John Winn, Commissioner
Florida Department of Education
Jim Warford, Chancellor
K-12 Public Schools
Educator Preparation Institute
Application Cover Sheet
October 2004
This completed cover sheet should accompany each application submitted to the Department of Education for review
and approval to offer an Educator Preparation Institute in accordance with section 1003.85, Florida Statutes. Please
submit the application to the
Educator Preparation Institute Application Evaluation Committee
c/o the following:
Educator Preparation Institute Application Evaluation Committee
Attn: Jim Warford, Chancellor
Division of K-12 Public Schools
Florida
Department
of
Education
325 West Gaines Street, Suite 514
Tallahassee, Florida 32399-0400
Institution Name:
EPI Contact:
EPI Contact Mailing Address:
EPI Contact Telephone Number:
EPI Contact Email Address:
EPI Contact’s Assistant or
Secondary Contact Name, Telephone
Number, and Email Address:
Type(s) of teacher training that will be offered through this Educator Preparation Institute:
Check all that apply.
____ (a)
Professional development opportunities to assist teachers in improving classroom instruction and in meeting
certification requirements
____ (b)
Instruction to assist potential and existing substitute teachers in performing their duties
____ (c)
Instruction to assist paraprofessionals in meeting education and training requirements
____ (d)
Instruction for baccalaureate degree holders to become certified teachers through competency-based alternative
certification programs
Application Check List:
____ 1.
Completed cover sheet with indication of type(s) of teacher training that will be provided through the Institute
____ 2.
Evidence of the institution’s accreditation or approval status as defined in the application guidelines
____ 3.
Evidence of the institution’s preparedness to offer each type of training indicated on this page in accordance with
the application guidelines
Department of Education Contacts for Assistance:
Division of Colleges and Universities: Sundra Kincey sundra.kincey@fldoe.org 8520/245-5113
Division of Community Colleges: Sylvia Fleishman sylvia.fleishman@fldoe.org 850/245-9468
Independent Colleges and Universities: Madeline Hollon mstrong@icuf.org 850/681-3188
Certification/Alternative Certification (K-12 Public Schools): Eileen McDaniel eileen.mcdaniel@fldoe.org 850/245-0594
Professional Development (K-12 Public Schools): Kathy Hebda kathy.hebda@fldoe.org 850/245-0891