DCP Application FY13 by jlOY3V

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									              District Certification Program
                                        2012-2013
                            Candidate Application

1. Applicant Name:

2. Date of Birth:
3. Employee DID Number:

4. Last 4 digits of SS#:

5. Home Address:



6. School E-mail Address:



7. Home Phone Number:



8. College Degree(s) Awarded:



9. Number of Semester Hours of Completed
   College of Education Courses:

10.         Expiration Date of Temporary
      Certificate:

11.         Assigned School/Location:



12. Grade Level Teaching:



11. Subject Area(s) Teaching:



12. Total Years of Teaching Experience:



13. Number of Years Teaching Experience
     in Lee County:




                  APPLICATION DEADLINE: FRIDAY, OCTOBER 12, 2012
                District Certification Program
                        Candidate Application Responses
                                  (use additional pages if necessary)
1. Participation in the District Certification Program requires frequent PC and Internet access. Do you have
   regular access to a computer and the Internet?
                                                                                                Yes     No

2. The District Certification Program is primarily web-based and involves accessing information from the
   internet, downloading documents, submitting products electronically, communicating via e-mail and
   utilizing a variety of software programs. Discuss how you use the computer applications mentioned
   above.




3. The District Certification Program is a 1-3 year, intensive, independently paced program requiring the
   successful completion of 23 complex tasks. Tell about a time when you had to be independently
   motivated to complete a large task over a specified period of time.




4. It is anticipated that successful completion of the District Certification Program will require most
   participants to spend 4-8 hours per week during a 1-3 year period of time. What would be your plan of
   action to balance an additional 4-8 hours a week for this program with your current job and other
   responsibilities?




5. Teachers who have a non-education degree and need to complete Professional Preparation as one of the
   Florida Department of Education’s requirements for a Professional Teaching Certificate may do so by
   following one of the three Certification Routes accepted by the Florida Department of Education. Why
   might you consider District Certification the best route for you?




                      APPLICATION DEADLINE: FRIDAY, OCTOBER 12, 2012
                                     DCP EXPECTATIONS

Participant Expectations:

      Regular submission of tasks – Specific Timelines will be distributed at Orientation
      Monthly contact with DCP Trainer via e-mail or telephone.
      Communication with trainer when problem/delays occur that may prevent task submission.
      Retain an electronic copy of all work submitted (State requirement)




                It is mandatory that you update your trainer of your progress


             Expectations Not Met                                  Action Taken

       First Due Date Missed                     Trainer contacts Participant


                                                 Trainer contacts Participant
       Second Due Date Missed
                                                 Trainer contacts Director of Curriculum and Staff
                                                  Development, Patti Elkin
                                                 Trainer contacts Participant

                                                 Trainer contacts Director of Curriculum and Staff
                                                  Development, Patti Elkin
       Third Due Date Missed
                                                 Director of Curriculum and Staff Development,
                                                  Patti Elkin contacts DCP Participant’s Principal

                                                 Participant is placed on probation


                                                 Must meet with Director of Curriculum and Staff
       Failure to comply with the terms of
                                                  Development, Patti Elkin and Supervising
       probation
                                                  Principal.


       Failure to comply with the terms
                                                 Dismissal from the program
       established at the meeting


       Please note: A Participant is considered in good standing once they have completed all tasks up
       to the scheduled due date.




                      APPLICATION DEADLINE: FRIDAY, OCTOBER 12, 2012
                  District Certification Program
                      Statements of Commitment & Support




                                  DCP Applicant Commitment

If selected for Lee County’s District Certification Program (DCP), I understand that:

      DCP is an intensive, web-based, independently paced program that participants must complete prior to
       the expiration of their temporary teaching certificate.
      Participants who successfully complete the program typically spend 4-8 hours each week during 1-2
       years.


If selected for Lee County’s District Certification Program, I understand and agree to:

      Attend the DCP New Candidate Orientation
      Complete and submit tasks regularly and as indicated on the program Timeline plan (document will be
       distributed at the DCP Orientation) or be subject to possible dismissal from the program
      Reimburse the district for all incurred costs expended for my participation in the program if I fail to
       complete this program prior to the expiration date on my temporary teaching certificate, not to exceed
       $800.00 (Each withdrawal will be reviewed by the Director of Curriculum and Staff Development to determine
       financial responsibility based on the individual circumstances.)
      Agree to the DCP Expectation Plan found on page 3




         _____________________________                              __________________________________
            DCP Candidate’s Signature                                         Date of Signature

       __________________________________                           __________________________________
           DCP Candidate’s Printed Name                                 DCP Candidate’s DID Number




                        APPLICATION DEADLINE: FRIDAY, OCTOBER 12, 2012
                 District Certification Program
                     Statements of Commitment & Support


                                        Principal Support
If this applicant is selected for the program, I agree to:
        collaborate as a support team member with DCP candidate, peer teacher, & Director of Curriculum
         and Staff Development
        provide support in the form of progress monitoring and interventions for the DCP candidate, if needed
        complete observations as designed in the DCP program
        meet with the Director of Curriculum and Staff Development to review District DCP program
         elements
        provide written verification of successful comprehensive competency demonstration through the DCP
         candidate’s Final Performance Evaluation


        __________________________________
               Principal’s Printed Name

        __________________________________                     __________________________________
                 Principal’s Signature                                   Date of Signature



                                     Peer Teacher Support

If this applicant is selected for the program, I agree to:
        have a thorough understanding of the twelve Educator Accomplished Practices
        attend up to 6 hours of district training/follow-up on DCP requirements, processes, and my role in
         DCP
        collaborate as a support team member with DCP candidate, Principal, & Director of Curriculum and
         Staff Development
        provide support in helping my DCP candidate locate resources and understand content needed for
         successful completion of DCP tasks
        provide information on relevant school policies & procedures to my DCP candidate, as needed

        ________________________________                      __________________________________
              Peer Teacher’s Signature                                  Date of Signature


     __________________________________                       __________________________________
          Peer Teacher’s Printed Name                        Peer Teacher’s Employee ID Number (DID)

                      APPLICATION DEADLINE: FRIDAY, OCTOBER 12, 2012

								
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