Appendix B - Intent to Apply (Optional)

Progress is not saved in this system. You will need to start over if you leave or close the appendix page.

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.

You have errors on your form!

As indicated by the signature of the Superintendent or authorized administrator, it is the intent of the institution identified below to apply for the Statewide Residency Technical Assistance Center Grant to serve as a statewide technical assistance center to support residency programs. The institution understands that this optional Intent to Apply must be received by the Commission by May 26, 2023, and that submission of this form does not require or otherwise obligate the institution to submit an application to the Commission. Applicants may submit proposals to the Commission without submitting an intent form; however, those who submit an intent form will be emailed any additional information regarding the application process that may become available. A scanned copy of the signed Intent to Apply form may be emailed to TeacherResGrants@ctc.ca.gov

LEA *

CD/CDS Code *

Printed Name *

Title *

Consortium Application

Reset Appendix C