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

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