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Please note that applicants with multiple LEA and/or IHE Appendix E signatories should combine all signature blocks into one PDF before submitting the Appendix with your grant application.

The applicant LEA assures the Commission that if awarded grant funding:

  1. All residents will teach at least one-half time alongside a teacher of record, who is designated as the experienced mentor teacher, for at least one full school year while engaging in initial preparation coursework. (Appendix A (a)(2))
  2. The Commission-approved teacher preparation program offered at the regionally accredited IHE enrolls the candidate in the program and recommends them for the preliminary teaching credential once all requirements have been met
  3. The program will prepare residents to teach and eventually be hired in a school within the jurisdiction of the grant recipient, or in the state of California.
  4. All residents will be prepared to teach and will agree, in writing, to serve in a school within the jurisdiction of the grant recipient that sponsored the candidate, or another public school in California, for a period of at least four academic years. The service commitment will begin in the school year following the candidate’s successful completion of the preparation program and upon earning a preliminary teaching credential. (Appendix A (j))
  5. Each resident employed by the grantee LEA will receive mentoring and beginning teacher induction support following the completion of the initial credential program necessary to obtain a clear credential and ongoing professional development and networking opportunities during the candidate’s first years of teaching at no cost to the candidate. (Appendix A (g)(3))
  6. The LEA will participate in SRTAC programming and events.
  7. The LEA and IHE will participate in regularly occurring shared governance meetings.
  8. The LEA and IHE will cooperatively collect, analyze, use and report data annually. The partnership will comply with the Commission’s mandated reporting requirements, submitted by stated due dates, including but not limited to:
    1. Teacher Residency Implementation and Expansion Grant Program Annual Report. The report template is available upon request. This report is updated by the grantee every year in the grant reporting cycle.
    2. Results from candidate and program graduate surveys of the quality of preparation they received.
    3. Best practices found to be effective in implementing the program.
    4. Factors promoting or hindering residency program implementation.
    5. Lessons learned to inform future investments in teacher residency programs.

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Administrative approval from the Superintendent of the applicant local education agency (LEA):
*It is expected that if the application represents a consortium, the superintendent from each LEA partner will sign an agreement, including partner LEAs within a county office of education.
By signing below, I affirm that:
  1. I have thoroughly read and agree to all portions of this application including the assurance statements included on this form.
  2. All statements and data contained in this application are accurate.
  3. If awarded a Teacher Residency Implementation and Expansion Grant, the LEA agrees to participation in the activities described as well as the timelines and budgets proposed in the responses to criterion 1-9 in Section II of this application.
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Approval from the Human Resources representative from the applicant local education agency (LEA):
*It is expected that if the application represents a consortium, an HR representative from each LEA partner will sign an agreement, including partner LEAs within a county office of education.
By signing below, I affirm that I have thoroughly read and confirm that the data and narrative included in the response to RFA Question #2 (Local Need) is accurate.
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Administrative approval from an authorized administrator of the applicant’s IHE Partner(s)
*It is expected that EACH IHE partners will sign an agreement*
By signing below, I affirm that:
  1. I have thoroughly read and agree to all portions of this application including the assurance statements included on this form.
  2. All statements and data contained in this application are accurate.
  3. If awarded a Teacher Residency Implementation and Expansion Grant, the IHE agrees to participation in the activities described as well as the timelines and budgets proposed in the responses to criterion 1-9 in Section II of this application.
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