in the web version of 746.

77 Bulletin 746: This change in policy will allow an individual to renew an Out- OFAT’s of-Field Authority to Teach (OFAT) by attempting the required PRAXIS exam(s) for add-on certification in the area of the OFAT at least once per year. Adopted October 2007 78 Bulletin 746: The proposed change will allow individuals with a valid CTTIE Louisiana teaching certificate to use three years of successful teaching experience in lieu of the mandatory three-hour New Instructor Workshop requirement and thus to renew with only three hours of CTTIE coursework. 79 Bulletin 746: This policy adds PRAXIS exam 0521 Early childhood To the PRAXS guidelines for PK-3ptogram completers. This exam becomes mandatory12/31/07 and replaces 0020. Revised 9/11/ 2008 Adopted January 2008 80 Bulletin 746: The policy change would allow the Certification Unit to accept FLES Certificates evaluation of foreign transcripts from World Education Services (WES) for FLES certification. 81 Bulletin 746: Foreign The policy change would allow the Certification Unit to accept Applicant evaluation of foreign transcripts from World Education Services (WES) for foreign applicants. Adopted February 2008 82 Bulletin 746: There was no change in policy for certification as a Jr. ROTC Jr. ROTC Instructor Instructor; the change was moving the ancillary area from Ancillary Services Certificates to Ancillary Teaching Certificates. Adopted April 2008 83 Bulletin 746: This change in policy will allow certificated individuals in COE Certification Agriculture, Technology Ed, Family and Consumer Science, Marketing and CTTIE to become certified in Cooperative education for those areas. Adopted June 2008 84 Bulletin 746: This change will allow a new add-on policy for Algebra I. Math Add-On 85 Bulletin 746: This change will allow an additional entry point into the Practitioner Program Practitioner Program. The new entry point will be a fall entry. Adopted August 2008 86 Bulletin 746: This change in the ROTC policy will allow a change in the Jr. ROTC Instructor validity period of the certificate. 87 Bulletin 746: This change in policy will allow the acceptance of experience Out-of-State Policy in a non public school system to waive the PRAXIS requirement required for a standard teaching certificate.

BESE POLICIES Now Out for Notice of Intent (NOI) (NOT YET POLICY) Approved May 2008 Pending 1 Bulletin 746: This change in the undergraduate program will take the Mild/Moderate/Elementary program to a more integrated to merged program Undergraduate Programs instead of a totally blended program. Pending 2 Bulletin 746: This is a new policy that will allow an individual to be Online Instructor certified to teach online courses. Approved June 2008 Pending 3 Bulletin 746: Revocation This change will add the two charges of Voyeurism and Policy Peeping Tom Approved August 2008 Pending 4 Bulletin 746: Math for This policy would allow individuals with professional Professionals- Ancillary math/science backgrounds to teach math on a part-time Certificate basis. Revised 9/11/ 2008

Pending 5 Bulletin 746: PL3 This policy would allow a PL3 license to be held up to Licensure four years for the completion of guidelines. Pending 6 Bulletin 746: State as a This policy change would remove the LaTAAP Provider requirement from the issuance of an initial Louisiana certificate to an individual who is using three years to waive the internship or student teaching. Pending 7 Bulletin 746; This policy would allow an individual with three years of Mild/Moderate: 1-12 Add- teaching experience in Mild/Moderate the option of On Policy waiving the practicum in assessment and evaluation. Pending 8 Bulletin 746: Out-of-State This policy would allow an individual coming from Policy another state, who has not taught in five years, the option of being issued an OS1 certificate so that they can complete six semester hours of refresher credit.

Chapter 9. Actions Related to Criminal Offenses and/or the Submission of Fraudulent Documentation §901. Overview A. Teaching certificates can be denied, suspended, or revoked for certain criminal offenses and/or for the submission of fraudulent documentation. This chapter presents those circumstances plus the circumstances under which certificates can possibly be reinstated. AUTHORITY NOTE: Promulgated in accordance with R.S. 17:6 (A)(10), (11), (15); R.S. 17:7(6); R.S. 17:10; R.S. 17:22(6); R.S. 17:391.1-391.10; R.S. 17:411. HISTORICAL NOTE: Promulgated by the Board of Elementary and Secondary Education, LR 32: §903. Definitions A. For the purposes of this policy: Applicant―any person applying for a Louisiana teaching authorization of any kind. Board―the Board of Elementary and Secondary Education as a whole and/or any of its standing committees. Convicted or Conviction―any proceedings in which the accused person pleads guilty or no contest, and those proceedings that are tried and result in a judgment of guilty. Department―the Louisiana Department of Education. Fraudulent Document―any paper, instrument, or other form of writing that is false, altered, or counterfeit and that is used as a subterfuge or device to induce the issuance of a certificate. Offense or Crime―those listed in R.S. 15.587.1(C) and any felony offense whatsoever. Teaching Certificate or Certificate―any license, permit, or certificate issued by the Division of Teacher Certification and Higher Education of the Department of Education. B. The following crimes are reported under R.S.15:587.1: 1. R.S. 14:30, R.S. 14:30.1, R.S. 14:31, R.S. 14:41 through R.S.14:45, R.S. 14:74, R.S. 14:78, R.S. 14:79.1, R.S. 14:80 through R.S. 14:86, R.S. 14:89, R.S. 4:89.1, R.S. 14:92, R.S. 14:93, R.S. 14:93.2.1, R.S. 14:93.3, R.S. 14:106, R.S. 14:282, R.S. 14:286, R.S. 40:966(A), R.S. 40:967(A), R.S. 40:968(A), R.S. 40:969(A), and R.S. 40:970(A) or convictions for attempt or conspiracy to commit any of those offenses; 2. those of a jurisdiction other than Louisiana which, in the judgment of the bureau employee charged with responsibility for responding to the request, would constitute a crime under the provisions cited in this Subsection, and Those under the Federal Criminal Code having analogous elements of criminal and moral turpitude. (Federal Criminal Code provisions are in Title 18 of U.S.C.A.) Specifically: * R.S. 14:30 First degree murder * R.S. 14:30.1 Second degree murder R.S. 14:31 Manslaughter * R.S. 14:41 Rape * R.S. 14:42 Aggravated rape * R.S. 14:42.1 Forcible rape * R.S. 14:43 Simple rape * R.S. 14:43.1 Sexual battery * R.S. 14:43.2 Aggravated sexual battery * R.S. 14:43.3 Oral sexual battery * R.S. 14:43.4 Aggravated oral sexual battery * R.S. 14:43.5 Intentional exposure to the AIDS virus * R.S. 14:44 Aggravated kidnapping * R.S. 14:44.1 Second degree kidnapping * R.S. 14:45 Simple kidnapping R.S. 14:74 Criminal neglect of family * R.S. 14:78 Incest * R.S. 14:79.1 Criminal abandonment * R.S. 14:80 Carnal knowledge of a juvenile * R.S. 14:81 Indecent behavior with a juvenile * R.S. 14:81.1 Pornography involving juveniles * R.S. 14:81.2 Molestation of a juvenile R.S. 14:82 Prostitution * R.S. 14:82.1 Prostitution; Persons under seventeen; Additional offenses R.S. 14:83 Soliciting for prostitutes R.S. 14:83.1 Inciting prostitution R.S. 14:83.2 Promoting prostitution R.S. 14:83.3 Prostitution by massage R.S. 14:83.4 Massage; sexual content prohibited R.S. 14:84 Pandering R.S. 14:85 Letting premises for prostitution R.S. 14:85.1 Letting premises for obscenity * R.S. 14:86 Enticing persons into prostitution * R.S. 14:89 Crime against nature * R.S. 14:89.1 Aggravated crime against nature R.S. 14:92 Contributing to the delinquency of juveniles * R.S. 14:93 Cruelty to juveniles *R.S. 14:93.2.1 Child desertion R.S. 14:93.3 Cruelty to the infirm R.S. 14:106 Obscenity R.S. 14:282 Operation of places of prostitution * R.S. 14:286 Sale of minor children Penalty for distribution or possession with intent to distribute R.S. 40:966(A) narcotic drugs listed in Schedule I; Manufacture; Distribution R.S. 40:967(A) Prohibited acts; Schedule II, penalties; Manufacture; Distribution Prohibited acts; Schedule III; penalties; Manufacture; R.S. 40:968(A) Distribution Prohibited acts; Schedule IV; penalties; Manufacture; R.S. 40:969(A) Distribution R.S. 40:970(A) Prohibited acts; Schedule V; penalties; Manufacture; Distribution

*Certificate issuance/reinstatement will never be considered for crimes marked with an asterisk. C. Convictions that are set aside pursuant to Articles 893 or 894 of the Louisiana Code of Criminal Procedures, expunged, or which are pardoned subject to Louisiana first offender pardon laws nonetheless, shall be treated as convictions for the purpose of denial. AUTHORITY NOTE: Promulgated in accordance with R.S. 17:6 (A)(10), (11), (15); R.S. 17:7(6); R.S. 17:10; R.S. 17:22(6); R.S. 17:391.1-391.10; R.S. 17:411. HISTORICAL NOTE: Promulgated by the Board of Elementary and Secondary Education, LR 32: §905. Denial of Certificates for Criminal Offenses and/or for the Submission of Fraudulent Documentation A. An application for a Louisiana teaching certificate shall be denied if the individual applying for the certificate has been convicted of any offense listed in R.S. 15:587.1(C) or any felony offense whatsoever and/or has submitted fraudulent documentation as determined by the department. A person convicted of an offense as defined herein and/or has submitted fraudulent documentation as determined by the department may apply for a certificate after three years have elapsed from date of entry of final conviction or from date of the submission of fraudulent documentation. B. The applicant shall be notified by certified mail and by any other appropriate means of notice that his/her certificate has been denied. The applicant shall provide copies of any documents that verify his/her identity, refute the existence of a criminal conviction, and/or verify the accuracy of documentation as submitted. If a conviction upon which the certificate has been denied is reversed, such action should be communicated to the department through documentation provided by the applicant. AUTHORITY NOTE: Promulgated in accordance with R.S. 17:6 (A)(10), (11), (15); R.S. 17:7(6); R.S. 17:10; R.S. 17:22(6); R.S. 17:391.1-391.10; R.S. 17:411. HISTORICAL NOTE: Promulgated by the Board of Elementary and Secondary Education, LR 32: §907. Suspension and Revocation of Certificates for Criminal Offenses A. A Louisiana teaching certificate shall be suspended and revoked if the individual holding the certificate has been convicted of any offense listed in R.S. 15:587.1(C) [See Section I.B.] or any felony offense whatsoever. B. When the Department is Notified that any Teacher has been Convicted of a Specific Crime 1. Department staff shall attempt to contact the teacher to inform him/her that the department has information regarding a criminal conviction and is proceeding under this policy to suspend the certificate. 2. The teacher shall have 10 working days from the date of notification to provide verification that he/she has not been convicted of a criminal offense. This opportunity for response is intended as a check against mistaken identity or other incorrect information and the requested verification may be provided through a telephone conversation or written correspondence. 3. If the teacher cannot be reached and/or if his/her employment status cannot be determined, suspension of the certificate shall proceed, as will all other steps in the process outlined in this policy. 4. If the department determines that there is evidence that a teacher has been convicted of a criminal offense, that teacher’s certificate shall be suspended. The Board, the teacher, and the employing school system shall be notified that the teacher’s certificate has been suspended pending official Board action. 5. The teacher shall be notified by certified mail and by any other appropriate means of notice that his/her certificate has been suspended and that the certificate will be revoked unless the teacher can provide documentation that he/she was not convicted of the crime. The teacher shall provide copies of any documentation that verifies his/her identity and refutes the existence of a criminal conviction. 6. If the conviction upon which a teacher’s certificate has been suspended and/or revoked is reversed, such action shall be communicated to the board through documentation provided by the applicant. The board may receive such information and order reinstatement of the teacher’s certificate 7. Upon official action by the board, any teacher whose certificate has been revoked shall be notified of such action by certified mail. The correspondence shall include instructions for and identification of the date when the individual may apply to the board for reinstatement of his/her certificate. AUTHORITY NOTE: Promulgated in accordance with R.S. 17:6 (A)(10), (11), (15); R.S. 17:7(6); R.S. 17:10; R.S. 17:22(6); R.S. 17:391.1-391.10; R.S. 17:411. HISTORICAL NOTE: Promulgated by the Board of Elementary and Secondary Education, LR 32: §909. Suspension and Revocation of Certificates due to Fraudulent Documentation Pertaining to Certification A. A Louisiana teaching certificate may be suspended and/or revoked if a teacher presents fraudulent documentation pertaining to his/her certificate to the State Board of Elementary and Secondary Education or the Department of Education. B. The Department shall investigate prior to determining that a teacher has submitted fraudulent documentation pertaining to his/her teaching certificate. Upon confirmation of the information investigated, the department shall notify the teacher by certified mail that his/her certificate has been suspended pending official board action and that a hearing will be conducted by the board to consider revocation. C. Such hearing will be limited to the issue of whether or not the document submitted was fraudulent. The teacher shall provide the board with documentation that will refute the fraudulent nature of the document. D. The Due Process Committee shall make a recommendation to the full Board, based on documentation received from the department and the teacher, whether the teaching certificate should be revoked. The decision of the board shall be transmitted to the local school board and to the teacher affected. AUTHORITY NOTE: Promulgated in accordance with R.S. 17:6 (A)(10), (11), (15); R.S. 17:7(6); R.S. 17:10; R.S. 17:22(6); R.S. 17:391.1-391.10; R.S. 17:411. HISTORICAL NOTE: Promulgated by the Board of Elementary and Secondary Education, LR 32: §911. Procedures and Rules for Issuance or Reinstatement of Certificates Suspended or Revoked due to Criminal Convictions and/or Submission of Fraudulent Documents A. Issuance/reinstatement will never be considered for teachers convicted of the following crimes: 14:30, 14:30.1, 14:41, 14:42, 14:42.1, 14:43, 14:43.1, 14:43.2, 14:43.3, 14:43.4, 14:43.5, 14:44, 14:44.1, 14:45, 14:78, 14:79.1, 14:80, 14:81, 14:81.1, 14:81.2, 14:82.1, 14:86, 14:89, 14:89.1, 14:93, 14:93.2.1, and 14:286. B. Issuances/reinstatements of certificates shall not be considered until at least three years have elapsed from the date of entry of final conviction or from date of the submission of fraudulent documentation. C. An applicant may apply to the board for issuance/reinstatement of his/her teaching certificate after the lapse of time indicated above and under the following conditions. 1. There have been no further convictions and/or submissions of fraudulent documentation. The applicant must provide a current state and FBI criminal history background check from state police that is clean and clear. 2. There has been successful completion of all conditions/requirements of any parole and/or probation. The applicant must provide relevant documentation. D. Applicant Responsibilities 1. Contact the office of the Board of Elementary and Secondary Education and request a hearing for issuance/reinstatement of the certificate. 2. Provide each applicable item identified above in Section C, evidence that all requirements for certification have been successfully completed, and further documentation evidencing rehabilitation. The applicant is recommended to provide letters of support from past/present employers, school board employees and officials, faculty, and administrative staff from the college education department, law enforcement officials and/or from other community leaders. E. State Board Responsibilities 1. The board will consider the request for issuance/reinstatement and documentation provided. The board is not required to conduct an issuance/reinstatement hearing and may summarily deny a request for issuance/reinstatement. 2. If the board or its designees decide to conduct an issuance/reinstatement hearing, board staff shall notify the applicant of a date, time, and place when a committee of the board shall consider the applicant’s request. The applicant may be represented and/or accompanied by legal counsel. In addition to the applicant and his/her legal counsel, a maximum of three witnesses may be called to provide testimony regarding the applicant’s rehabilitation. Testimony and information considered will be limited to evidence of rehabilitation. Any conviction will be given full faith and credit, and no testimony will be taken to refute the finding of the court. The written documentation provided prior to the hearing will also be considered. 3. The Board of Elementary and Secondary Education reserves the right to accept or reject any document or testimony offered as evidence of rehabilitation and the right to determine if adequate rehabilitation has occurred and will itself determine if and when an applicant is eligible for issuance/reinstatement of a teaching certificate. The board further reserves the right to deny a request for issuance/reinstatement based upon the applicant’s dishonesty in failing to disclose a prior criminal conviction and/or for falsifying academic records. (If the board denies issuance/reinstatement, the applicant must wait one year prior to re-application.) 4. The committee of the board shall make a recommendation to the full Board regarding whether the applicant’s teaching certificate should be issued, reinstated, suspended for an additional period of time, or remain revoked. Board staff shall notify the applicant of the board’s action. AUTHORITY NOTE: Promulgated in accordance with R.S. 17:6 (A)(10), (11), (15); R.S. 17:7(6); R.S. 17:10; R.S. 17:22(6); R.S. 17:391.1-391.10; R.S. 17:411. HISTORICAL NOTE: Promulgated by the Board of Elementary and Secondary Education, LR 32: www.teachlouisiana.net

ACT 650

§421.1. Applicability of graduate work to the minimum salary schedule

A. In determining eligibility for the minimum salary established in R.S. 17:421 for teachers who have a master’s degree plus thirty graduate hours, any graduate semester hours earned before or subsequent to receiving the master’s degree but which are not part of the master’s program and which are earned in a regionally accredited institution of higher education shall be counted toward the required thirty graduate semester hours. No provision of the Section shall effect any credit for graduate hours given prior to September 12th, 1975 to any teacher in determining eligibility for the minimum salary established in R.S. 17:421 for teachers who have a master’s degree plus thirty graduate hours.

B. For purposes of the minimum salary schedule established in R.S. 17:421.3, credit for graduate degrees or coursework will be given for a teacher whose primary responsibility is classroom teaching only when one or more of the following conditions have been met:

(1) If the teacher is employed to teach at the elementary school level, the degree, or the degree and coursework, bears more than minor relationship to the methods of teaching or one or more of the subject matters taught by the teacher.

(2) The degree, or the degree and coursework, is in or closely related to the subject matter field of the majority of classes assigned to that teacher.

(3) The teacher is assigned a majority of classes in a field or fields for which the State Board of Elementary and Secondary Education certifies there is a significant teacher shortage, but this condition will not be considered to have been met if the teacher is not either certified or actively pursuing certification to teach those classes pursuant to regulations of the State Board of Elementary and Secondary Education.

(4) The teacher who has been eligible for credit for a graduate degree, or graduate degree and coursework, is assigned involuntarily to a class or classes and by virtue of that assignement would become ineligible, but this condition will not be considered to have been met if the teacher is not either certified or actively pursuing certification to teach those classes pursuant to regulations of the State Board of Elementary and Secondary Education.

(5) The teacher earns a graduate degree, or graduate degree and coursework, in a field related to educational administration, guidance, counseling, or personnel administration.

(6) The teacher was employed in a full-time position requiring certification in a Louisiana public school system during the 1985-1986 school year, however, the teacher shall have completed the requirements for the degree or coursework or have enrolled in a program leading to such completion not later than July 1st, 1986.

C. No teacher shall receive less salary by virtue of no longer meeting one or more of the conditions listed in Subsection B of this Section.

Added by Acts 1966, No. 430, §1; Amended by Acts 1975, No. 769, §1, Acts 1985, No. 650, §1.

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:

1 2 3 4 5 6 None of these

3. Medical Facts: Please briefly describe the medical facts which fit the category checked above:

______

4. Duration of condition and incapacity1: ______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 ______

Serious Health Condition Definition as set forth under Family and Medical Leave Act of 1993

A “serious health condition” is defined in the FMLA 4. Chronic conditions requiring treatments: regulations as any illness, injury, impairment or physical or mental condition that involves one of the A chronic condition which: following: a. Requires periodic visits for treatment by a health care 1. Hospital Care: provider, or by a nurse or physician’s assistant under This means inpatient care (that is, an overnight direct supervision of a health care provider; stay) in a hospital, hospice or residential medical care facility, including any period of incapacity or b. Continues over an extended period of time subsequent treatment in connection with or (including recurring episodes of a single underlying consequent to such inpatient care. condition); and

2. Absence plus treatment: c. May cause episodic rather than a continuing period of A period of incapacity of more than three incapacity (e.g. asthmas, diabetes, and epilepsy). consecutive calendar days (including any subsequent treatment or period of incapacity 5. Permanent/long-term conditions requiring relating to the same condition), that also involves: supervision: A period of incapacity, which is permanent or long- a. Treatment2 two or more times by a health term due to a condition for which treatment may not be care provider, by a nurse or physician’s assistant effective. The employee or family member must be under direct supervision of a health care provider, under the continuing supervision of, but need not be or by a provider of health care services (e.g., receiving active treatment by a health care provider. physical therapist) under orders of, or on referral Examples include Alzheimer’s, a severe stroke, or the by, a health care provider; or terminal stages of a disease.

b. Treatment by a health care provider on at 6. Multiple treatments (non-chronic conditions): least one occasion which results in a regimen of Any period of absence to receive multiple treatments continuing treatment3 under the supervision of (including any period of recovery there from) by a health the health care provider. care provider or by a provider of health care services under orders of, or on referral by, a health care provider 3. Pregnancy: either for restorative surgery after an accident or other Any period of incapacity due to pregnancy, or for injury, or for a condition that would likely result in a prenatal care. 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).

1Incapacity 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.

LOUISIANA DEPARTMENT OF EDUCATION Certification and Preparation

EXPERIENCE VERIFICATION FORM

Louisiana Certificate Type/Number: ______Social Security Number: ______- ______- ______

Name: ______Date of Birth: ____/____/____ (First) (Middle) (Maiden) (Married)

Address: ______Home Phone #: (______) ______(Street) (City/State) (Zip Code)

PARISH/ Type of School Grade Subject(s) School POSITION DISTRICT/ Public Private NAME OF Level(s) Taught Year(s) (teacher, COUNTY School School SCHOOL Taught Taught principal, etc.) - - - - -

1 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 approved public or nonpublic 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 9/11/08

T EACHER QUALITY ISSUES –

A ugust 2008 B ESE Responses

Leaving no child behind begins with leaving no teacher behind.

Please be reminded that on the Friday before Board committee meetings, the agenda and backup for each committee are now posted on our website at: http://www.louisianaschools.net/lde/bese.

Items Received and Referred for the September 2008 Meeting

Item Summary

Consideration of a revision in At the September 2008 BESE meeting, the Department will recommend approval of revisions to Bulletin 746 regarding the Foreign Language Special Certificate Bulletin 746, Louisiana Standards (FLES). The revisions will allow teachers the option to renew FLES certificates for State Certification of School every five years upon completion of 150 hours of continuing learning units of Personnel, to include a revision of district-approved and verified professional development over a five year time the Foreign Language Special period.

Certification Policy.

(In the QUALITY LEADERS/EDUCATORS COMMITTEE)

Consideration of revisions to the At the September, 2008 BESE meeting, the Department will recommend approval of revisions to the Praxis Family and Consumer Sciences (0120) test score due to PRAXIS Family and Consumer transitioning from the older National Teacher’s Exam (NTE) scoring scale of 250-990 Sciences (0120) test score due to to the new Praxis scale of 100-200. transitioning of the new scoring scale.

(In the QUALITY LEADERS/EDUCATORS COMMITTEE)

Consideration of approval of the At the September 2008 BESE meeting, the Department will seek approval of the new Louisiana School Turnaround Specialist certification endorsement. This endorsement Louisiana School Turnaround is tied to successful completion of all components and criteria of the Louisiana School Specialist Add-On Endorsement. Turnaround Specialist (LSTS) program by participating principals. The LSTS program is a leadership development program that borrows heavily from the corporate world. (In the QUALITY LEADERS/EDUCATORS COMMITTEE) It is designed to strengthen the organizational and instructional leadership skills of currently certified and experienced principals so as to prepare them to lead low- performing schools to higher student achievement. The LSTS is designed to recruit, groom and build a cadre of school leaders prepared to turnaround failing schools.

Consideration of a change in At the September, 2008 BESE meeting, the Department will recommend approval of revisions to Bulletin 746 regarding State and Federal Guidelines Related to No Child Chapter 11. State and Federal Left Behind Federal Legislation: Qualifications for Teachers and Paraprofessionals. Guidelines Related to No Child The policy revision will align the Louisiana High Objective Uniform State Standard of Left Behind Federal Legislation: Evaluation (HOUSSE) Plan for Not New Elementary Teachers with Federal requirements. Qualifications for Teachers and Paraprofessionals of Bulletin 746, Louisiana Standards for State Certification of School Personnel.

(In the QUALITY LEADERS/EDUCATORS COMMITTEE)

Items Retained at the August 2008 Meeting (To be reconsidered at the September 2008 Board Meeting)

Item Summary

NONE

Teacher Quality Items Out As Notice of Intent and Date Due to Come Back to the Board for Final Approval

Item and Date Passed as NOI by Board Date Item was run Date due back as NOI in the Register for Final Approval

746 - Bulletin 746, Louisiana Standards for State Certification of School 6/20/08 September 2008 Personnel, regarding an add-on certification endorsement in Online Instruction, Section 665. (passed by Board as NOI 4/17/08)

This policy will create an add-on certification endorsement in Online Instruction. An add-on certification endorsement in Online Instruction will enable educators to become qualified instructors of online courses and will build capacity for teachers with an expertise in the field of online learning.

746 - Bulletin 746, Louisiana Standards for State Certification of School 6/20/08 September 2008 Personnel, regarding the Blended General Special Education Mild/Moderate certification requirements, Sections 219, 221, and 223 (passed by Board as NOI 4/17/08)

746 - Bulletin 746, Louisiana Standards for State Certification of School 8/20/08 October 2008 Personnel, the change in Chapter 9, Actions Related to Criminal Offenses (For Dec. 2008 Rule) and/or the Submission of Fraudulent Documents.

(passed by Board as NOI 6/19/08)

The web address for the Louisiana Register is http://www.doa.louisiana.gov/osr/reg/register.htm.There is a drop down menu on the left side of the page. Click on Louisiana Register, select the issue (year and month) and scan the Index for the Notice of Intent in which you have an interest. This will give you detailed information on each item run as NOI.

Board Meeting Shots: ABOVE: Jim Garvey studies recommendation. RIGHT: Dale Bayard; John Bennett; and Debi Faucette, DOE, discuss agenda item. .

Actions Taken by the Board in August 2008

Summary

1. The Board approved as Notice of Intent for Bulletin 746, Louisiana Standards for State Certification of School Personnel, policy for a non-traditional type certificate for “professionals with specific math content NOI knowledge/experience.”

This certification will target practicing professionals having a math/science work-related background, who would be “on loan” from their employer to teach one or more mathematics courses on a part-time basis.

2. The Board approved as Notice of Intent revisions in Bulletin 746, Louisiana Standards for State Certification of School Personnel, to include an Ancillary certificate in the area of Orientation and Mobility. NOI This policy will allow an individual who holds a bachelor’s or master’s degree in orientation and mobility and a license from either the Academy for Certification of Vision Rehabilitation & Educational Professionals (ACVREP) or the National Blindness Professional Certification Board (NBPCB) to apply for an Ancillary certification in this area.

3. The Board approved as Notice of Intent the following revisions to Bulletin 746, Louisiana Standards for State Certification of School Personnel: NOI a. Revision of the Practitioner License PL 3 policy to allow the PL 3 to be issued for four years instead of three years; b. Revision of State as Provider policy to remove the requirement that candidates successfully complete LaTAAP prior to the issuance of an initial teaching certificate; c. Revision of requirements to add-on Mild/Moderate policy to allow the use of three years of successful experience teaching Mild/Moderate students in lieu of the three-hour practicum course in assessment and evaluation of Mild/Moderate exceptional learners; and d. Revision of policy regarding Out-of-State (OS) certificates to allow an out-of-state teacher with a five year break in service to be issued a special one-year non-renewable certificate while he/she completes six- semester hours of coursework required for a three-year OS certificate.

4. The Board approved the following teacher preparation programs at Louisiana State University and A & M College:

a. Bachelor of Science Degree Programs in Agricultural Education Grades 6-12, Business Education Grades 6- 12, and Marketing Education Grades 6-12; and b. Non/Masters/Certification-Only Programs in Agricultural Education Grades 6-12, Business Education Grades 6-12, and Marketing Education 6-12.

5. The Board approved the request from Tulane University for an extension of its Second-Stage Unit Approval for one year, through December 2009, of its teacher preparation and certification program.

6. The Board approved the recommendation of the Louisiana Unit Accreditation Board (LUAB) to grant approval of the teacher education unit at the University of New Orleans.

7. The Board approved the recommendation of the Louisiana Accreditation Board (LUAB) and granted provisional approval of the teacher education unit at Louisiana College, contingent upon the following three conditions:

a. The Unit will submit to the Department a copy of Part C of the Annual Report to NCATE that specifically addresses all areas for improvement cited in NCATE’s Accreditation Action Report; b. The Unit will submit to the Department a timeline identifying completion dates for the alignment of assessments to the Specialty Professional Associations’ (SPAs) standards, as well as copies of the program reports submitted to the SPAs; and c. The Unit will notify the Department when a change of status of previously submitted programs occurs.

ITEM of INTEREST

$3.4 Million Wallace Foundation Grant

The Louisiana Department of Education officials joined Governor Bobby Jindal, Commissioner of Higher Education Sally Clausen, University of Louisiana System President Randy Moffett, and other education officials at the University of Louisiana at Monroe to announce the receipt of a two-year, $3.4 million grant from The Wallace Foundation to support educational leaders across the state. The Wallace Foundation grant will allow the state to continue a collaborative effort between the Office of the Governor, the Louisiana Department of Education, the Board of Elementary and Secondary Education, the Board of Regents, and the University of Louisiana System. Through educational leadership initiatives made possible by this funding, these organizations will continue their joint efforts to improve the state’s ability to recruit, train, and retain qualified school principals.

Over the last three years, funding from The Wallace Foundation has been utilized to support a variety of educational leadership initiatives. The improvements that were achieved through these grant resources clearly contributed to Louisiana being recognized by the Southern Regional Education Board as the only state that made progress in six key policy areas pertaining to the preparation of principals.

“We have identified about 20 schools in Louisiana that are high-performing, high-poverty schools and the one commonality among them is high-caliber leadership,” State Superintendent of Education Paul Pastorek said. “But effective school leadership doesn’t just happen; it requires an intense effort to grow and nurture potential leaders. This support from The Wallace Foundation allows us to designate more funding to support leadership development programs and furthers our capacity to produce extraordinary school leaders.”

A major part of the state’s efforts to develop effective leadership relies on its ability to offer incentives to highly effective school leaders through various programs like the Wallace Foundation Grant and the Louisiana Leaders Fellow Program, which is supported by state funds. Through their participation in the Fellowship program, 21 teacher leaders are paid up to $70,000 a year, plus a $10,000 summer stipend to serve in K-12 schools as full-time educational leadership residents while simultaneously enrolling in the fellowship’s intensive full-time university program that allows them to become certified principals. Some of the funds from the grant will be designated to fund research that specifically addresses the placement and retention of new educational leaders in districts with underperforming schools.

Board Meeting Shots:

LEFT to RIGHT: (top row), LEFT: Sharon Gilbert, Board Staff; Dr. Amy Westbrook, BESE Executive Director; Jim Garvey; Supt. Pastorek; Walter Lee; and Louella Givens. RIGHT: Dale Bayard recognizes Mr. Ronald Blanchard, inductee into the national Teacher’s Hall of Fame. (bottom row) LEFT: Senator Sharon Weston Broome discusses Legislators’ Back-to- School Program. RIGHT: Tammie McDaniel and Chas Roemer listen to presentation.

The next Board meeting will be in September 2008. • Tuesday and Wednesday, September 16 and 17, Committee Meetings • Thursday, September 18 – Full Board http://www.louisianaschools.net . LOUISIANA REQUIREMENTS—PRAXIS/NTE SCORES

PRE-PROFESSIONAL SKILLS TESTS “Paper Administrations” (Required for all Louisiana candidates to enter teacher preparation programs.)

0710 174 Effective 7/1/07 0720 173 0730 172 0710 176 Effective 7/1/10 0720 175 0730 175 PRE-PROFESSIONAL SKILLS TESTS “Computer Based Administrations” PRE-PROFESSIONAL SKILLS TEST Test # Score Effective Date PPST:R – Pre-Professional Skills Test: Reading 0711 319 Prior to1/16/02 PPST:W – Pre-Professional Skills Test: Writing 0721 316 PPST:M – Pre-Professional Skills Test: Mathematics 0731 315 PPST:R – Pre-Professional Skills Test: Reading 5710 172 Effective 1/16/02 PPST:W – Pre-Professional Skills Test: Writing 5720 171 PPST:M – Pre-Professional Skills Test: Mathematics 5730 170

5710 174 Effective 7/1/07 5720 173 5730 172 5710 176 Effective 7/1/10 5720 175 5730 175 Core Battery Exams Communications Skills (CS) 0500 645 Prior to 9/1/99 General Knowledge (GK) 0510 644 Professional Knowledge (PK) 0520 645

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.

CONTENT AND PEDAGOGY REQUIREMENTS Content Pedagogy: Principles of Learning & Certification Name of Praxis Test Exam Teaching Area Score PLT K-6 PLT 5-9 PLT 7-12 (#0522) (#0523) (#0524) Early Childhood PK-3 Elementary Content Knowledge (0014) Prior to 5/31/04 147 Prior to 6/1/04: PLT K-6 or ECE 0020; Effective 6/1/04 150 After 5/31/04: Early Childhood Education 0020 (Score 510) After 1/1/08: PLT Early Childhood 0521 (Score 172) Grades 1-5 Elementary Content Knowledge (0014) Prior to 5/31/04 147 161 ------Effective 6/1/04 150 Grades 4-8 Generic Middle School: Content Knowledge (0146) 150 --- 154 --- 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) 148 --- 154 --- Grades 4-8 Science Middle School Science (0439) Prior to 5/31/2006 140 --- 154 --- Effective 6/1/2006 145 Effective 6/1/2009 150

Revised 2/19/2008

Grades 4-8 Social Studies Middle School Social Studies (0089) 149 --- 154 ---

Grades 4-8 English/Language Middle School English/Language Arts (0049) 160 --- 154 --- Arts

GRADES 6-12 CERTIFICATION AREAS Score PLT 7-12 Agriculture Agriculture (0700) Effective 7/1/05 510 ------161

German: Content Knowledge (0181) Effective 7/1/06 151 Grades K-12 Foreign Languages Spanish: Content Knowledge (0191) Effective 6/1/04 160 161 or 154 or 161

Grades K-12 Music Music: Content Knowledge (0113) Effective 6/1/04 151 161 or 154 or 161 Grades K-12 Health and Phys. Education: Content Knowledge (0091) 161 or 154 or 161 Physical Education Effective 6/1/04 146 **At this time, a content area exam is not required for certification in Louisiana.

Revised 2/19/2008

SPECIAL EDUCATION AREAS Area Content Exam Score Pedagogy Requirement Score

Educ. of Exceptional Students: Core Content Knowledge 143 (0353) & Early Childhood Education (0020) Effective 7/1/05 510

Educ of Exceptional Student: Core Content Knowledge (0353) & 143 Effective Date: 1/1/08: PLT: Early Childhood (0521) 172 Hearing Impaired Elementary Education: Content Knowledge Educ. of Exceptional Students: Core Content Knowledge (0353) & 143 (0014) Effective 7/1/05 150 Educ. of Deaf and Hard of Hearing Students (0271) 160 Effective 6/1/04 Mild to Moderate Effective 6/1/04 ALL Candidates must pass a content area *Educ. of Exceptional Students: Core Content Knowledge (0353) & 143 Disabilities exam appropriate to certification level 1-5, 4-8, 6-12 Educ. of Exceptional Students: Mild/Moderate Disabilities (0542) 141 (e.g., 0014, or core subject-specific exams for middle or Effective 1/1/05 secondary grades) Prior to 6/1/04, a content area exam was required only for *Note: (0353) and (0542) are not content area exams. entry into a Mild/ Moderate 1-12 Practitioner Teacher Program, Non-Master’s Certification-Only Alternate Program, and Master’s Alternate Program. Significant Disabilities Elementary Education: Content Knowledge Educ. of Exceptional Students: Core Content Knowledge (0353) & 143 (0014) Effective 7/1/05 150 Educ. of Exceptional Students: Severe to Profound Disabilities (0544) 147 Effective 6/1/04 Visual Elementary Education: Content Knowledge Impairments/Blind (0014) Effective 7/1/05 150 Educ. of Exceptional Students: Core Content Knowledge (0353) Effective 6/1/04 143

ADMINISTRATIVE AREAS

Revised 2/19/2008