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Note: Carefully read and follow the directions to complete the form and generate a PDF version that can be attached to the final application. All narrative responses and PDF appendices must be submitted as one application.

Directions: Fill in this form as applicable for an Integrated Teacher Preparation Program. You may select any number of the credential programs listed below. This form may be expanded if additional pages are needed.

1. Please fill out this chart completely for all credential area(s) addressed by the Integrated Teacher Preparation Program Implementation and Expansion Grant.
Multiple subject (indicate if the program(s) are for kindergarten and/or transitional kindergarten
 
Indicate whether each credential area marked with an X will be a “new,” “expanded,” “implemented,” and/or “adapted 5-year to 4-year” integrated program
Estimated number of participants annually
Multiple Subject/Single Subject: Bilingual Authorization
 
Indicate whether each credential area marked with an X will be a “new,” “expanded,” “implemented,” and/or “adapted 5-year to 4-year” integrated program
Estimated number of participants annually
Single Subject: Science
 
Indicate whether each credential area marked with an X will be a “new,” “expanded,” “implemented,” and/or “adapted 5-year to 4-year” integrated program
Estimated number of participants annually
Single Subject: Mathematics
 
Indicate whether each credential area marked with an X will be a “new,” “expanded,” “implemented,” and/or “adapted 5-year to 4-year” integrated program
Estimated number of participants annually
Education Specialist: Mild to Moderate Support Needs
 
Indicate whether each credential area marked with an X will be a “new,” “expanded,” “implemented,” and/or “adapted 5-year to 4-year” integrated program
Estimated number of participants annually
Education Specialist: Extensive Support Needs
 
Indicate whether each credential area marked with an X will be a “new,” “expanded,” “implemented,” and/or “adapted 5-year to 4-year” integrated program
Estimated number of participants annually
Education Specialist: Deaf and Hard of Hearing
 
Indicate whether each credential area marked with an X will be a “new,” “expanded,” “implemented,” and/or “adapted 5-year to 4-year” integrated program
Estimated number of participants annually
Education Specialist: Early Childhood Special Education
 
Indicate whether each credential area marked with an X will be a “new,” “expanded,” “implemented,” and/or “adapted 5-year to 4-year” integrated program
Estimated number of participants annually
Education Specialist: Visual Impairments
 
Indicate whether each credential area marked with an X will be a “new,” “expanded,” “implemented,” and/or “adapted 5-year to 4-year” integrated program
Estimated number of participants annually
**PK-3 Early Childhood Education (ECE) Specialist Instruction Credential
 
Indicate whether each credential area marked with an X will be a “new,” “expanded,” “implemented,” and/or “adapted 5-year to 4-year” integrated program
Estimated number of participants annually
Other

**Grant funds can be used to create an integrated program for the Early Childhood Specialist Credential (ECSC) when the credential is approved by the Commission. The standards and TPEs for the ECSC were approved at the October, 2022 Commission meeting.

2. Partner California Community College(s) (if applicable). Please add rows as necessary.


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