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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.

Authorizing statute states that preference shall be given to Local Education Agencies (LEAs) that currently administer residency programs and that commit to partner with commission-approved teacher preparation programs with experience supporting a residency program or residency programs.

Directions: Indicate if the applicant LEA qualifies for any of the following statutory priority points:

1. Applicant LEA currently administers a teacher residency program.
Yes No
If “Yes,” provide the name of the name of the teacher residency program, the IHE partner(s) that enroll the residents in their teacher preparation program(s), the number of years the residency program has been operating.
2. Applicant LEA has a commitment to partnering with a Commission-approved teacher preparation program with experience successfully supporting a residency program or residency programs.
Yes No
If “Yes,” provide the name(s) of the IHE(s), the name(s) of the teacher residency program(s) with which the IHE partners, and the number of years the named residency program(s) have been operating.
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