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Sample Resume for Teacher Montessori

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					                                       Appendix I
                                  MACTE COMMISSION
                  COVER SHEET AND APPLICATION FOR SUBSTANTIVE CHANGE
              IN AN ACCREDITED TEACHER EDUCATION INSTITUTION OR PROGRAM

Director’s Name _________________________________Telephone: ____________________________
Institution/Program Name ____________________________________ Fax: ______________________
Site Address: Street _______________________________ City, State, Zip_________________________
Mailing Address (if different) _____________________________ _ Email: _______________________
Accredited Montessori Teacher Education Course(s) Of Study:
         Infant and Toddler            Elementary I OR            Secondary I
         Early Childhood               Elementary I-II

A request for Substantive Change is submitted to and approved by the MACTE Commission before the change is
included in the prior grant of accreditation of the institution/program.

DATE OF THIS REPORT                                          EFFECTIVE DATE OF CHANGE

INSTRUCTIONS: Indicate the type of Substantive Change to occur in the institution/program and answer
the questions at the bottom of this page. Then complete the appropriate form for supporting information (see
following pages), and supply required documentation. Submit the fee and one copy of these documents to
the MACTE Commission office.
       1.Change in legal name                                    5.Curriculum change:
                                                                   a. Revision of syllabus
                                                                   b. Addition of age range component.
                                                                   c. Change in course delivery
       2.Change in mission or objectives                         6.Change in ownership/control

       3.Change in faculty/staff:                                7.Relocation of permanent site
         Director
         60% of faculty (1 cycle)
       4.Change in time structure/length                         8.Additional/contract/mobile
                                                                 location/branch campus
QUESTIONS AND EXPLANATIONS
 Reason(s) for the change ________________________________________________________________
____________________________________________________________________________________
Who participated in the decision to make the change and/or request approval for it? __________________
____________________________________________________________________________________
By what process was the decision accomplished? ____________________________________________
____________________________________________________________________________________
Other Comments: ______________________________________________________________ _______

                                           DIRECTOR STATEMENT
Submission of the Request for Approval of Substantive Change is in partial fulfillment of the MACTE
Commission requirements for true and accurate description of the change. Supporting documentation is attached.

__________________________________________________________________________________________
SIGNATURE OF DIRECTOR                                                     DATE
                                                                                         [Rev. 9/09]
                                         Appendix I
                            APPLICATION FOR SUBSTANTIVE CHANGE
                  CHANGE 1: LEGAL NAME OF INSTITUTION OR PROGRAM
Instructions: Complete the Substantive Change Cover Sheet and the information required by this section.

Former Name of Institution/Program _______________________________________________________

New Name of Institution/Program _________________________________________________________

List governmental licenses required for operation in your state and affected by the name change: ________

____________________________________________________________________________________

If other aspects of the institution/program are affected by the name change, describe briefly: ___________
____________________________________________________________________________________
ATTACHMENTS (identified by number as follows):
1. COPY OF LEGAL AUTHORIZATION FOR THE CHANGE OF NAME
2. COPIES OF REVISED GOVERNMENTAL LICENSES IN THE NEW NAME
3. PUBLICITY MATERIALS (revised to show name change)

                      CHANGE 2: ESTABLISHED MISSION OR OBJECTIVES
Instructions: Complete the Substantive Change Cover Sheet and the information required by this section.

With reference to the MACTE Commission Essential Standards and Criteria, briefly describe the impact of
the change on the following and attach supporting documentation as appropriate. Each item requires a
response.

Management: _________________________________________________________________________
____________________________________________________________________________________
Finances/Budget: ______________________________________________________________________
____________________________________________________________________________________
Policies and Procedures: ________________________________________________________________
____________________________________________________________________________________
Personnel: _____________________________________________________________________ ______
____________________________________________________________________________________
Material Resources: ____________________________________________________________________
____________________________________________________________________________________
Curriculum: ____________________________________________________________________ ______
____________________________________________________________________________________
Evaluation: ____________________________________________________________________ _______
____________________________________________________________________________________
Other Educational Activities: _____________________________________________________________
____________________________________________________________________________________
Title IV Compliance: ___________________________________________________________ ________
____________________________________________________________________________________
ATTACHMENTS (identified by number as follows):
1. COPIES OF BOTH THE PREVIOUS AND REVISED VERSIONS OF THE MISSION
      STATEMENT AND/OR OBJECTIVES.
2. REVISED MATERIALS IN WHICH MISSION STATEMENT AND/OR OBJECTIVES
    APPEAR (e.g., brochure, Student Handbook, etc.)                     [Rev. 01/05]
                                          Appendix I
                             APPLICATION FOR SUBSTANTIVE CHANGE
                                  CHANGE 3: FACULTY/STAFF
Instructions: Complete the Substantive Change Cover Sheet and information required by this section.
Change in Director:
  Name of Former Director: _____________________________________________________________
  New Director:
        Name _______________________________ Phone: ______________ Email: ______________

       Mailing Address ____________________________________________ Fax: _______________

NOTE: The MACTE Commission must be informed within thirty (30) days of any change in director, even if
it is temporary.
 Change in 60% or more of institutional/program faculty during one course cycle:
   Which certification course level is affected? ___________________________________________

  NEW FACULTY NAME                   JOB TITLE                          PERSON REPLACED
  _________________________          _________________________          _________________________
  _________________________          _________________________         __________________________
  _________________________          _________________________         __________________________
With reference to the MACTE Commission Essential Standards and Criteria, briefly describe the impact of the
change on the following and attach supporting documentation as appropriate. Each item requires a response.

Mission and Management (in particular, ownership, governance, and organizational hierarchy): ________
____________________________________________________________________________________
Finances/Budget: ______________________________________________________________________
____________________________________________________________________________________
Policies and Procedures: ________________________________________________________________
____________________________________________________________________________________
Personnel: ___________________________________________________________________________
____________________________________________________________________________________
Material Resources: ____________________________________________________________________
____________________________________________________________________________________
Curriculum: __________________________________________________________________________
____________________________________________________________________________________
Evaluation: _______________________________________________________________ ____________
____________________________________________________________________________________
Other Educational Activities: _____________________________________________________________
____________________________________________________________________________________
Title IV Compliance: ____________________________________________________________ _______
____________________________________________________________________________________
ATTACHMENTS: For each new faculty member: resume, Montessori credential, current job
description (if revised for new faculty, please include previous version). [Rev. 01/05]

                                               Appendix I
                            APPLICATION FOR SUBSTANTIVE CHANGE
  CHANGE 4: TIME STRUCTURE OR LENGTH OF CERTIFICATION COURSE(S) OFFERED
Instructions:   Complete the Substantive Change Cover Sheet and information required by this section.

List certification course level(s) affected: _____________________________________________________
         Eliminate previous structure              Additional structure
Type of change:
Time structure of certification course(s) (e.g., from intensive summer plus student teaching/practicum, to
year-round, weekend classes during student teaching; from one to two year structure, etc.)
Length (in clock hours, months, or unit of credit)

Briefly describe the proposed change:
________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

With reference to the MACTE Commission Essential Standards and Criteria, briefly describe the impact of
the change on the following and attach supporting documentation as appropriate. Each item requires a
response.

Mission and Management (e.g., legal authorizations, and organizational hierarchy): ____________________
______________________________________________________________________________________
Finances/Budget: ________________________________________________________________________
______________________________________________________________________________________
Policies and Procedures: __________________________________________________________________
______________________________________________________________________________________
Personnel: _______________________________________________________________________ ______
______________________________________________________________________________________
Material Resources: ______________________________________________________________________
______________________________________________________________________________________
Curriculum: ____________________________________________________________________________
______________________________________________________________________________________
Evaluation: ______________________________________________________________________ ______
______________________________________________________________________________________
Other Educational Activities: ______________________________________________________________
______________________________________________________________________________________
Title IV Compliance: _____________________________________________________________________
______________________________________________________________________________________

ATTACHMENTS (identified by number as follows):

1. CALENDARS (previous and revised, showing clock hours, content, instructor, and total)
2. BUDGETS (previous and revised)
3. PUBLICATIONS (showing appropriate revision or pertinent information)
 RENT/LEASE AGREEMENT (if different from previous Self-Study Report) Not applicable
 4.
5. (For change in number of units) LETTER OF VERIFICATION from credit-granting institution
    or college/university Department Chair                                       Not applicable

Additional comments/explanations:

                                                                                         [Rev. 01/05]
                                         Appendix I
                            APPLICATION FOR SUBSTANTIVE CHANGE
                                   CHANGE 5: CURRICULUM
Instructions: Complete the Substantive Change Cover Sheet and information required by this section.
List certification course level(s) affected:
_____________________________________________________
Type of change:
a. Major revision of syllabus for any component (list components affected and briefly describe changes):
b. Addition of an age-range component for which accreditation was originally granted to part of an age-
      range:*
        Addition of 9-12 level (Elementary II) to Elementary I (ages 6-
9)
        Addition of Secondary I (ages 12-15)
c. Change in course delivery: complete information required below and form on next page.

With reference to the MACTE Commission Essential Standards and Criteria, briefly describe the impact of
the change on the following and attach supporting documentation as appropriate. Each item requires a
response.
Mission and Management (e.g., legal authorizations, organizational/hierarchy, needs assessment, number of
students expected): ______________________________________________________________________
______________________________________________________________________________________
Finances/Budget: ________________________________________________________________________
______________________________________________________________________________________
Policies and Procedures: __________________________________________________________________
______________________________________________________________________________________
Personnel: _____________________________________________________________________________
______________________________________________________________________________________
Material Resources: ______________________________________________________________________
______________________________________________________________________________________
Curriculum: ________________________________________________________________________ ____
______________________________________________________________________________________
Evaluation: ____________________________________________________________________________
______________________________________________________________________________________
Other Educational Activities: ______________________________________________________________
______________________________________________________________________________________
Title IV Compliance: _____________________________________________________________________
______________________________________________________________________________________
ATTACHMENTS for changes 5a (major revision of syllabus) and 5b (addition of age range
components - identified by number as follows):
1. PUBLICATIONS (showing appropriate revision of pertinent information)
2. BUDGETS (previous and revised)
3. PERSONNEL (resumes for new faculty)
4. RENT/LEASE AGREEMENT (if different from previous Self-Study Report)
5. ADDITIONAL RESOURCES (list of new equipment, library, etc.)
6. ALL INFORMATION REQUIRED BY ESSENTIAL STANDARD 6 (plan,
      philosophy/goals/objectives, summary table showing staff load, calendars, syllabi, practicum
      sites, etc.)
7. EVALUATION: New assessment forms and sample transcript

*NOTE: For addition of an age-range component, a one-day, on-site evaluation visit is
       required within six (6) months of the effective date of change.       [Rev. 05/05]
                                            Appendix I
                        APPLICATION FOR SUBSTANTIVE CHANGE
                            CHANGE 5b: COURSE DELIVERY
Instructions: Complete the Substantive Change Cover Sheet and information required by this
section.

Name of Course: _________________________________________________________________

Mark the Montessori Course Component which this class completes. Only one component will be
approved.

      Philosophy/Child Development
      Classroom Leadership/Management
      Administration
      Personal Development
      Other
________________________________________________________________________

Mark course level(s) impacted by the delivery change (attach a calendar for each level affected).

       Infant & Toddler
       Early Childhood
       Elementary I
       Elementary I-II
       Secondary I

How many in-residence hours will this course component require? _________________________

How many non-resident hours will the course component offer? ___________________________

ATTACHMENTS:
1. Text describing how the delivery will be changed from that described in the most recent Self-
    Study Report and providing evidence of continued compliance.
2. Publications stating the alternative delivery of the specific course component.
3. Course component staff qualifications (if changed from those described in the most recent
    Self-Study Report), including those of technology support personnel.
4. Syllabus for the revised course component, including objectives, assessment tools, and
    schedule.
5. Documentation of how ongoing evaluation will be conducted.

If approved, the institution/program will provide annual assessment reports to the MACTE
Commission. (See next page).
                                                                      [05/05]

                                       Appendix I
                   APPLICATION FOR SUBSTANTIVE CHANGE
                       CHANGE 5c: COURSE DELIVERY

 ALTERNATIVE DELIVERY STUDENT OUTCOMES ASSESSMENT REPORT

1. Name the course component which was delivered to students in ways other than in-
   residence.




2. Mark the level(s) in which this course component was delivered:

   Infant & Toddler
   Early Childhood
   Elementary I
   Elementary I-II
   Secondary I

3. How many students began this course component? ________________________________

4. Were there direct student contact hours for this course component? If so, how many?

   _________________________________________________________________________

5. How many students have completed the course component? _________________________

6. Attach evaluation documents of student progress and a table stating each student’s
   performance. (percents, grades, P/F, S/N, rubric)

7. Attach student and instructor survey documents used, and a summary or table stating
   student and instructor outcome satisfaction with the course component delivery.

8. Attach documented evidence that the changed course component delivery has achieved the
   competencies for Montessori teacher candidates.

9. Attach a summary statement describing how the course component delivery results have
   met the mission statement of your institution/program.

10. Attach a summary describing how your institution/program plans to improve the course
    component delivery.




                                                                                [05/05]
                                           Appendix I
                         APPLICATION FOR SUBSTANTIVE CHANGE
                       CHANGE 6: CHANGE IN OWNERSHIP/CONTROL
Instructions: Complete the Substantive Change Cover Sheet and information required by this
section.
Organization/control currently: non-profit for-profit
Date by which the change is expected to be complete: ____________________________________
Type of change:
Change in legal status:        form of organization                  authorization to operate
Change in control (ownership/controlling interest) through:
        Sale of institution
        Transfer of controlling interest of stock of the institution or its parent corporation
        Merger of two or more institutions
        Division of one institution into two or more institutions
        Transfer of assets that comprise a substantial portion of the educational business of the
          institution
        Conversion of the institution into two or more institutions
        Change from non-profit to for-profit
Excluded transactions: Upon the retirement or death of the owner
        Transfer to a member of the owner’s family
        Transfer to a person with ownership interest who has been involved in management of
          the institution for at least two (2) years preceding the transfer

Briefly describe the change (from/to; names of parties involved; etc.):
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Evaluation of impact of the change: With reference to the MACTE Commission Essential
Standards and Criteria, indicate all aspects of the institution that will be affected and attach a
detailed narrative explanation for each, with supporting documentation as appropriate.
        Mission and Management                Curriculum
        Financial Management                  Evaluation
        Published Policies and Procedures Other Educational Activities
        Instructional Personnel               Title IV Compliance
         Material Resources

ATTACHMENTS (identified by number as follows):
1. LEGAL REGISTRATION (STATE) FOR NEW STRUCTURE OR OWNERSHIP
2. STATE POSTSECONDARY AUTHORIZATION or date of application:
_______________________________________________________________________________
3. VERIFICATION OF FINANCIAL RESPONSIBILITY FOR NEW
STRUCTURE/OWNERSHIP (See MACTE Commission Essential Standard 2, Criterion 2.1.)

NOTE: A one-day on-site evaluation visit is required within 6 months of the effective date of
change.
The MACTE Commission must be informed within (30) days of a change in ownership. [05/05]
                                              Appendix I
                         APPLICATION FOR SUBSTANTIVE CHANGE
                     CHANGE 7: RELOCATION OF PERMANENT SITE*
Instructions: Complete the Substantive Change Cover Sheet and information required by this
section

Effective date of change:
___________________________________________________________

Old Address: ____________________________________________________________________

New Address: ___________________________________________________________________

Brief explanation/description change: ________________________________________________



Evaluation of impact of the change: With reference to the MACTE Commission Essential
Standards and Criteria, indicate all aspects of the institution that will be affected and attach a
detailed narrative explanation for each, with supporting documentation as appropriate.
        Mission and Management
        Financial Management
        Published Policies and Procedures
        Instructional Personnel
        Material Resources
        Curriculum
        Evaluation
        Other Educational Activities
        Title IV Compliance

ATTACHMENTS (identified by number as follows):
1. LICENSING/AUTHORIZATIONS (covering new address)
2. PUBLICATIONS (revised to reflect change)
3. RENT/LEASE/USE AGREEMENT OR PROOF OF OWNERSHIP FOR NEW
    FACILITY
4. FLOOR DIAGRAMS FOR OLD AND NEW FACILITIES (scale drawing; dimensions
    given)
5. RENT/LEASE/USE AGREEMENT FOR EDUCATION MATERIALS/OFFICE
    EQUIPMENT (If applicable)

NOTE: A one-day on-site evaluation visit is required within six (6) months of the effective
date of change.

*This substantive change applies to instructional site relocation only.
                                                                    If only the
institution’s/program’s office is relocating, the MACTE Commission and all enrolled students
must be informed by mail within 15 days of the change (the Commission must receive notice via
certified/registered mail).
                                                                                 [Rev. 01/05]

                                          Appendix I
                      APPLICATION FOR SUBSTANTIVE CHANGE
                   CHANGE 8: APPLICATION AND BUSINESS PLAN FOR
                       APPROVAL OF ADDITIONAL LOCATIONS
Instructions: Complete the Substantive Change Cover Sheet, information required by this
             application, and business plan.
Type of site: Branch Campus         Additional Location Contract Site      Mobile Site

Certification course level(s) to be offered: __________________________________________
If this is a contract or mobile site, beginning and ending dates of the contract are as follows:
                      _________________ Through ____________________

Other additional locations of the institution/program with certification courses at this level
currently approved: (Use an additional page if necessary)
        1.     _____________________________ 3.              ______________________________
               _____________________________                 ______________________________
               _____________________________                 ______________________________

       2.      _____________________________ 4.              ______________________________
               _____________________________                 ______________________________
               _____________________________                 ______________________________

Additional (new) Location for which approval is requested:

Name of Site: __________________________________________________________________

Site Administrator: ________________________________ Site Phone: ___________________

Street address: _________________________________________ Fax: ____________________

City, State, Zip_____________________________________ Email: ______________________

Percentage of content to be offered at the additional site: ________________________________
If less than 100%, list components to be offered: ______________________________________
______________________________________________________________________________

Institution/program on-site director/consultant for new site: ______________________________
List state and local licenses required for the new site: ___________________________________
If licensing is required but not completed:
Date you applied ____________________ Date by which completion is expected ____________
Number of students expected at new site ____________ Student-instructor ratio _____________

ATTACHMENTS: BUSINESS PLAN (identify by number as follows):
1. CONTRACT WITH HOST SCHOOL OR AGENCY (does not apply to Branch
   Campuses)
                                                                                    [Rev. 01/05]

                                                Appendix I
       Check here if facility is institution-owned or certification course is non-hosted
2. FACULTY TEACHING LOAD (complete the chart on following page)*
3. STATE AND LOCAL LICENSES FOR NEW SITE
4. SCHEDULE FOR ALL CURRENT CERTIFICATION COURSES AND
     ADDITIONAL SITES (include: name of site, certification course (level), on-site
     director/consultant)
5. CURRENT ORGANIZATIONAL CHART (show where new site fits into structure)
6. PROMOTIONAL LITERATURE FOR NEW SITE (include date[s] released)
7. BUDGET (for all items listed under Criterion 2.2, show: total budget amount, with
     breakdown by column for each certification course and additional site, including
     projection for new site)
 8. RESUMÉS FOR ON-SITE DIRECTOR/CONSULTANT, FACULTY, FIELD
     SUPERVISORS (identify job title for each, including curriculum area for instructors )
9. FLOOR DIAGRAM FOR SPACE TO BE USED AT NEW SITE (to scale, with
     dimensions)
10. RENT/LEASE/USE AGREEMENT FOR FACILITY SPACE
11. LIST OF INSTRUCTIONAL MATERIALS AND EQUIPMENT TO BE USED FOR
     DURATION OF CERTIFICATION COURSE
12. RENT/LEASE/USE AGREEMENT FOR INSTRUCTIONAL
     MATERIALS/EQUIPMENT
13. SUMMARY TABLE FOR CERTIFICATION COURSE OFFERED AT NEW SITE
     (component title [and number, if appropriate], clock hours, inclusive dates,
      instructor, position in cycle [academic or practicum].
14. SCHEDULES FOR CERTIFICATION COURSE OFFERED AT NEW SITE
     (academic and practicum calendars: schedule of daily hours and content for
      academic phase; practicum seminar schedule dates, hours, content)
15. SYLLABUS (if altered or revised since most recent Self-Study Report).
16. LIST OF PRACTICUM SITES (name, address, telephone, supervising teacher)

* Complete the following chart for all instructors scheduled for the new site. (List all teaching
  responsibilities, including those at other sites operated by the institution/program.)

FACULTY MEMBER              SUBJECT AREA(S) & CLOCK HOURS FOR ALL SITES AND
                            LEVELS
                                                               A=additional
Name                        New Site         Other Site/s
                                                               C=contract B=branch
                                                               M=mobile P=primary
NOTE: Approval by the MACTE Commission is required PRIOR TO THE SITE’S
OPENING and an on-site evaluation visit as specified in Section 4.3.17 is required
within six (6) months of effective date of change.                      [Rev. 01/05]

				
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