1. Program Summary

• • 1.1 Specific credential program being offered with a table depicting location, delivery models, and pathways 

  • 1.2 Initial Program Summary (2-4 pages)

2. Organizational Structure

• • 2.1 Organizational Chart 

  • 2.2 Third Party Entity and what services they will provide

3. Faculty Qualifications

• • 3.1 Faculty distribution table 

  • 3.2 Annotated faculty list with links to faculty vitae and syllabi 

  • 3.3 Published adjunct experience and qualifications requirements

4. Course Sequence

• • 4.1 Link to draft or published course sequence from a website, course catalog, advising documentation, or application materials that provides this information. 

5. Course Matrix

• 5.1 Course matrix with links to specific activities within the syllabi that provide documentation of Introduction (I), Practice (P), and Assessment (A) of candidate competencies. Assessment (A) must link to the assessments that will be used to determine competence.

6. Fieldwork and Clinical Practice

• • 6.1 Table denoting the planned number of hours of fieldwork, clinical practice 

  • 6.2 Signed or Draft MOU or Agreement for each placement 

  • 6.3 Proposed veteran practitioner training material 

  • 6.4 Documentation to track candidate placements 

  • 6.5 Clinical practice handbook/manual-draft is acceptable 

  • 6.6 Fieldwork/clinical practice syllabi-draft is acceptable 

    • 6.6.1 Clinical practice assessment instruments

7. Implementation of a Teaching Performance Assessment (TPA) 

• • 7.1 Identification of TPA model to be used 

  • 7.2 Name of TPA Coordinator or job description if position is vacant 

  • 7.3 Link to policy for candidate placement that includes the provisions for videotaping 

  • 7.4 Statement indicating if the program will use centralized scoring or a local scoring option 

  • 7.5 Link to document candidates will receive explaining appropriate use of materials 

  • 7.6 Link to the Appeal Policy 

  • 7.7 Link to the Remediation Policy 

  • 7.8 List that identifies potential assessors for the performance assessment 

8. Credential Recommendation

• • 8.1 Description of process ensuring appropriate recommendation 

  • 8.1.1 Planned candidate progress monitoring document 

The Program Summary for the Multiple Subject Teacher Credential Program (Intern) evidence is also available as a Google Doc, located here.