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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.

Administrative Approval from the Superintendent or Authorized Administrator of the Applicant Local Education Agency (LEA)

By signing below, I affirm that:

  1. I have thoroughly read all portions of this application.
  2. All statements and data contained in this application are accurate.
  3. If awarded a School Counselor Residency Capacity Grant, the LEA agrees to participation in the capacity building activities described as well as the timelines and budgets included in the responses to criterion 1-7 in Section II of this application.




Administrative Approval from an Authorized Administrator of the Applicant’s IHE Partner(s)

By signing below, I affirm that:

  1. I have thoroughly read all portions of this application.
  2. All statements and data contained in this application are accurate.
  3. If awarded a School Counselor Residency Capacity Grant, the IHE agrees to participation in the capacity building activities described as well as the timelines and budgets included in the responses to criterion 1-7 in Section II of this application.



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