ACSA Leadership Institute Fall 2019 Participant Application

Our application period for the Fall cohort 19-20 year is now closed.

You may still submit an application for next year.

ELIGIBILITY

REQUIREMENTS:

  1. Possession of a valid teaching or services credential
  2. Minimum of five years of experience in your credentialed area
  3. Passage and/or proof of registration for CBEST examination

SUBMISSION CHECKLIST:

  • Resume
  • Copy of Transcripts (unofficial)
  • Copy of California Teaching Credential and/or Service Credential
  • Copy of CBEST verification or proof of registration for CBEST examination OR for Multiple Subject Teaching Credential, a passing score on all three subsets of the CSET
  • Personal Leadership Statement

INFORMATIONAL SESSIONS

March 20, 2019:

San Bernardino City Unified School District Office
4030 Georgia Blvd.
Professional Development Center - Room A

Register here to reserve your spot at the informational session.
Session 1: 4:00-4:30pm
Session 2: 5:00-5:30pm

April 3, 2019:

Beaumont Unified School District
Beaumont USD Educational Support Facility
Board Room
350 Brookside Avenue,
Beaumont, CA 92223

Register here to reserve your spot at the informational session.
Session 1: 4:30-5:00pm
Session 2: 5:30-6:00pm
Light dinner will be provided


Dear Candidates,

Please fill out the application below with all of the necessary information, be sure to double check for accuracy. Once you have submitted your application, you cannot change or edit the application.

For questions regarding the application form, please email Jeannette Carpenter, jcarpenter(at)acsa.org or call her at 916-329-3844.

For questions specific to the program, contact Dr. Michael Roe, mroe(at)acsa.org.

The application deadline is May 15, 2019 at 11:59pm.

The next step after submission of your completed application is an interview by the Leadership Institute. You will be notified by Dr. Michael Roe if you are selected for interview between April and May.

We look forward to welcoming our new cohort on June 1, 2019!

Good luck!

-ACSA Leadership Institute Team

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Please review your application carefully for errors before hitting "submit," as you will not have another chance to preview your responses.

* Denotes CTC Requirement: Responsibilities of Commission-Approved Educator Preparation Programs All institutions (colleges, universities, school districts, county offices of education, charter schools and any other educational entity) approved to sponsor educator preparation programs in California that report racial and ethnic information to the Commission through the Accreditation Data System, or any other system in which such information is provided, must collect the following information for reporting:

· Sexual orientation information using the options: heterosexual/straight, gay/lesbian, bisexual, other, not sure, decline to state

· Gender identity using the options: male, female, nonbinary, decline to state

· Ethnicity using the options: American Indian or Alaska Native, Chinese, Japanese, Korean, Vietnamese, Asian Indian, Laotian, Cambodian, Filipino, Hmong, Other Asian, Black or African American, Hawaiian, Guamanian, Samoan,Tahitian, Other Pacific Islander, White, Other, or Decline to State.

While collection by educator preparation programs is mandatory, individual candidates must always be provided the option to decline to provide the requested information.


Preliminary Administrative Services Credential Application