HUMAN RESOURCES HANDBOOK

HUMAN RESOURCES HANDBOOK TEACHER CERTIFICATION

The School Board of St. Lucie County is an Equal Opportunity Agency July 2017

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TABLE OF CONTENTS

Human Resources Contacts .............................................................................................2

Certification of Instructional Personnel ..............................................................................3

Florida Course Code Directory ..........................................................................................3

Temporary Certificates ......................................................................................................3

Professional Certificates ....................................................................................................6

Reciprocity .........................................................................................................................6

District-Issued Certificates .................................................................................................7

Athletic Coaching Certificates ...........................................................................................7

Additions/Renewals ...........................................................................................................8

Florida Teacher Certification Exams .................................................................................9

Teaching Out of Field ........................................................................................................9

ESOL .................................................................................................................................10

Salary Supplements ..........................................................................................................10

School Board Policies .......................................................................................................12-14

Appendix Appendix A: District Application for Additions ...................................................................15-20 Appendix B: District Renewal Application .........................................................................21-25 Appendix C: ESOL Information .........................................................................................26-28

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HUMAN RESOURCES CONTACTS

Marla Grant [email protected] Director of Human Resources 772/429-3973

Heather Blackard Conte [email protected] Compliance Specialist 772/429-7507

Ron Barr [email protected] Certification Specialist 772/429-7512

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CERTIFICATION OF INSTRUCTIONAL PERSONNEL All instructional personnel are obligated to obtain proper certification in order to be employed. Application to the Florida Department of Education, Bureau of Educator Certification, should be made before or immediately upon employment in an instructional position. In order to maintain employment, each new instructional employee must provide the district with proof of certification within 120 work days of employment. Failure to do so may result in loss of employment. The application for certification may be completed on-line at http://www.fldoe.org/edcert/apply.asp. Alternatively, a paper application may be obtained from the Human Resources Department.

An individual who meets the minimum application requirements is issued an Official Statement of Status of Eligibility (SOE) which reflects the results of an evaluation of the application and all supporting documents submitted by the applicant. The SOE is valid for three (3) years from the date it is issued. The SOE advises the applicant of three key pieces of information:

1. Whether or not the applicant meets the subject requirements (specialization) for the subject orendorsement requested.

2. The requirements that are remaining for issuance of a temporary certificate in that subject.3. The requirements that are remaining for issuance of a professional certificate in that subject.

Persons submitting a complete application for certification and the required processing fee may be able to receive issuance of their certificate within thirty (30) days of submission of their fingerprints, unless there is some special hold due to a criminal history or illegible fingerprints. These will delay issuance as they require manual processing.

FLORIDA COURSE CODE DIRECTORY State Board of Education Rule 6A-1.09441, Florida Administrative Code (FAC), requires that school-level, district-level, and postsecondary-level personnel use the Florida Course Code Directory when determining appropriate educator certification for specified courses. Directory files are located at http://www.fldoe.org/articulation/CCD/ and are broken down into the following sections:

• Section 1 – Narrative Section• Section 2 – Administrative, Curricular, Service Assignments Course Listing• Section 3 – Grades PreK to 5 Education Course Listing• Section 3 – Grades 6 to 8 Education Course Listing• Section 3 – Grades 9 to 12 and Adult Education Course Listing• Section 4 – Exceptional Student Education Course Listing• Section 5 – Career Technical Education Program and Course Listing• Section 6 – Adult General Education Course Listing

TEMPORARY CERTIFICATES The temporary Florida certificate is valid for three (3) years and is not renewable. This certificate provides teachers with a bachelor's degree the opportunity to teach full-time while they complete the requirements for the professional certificate. The requirement to demonstrate mastery of general knowledge through Florida’s General Knowledge Exam must be met within one (1) calendar year of the date of employment under the temporary certificate. A school district shall not employ nor continue the employment of an individual past the end of the contract year when the general knowledge requirement has not been met. A teacher may continue to be employed in another job classification, such as a substitute teacher, but shall not continue to be employed as a full-time teacher. Upon presenting passing scores, the individual may be re-employed as a full-time teacher.

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Instructional personnel new to teaching in Florida are required to complete the Professional Education Competence Program (PEC) during the three year validity period of their temporary certificate. The function of this program is to determine that new teachers have acquired professional education competence as demonstrated by their day-to-day classroom performance. Most will complete the PEC in one year. This requirement must be met before a five-year professional certificate can be issued. The two exceptions to this requirement include:

a. An individual who has completed an approved teacher education program at an approved institution within the state of Florida.

b. An individual who has completed an approved teacher education program in another state having reciprocity with Florida and who has a professional certificate issued by that state.

The Professional Education Test is another requirement listed in the SOE for temporary certificate holders. This test assesses knowledge of pedagogy and professional practices in the field of education. Non-education majors are required to establish Professional Preparation Competence (PPC). This requirement includes 15 hours of education coursework and earning one year of full-time teaching experience (Note: 15 hour total applies to all subjects; however, more than 15 hours may be needed to complete all of the specific course requirements). The coursework credit is defined as follows:

• Classroom management with a focus on creating safe learning environments in which effective teaching and learning can take place by promoting a physically, emotionally, socially and academically secure climate for students

• Child and adolescent development including theories and principles of learning

• Educational assessment practices that include analysis and application of data from statewide

standardized assessments and other multiple sources to improve instruction and learning

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• Effective instructional techniques, strategies, and materials to meet the needs of diverse learners,

including students with disabilities

• For certificate subject coverages classified by rule as academic or degreed career and technical,

applications of research-based instructional practices in reading

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• Instructional strategies for teaching students of limited English proficiency including instruction in theEnglish language and development of the student’s mastery of the four language skills of listening,speaking, reading, and writing

• Practical Teaching Experience Requirement (PTER). This requirement may be satisfied by one of thetwo plans listed below:

• Elective Credit

PROFESSIONAL CERTIFICATES Florida's highest teaching certificate, the professional certificate, is a renewable teaching credential valid for five (5) years. Teachers with a bachelor's degree from a state-approved program can qualify for this certificate after they pass all required Florida Teacher Certification Exams (FTCE) and complete applicable paperwork.

RECIPROCITY Florida offers two reciprocal routes to the professional certificate for applicants who hold valid standard certificates from other U.S. states, territories, and the National Board for Professional Teaching Standards (NBPTS).

Route 1: valid standard certificate issued by a state other than Florida

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• The certificate must be a standard or Level II certificate issued by the other state or US territory, and the certificate must be currently valid (not expired or revoked).

• The subject(s) shown on the certificate must be considered comparable to a subject(s) issued in Florida.

Route 2: certificate issued by the National Board for Professional Teaching Standards (NBPTS)

• The NBPTS certificate must be currently valid. • The Florida certificate will reflect the Florida subject considered comparable to the NBPTS subject.

DISTRICT-ISSUED CERTIFICATES Career and Technical Education courses may be taught by qualified non-degreed personnel with expertise based upon verified satisfactory occupational experience. A person holding a district-issued certificate must be assigned to teach only Career and Technical Education courses as indicated in the Florida Course Code Directory. No teacher in a non-degreed assignment may be employed out-of-field. The Human Resources Department issues an initial three-year nonrenewable temporary certificate in the same manner that state-certified teachers are certified. During the validity period of this temporary certificate, the teacher must provide documentation of the following to qualify for the professional certificate:

A. The requirement to demonstrate mastery of general knowledge through Florida’s General Knowledge Exam must be met within one (1) calendar year of the date of employment under the temporary certificate.

B. Successful completion of the district’s Professional Education Competence (PEC) Program. C. A passing score on the Professional Education Test. D. A minimum of 12 semester hours in education courses with credit in each of the professional education

areas listed below:

• Teacher Methods • Course Construction • Lesson Planning and Evaluation • Teaching Special Needs Students

E. Industry certification if state or national industry certifications are available and applicable as indicated in

the Industry Certification Funding List (http://www.fldoe.org/workforce/fcpea/).

Upon receipt of the above documentation with the appropriate application and $75 processing fee, the Human Resources Department will issue the Career and Technical Education teacher the five-year professional district certificate that is valid for five (5) years from July 1st of the school year it was issued. This certificate must be renewed in the identical manner that a state-issued certificate is renewed. Note, if the Career and Technical Education teacher also holds a Florida Department of Education (FDOE) certificate, the District will align the district-issued certificate validity dates to match the FDOE certificate. Additionally, only a total of 120 in-service points will be required to renew both certificates.

ATHLETIC COACHING CERTIFICATES Athletic Coaching certificates are issued to individuals who do not hold a valid Florida educator’s certificate, but who are paid to coach in the public schools. For individuals who hold a valid Florida educator’s certificate, the additional coaching certificate is not required by the State. Individuals who hold valid Florida certificates who wish to hold coaching certification may apply and meet the requirements to add the Athletic Coaching Endorsement.

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The coach should apply for the one time only three-year nonrenewable Athletic Coaching Certificate or the five-year renewable certificate, if former college coursework is appropriate, at www.fldoe.org/edcert/apply.asp. The current processing fee is $75.00.

The coach receives an Official Statement of Status of Eligibility from the Florida Department of Education (FDOE) that indicates eligibility for a three-year Athletic Coaching certificate and also lists the requirements for the five-year certificate. If the coach is not eligible for the five-year certificate, then he/she must complete the course requirements within the three-year validity period of the first certificate. When the coaching certificate is received, a copy should be sent to the Human Resources Department for inclusion in the coach’s personnel file.

The School District of St. Lucie County in partnership with the American Sport Education Program (ASEP) offers ASEP on-line and classroom courses at http://www.asep.com/asep_content/org/slsd.cfm. When the coach has completed the coursework, he/she will then apply to FDOE for the five-year Athletic Coaching certificate. Official documentation, including a copy of a valid cardiopulmonary resuscitation (CPR) card, will be sent to FDOE by the Human Resources Department verifying that the coach has completed the Athletic Coaching requirements. Applications must be submitted before the end of the validity period of the three-year certificate.

ADDITIONS/RENEWALS To add a subject to a valid Florida educator’s certificate, you must:

1. Submit a completed application form (see Appendix for District Application for Additions) and $75.00processing fee. Accepted payment methods include credit card(https://stlucie.revtrak.net/tek9.asp?pg=products&specific=jnkqemc8), personal check, or money orderpayable to the St. Lucie County School Board.

2. Demonstrate mastery of subject knowledge in the subject you wish to add (i.e. passing score on aFlorida subject area exam or content area coursework/in-service).

Applications for renewals (see Appendix for District Renewal Application) are accepted up to one (1) year prior to the certificate expiration date. Renewals must occur on or before April 1 of the expiration year to be eligible for reappointment. Once the application and $75.00 fee are submitted for processing, the Human Resources Department will then request verification of in-service points from Professional Development. Accepted payment methods include credit card (https://stlucie.revtrak.net/tek9.asp?pg=products&specific=jnkpqri8), personal check, or money order payable to the St. Lucie County School Board.

Any person applying on or after July 1, 2014, for renewal or reinstatement of a Professional Certificate must earn at least one (1) semester hour of college credit or the equivalent twenty (20) in-service points in the instruction of students with disabilities. A minimum of six (6) semester hours of acceptable college credit or 120 in-service points is still required in order to renew your certificate. The credit in the instruction of students with disabilities will now be required as a part of the overall credit for any renewal or reinstatement application received on or after July 1, 2014.

As an acceptable equivalent, you may earn a passing score on a Florida subject area exam during the current validity period for a subject reflected on your certificate to satisfy three (3) semester hours of renewal credit. If your current Professional Certificate includes a subject in the instruction of students with disabilities, a passing score on the corresponding subject area exam (i.e., Exceptional Student Education, Hearing Impaired, Speech-Language Impaired, Visually Impaired) earned during the current validity period will satisfy three (3) semester hours of renewal credit and also the requirement for credit in the instruction of students with disabilities.

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Teachers should check the amount of in-service points earned within the validity period (ex: July 1, 2013 - June 30, 2018) on ERO prior to submitting the renewal application https://ero1.eschoolsolutions.com/user/Login.taf?orgId=34947. Other renewal options include:

• 60 in-service points plus one 3 credit hour course• two 3 credit hour courses (6 semester hours total)• subject area exam (taken within validity period) plus 60 in-service points or 3 semester hours of

coursework (same subject must already be on your certificate)• a valid National Board Certification will renew all corresponding areas shown on the Florida certificate;

a copy must accompany the renewal form

FTCE The purpose of the Florida Teacher Certification examinations (FTCE) is to ensure that all teacher candidates demonstrate the necessary content and pedagogical knowledge necessary to effectively instruct students in Florida. All FTCE exams are offered via computer at multiple locations throughout the state. Information on Florida Teacher Certification Exams can be found by going to www.fl.nesinc.com. This website provides up-to-date registration and testing information, information about test preparation materials, and services that enable you to register and obtain your unofficial test results on-line.

TEACHING OUT OF FIELD Employees hired to teach out of field must complete the minimum college credit hours or equivalent, as specified below, each year toward certification in order to be eligible for reappointment.

A teacher out of field in a subject other than English for Speakers of Other Languages (ESOL) shall complete at least six semester hours of college credit or the equivalent toward the appropriate certification within one (1) calendar year from date of initial appointment to the out-of-field assignment and each calendar year thereafter until all course requirements are completed for the appropriate certification.

A teacher out of field in ESOL only shall complete at least three semester hours of college credit or the equivalent toward the ESOL requirements within the first two (2) calendar years from date of initial assignment and three semester hours or the equivalent during each calendar year thereafter until all course requirements for certification in ESOL are completed.

A teacher out of field in ESOL and another subject shall complete at least six semester hours of college credit or the equivalent toward the appropriate certification within one (1) calendar year from the date of initial appointment to the out-of-field assignment and each calendar year thereafter until all course requirements are completed for the appropriate certification. During the first two (2) years, at least three of the required hours or the equivalent shall be completed in ESOL strategies. Beginning with the third year and each year thereafter, at least three semester hours or the equivalent shall be completed in ESOL strategies and at least three semester hours in requirements for the other subject shall be completed until all course requirements are completed for the appropriate certifications.

If the out-of-field teacher is completing professional preparation coursework towards the professional certificate, six semester hours of the education coursework may be used in lieu of the six semester hours of college credit or the equivalent toward the appropriate certification.

St. Lucie Public Schools shall post out of field assignments thirty (30) days prior to the start of the student semesters. The principal is also required to notify parents in writing when teachers are teaching out of field before the October and February Full-Time Equivalent (FTE) survey periods. Each year as applicable, the out-of-field teacher shall file appropriate verification of course work until fully certified with the Human Resources Department.

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ESOL The Consent Decree addresses the civil rights of English Language Learner (ELL) students, foremost among those their right to equal access to all education programs. In addressing these rights, the Consent Decree provides a structure that ensures the delivery of the comprehensible instruction to which ELL students are entitled. Training requirements are broken down into four categories (see Appendix for ESOL information). Category I: A teacher who is responsible for Language Arts/English, Developmental Language Arts, Intensive Reading, or Reading must complete the five ESOL Endorsement classes and add the coverage to their teaching certificate.

• Applied Linguistics • Cross Cultural Communication • ESOL Curriculum • Methods of Teaching ESOL • Testing and Evaluation of ESOL

Once the ESOL Endorsement has been obtained, the teacher will also bank 300 points that may be used toward subsequent renewals of their certificate in any area. Alternatively, teachers may (1) take any two of the ESOL Endorsement classes and (2) take the ESOL K-12 Subject Area Exam (SAE). ESOL K-12 Certification will be retained on the Florida educator’s certificate as long as the teacher has completed 120 ESOL in-service points or two ESOL college classes prior to recertification. The ESOL in-service or coursework must be completed within three (3) years of adding the ESOL K-12 certification to the teaching certificate. Category II: A secondary education teacher who teaches Social Studies, Mathematics, Science, or Computer Literacy requires 60 ESOL in-service points or one of the endorsement classes listed above. Category III: This applies to elective teachers; a teacher who is not in Category 1, 2, or 4 (i.e. Art, Music, Physical Education, Media Specialists, Speech-Language Pathologists, Occupational Therapists, Foreign Language teachers, etc.) require 18 ESOL in-service points or one of the endorsement classes listed above. Category IV: Administrators and Guidance Counselors require 60 ESOL in-service points or one of the endorsement classes listed above. When a Category I teacher who is not certified or endorsed in ESOL is assigned to teach a class in which an active ELL student is enrolled, the teacher is identified as out of field. Once this occurs, the teacher is required to work toward ESOL endorsement/certification regardless of whether or not they have ESOL students in their class in subsequent years. Beginning with the 2011-2012 school year, Category I teachers must complete all ESOL training requirements consecutively, within a six-year period. In other words, teachers must earn 60 in-service hours within the first two (2) years and 60 in-service hours each year after until fulfilling the required hours. They may take more than the minimum required hours each calendar year, but they cannot skip any years or double-up. The intent is for training to occur in a continuum in order to help the teacher become proficient as soon as possible, thereby benefiting the ELL students.

SALARY SUPPLEMENTS The restriction on awarding salary supplements for advanced degrees is based upon Senate Bill 736 which was passed during the 2011 legislative session. A summary of the bill is available on-line at http://www.fldoe.org/GR/Bill_Summary/2011/SB736.pdf. The exact language from Senate Bill 736 is as follows:

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A District school board may not use advanced degrees in setting a salary schedule for instructional personnel or school administrators hired on or after July 1, 2011, unless the advanced degree is held in the individual’s area of certification and is only a salary supplement.

The Human Resources Department references a list of acceptable majors recommended by the Florida Department of Education to determine eligibility for the advanced degree supplement.

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SCHOOL BOARD POLICIES

6.20*+ CERTIFICATION OF ADMINISTRATIVE AND INSTRUCTIONAL PERSONNEL Except for employment under emergency conditions, as provided in Florida Statutes, and for part-time service as authorized in these policies, no person shall be employed or continued in employment in an instructional capacity who does not hold or who is not eligible to hold a valid Florida certificate. The certificated staff member shall be responsible for maintaining a valid teaching certificate. The staff member shall register the certificate and each certificate reissuance or renewal in the Human Resources Department as soon as the Florida Department of Education reissues or renews the certificate.

(1) The Superintendent’s designee shall serve as the contact person with the certification section of theFlorida Department of Education and will assist with all certification requirements.

(2) An individual nominated for an instructional position shall be properly certificated, be eligible forcertification, or qualify for employment or reemployment as a non-degreed vocational education teacher or a noncertificated instructional staff member.

(3) As state and/or federal rules/legislation changes, administrative and instructional personnel may berequired to meet additional education and certification requirements to be in compliance. Failure to complywith this policy may result in disciplinary action up to and including termination.

(4) All persons employed or occupying a position whose function includes the provision of direct instructional services to students or direct support in the learning process of students must hold the certificate(s) required by Florida Statutes and Florida Department of Education rules.

(5) Periodically as required, the Superintendent shall develop and recommend and the School Board shalladopt a District certification manual governing certification of non-degreed full-time vocational teachers,substitute teachers, and non-certificated instructional personnel.

(6) In-service training programs shall be designed to assist instructional personnel in the performance oftheir assigned duties by improving their competencies, knowledge, and skills.

(7) In addition to subject area certification, instructional staff members shall comply with all provisions of theMETA Decree. Failure to comply with this policy may result in disciplinary action up to and includingtermination.

(8) Federal law requires that all teachers of core academic subjects meet "highly qualified" criteria. TheBoard will make every attempt to comply with Federal and State standards in the employment of instructional personnel.

STATUTORY AUTHORITY: 1001.41, 1012.22, 1012.23, F.S. LAWS IMPLEMENTED: 1001.43, 1011.60, 1012.24, 1012.54, 1012.55, 1012.56, 1012.57, F.S. STATE BOARD OF EDUCATION RULES: 6A-1.0501, 6A-1.0502, 6A-1.0503 History: Adopted: 03/30/2004 Revision Date(s): 06/12/2012, 07/22/2014 Formerly: 3.62, 3.68

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6.21* DISTRICT CERTIFICATES The School Board authorizes issuance of School District Certificates to substitute teachers, JROTC teachers, and full-time and part-time non-degreed Career & Technical Education teachers. The areas of certification shall be as provided by the state of Florida; additionally, the School Board may establish alternative qualifications for teachers with an industry certification in the career area in which they teach. Each certificate shall bear an effective date of July 1 of the school fiscal year for which it is issued and shall expire on June 30. (1) The Substitute Certificate shall be valid for five (5) school fiscal years and shall be issued to an individual who meets criteria established for employment in the School Board policy entitled “Substitute Teachers.” (a) To re-issue a valid Substitute Certificate, an individual shall submit an application form to the Human Resources Department. (b) To re-issue an expired Substitute Certificate, an individual shall submit to the Human Resources Department an application form and a complete set of fingerprints taken by a law enforcement agency or properly trained District personnel to obtain a records check by the Florida Department of Law Enforcement (FDLE) and the Federal Bureau of Investigation (FBI). The fingerprint processing fee shall be paid by the individual. (2) The following types of Full-time Certificates shall be issued at the non-degreed level. (a) Non-degreed instructional personnel will be issued a three-year (3) Temporary Certificate upon receipt of fingerprint clearance from the FDLE and FBI. (b) A five (5) year Professional Certificate will be issued when all requirements have been completed as specified by the Human Resources Department. In addition, all individuals hired on or after July 1, 2011 shall provide documentation of industry certification when state or national industry certifications are available and applicable. All employees that hold a district issued certificate shall maintain all credentials established by the Human Resources Department for issuance of the district certificate. (c) To re-issue a valid Professional Certificate, official transcripts must be filed with the appropriate renewal form showing six (6) semester hours of college credit which includes three (3) semester hours specific to each area on the certificate. One hundred twenty (120) Inservice Points shall be considered equivalent. STATUTORY AUTHORITY: 1001.41, 1012.22, 1012.23, F.S. LAWS IMPLEMENTED: 1001.43, 1012.32, 1012.39, F.S. State Board of Education Rule: 6A-1.0502 History: Adopted: 03/30/2004 Revision Date(s): 04/09/2013, 11/18/2014, 06/14/2016 Formerly: new

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6.22+ TEACHING OUT-OF-FIELD (1) For initial employment in St. Lucie County, each member of the instructional or certificated administrativestaff shall be employed in the subject field in which he or she is properly certified except as approved by theSuperintendent.

(2) The School Board shall approve each out-of-field assignment and the minutes shall reflect such approvals.

(3) The principal shall notify parents in writing when teachers are teaching out of field prior to the October andFebruary Full-Time Equivalent (FTE) survey periods.

(4) Instructional personnel who are out of field for certification shall complete the minimum college credit hoursor equivalent as specified in this policy each year toward certification in order to be eligible for reappointment.Any teacher who fails to meet such requirements on an annual basis shall not be eligible to teach out of fieldfor any subsequent year until the requirements are fulfilled.

(a) A teacher out of field in a subject other than English for Speakers of Other Languages (ESOL) shallcomplete at least six (6) semester hours of college credit or the equivalent toward the appropriate certificationwithin one (1) calendar year from date of initial appointment to the out-of-field assignment and each calendaryear thereafter until all course requirements are completed for the appropriate certification.

(b) A teacher out of field in ESOL only shall complete at least three (3) semester hours of college credit or theequivalent toward the ESOL requirements within the first two (2) calendar years from date of initial assignmentand three (3) semester hours or the equivalent during each calendar year thereafter until all courserequirements for certification in ESOL are completed.

(c) A teacher out of field in ESOL and another subject shall complete at least six (6) semester hours of collegecredit or the equivalent toward the appropriate certification within one (1) calendar year from the date of initialappointment to the out-of-field assignment and each calendar year thereafter until all course requirements arecompleted for the appropriate certification. During the first two (2) years, at least three (3) of the required hoursor the equivalent shall be completed in ESOL strategies. Beginning with the third year and each yearthereafter, at least three (3) semester hours or the equivalent shall be completed in ESOL strategies and atleast three (3) semester hours in requirements for the other subject shall be completed until all courserequirements are completed for the appropriate certifications.

(5) Each year as applicable, the out-of-field teacher shall file appropriate verification of course work with theHuman Resources Department until fully certified.

(6) An experienced teacher teaching out-of-field in a core academic subject area may demonstrate subjectarea expertise other than that demonstrated through holding state certification by utilizing the High, Objective, Uniform State Standard of Evaluation (HOUSSE) plan as outlined by the Florida Department of Education. Such approved teachers will not be required to be reported to parents as not having certification in the subject. This provision is not applicable to teachers of ESOL or Reading.

STATUTORY AUTHORITY: 1001.41, 1012.22, 1012.23, F.S. LAWS IMPLEMENTED: 1001.43, 1012.42, 1012.55, F.S. History: Adopted: 03/30/2004 Revision Date(s): 05/24/05, 06/12/2012 Formerly: 3.69

PER0145 Pg. 1 of 6, Rev. 06/17

FLORIDA EDUCATOR CERTIFICATION

DISTRICT APPLICATION FOR ADDITIONS

Applications for certificate additions should be submitted to the Human Resources Department along with a $75.00 processing fee. This application may also be used to apply for a duplicate copy or name change on an existing certificate with a $20.00 processing fee. Accepted payment methods include credit card (https://stlucie.revtrak.net/tek9.asp?pg=products&specific=jnkqemc8), personal check, or money order payable to the St. Lucie County School Board. This application should not be used if you hold a Temporary Florida Educator’s Certificate or if adding Autism Spectrum Disorders, Educational Leadership, Guidance & Counseling, Reading K-12, School Psychologist, or Speech-Language Impaired.

If you are attempting to add the Reading Endorsement or ESOL Endorsement, a copy of your ERO transcript must accompany this application. You may log in to access your transcript here: https://ero1.eschoolsolutions.com/user/Login.taf?orgId=34947.

Questions should be directed to Ron Barr at [email protected] or 772/429-7512.

Checklist of items required for addition:

Completed application ERO transcript if adding the Reading or ESOL Endorsement $75 processing fee ($20 for name change). Accepted payment methods include credit card

(https://stlucie.revtrak.net/tek9.asp?pg=products&specific=jnkqemc8), personal check, or money order payable to the St. Lucie County School Board.

Send to the attention of Ron Barr in Human Resources.

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F L O R I D A

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Instructions for Completing Your Application for Educator Certification Each district school board is responsible for processing application requests for its public school employees for duplicate or name change certificates, as well as additions to certificates based on district add-on program completion or passing a subject area exam (§1012.586, F.S.; 6A-4.0012, FAC).

GENERAL INSTRUCTIONS ON HOW TO COMPLETE THIS FORM. • Complete entire application form using a black or dark blue ink pen. Do not use pencil.• Fill in all circles completely (i.e. ).• All entries should be clearly typed or hand written in UPPER CASE LETTERS within the boxes

provided.• There should be at least one blank space between each word for any entry.• DO NOT staple, tape, or use correction fluid on the form.

Ensure that your social security number or Florida DOE# is clearly printed on all documents submitted.

SSN Statement: Collection of your social security number (SSN) is required pursuant to §1012.56, Florida Statutes, for the purpose of promoting the public policy of Florida relating to child support. Your SSN is used by the Department as a unique identifier for maintaining your certification and related personnel records as required under the same statute. Your SSN may be disclosed to the Department of Revenue, as authorized under §1012.21, Florida Statutes, as Florida’s agency for administration of the Title IV-D program of the federal Social Security Act for child support enforcement. Failure to provide your SSN to Educator Certification will prevent issuance of your Florida Educator’s Certificate.

CERTIFICATE OR SERVICE REQUESTED:

Service Requested Fee Add a subject or endorsement to my valid Florida Certificate. (Fill in subject code box.) $75.00

Print a duplicate copy of my currently valid Florida Certificate. NOTE: A duplicate cannot be requested of an expired certificate.

$20.00 only

Print a copy of my valid Florida Certificate due to a legal name change. $20.00 only

LEGAL DISCLOSURE: Florida Law requires you to provide a YES or NO answer to the questions within the Legal Disclosure section of your application, even if previously submitted. For your application to be complete, you must complete the Application and Legal Disclosure Affidavit at the end of the

Legal Disclosure Supplement.

AFFIDAVIT: You must read, print your name, affix your legal signature, and enter the date.

All documents submitted become part of your official Florida certification record and cannot be returned.

PROVIDE ALL APPLICATION MATERIALS TO:

CG-10D APPLICATION INSTRUCTIONS (DECEMBER 2014) - DISTIRCT VERSION 1 Incorporated by Rule 6A-4.0012, F.A.C.

PER0145 Pg. 2 of 6, Rev. 06/17

Please be advised that an endorsement is a rider on a valid Florida educator’s certificate with another subject coverage. An academic/specialty endorsement can only be a rider with specified subject coverages. An endorsement cannot stand alone on a certificate.

Please visit the FLDOE Professional Development website at www.fldoe.org/profdev for a listing of “Approved District Add-on Programs” for your school district.

Academic Coverages Grade Levels

Subject Code

Art K-12 1001/6 Biology 6-12 1003/1 Chemistry 6-12 1004/1 Computer Science K-12 1006/6 Drama 6-12 1008/1 Earth-Space Science 6-12 1009/1 Elementary Education K-6 1013/K English 6-12 1015/1 English for Speakers of Other Languages (ESOL)

K-12 1016/6

Exceptional Student Education K-12 1077/6 Foreign Language – French K-12 1017/6 Foreign Language – German K-12 1019/6 Foreign Language – Latin K-12 1030/6 Foreign Language – Spanish K-12 1054/6 Health K-12 1022/6 Hearing Impaired K-12 1023/6 Humanities K-12 1026/6 Journalism 6-12 1029/1 Mathematics 6-12 1031/1 Middle Grades English 5-9 1015/C Middle Grades General Science 5-9 1033/C Middle Grades Mathematics 5-9 1031/C Middle Grades Social Science 5-9 1052/C Music K-12 1035/6 Physical Education K-12 1036/6 Physics 6-12 1038/1 PreKindergarten/Primary Education PK-3 1041/H Preschool Education (Birth through Age 4) 0-4 Yrs 1042/A Social Science 6-12 1052/1 Speech 6-12 1056/1 Visually Impaired K-12 1059/6

Specialty Coverages Grade Levels

Subject Code

Educational Media Specialist PK-12 1012/D

Degreed Vocational Coverages

Grade Levels

Subject Code

Agriculture 6-12 1067/1 Business Education 6-12 1068/1 Family and Consumer Science 6-12 1069/1 Marketing 6-12 1072/1 Technology Education 6-12 1070/1

General Endorsements Subject Code

Athletic Coaching 1002/E Driver Education 1061/E English for Speakers of Other Languages (ESOL) 1016/E Reading 1046/E

Academic/Specialty Endorsements Subject Code

American Sign Language 1079/E Autism Spectrum Disorders 1078/E Gifted 1062/E

District Additions Subject Area/Grade Level Chart

Effective October 25, 2011 Use codes on this chart to complete the CG-10D Application Form – District Version

CG-10D APPLICATION INSTRUCTIONS (DECEMBER 2014) - DISTIRCT VERSION 2 Incorporated by Rule 6A-4.0012, F.A.C.

PER0145 Pg. 3 of 6, Rev. 06/17

Complete entire Application in UPPERCASE letters using only black or blue ink.

Official Use Only Employer Date Stamp

Payment Amount

Payment Method (check one)

Check Money Order Voucher

Cash Credit Card Other

Payment Number

1A. U.S.Social Security Number 2. Birth Date (MM/DD/YYYY) 3. Are you a US Citizen?Yes No

4. First Name (Given Name) 5. Middle Name

6. Last Name (Family Name)

7. Mailing Address (Street Number and Street Name)

8. City

9. State 10. Postal Code

13. E-Mail Address (For Official Communication from Educator Certification)

14. What is your gender? (Optional)M F

15. Are you Hispanic or Latino?(Optional, choose only one)

No, not Hispanic or Latino Yes, Hispanic or Latino

16. What is your race?(Optional, mark all that apply)

American Indian or Alaskan NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite

CG-10D APPLICATION FOR A FLORIDA EDUCATOR’S CERTIFICATE

DISTRICT VERSION

Please select your currently valid Florida Certificate Type. Please indicate the validity period of your Florida Certificate.

Professional TemporaryJuly 1, to June 30,

18A. Please select the Certificate Service Requested. (Please select only one service per application)

Add a subject or endorsement to my valid Florida Certificate.* (go to question 20)

Print a duplicate copy of my valid Florida Certificate. (skip to page 2)

Print a copy of my valid Florida Certificate due to a legal name change. (skip to page 2)

18B. Please indicate the subject code for the subject coverage or endorsement to be added to your Florida Certificate.Please refer to the District Additions Subject Area/Grade Level Chart for the appropriate code numbers

* Please note: Districts may add a subject coverage or endorsement to a valid Florida certificate ONLY on the basis of thecompletion of the appropriate subject area testing requirements of s.1012.56(5)(a), FS, or the completion of the requirements of an approved school district program or the inservice components for an endorsement.

Academic Coverages, Specialty Coverages, and Degreed Vocational Coverages may be added ONLY to a valid Florida Professional Certificate through use of this application to your employing school district.

CG-10D APPLICATION FORM (DECEMBER 2014) - DISTIRCT VERSION 1 Incorporated by Rule 6A-4.0012, F.A.C.

1B. DOE Number

PERSONAL INFORMATION

17.CURRENT VALID FLORIDA EDUCATOR'S CERTIFICATE INFORMATION

18.CERTIFICATE OR SERVICE REQUESTED

12. Country

$

11. Phone

PER0145 Pg. 4 of 6, Rev. 06/17

Complete in UPPERCASE letters using only black or blue ink.

U.S. Social Security Number

First Name

Last Name

(Florida Law requires you to provide a YES or NO response)After answering each of the following questions, you must sign and date the Application and Legal Disclosure Affidavit to complete your application. Please refer to the instructions in the Legal Disclosure Supplement on the reverse side of this page for additional information regarding this section of the application form.

SEALED OR EXPUNGED RECORDS (Report ONLY sealed or expunged records in this section)For each of the following questions, if your answer is YES, please select YES. Otherwise, select NO.

YES NO Have you ever had any record sealed or expunged in which you were convicted of a criminal offense?

YES NO Have you ever had any record sealed or expunged in which you were found guilty of a criminal offense?

YES NO Have you ever had any record sealed or expunged in which you had adjudication withheld on a criminal offense?

YES NO Have you ever had any record sealed or expunged in which you pled nolo contendere to a criminal offense?

YES NO Have you ever had any record sealed or expunged in which you pled guilty to a criminal offense?

YES NO Have you ever had any record sealed or expunged in which you entered into a pretrial diversion program or deferred prosecution program related to a criminal offense?

YES NO Do you have a petition pending to seal or expunge any criminal offense record?

SEALED or EXPUNGED records MUST BE REPORTED pursuant to ss. 943.0585 and 943.059, Florida Statutes. However, existence of such records WILL NOT BE DISCLOSED nor made part of your certification file which is public record.

CRIMINAL OFFENSE RECORD(S) (Report any record other than sealed or expunged in this section.)For each of the following questions, if your answer is YES, please select YES. Otherwise, select NO.

YES NO Have you ever been convicted of a criminal offense?

YES NO Have you ever been found guilty of a criminal offense?

YES NO Have you ever had adjudication withheld on a criminal offense?

YES NO Have you ever pled nolo contendere to a criminal offense?

YES NO Have you ever pled guilty to a criminal offense?

YES NO Have you ever entered into a pretrial diversion program or deferred prosecution program related to a criminal offense?

YES NO Are there currently charges pending against you for any criminal offense?

PROFESSIONAL LICENSE OR CERTIFICATE SANCTION(S)For each of the following questions, if your answer is YES, please select YES. Otherwise, select NO.

YES NO Have you ever had a professional license or certificate sanctioned or disciplined in this state or any other state?

YES NO Have you ever been DENIED a professional license or certificate in this state or any other state even if the certificate or license was later issued with conditions or limitations?

YES NO Have you ever had a professional license or certificate suspended or revoked in this state or any other state?

YES NO Have you ever surrendered, resigned, or relinquished a professional license or certificate in this state or any other state during or following an investigation into allegations of misconduct?

YES NO Have you ever had a professional license or professional certificate disciplined in this state or any other state by receiving a letter of reprimand, fine, probation or any other restriction or special condition?

YES NO Do you have any current investigative action pending in this state or any other state against a professional license or certificate or against an application for a professional license or certificate?

YES NO Do you have any current disciplinary action pending in this state or any other state against a professional license or certificate or against an application for a professional license or certificate?

If you answered YES to any of the preceding questions, you must complete all information within the Legal Disclosure Supplement on the reverseside of this page. Please provide detailed information for each affirmative response and submit this form to complete your application.

CG-10D APPLICATION FOR AFLORIDA EDUCATOR’S CERTIFICATE

DISTRICT VERSION

DOE Number

LEGAL DISCLOSURE

CG-10D APPLICATION FORM (DECEMBER 2014) - DISTRICT VERSION - LEGAL DISCLOSURE 1Incorporated by Rule 6A-4.0012, F.A.C.

PERSONAL INFORMATION

PER0145 Pg. 5 of 6, Rev. 06/17

Florida Law requires you to provide a YES or NO answer to the questions within the Legal Disclosure section of your application, even if previously submitted. If you answered YES to any question in the Legal Disclosure section on the application form, you must provide detailed complete information for each affirmative response within the corresponding section in this Legal Disclosure Supplement.

You are not required to acknowledge minor traffic violations. The criminal offense of Driving Under the Influence (DUI) or Driving While Intoxicated (DWI) is not a minor traffic violation and should be disclosed on this form.

Having a criminal history or administrative sanction against a professional license does not automatically disqualify a person from receiving a Florida Educator’s Certificate, but such incidents will prompt a review by the Office of Professional Practices Services.

A person is ineligible for educator certification if the person has been convicted of a disqualifying offense as listed in Section 1012.315 Florida Statutes. Please refer to www.myfloridateacher.com for more information.

First Name Middle Name Last Name Former Name Any Other Last Names / Aliases

City Where Arrested State Date of Arrest Charge Plea Disposition (outcome)

City Where Arrested State Date of Arrest Charge Plea Disposition (outcome)

State: ____________________________________ Year: __________________ License or Certificate: __________________________________________________

Issuing Agency: _____________________________________________________ Sanction and Reason: __________________________________________________

State: ____________________________________ Year: __________________ License or Certificate: __________________________________________________

Issuing Agency: _____________________________________________________ Sanction and Reason: __________________________________________________

State: ____________________________________ Year: __________________ License or Certificate: __________________________________________________

Issuing Agency: _____________________________________________________ Sanction and Reason: __________________________________________________

I, , do hereby certify that I subscribe to and will uphold the principles incorporated in the PrintName

Constitution of the United States of America and the Constitution of the State of Florida. I do hereby affirm that all information provided in my application for a Florida Educator’s Certificate is true, accurate, and complete.WARNING: GIVING FALSE INFORMATION IN ORDER TO OBTAIN OR RENEW A FLORIDA EDUCATOR’S CERTIFICATE IS A CRIMINAL OFFENSE UNDER FLORIDA LAW. ANYONE GIVING FALSE INFORMATION ON THIS AFFIDAVIT IS SUBJECT TO CRIMINAL PROSECUTION, AS WELL AS DISCIPLINARY ACTION BY THE EDUCATION PRACTICES COMMISSION.

____________________________________________________ applicant’s signatUre

_____________________________ Date

LEGAL DISCLOSURE SUPPLEMENT

SEALED OR EXPUNGED RECORD(S)

CRIMINAL OFFENSE RECORD(S)

PROFESSIONAL LICENSE OR CERTIFICATE SANCTION(S)

APPLICATION and LEGAL DISCLOUSRE AFFIDAVIT

CG-10D APPLICATION FORM (DECEMBER 2014) - DISTRICT VERSION - LEGAL DISCLOSURE 2Incorporated by Rule 6A-4.0012. F.A.C.

PER0145 Pg. 6 of 6, Rev. 06/17

PER0137 Pg. 1 of 5, Rev.06/17

FLORIDA EDUCATOR CERTIFICATION

DISTRICT RENEWAL APPLICATION

Employees are required to renew through the District, not the Florida Department of Education website. The Human Resources Department accepts applications for renewals up to one (1) year prior to the certificate expiration date. Renewals must occur on or before April 1 of the expiration year to be eligible for reappointment. There is a $75.00 processing fee. Accepted payment methods include credit card (https://stlucie.revtrak.net/tek9.asp?pg=products&specific=jnkpqri8), personal check, or money order payable to the St. Lucie County School Board.

Any person applying on or after July 1, 2014, for renewal or reinstatement of a Professional Certificate must earn at least one (1) semester hour of college credit or the equivalent twenty (20) in-service points in the instruction of students with disabilities. A minimum of six (6) semester hours of acceptable college credit or 120 in-service points is still required in order to renew your certificate. The credit in the instruction of students with disabilities will now be required as a part of the overall credit for any renewal or reinstatement application received on or after July 1, 2014.

A copy of your ERO transcript must accompany this application. Teachers should use the validity period listed on their certificate when running the transcript copy (ex: July 1, 2013 - June 30, 2018).Questions regarding ERO should be directed to the Professional Development Department at 772/429-3940. Link to ERO: https://ero1.eschoolsolutions.com/user/Login.taf?orgId=34947.

Other renewal options include:

60 in-service points plus one 3 credit hour course

two 3 credit hour courses (6 semester hours total)

subject area exam (taken within validity period) plus 60 in-service points or 3 semester hoursof coursework (same subject must already be on your certificate)

a valid National Board Certification will renew all corresponding areas shown on the Floridacertificate; a copy must accompany the renewal form

a course taught at the college level at an accredited or approved institution; verification ofcourse name, prefix, number, semester hours and dates taught should be submitted oncollege letterhead by the registrar.

Questions should be directed to Ron Barr at [email protected] or 772/429-7512.

Checklist of items required for renewal:

Completed application ERO transcript with validity period of July 1, 2013 - June 30, 2018 $75 processing fee. Accepted payment methods include credit card

(https://stlucie.revtrak.net/tek9.asp?pg=products&specific=jnkpqri8), personal check, or money order payable to the St. Lucie County School Board.

Send to the attention of Ron Barr in Human Resources.

21

Instructions for Completing Your Application for Educator Certification

GENERAL INSTRUCTIONS ON HOW TO COMPLETE THIS FORM. • Complete entire application form using a black or dark blue ink pen. Do not use pencil.• Fill in all circles completely (i.e. ).• All entries should be clearly typed or hand written in UPPER CASE LETTERS within the boxes

provided.• There should be at least one blank space between each word for any entry.• DO NOT staple, tape, or use correction fluid on the form.

Ensure that your social security number or Florida DOE# is clearly printed on all documents submitted.

SSN Statement: Collection of your social security number (SSN) is required pursuant to §1012.56, Florida Statutes, for the purpose of promoting the public policy of Florida relating to child support. Your SSN is used by the Department as a unique identifier for maintaining your certification and related personnel records as required under the same statute. Your SSN may be disclosed to the Department of Revenue, as authorized under §1012.21, Florida Statutes, as Florida’s agency for administration of the Title IV-D program of the federal Social Security Act for child support enforcement. Failure to provide your SSN to Educator Certification will prevent issuance of your Florida Educator’s Certificate.

Certificate Renewal Requested Fee Renewal of my valid Florida Professional Certificate. $75.00 LATE Renewal of my recently expired Florida Professional Certificate.

NOTE: To use the late fee option, all requirements for renewal of the certificate must have been completed prior to expiration of the certificate except for submitting the application and fee.

$105.00 ($75 plus $30 Late

Fee)

SUBJECTS RENEWED: Complete the table for each subject on your Professional Certificate for which you have completed credit or the equivalent during this renewal period.

• If renewing by college credit earned, enter the course information in the table and submit anOFFICIAL transcript from each college/university reflecting completion of the appropriatecollege credit earned. Each transcript shall bear the institution seal and signature of the registrar.PHOTOCOPIES are not official transcripts.

• If renewing by Florida Inservice Credit points, your Florida employer must complete theInservice Credit section of this form to verify your inservice points.

• If renewing by passing a Florida Subject Area Examination (for a subject currently on thecertificate) enter this information in the table. Passing scores are automatically submitted.

• If renewing with your NBPTS certificate, submit a legible copy of the certificate along with thecompleted renewal application.

• To use your college teaching experience, request that the registrar at your college/university submit a letter listing the prefix, number and name for each course, the number of semester hours earned by students in each course and the dates the courses were taught.

• If you wish to delete a subject from your certificate, enter the subject in the table and write “delete” in any adjacent Method of Renewal column.

LEGAL DISCLOSURE: Florida Law requires you to provide a YES or NO answer to the questions within the Legal Disclosure section of your application, even if previously submitted. For your application to be complete, you must complete the Application and Legal Disclosure Affidavit at the end of the Legal Disclosure Supplement. AFFIDAVIT: You must read, print your name, affix your legal signature, and enter the date.

Each district school board is responsible for processing application requests for its public school employees for renewal of professional certificates (§1012.585, F.S.; 6A-4.0012, FAC).

F L O R I D A

Educator Certification DISTRICT RENEWAL APPLICATION

F L O R I D A

EEEddduuucccaaatttooorrr CCCeeerrrtttiiifffiiicccaaatttiiiooonnn DD III SSS TTT RRR III CCC TTT ARENEWAL AA PPP PPP LLL III CCC AAA TTT III OOO NNN

iNCORPOR

CG-10RD RENEWAL APPLICATION INSTRUCTIONS (DECEMBER 2014) - DISTRICT VERSION Incorporated by 6A-4.0012, F.A.C.

PER0137 Pg. 2 of 5, Rev. 06/17

CG-10RD APPLICATION FOR RENEWALOF A FLORIDA PROFESSIONAL EDUCATOR’S CERTIFICATE - DISTRICT VERSION

2. Birth Date (MM/DD/YYYY) 3. Are you a US Citizen?

4. First Name 5. Middle Name

6. Last Name

7. Mailing Address

8. City

9. State 10. Postal Code 11. Phone

12. Country

13.E-mail Address(For Official Communication from Educator Certification)

17. SUBJECTS TO BE RENEWED

List Subject(s) to be Renewed and Method of Renewal for Each Subject

Subject(s) To Be

Renewed

Method of Renewal

College Credit Earned Florida Inservice Credit Number

of Points FL Subject Area Test

NBPTS Certificate Course Number Name of Institution

18. INSERVICE CREDIT

Inservice Credit Completed Through on Approved Florida Master Inservice Program Name of District or School : _____________________________________________________________________________________________ Inservice Program :

Starting Date: Ending Date: Includes “banked” Inservice Points

I hereby verify that applicant satisfactorily participated in an approved Inservice teacher education program and earned points to include teaching students with disabilities credit (SWD) to renew the subjects shown above.

Official Use Only

Amount

Number

Payment Method (check one)

Other

Complete entire Application in UPPERCASE letters using only black or blue ink.

14. What is your gender? (Optional)F

15. Are you Hispanic or Latino?

16. What is your race?

Asian

White

Yes No

Signature of Authorized School Official Position or Title Date

(Street Number and Street Name)

(Given Name)

(Family Name)

(select here)

Last Name While attending College

1A. U.S. Social Security Number

$

Employer Date Stamp

PERSONAL INFORMATION1B. DOE Number

CG-10RD RENEWAL APPLICATION FORM (DECEMBER 2014) - DISTRICT VERSION Incorporated by 6A-4.0012, F.A.C.

PER0137 Pg. 3 of 5, Rev. 06/17

Complete in UPPERCASE letters using only black or blue ink.

U.S. Social Security Number

First Name

Last Name

(Florida Law requires you to provide a YES or NO response)After answering each of the following questions, you must sign and date the Application and Legal Disclosure Affidavit to complete your application. Please refer to the instructions in the Legal Disclosure Supplement on the reverse side of this page for additional information regarding this section of the application form.

SEALED OR EXPUNGED RECORDS (Report ONLY sealed or expunged records in this section)For each of the following questions, if your answer is YES, please select YES. Otherwise, select NO.

YES NO Have you ever had any record sealed or expunged in which you were convicted of a criminal offense?

YES NO Have you ever had any record sealed or expunged in which you were found guilty of a criminal offense?

YES NO Have you ever had any record sealed or expunged in which you had adjudication withheld on a criminal offense?

YES NO Have you ever had any record sealed or expunged in which you pled nolo contendere to a criminal offense?

YES NO Have you ever had any record sealed or expunged in which you pled guilty to a criminal offense?

YES NO Have you ever had any record sealed or expunged in which you entered into a pretrial diversion program or deferred prosecution program related to a criminal offense?

YES NO Do you have a petition pending to seal or expunge any criminal offense record?

SEALED or EXPUNGED records MUST BE REPORTED pursuant to ss. 943.0585 and 943.059, Florida Statutes. However, existence of such records WILL NOT BE DISCLOSED nor made part of your certification file which is public record.

CRIMINAL OFFENSE RECORD(S) (Report any record other than sealed or expunged in this section.)For each of the following questions, if your answer is YES, please select YES. Otherwise, select NO.

YES NO Have you ever been convicted of a criminal offense?

YES NO Have you ever been found guilty of a criminal offense?

YES NO Have you ever had adjudication withheld on a criminal offense?

YES NO Have you ever pled nolo contendere to a criminal offense?

YES NO Have you ever pled guilty to a criminal offense?

YES NO Have you ever entered into a pretrial diversion program or deferred prosecution program related to a criminal offense?

YES NO Are there currently charges pending against you for any criminal offense?

PROFESSIONAL LICENSE OR CERTIFICATE SANCTION(S)For each of the following questions, if your answer is YES, please select YES. Otherwise, select NO.

YES NO Have you ever had a professional license or certificate sanctioned or disciplined in this state or any other state?

YES NO Have you ever been DENIED a professional license or certificate in this state or any other state even if the certificate or license was later issued with conditions or limitations?

YES NO Have you ever had a professional license or certificate suspended or revoked in this state or any other state?

YES NO Have you ever surrendered, resigned, or relinquished a professional license or certificate in this state or any other state during or following an investigation into allegations of misconduct?

YES NO Have you ever had a professional license or professional certificate disciplined in this state or any other state by receiving a letter of reprimand, fine, probation or any other restriction or special condition?

YES NO Do you have any current investigative action pending in this state or any other state against a professional license or certificate or against an application for a professional license or certificate?

YES NO Do you have any current disciplinary action pending in this state or any other state against a professional license or certificate or against an application for a professional license or certificate?

If you answered YES to any of the preceding questions, you must complete all information within the Legal Disclosure Supplement on the reverseside of this page. Please provide detailed information for each affirmative response and submit this form to complete your application.

CG-10RD APPLICATION FOR RENEWALOF A FLORIDA PROFESSIONAL EDUCATOR’S CERTIFICATE - DISTRICT VERSION

DOE Number

LEGAL DISCLOSURE

CG-10RD RENEWAL APPLICATION FORM (DECEMBER 2014) - DISTRICT VERSION - LEGAL DISCLOSURE 1

PERSONAL INFORMATION

CG-10RD RENEWAL APPLICATION FORM (NOVEMBER 2014) LEGAL DISCLOSURE 1 - DISTRICT VERSION

Incorporated by Rule 6A-4.0012, F.A.C. PER0137 Pg. 4 of 5, Rev. 06/17

Florida Law requires you to provide a YES or NO answer to the questions within the Legal Disclosure section of your application, even if previously submitted. If you answered YES to any question in the Legal Disclosure section on the application form, you must provide detailed complete information for each affirmative response within the corresponding section in this Legal Disclosure Supplement.

You are not required to acknowledge minor traffic violations. The criminal offense of Driving Under the Influence (DUI) or Driving While Intoxicated (DWI) is not a minor traffic violation and should be disclosed on this form.

Having a criminal history or administrative sanction against a professional license does not automatically disqualify a person from receiving a Florida Educator’s Certificate, but such incidents will prompt a review by the Office of Professional Practices Services.

A person is ineligible for educator certification if the person has been convicted of a disqualifying offense as listed in Section 1012.315 Florida Statutes. Please refer to www.myfloridateacher.com for more information.

First Name Middle Name Last Name Former Name Any Other Last Names / Aliases

City Where Arrested State Date of Arrest Charge Plea Disposition (outcome)

City Where Arrested State Date of Arrest Charge Plea Disposition (outcome)

State: ____________________________________ Year: __________________ License or Certificate: __________________________________________________

Issuing Agency: _____________________________________________________ Sanction and Reason: __________________________________________________

State: ____________________________________ Year: __________________ License or Certificate: __________________________________________________

Issuing Agency: _____________________________________________________ Sanction and Reason: __________________________________________________

State: ____________________________________ Year: __________________ License or Certificate: __________________________________________________

Issuing Agency: _____________________________________________________ Sanction and Reason: __________________________________________________

WARNING: GIVING FALSE INFORMATION IN ORDER TO OBTAIN OR RENEW A FLORIDA EDUCATOR’S CERTIFICATE IS A CRIMINAL OFFENSE UNDER FLORIDA LAW. ANYONE GIVING FALSE INFORMATION ON THIS AFFIDAVIT IS SUBJECT TO CRIMINAL PROSECUTION, AS WELL AS DISCIPLINARY ACTION BY THE EDUCATION PRACTICES COMMISSION.

____________________________________________________ DateApplicant's Signature

LEGAL DISCLOSURE SUPPLEMENT

SEALED OR EXPUNGED RECORD(S)

CRIMINAL OFFENSE RECORD(S)

PROFESSIONAL LICENSE OR CERTIFICATE SANCTION(S)

APPLICATION and LEGAL DISCLOSURE AFFIDAVIT

CG-10RD RENEWAL APPLICATION FORM (DECEMBER 2014) - DISTRICT VERSION - LEGAL DISCLOSURE 2

I, , do hereby certify that I subscribe to and will uphold the principles incorporated Print Name

in the Constitution of the United States of America and the Constitution of the State of Florida. I do hereby affirm that all information provided in my application for a Florida Educator’s Certificate is true, accurate, and complete.

Incorporated by 6A-4.0012, F.A.C. PER0137 Pg. 5 of 5, Rev. 06/17

What Type Of Training Do I Need For ESOL?

The following information is being provided to answer questions regarding ESOL compliance for educators.

I’m a Category 1 Teacher – What do I need?

This applies to a teacher who is responsible for Language Arts/English, Developmental Language Arts, Intensive Reading, or Reading.

OPTION 1: ESOL Endorsement OPTION 2: ESOL K-12 Certification Complete the five (5) ESOL Endorsement classes:

Applied Linguistics Cross Cultural Communication ESOL Curriculum Methods of Teaching ESOL Testing and Evaluation of ESOL

(1) Take any two (2) of the ESOL Endorsement classesand

(2) Take the ESOL K-12 Subject Area Exam (SAE)Register at http://www.fl.nesinc.com/

When you obtain the ESOL Endorsement, you also bank 300 points that you may use toward subsequent renewals of your certificate in any area.

Once you have obtained the ESOL K-12 Certification, you will retain it on your Florida educator’s certificate as long as you have taken 120 ESOL in-service points or two (2) ESOL college classes prior to recertification. This in-service or coursework needs to be within three (3) years of adding the ESOL K-12 certification to your teaching certificate.

When a Category I teacher who is not certified or endorsed in ESOL is assigned to teach a class in which an active ELL student is enrolled, the teacher is identified as out of field. Once this occurs, the teacher is required to work toward ESOL endorsement/certification regardless of whether or not they have ESOL students in their class in subsequent years. Beginning with the 2011-2012 school year, Category I teachers must complete all ESOL training requirements consecutively, within a six-year period. In other words, teachers must earn 60 in-service hours within the first two (2) years and 60 in-service hours each year after until fulfilling the required hours. They may take more than the minimum required hours each calendar year, but they cannot skip any years or double-up. The intent is for training to occur in a continuum in order to help the teacher become proficient as soon as possible, thereby benefiting the ELL students.

Category 1 teachers MUST add the ESOL Endorsement or ESOL Certification to their teaching certificate to be in compliance.

I’m a Category 2 Teacher – What do I need?

This applies to a secondary education teacher who teaches Social Studies, Mathematics, Science, or Computer Literacy.

60 ESOL in-service points OR 1 of the endorsement classes listed above.

Category 2 teachers CANNOT add the 60 ESOL in-service points to their teaching certificate. An in-service transcript will document their compliance.

I’m a Category 3 Teacher – What do I need?

This applies to elective teachers: a teacher who is not in Category 1, 2, or 4 (i.e. Art, Music, Physical Education, Media Specialists, Speech-Language Pathologists, Occupational Therapists, Foreign Language teachers, etc.).

18 ESOL in-service points OR 1 of the endorsement classes listed above.

Category 3 educators CANNOT add the 18 ESOL in-service points to their teaching certificate. An in-service transcript will document their compliance.

26

I’m a Category 4 Administrator or Guidance Counselor – What do I need?

60 ESOL in-service points OR 1 of the endorsement classes listed above.

Category 4 personnel CANNOT add the 60 ESOL in-service points to their teaching certificate. An in-service transcript will document their compliance.

Where is ESOL coursework offered?

SLPS Professional Development Professional development opportunities for ESOL coursework are offered through the Electronic Registrar Online (ERO) website. Visit https://ero1.eschoolsolutions.com/user/Login.taf?orgId=34947&function=Submit to view the professional development calendar for St. Lucie Public Schools. Additional out-of-district professional development offerings are available at http://share.stlucie.k12.fl.us.

Beacon Educator Courses provide current research-based content featuring engaging and interactive learning activities. http://www.beaconeducator.com/

Florida Atlantic University The Department of Curriculum, Culture and Educational Inquiry (CCEI) at Florida Atlantic University offers ESOL coursework: http://www.fau.edu/registrar/universitycatalog/welcome.php.

Hillsborough Consortium for Technology and Education The Center for Technology and Education (CTechEd), also known as the Hillsborough Consortium for Technology and Education, offers ESOL courses. Course descriptions can be obtained by visiting http://www.cteched.com. A $100 reimbursement is available per course through the Professional Development Department, however funding is limited.

Indian River State College https://esweb.irsc.edu/Mariner/registration/coursesearch.jsp

North East Florida Educational Consortium (NEFEC) Through the distance learning program in Instructional Services, educators are able to complete all Florida Department of Education category requirements. http://www.nefec.org/events/

Schultz Center The Schultz Center offers all ESOL courses mandated by the state of Florida to meet the requirements for teachers of ELLs. Courses are delivered online via Blackboard, a web-based course management system, with corresponding assignments submitted to the ESOL certified facilitator. You can find registration instructions at http://www.schultzcenter.org/pdf/nondcpsreg.pdf. A $100 reimbursement is available per course through the Professional Development Department, however funding is limited.

***Caution: If any of the courses you take do not have the same titles as the ones listed by FDOE as endorsement classes, they must be reviewed by Professional

Development to ensure that they are aligned to the five (5) classes and their objectives.***

How do I get my ESOL coursework on my ERO transcript?

Any ESOL in-service or coursework completed outside St. Lucie Public Schools MUST be applied to the teacher’s in-service transcript by completing the following steps:

1. Log into ERO https://ero1.eschoolsolutions.com/user/Login.taf?orgId=34947 and click the “Course Catalog” tab.Click on the “Request Out of District Transfer Credit” link at the top right of the screen. Follow the directions andcomplete the mandatory fields.

2. Complete and submit the “Out of District Transfer Cover Sheet” (http://tinyurl.com/stluciepd6) with therequired documentation to the Professional Development Department.

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How do I add the ESOL Endorsement to my Florida educator’s certificate?

Contact Ron Barr at 772/429-7512 or [email protected] for instructions on adding the ESOL Endorsement to a Florida educator’s certificate.

When must the ESOL coursework be completed?

Revised Timelines - Updated September 2006 http://www.fldoe.org/aala/timeline.asp

Category I Category II Category III Category IV

Experienced Teacher 6 years for completion of

ESOL Endorsement. 3 years for K-12 ESOL

coverage obtained by a passing score on ESOL

Subject Area Exam.

1 year to complete 1 year to complete Hires Prior to September 5, 2003:

3 years to complete from September 5, 2003

Category I Category II Category III Category IV

Beginning Teacher 6 years for completion of

ESOL Endorsement. 3 years for K-12 ESOL

coverage obtained by a passing score on ESOL

Subject Area Exam.

2 years to complete 2 years to complete Hires After September 5, 2003:

3 years to complete from date hired as school

administrator or guidance counselor.

Notes: 1 For ESOL Endorsement only - 3 semester hours or 60 in-service credit points within two years after the teacher first becomes responsible for the Language Arts instruction of a LEP student. 3 semester hours or 60 in-service credit points each subsequent year that the teacher continues to be responsible for the Language Arts instruction of a LEP student, until a total of 15 semester hours or 300 in-service credit points have been earned. 2 All other administrators (district-level) are required to receive training in the terms of the Consent Decree, Cross-Cultural communications and delivery of comprehensible instruction. However, no specific number of in-service points or hours are required. 3 As described in K12 Memo 2006-121, Reading Endorsement for Teachers of Developmental Language Arts Courses in Grade 6-12 and as noted in the Florida Course Code Directory, teachers assigned to teach Developmental Language Arts or Reading to English language learners (ELLs) are required to obtain the ESOL Endorsement. It is also important to note that teachers assigned to teach Developmental Language Arts as an alternative to Intensive Reading are required to obtain the Reading Endorsement by beginning of the 2007-08 school year.

Updated 07/17 MG

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