Staff Resources

Request Authorization for Field Placement

Authorization for Field Placement Request

Each completed Authorization for Field Placement Preparation Program Request must:
  • include the information that follows, clearly identified by section numbers and field label and
  • be submitted electronically to Charlie Potter at charlie.potter@k12.wa.us at least two (2) months prior to the PESB meeting at which the application will be considered.
Programs Authorized for Field Placement by the Professional Educator Standards Board will submit annual reports as defined by the PESB

Section 1: Contact Information

  • Institution Name 
  • Program Contact Name
    • Title 
  • Email 
  • Phone 
  • Fax 
  • Mailing address 

Section 2: Qualifying Requirements

Following verification of these requirements by PESB staff the application is forwarded to the Board.

Part A) Regional Accreditation
  1. Identify the regional accrediting body for the program - regional accrediting agencies
  2. Provide verification of current accreditation status 
Part B) State Program Approval
  1. Identify the state in which the educator preparation program for this instution is approved 
  2. Provide documentation of current approval status 
Part C) Washington Higher Education Coordinating Board (HECB) or Washington Student Achievement Council (WSAC) Authorization
  1. Provide verification of current Washington HECB/WSAC authorization status OR the reason for which HECB/WSAC status is not applicable to the program 

Section 3: Program Content

PESB will exercise professional judgment in approving or denying authorization based on how they believe the program does or does not meet the intent of the regulation.

Part A) Needs Assessment
  1. Describe the needs assessment conducted by the program which demonstrates that either geographic access or program content deficits indicate a need for this program to prepare educators for Washington schools. Ideally, applicants will make a clear link between the needs assessment findings and their choices of districts in Section 3: Part C with whom to enter into field placement agreements.
  2. Examples: 
    • Shortage endorsement areas and endorsements offered; 
    • Partnership with school district(s) based on substantive written / verbal testimony from the district expressing a desire to partner with the applicant to strengthen their workforce development and/or positively contribute to their student or school improvement; 
    • Specific plans to hold informational meetings, advertise, and/or market program in areas of the state with current inadequate access to educator preparation programs. 
Part B) Program Implementation

Please provide the following information in the table format shown.

 Projected Start Date
 Degree / Certificate Offered
(e.g. MA, BS, certificate only, etc.)
 Certificate Eligibility
(i.e. Residency _[role]_)
 Endorsements Offered
 Projected 3-year Enrollment
-for each year
 e.g. January 2012 e.g. MA Counseling e.g. Residency ESA e.g. NA e.g. 2012-2;
2013-3;
2014-3
 e.g. January 2012 e.g. MIT e.g. Residency Teacher e.g. Reading Specialist e.g. 2012-10;
2013-15;
2014-25


Part C) Compliance with Field Placement Requirements
  1. PESB rules (WAC 181-78A-125) require that all candidates in Washington school districts will be covered by a written field placement agreement between the district and the preparation program. See Guidelines for Field Placement Agreement to ensure agreements are current with this rule.
Please provide the following information in the table format shown.

 District with whom program currently places candidates
 Current Field Placement Agreement in Place?
Yes or No,
If Yes, attach a copy of the current field placement agreement (FPA)
 Number of Candidates Placed in District
(last year) / #
(this year) / #
(next year) / #
 e.g. Port Angeles e.g. Yes (current FPA attached) e.g. 2011 / 0; 2012 / 2; 2013 / 5 
 e.g. Sultan e.g. No  e.g. 2010 / 5; 2011 / 2; 2013 / 5 

Part D) Preparing Candidates for Washington Schools
  1. Demonstrate how the program ensures candidates can create learning opportunities for students that align with Washington’s student learning standards. 
  2. Examples:
    • Lesson plan tools or templates show standards are incorporated into planning; 
    • Evaluation templates used by supervisors demonstrate candidates assessed on use of standards; 
    • Candidate portfolio artifacts linked to state standards; 
    • P12 student work reflecting standards-based class assignments planned and delivered by candidate.
(Rev. 15 June 2011)