Appendix D - Program Summary - Update

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Important Notes:

Grantees may not request to increase annual resident projections or receive additional grant funds.
The Updated Appendix D is part of a two-step process. The updated form will not be considered unless grantees also complete the Updated Appendix D Survey .

Directions:

Carefully read and follow the directions to complete the online form and generate a PDF.
Once complete, download the PDF and save it using this naming convention: Grant# LEAName NewAppD (e.g., TRI24 Smith USD NewAppD).
Email the completed PDF to Commission staff at TeacherResGrants@ctc.ca.gov by the stated due date on the annual announcement.

1. Directions for completing the Residency Area section:

Enter the grant number. If modifying multiple grants, a separate Updated Appendix D must be completed for each.
The Updated Appendix D will replace the version of the form that was submitted with the funded application. As such, grantees must copy from the existing Appendix D the exact same residency areas and projection numbers into the “Targeted Number of Residents Annually” column on the table.
Grantees may then request to add any new residency areas by placing an “x” in the “Targeted Number of Residents Annually” column for each.
The IHE partner(s) for this grant must have a Commission-approved program for each area selected.
It is expected that once residents obtain a preliminary teaching credential, the grantee will hire residents as teachers of record in a position that matches their residency training and in accordance with the local need outlined in the approved grant application. This is especially important for residents earning either a Multiple Subject or PK-3 ECE Specialist credential to teach TK or kindergarten. If the program is designed to prepare TK or kindergarten teachers, residents must be hired in those settings even though their credentials authorize them to teach other grade levels.

You have errors on your form!

Grantee LEA *

Grant Number *

Special Education

Special Education with Bilingual Authorization

Single Subject in a STEM Area

Single Subject in a STEM Area that Authorizes Teaching of Computer Science

Single Subject in a STEM Area with Bilingual Authorization

Single Subject Non-STEM with Bilingual Authorization

Multiple Subject (to teach in TK or Kindergarten)

PK-3 ECE Specialist Instruction Credential (to teach in TK or Kindergarten)

Multiple Subject with Bilingual Authorization

PK-3 ECE Specialist with Bilingual Authorization

Dual Credential Please specify the two credentials below:

First Dual Credential

Second Dual Credential

Diversifying Teacher Workforce that Reflects the LEA Community’s Diversity – Special Education

Diversifying Teacher Workforce that Reflects the LEA Community’s Diversity – Multiple Subjects and/or PK-3 ECE with or without added authorizations

Diversifying Teacher Workforce that Reflects the LEA Community’s Diversity – Single Subjects with or without added authorizations

2. Directions for completing the LEA(s) and school sites table:

Estimate the target number of residents that will be placed per school site listed. Applicants may include a range of residents to be placed at an individual school site (e.g., 0-2 residents per year at XYZ school). The sum of the maximum numbers in each range must be equal to the total residents projected on the table above.
Include existing and newly proposed residency areas and LEA/consortium partner schools, as appropriate.
DO NOT USE *** as this will become a new line.

Enter in the following format: LEA(s) - School(s) for Resident Placement - Targeted Number of Residents Annually - Residency Area

3. Directions for completing the partner IHE(s) table:

Enter in the following format: Parner IHE - Residency Area

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