100 East Third Street, P.O. Box 578 Piketon, Ohio 45661 Phone: 740-289-4171
475 Western Avenue Chillicothe, OH 45601   Phone: 740-702-3120
ViewRoss Pike ESD & SST 15
Highly Qualified Form 7-12
Please completed this form if you are a special education teacher in a unit that serves students 7-12 grade.  You must complete this form FOUR times.  You can only submit one subject at a time.


Name:
Grade Level:
Subject:



Date:
Section 1: Do you have at least a bachelor's degree?
Section 2: Do you hold *full state licensure in your teaching assignment? *Substitute licenses do not meet this requirement. If you answered NO to section 1 and/or 2 proceed no further. You cannot meet the HQT requirement in this teaching assignment. "No" will be recorded on your status sheet and returned to your supervisor. If you answered "yes" to both, proceed to section 3.
Section 3: Only one "yes" in Section 3 is required. Do you have evidence that you have taken and passed one or more of the following Ohio's State Licensure Exams (OAE, Praxis II, or NTE)in the core academic subject of your teaching assignment? The following tests DO NOT APPLY for Section 3: Praxis II Principles of Teaching & Learning, Praxis II Special Education tests, Praxis II Education of Young Children, Praxis II Elementary Education Content, Praxis II Elementary Education: Curriculum, Instruction & Assessment, or OAE Assessments of Professional Knowledge, OAE Special Education tests, OAE Elementary Education subtests, OAE Early Childhood Education.




Do you have an Academic Major or the equivalent in the core academic subject of your teaching assignment (Reading/ELA, Math, Science, Social Studies) (Major or equivalent = 30 semester hours/45 quarter hours in Undergraduate and/or Graduate courses)
Do you have a Master's Degree in the core academic subject of your teaching assignment (ELA/Reading, Math, Science, Social Studies).
Do you hold an eight-year professional certificate appropriate to your teaching assignment with at least 30 semester hours/45 quarter hours in the academic subject you teach?
Do you hold a Permanent Certificate appropriate to your teaching assignment with at least 30 semester hours/45 quarter hours in the academic subject you teach?
Do you hold National Board Certification in the academic subject you teach?
Do you have 90 clock hours of professional development approvable by an LPDC since 1998 AND post initial licensure in the content area(s) and grade band you are seeking HQT? 90 clock hours in appropriate content knowledge; of which up to a maximum of 45 clock hours may be in teaching skills, pedagogy, or Academic Content Standards appropriate to the content area (45 clock hours = 3 semester hours). *If the teacher is seeking HQT in multiple core subject areas, then 90 clock hours of evidence must be provided for EACH core area.
Your Name:  
Your Email:  

To validate your submission, please type the answer to the following question:


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