ࡱ>  Ӑbjbj΀ Gv+ ##8gGCpSiiiimmmBBBBBBBDYGB9$K"$$B##iiHC%%%$#RiiB%$B%%>u"Ai %@,BC0GC>@H%HXAHAmV %!{"mmmBB%mmmGC$$$$Hmmmmmmmmm : REQUEST FOR RENEWAL OF A TEMPORARY AUTHORITY TO TEACH-TO BE SUBMITTED BY THE EMPLOYING SCHOOL OR DISTRICT- General Information Temporary Authority to Teach (TAT)Louisiana offers TAT certificates to Louisiana employing public school systems that have not been able to employ certified teachers. Applicants must hold a degree from a regionally accredited college or university; have passing scores on the Praxis Pre-Professional Skills Tests (PPSTs) Reading and Writing examinations and at least a 2.00 GPA; qualify under TAT hiring conditions, and fulfill renewal guidelines each year to be issued another certificate for the subsequent school year. This certificate may be renewed annually for up to three years. Renewal Application Process The following items are required as part of a complete application packet and must be received in the Louisiana Department of Education by November 1st.Application for Renewal of TAT Certificate Renewal Documentation (depending on condition under which TAT was issued) Official transcripts (copies not acceptable), if coursework was a condition of renewal; PRAXIS/NTE Exam(s), if exams were a condition of renewal. The exam score(s) may be submitted electronically to the Division of Certification and Preparation directly from Educational Testing Services, or in the form of the original score report submitted directly from the applicant. The original score report will be returned to the applicant once a verified copy is on file in the teacher certification office. Professional Conduct form with all questions answered and signed by the applicant. All application materials are to be sent to the Louisiana Department of Education as a single packet. Once the complete set of application materials is received, the application packet will be evaluated for purposes of issuing a Louisiana certificate. Requests that are missing any of the required materials will not be processed; incomplete applications will be returned to the school district with directions as to what is missing in the application. If original transcript is not included but is being mailed by the university, applicant must note on the packet that transcripts will be forwarded from the university. Additional Information Contact Information: If there are questions about requirements or the certification process, one should contact the Division of Certification, Leadership, and Preparation at (225) 342-3490 (or toll free at 1-877-453-2721), or email HYPERLINK "mailto:Customerservice@la.gov"Customerservice@la.gov for assistance. LOUISIANA DEPARTMENT OF EDUCATION Certification, Leadership, and Preparation  sCHOOL yEAR: ______ - _______ Check One: ___Tat Renewal Yr 2 ___ TAT Renewal Yr 3 school district: _________________________ nAME OF sCHOOL: __________________________ aPPLICANTS nAME: ______________________________________ _________ - _______ - _________ SOCIAL SECURITY NUMBER TAT Area: _______________________________ Email Address:_______________________________ __________________________________________________ ____________________________ APPLICANTS SIGNATURE DATEThe applicant was employed on a TAT certificate under one of four following conditions: Please indicate with a check (") the appropriate condition. Condition 1: Applicant who graduates from a teacher preparation program, but does not pass all required PRAXIS exams, and who has not previously qualified for a Louisiana standard teaching authorization. Condition 2: (a) Applicant who holds a baccalaureate degree from a regionally accredited institution, who applies for admission to a Practitioner teacher or other alternate program, but (a) does not pass the PRAXIS exams required for admission to the program; and/or (b) has a minimum of a 2.00 GPA, but does not have the required 2.20 GPA for admission to an alternate program.(b) Condition 3: Applicant who holds a baccalaureate degree from a regionally accredited institution and is hired after the start of an available alternate certification program.Condition 4: Applicant who has a minimum of a 2.35 GPA on a 4.00 scale and has completed all other requirements for certification. Documents enclosed for the renewal of this certificate:  PRAXIS/NTE Score Report Official transcripts showing six semester hours to raise GPA  Official transcripts showing six semester hours in the subject area(s) attempted on PRAXIS   _____________________________________ __________________________ Signature of Employing Authority Date Temporary Authority to Teach (TAT) HIRING CONDITIONS AND RENEWAL GUIDELINES The Temporary Authority to Teach (TAT) applicant must have passing scores on the Praxis Pre-Professional Skills Tests (PPSTs) Reading and Writing exams and at least a 2.00 GPA. Applicants who meet this eligibility standard can apply for a TAT through a district based on the four conditions of eligibility listed below. A TAT may be issued for one (1) school year, renewed annually and held for a maximum of three (3) years while the holder pursues alternate certification program admission requirements or certification requirements. He/she may not be issued a renewal of that certificate for a subsequent school year unless the renewal guidelines for his/her specific hiring condition have been met. Upon completion of three (3) years of employment on this certificate, for continued employment as a teacher in a Louisiana school system, the holder must fulfill guidelines for a Practitioner License or a higher-level certificate.Who is Eligible?Conditions Renewal Guidelines Teacher preparation program graduate who has not met all Praxis requirementsCondition 1 Individual who graduates from a teacher preparation program, but does not pass all required Praxis exams, and who has not previously qualified for a Louisiana standard teaching authorizationTeacher must take the necessary Praxis examinations at least twice a year. Individual with a baccalaureate degree from a regionally accredited college or university who has not yet been officially admitted to an alternate program because he/she has not passed the appropriate Praxis exam(s) and/or lacks the minimum of a 2.20 GPA required for admission Condition 2 Individual who holds a minimum of a baccalaureate degree from a regionally accredited institution, who applies for admission to a Practitioner Teacher or other alternate program, but (a) does not pass the Praxis exams required for admission to the program; and/or (b) has a minimum of a 2.00 GPA, but does not have the required 2.20 GPA for admission to an alternate program2(a) Teacher must successfully complete a minimum of six (6) credit hours per year in the subject area(s) that he/she is attempting to pass on the Praxis and take the necessary exams at least once a year; and/or 2(b) Teacher must successfully complete a minimum of six (6) credit hours per year to raise the GPA to a 2.20 as required for admission to an alternate program. Individual with a baccalaureate degree from a regionally accredited college or university who is hired after the deadline date for admission to an alternate programCondition 3 Individual who holds a minimum of a baccalaureate degree from a regionally accredited institution and who is hired after the start of an available alternate certification programTeacher must take the appropriate Praxis examinations required for admission to an alternate certification program and, if successful, apply for admission to the alternate program.Teacher preparation program graduate who has not met the 2.50 GPA requirementCondition 4 Individual who has a minimum of a 2.35 GPA on a 4.00 scale and has completed all other requirements for certificationTeacher must successfully complete a minimum of six (6) semester credit hours per year to obtain the 2.50 GPA on a 4.00 scale that is required for certification purposes.If an applicant fails to complete the required renewal guidelines, the TAT will not be renewed. Exception to this policy will be considered in the case of a serious medical condition. Medical Excuse: When serious medical problems of the teacher or his/her immediate family exist, a doctors statement is required with a letter of assurance from the teacher that the unmet requirements will be completed prior to the beginning of the next school year. (Submit completed Certification of Teachers or Family Members Serious Health Condition Form.)  LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION, LEADERSHIP, AND PREPARATION PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered) NAME OF APPLICANT: (Including, First, Middle, and Married) Social Security Number: ________ - ______ -_______ADDRESS:DATE OF BIRTH: Each Question must be answered: Please Check YES NOHave you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? If YES, in what state?____________________________Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in what state?_____________________________Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if adjudication was withheld? If yes, please provide the following information: Specify the Offense: _______________________ Date of Offense: __________ State and Parish/County of Conviction: _____________________________________ Judicial District of Court of Conviction: ______________________________________Have you ever been convicted of a misdemeanor offense that involves any of the following: Sexual or physical abuse of a minor child or other illegal conduct with a minor child. The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law.Have you ever been granted a pardon or expungement for any offense as stated in #3 or #4?If you answered YES to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet. I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, and correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teacher certificate. SIGNATURE OF APPLICANT:DATE:      STATE OF LOUISIANA DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064 Toll Free #: 1-877-453-2721 http://www.louisianaschools.net An Equal Opportunity Employer Revised 6/18/10 RENEWAL APPLICATION for TEMPORARY AUTHORITY TO TEACH (TAT) I hereby verify that good faith efforts for recruiting certified personnel have been made, including posting this position for which a TAT is requested on the Teach Louisiana Recruitment Center; that78Zdn] }  P ÷Ü}mZEZ(hYhY56>*CJH*OJQJ^J%hYhY56>*CJOJQJ^JhY56>*CJOJQJ^JhYhY6CJOJQJ^JhY5CJOJQJ\^JhF5CJOJQJ\^Jh:CJOJQJ^Jh%CJOJQJ^JhFCJOJQJ^J hFCJ\hF6CJOJQJ^JaJh7x6CJOJQJhFhF6CJOJQJ 78n}wj $<<$Ifa$xxxpkd$$Ifl(# !   044 lap $Ifx$If  xx$x$Ifa$gdY$xa$qkd$$Ifl$h%  0644 lap    & j | } ~  '*sϰϰxl__K&h{hF5CJOJQJ\^JaJhF>*CJOJQJ^Jh~CJOJQJ^Jh8GCJOJQJ^JhFCJOJQJ\^JhF5CJOJQJ\^Jh99hFCJOJQJ\^J"hF56CJOJQJ\]^JhF6CJOJQJ^JhFCJOJQJ^JhF56CJOJQJ^JhF"hYhF5CJOJQJ\^J  j [] !"woo$a$gdz $ & Fa$gd``$a$$a$ & F & Fgd{$ & Fa$$ & 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