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  A B C D E F G H I
1 Return completed form by November 30, 2002, to:                
2 Dr. Martha J. Miller, Policy Research and Improvement                
3 Florida Department of Education, 1554 Turlington PUBLIC SCHOOLS STAFF SURVEY      
4 Tallahassee, FL 32399-0400   NEW HIRES - INSTRUCTIONAL PERSONNEL      
5 (850) 487-1630, SunCom 277-1630 (See Instructions)      
6 Martha.Miller@FLDOE.org                  
7                    
8 District Number:     N E W H I R E S        
9 District Name:   Certified/Certifiable   Not Certifiable in Appropriate Field      
10     Grades Grades   Grades Grades      
11 Basic Assignments   PK-6 7-12   PK-6 7-12      
12 1. Self-Contained (Not PK/KG                
13 Including Exceptional 1-3                
14 Education) 4-6                
15     Grades Grades   Grades Grades      
16     PK-5 6-12   PK-5 6-12      
17 2. English/Language Arts                  
18 3. Mathematics                  
19 4. Dropout Prevention                  
20 5. Computer Science                  
21 6. Social Studies                  
22 7. Science                  
23 8. Physical Education                  
24 9. Reading                  
25 10. Bilingual/ESOL                  
26 11. Foreign Lanuages                  
27 12. Health                  
28 13. Art                  
29 14. Music                  
30                    
31 Exceptional Student Education                
32 15. Preschool Handicapped                  
33 16. Educable Mentally Handicapped                
34 17. Trainable Mentally Handicapped                
35 18. Physically Impaired                  
36 19. Occupational Therapy                  
37 20. Physical Therapy                  
38 21. Speech/Language Impaired                
39 22. Hearing Impaired                  
40 23. Visually Impaired                  
41 24. Emotionally Handicapped                  
42 25. Specific Learning Disabled                
43 26. Gifted                  
44 27. Homebound/Hospitalized                  
45 28. Varying Exceptionalities                  
46 29. Profoundly Handicapped                  
47                    
48 Vocational                  
49 30. Agribusiness Education                  
50 31. Business and Office Education                
51 32. Marketing Education                  
52 33. Health Occupations Education                
53 34. Public Service Education                  
54 35. Home Economics Education                
55 36. Industrial Education                  
56 37. Technology Education/Industrial Arts                
57                    
58 Others - Indicate on Page 3                  
59                    
60 Name of Person Completing This Form:                
61 Phone/Suncom: ( )                  
62 E-mail:                  
63                  
64                  
65 ESE 058                
66 Exp. 08/31/03 DOE Page 1 of 2 Florida Department of Education      
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  A B C D E F G
1 Return completed form by November 30, 2002, to:              
2 Dr. Martha J. Miller, Policy Research and Improvement              
3 Florida Department of Education, 1554 Turlington PUBLIC SCHOOLS STAFF SURVEY    
4 Tallahassee, FL 32399-0400 NEW HIRES - INSTRUCTIONAL PERSONNEL    
5 (850) 487-1630, SunCom 277-1630 (See Instructions)    
6 Martha.Miller@FLDOE.org              
7                
8 District Number:   N E W H I R E S      
9 District Name: Certified/Certifiable   Not Certifiable in Appropriate Field    
10   Grades Grades   Grades Grades    
11   PK-6 7-12   PK-6 7-12    
12 Other - Classroom              
13 Adaptive Physical Education              
14 Adult Education              
15 Alternative Education              
16 Autistic              
17 Career Educ./Career Specialist              
18 Critical Thinking              
19 Dance              
20 Drama              
21 Driver Education              
22 In-school Suspension              
23 Life management              
24 ROTC              
25 Title 1              
26                
27 Other Classroom - List Below              
28                
29                
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39 Other Instructional & Support              
40 Behavior Specialist              
41 Curriculum Resouce Teacher              
42 Curriculum Coordinator              
43 ESE Liaison              
44 Family Counselor              
45 Guidance Counselor              
46 Home-School Liaison              
47 Librarian, Media Specialist              
48 Occupational Specialist              
49 Permanent Substitutes              
50 Resource Teacher              
51 School Psychologist              
52 Social Worker              
53                
54 Other Instructional - List Below              
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66 ESE 058 DOE Page 2 of 2          

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