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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
 

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Multiple Subject/Single Subject: Bilingual Authorization
 

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Single Subject: Science
 

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Single Subject: Mathematics
 

 * 
Education Specialist: Mild to Moderate Support Needs
 

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Education Specialist: Extensive Support Needs
 

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Education Specialist: Deaf and Hard of Hearing
 

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Education Specialist: Early Childhood Special Education
 

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Education Specialist: Visual Impairments
 

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**PK-3 Early Childhood Education (ECE) Specialist Instruction Credential
 

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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.