CHILD DEVELOPMENT SPECIALIST AUTHORIZATION Initial Application Checklist

Transcription

1 CHILD DEVELOPMENT SPECIALIST AUTHORIZATION Initial Application Checklist Applicant s Name: Application to become a Child Development Specialist (CDS) is accomplished through school district submission of required materials. Application materials should be submitted to the Oregon Department of Education prior to actual employment of the Child Development Specialist. Authorizations will not be processed without all materials being provided. The work of all CDS should align with the district s Comprehensive Guidance and Counseling Programs. Go to for more information. Application materials can be found at The following materials are required for authorization of new CDS: Updated Childhood Development Specialist Plan (This should be a part of the District s Comprehensive Guidance Counseling Program. (One copy per district) Minor changes can be noted on the Request for Authorization Form.) Request for Authorization/Re-authorization Form A letter from the hiring superintendent or designated representative requesting authorization of the candidate Current resume of candidate documenting required education and other information pertinent to the position Transcript(s) documenting the coursework taken by the candidate (The OAR recommends a Master s degree. We accept Master s degrees in school counseling or a related field, such as psychology, social work, etc.) A copy of a completed fingerprint-based Criminal History Verification Form # (Copy of License requiring fingerprint based CHV can be used) Three separate copies of the enclosed Competency Evaluation Form completed by: The candidate A representative of the candidate s former employment (or, lacking an appropriate employment history, a representative of the candidate s graduate degree institution or recent academic preparation) The superintendent or designated supervisor of the candidate from the employing district Once appropriate materials have been submitted, an authorization letter will be sent to the person requesting the authorization. If additional information is required, please contact Jennell Ives at (503) , or by jennell.ives@state.or.us Oregon Department of Education May 2013 Page 1 of 1

2 CHILD DEVELOPMENT SPECIALIST Request for Authorization/Re-authorization School Year CDS Name(s) Continue From Previous School Year New For School Year School Deleted CDS Name(s) School Update of Child Development Specialist Program Plan (Required for CDS authorization) Year your CDS program plan was last revised? (CDS program plans should be a part of the District CGC Plan) You are satisfied with your plan and are continuing implementation as outlined. (Y/N) _ Web location of your CDS or Comprehensive Guidance Plan (provide link or submit a hard copy) (Attach revised or updated plan, if necessary, using the CDS program plan template at the ODE website There must be a plan on file to authorize CDS.) District Name: County: Full District Address: _ Phone: Date: Superintendent: CDS Program Director: Please return this form, the CDS plan (if necessary), and the Summary of Activities sheets for each returning Child Development Specialist, and full application for any new CDS by June 28, 2013 to: Jennell Ives, Education Specialist Oregon Department of Education Office of Educational Improvement & Innovation 255 Capitol St NE Salem, Oregon (503) , Fax (503) , (jennell.ives@state.or.us Oregon Department of Education May 2013 Page 1 of 1

3 CHILD DEVELOPMENT SPECIALIST Application Competency Evaluation (This form is to be completed by the applicant, district representative and previous employer, or professional reference.) Applicant s Name: School District: Date: A CDS program, as an optional part of a district s Comprehensive Guidance and Counseling (CGC) Program, facilitates student growth in four student developmental domains (pg. 7 and Appendix B). Please briefly describe the applicant s experience in these four student development domains: 1. Academic 2. Career 3. Personal/Social 4. Community Involvement Oregon Department of Education May 2013 Page 1 of 4

4 Please list/describe the activities the applicant is expected/able to perform as a CDS this school year in the five CDS/CGC program content areas (pg ). Include strategies/activities with students, staff, administration, parents, and the community, to the extent appropriate. Also, please consider the applicant s competencies and qualification in each of the following areas. Then rate him/her in each area, using the following five-point scale below: Not Effective Below Average Average Above Average Outstanding Guidance Curriculum A Pre-K - 12 CGC program consists of developmental, preventative, and proactive instruction. (CDS Programs may be part of a district s CGC program at the elementary level grades Pre-K - 8, pg. 10 and 26-28). Rating: Individual Planning Activities that assist each student in setting and achieving academic, career, personal/social goals and in pursuing community involvement (pg. 11 and 28-30) Rating: Oregon Department of Education May 2013 Page 2 of 4

5 Not Effective Below Average Average Above Average Outstanding Responsive Services Intervention on behalf of individual students whose immediate needs, concerns, or problems are distracting or impeding their academic, career, or personal/social development or community involvement (pg. 11 and 30-32). Rating: System Support and Integration Ways in which guidance and counseling program staff contribute their knowledge and skills to promoting the infusion of the program throughout the school and overseeing program content (This might be professional development for other school staff and/or community, pg. 11 and 32-33). Rating: Oregon Department of Education May 2013 Page 3 of 4

6 Not Effective Below Average Average Above Average Outstanding Student Advocacy Accommodations, modifications, special assistance, or any other support services required to ensure that each and every student receives equitable access and opportunities to participate and succeed in school programs and successfully transition from school to adult life (While student advocacy/educational equity should be integral to all that CDS, counselors and other school staff do, there are still disparities between individual students and groups of students that require awareness and focused intervention, pg. 11 and 34-36). Rating: Competency Evaluation: To be completed by applicant, district representative, and previous employer or professional reference. CDS Applicant or Reference Signature: Printed Name of CDS Applicant or Reference: Date: Please mail to: Jennell Ives, Education Specialist Oregon Department of Education Office of Educational Improvement & Innovation 255 Capitol St NE Salem, Oregon Oregon Department of Education May 2013 Page 4 of 4