ENCLOSURE A

1 **PROPOSED TEACHER SHORTAGE AREA DESIGNATION SUBMISSION CHECKLIST**  Please refer to the letter (Dated August

_ , 20

__ ) to the Chief State School Officers that is included in the contents of this package of documents related to the ___ 20__ (expected date) publication **Teacher Shortage Area s**  **Nationwide Listing 1990**  **- 19**  **91 thr ough**  **20**

**__ -**  **20**

**__ .**  You must respond to each of the items in this “checklist” (and provide an y additional documentation and explanations, when requested) in order support y our State’s 20 ___ - 20

____ T eacher Shortage Area s ubmission to the U.S. Department of Education (Department) , and thereb y have the proposed teacher shortage areas approved b y the Secretary of Education. When completing the information requested to support your State’s propos ed teacher shortage areas , please refer to the enclosed program regulations as noted below. **I .**  **PRESCRIBED METHODOLOGY**

– Us e the prescribed methodology discussed in the enclosed 34 CFR 682.210 (q)(6) for your submission , which must include: 1. An assurance that written objective standards were used in developing the proposed teacher shortage areas. 2 . An assurance that the Chief State School Officer (C SSO) consulted with private non p rofit elementary

and secondary

school officials within the State . 3 . a . An assurance that the proposed teacher shortage areas met the specific r equirements found in 34 CFR 682.210(q)(6)(iii); or b . If the percentage of yo ur State ’s proposed teacher shortage areas 1 exceeds the automatic designated limit of 5 percent o f the total of all of the full - time equivalent ( FTE ) teaching positions, a statement that y ou are submitting the supporting documentation , as required in 34 CFR 682.210(q)(6)(iv) for the consideration by the Department. 4 . An assurance that 20

__ - 20

__ a cademic ye ar data **(or the most current data available)** was used to determine the proposed teacher shortage areas. 5 . a . The name and original signature of the CSSO; and b . The name, title, office, mailing address, telephone, and f ax number of a cont act person.

1 Calculate teacher shortage areas as a percentage of the FTE teaching positions for all te achers in the State. A combination of the following unduplicated FTEs may be used to calculate teaching shortage area FTEs and the percentage of total FTEs: (a) teaching positions that are unfilled; (b) teaching positions that are filled by teachers who are certified by irregular, provisional, temporary, or emergency certification; and (c) teaching positions that are filled by teachers who are certified, but who are teaching in academic subject areas other than their area of preparation.ENCLOSURE A

2 6 . A list of proposed teacher shortage areas in priority order and containing the following information: a . Name of State; b . Applicable school y ear (e.g., 20

__ - 20

__ , 20

__ - 20

__ ) ; c . Date prepared; d . Total of all the FTE teaching positions within the State from 20

__ - 20

__ academic ye ar data **(or previo us year’s data, if most current**  **data available)** ; e . If proposed areas are geographic regions, list the names of specific areas s uch as counties or school districts. Also, include the number of FTE teacher shortage positions for the geographic region and the percentage of the total of all of the FTE teaching posit ions (d . above). 2 For example: State of Columbia

– 20 __ - 20

__ School Year

– __ _ , 20

__ Northwest Independent School District FTE 332.90 4.3% Central Independent School District FTE 263.25 3.4% Total (documentation required) 7.7% State of Ve ntura
– 20 __ - 20

__ School Year

–

__ _ , 20

__ McLean Count y FTE 148 0.6% Jenkins Hill County FTE 246 1.0% City of Freeport FTE 615 2.5 % Total 4.1% f. A specific grade level or academic discipline may be proposed as a teacher shorta ge area statewide. Please include the number of FTE teacher shortage positions for the academic discipline or grade level and the percentage of all FTE teaching positions. 3 For example: State of Albion

– 20 __ - 20

__ School Year

–

__ _ , 20

__ Fifth & Sixth Grade Teachers FTE 742 4.7%

2 See Footnote 1. 3 See Footnote 1.ENCLOSURE A

3 State of Platte

– 20 __ - 20

__ School Year

– __ _ , 20

__ Bili ngual/ESL (Pre - K to 12) FTE 75.0 0.9% French FTE 99.7 5 1.2% Mathematics (9 - 12) FTE 458.0 5.5% Phy sics FTE 249.5 3.0% Total 1 0.6% State of Alb emarle

– 20 __ - 20

__ School Year

– __ _ , 20

__ Special Educatio n for Handicapped Children (Birth to 3 years) FTE 55.25 0 . 1 % 7 . If you propose more than the 5 percent limit in It em I.6 , include the listing of teacher shortage areas ranked according to priorit y, as required by 34 CFR 682.210(q ) ( 6 )( iv), along with supporting documentation , show ing the methods used for identify ing shortage areas and an explanation of why

the Department should designate all of the p roposed areas as teacher shortage areas.ENCLOSURE A

4 **II .**  **STATE -**  **DEVELOPED ALTERNATIVE METHODOLOGY**

– If you are proposing an alternate methodology

for designation of teacher shortage areas as permitted by the enclosed 34 CFR 682.210(q)(7), your submission must include: 1 . A statement that y our submission contains a request for approval of an alternate t eacher shortage area selection methodology and that the submission contains supporting documentation as described in 34 CFR 682.210 (q)(7). 2 . An assurance that written objective standards were used in developing the proposed teacher shortage areas. 3 . An assurance that the CSSO consulted with private nonprofit elementary and secondary school officials with the State . 4 . An assur ance that the 20 __ - 20

__ ac ademic ye ar data **(or the most current data available)** was used to determine the proposed teacher shortage areas. 5 . a. The name and original signature of the CSSO; and b. Name, title, office, mailing address, telep hone, and fax number of a contact person. 6 . A list of proposed teacher shortage areas following the instructions in I.6 . However, we can evaluate this list for designation only i f yo ur alternate methodology for proposing teacher shortage areas is approved b y the Department. 7 . If you propose more than 5 percent in I tem I I.6 , include the listing and other i nformation described in Item I. 7 .