ALL FACULTY

(1) Fill this form out online (2) Print this form (3) Sign this form (4) Turn into Superintendent's Office, then (5) Complete Grade-Level Form

Teacher's Last Name Teacher's First Name

Campus: Elementary Junior High High School Assigned Area(s) of Teaching

The No Child Left Behind Act of 2001 (NCLB) requires all teachers in core academic subject areas to become "highly qualified" by the end of 2005-2006 school year.  However, teachers hired after the first day of instruction of School Year 2002-2003 who teach core academic subjects in a Title 1, Part A program must be "highly qualified" when hired.  To be "highly qualified" under NCLB, a teacher must have:

Our records indicate that there are certain actions that need to be taken in order for you to be considered "highly qualified" under NCLB.  These actions are as follows:

If your NEED any of the following to be considered "highly qualified" Please check all that apply. I STILL NEED to:

Obtain a Bachelor's Degree

Obtain full state certification

Pass the ExCET / TExES in the area(s)

OR

    Complete at least semester hours in the area(s) of (of which should be upper level)

OR

    Complete  clock hours of Continuing Professional Education (CPE) in the area(s) of

OR

I have completed all requirements needed to be "highly Qualified"

    Please list ALL documentation which you have completed for the status of "highly qualified" and make sure that this documentation is in the Superintendent's office.

The actions needed to be "highly qualified" under NCLB have been discussed with me.  I understand that I must complete these actions by (date) in order to be in compliance with federal NCLB quidelines.

_________________________________      ____________  ___________________________

Teachers Signature                                    Date                Personnel Director Signature