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California Department of Education Revised October 19 2011 ESEA TEACHER REQUIREMENTS Certificate of Compliance If you have questions please refer to the ESEA Teacher Requirements Resource Guide on the CDE Website. Teacher s Name None ESEA Core Academic Subject None District Special Settings If any of the special settings indicated below apply to this certificate of compliance transferability of this compliance may be limited* Check the box es that apply to this teaching assignment from the option/s available. Special Education Charter School Special Classes or Schools as defined in CA Ed Code Section 44865 Alternative Pathway to Graduation course as defined in CA Ed Code Section 51225. 3 b CA Ed Code Local Teaching Assignment Option None Bachelor s degree Name of accredited institution conferring the degree Appropriate California Authorization for this Assignment Check one box indicating the authorization for this assignment Professional Clear Preliminary or Clear Multiple subject Credential Subject Other Type Supplemental Authorization Type Subject Matter Authorization Type 47605 l Check one box to determine the appropriate option/s New to the profession teacher. Date of issuance on original credential or intern permit New elementary school teachers must select Exam option* New middle/high school teachers may select Exam or Coursework option* Not new to the profession teacher. Date of issuance on original credential or intern permit Not new elementary school teachers may select Exam or HOUSSE option* Not new middle/high sc hool teachers ma y select the E xam Course work Advance d Certificati on or HOUSSE options. Demonstrated core academic subject area competence by completing one of the following Check one box from the option/s available. EXAM CTC approved subject matter exam including but not limited CSET MSAT or NTE in the core subject SUBJECT MATTER WAIVER PROGRAM secondary only Completed a CTC approved subject matter program in the core subject OTHER COURSEWORK secondary only Undergraduate major in the core subject Graduate degree in the core subject Advanced Certification secondary only National Board Certification in the core subject HOUSSE Completed California s High Objective Uniform State Standard of Evaluation HOUSSE in the core subject See Sec* 3. Teacher s Name None ESEA Core Academic Subject None District Special Settings If any of the special settings indicated below apply to this certificate of compliance transferability of this compliance may be limited* Check the box es that apply to this teaching assignment from the option/s available. Special Education Charter School Special Classes or Schools as defined in CA Ed Code Section 44865 Alternative Pathway to Graduation course as defined in CA Ed Code Section 51225. Special Education Charter School Special Classes or Schools as defined in CA Ed Code Section 44865 Alternative Pathway to Graduation course as defined in CA Ed Code Section 51225. 3 b CA Ed Code Local Teaching Assignment Option None Bachelor s degree Name of accredited institution conferring the degree Appropriate California Authorization for this Assignment Check one box indicating the authorization for this assignment Professional Clear Preliminary or Clear Multiple subject Credential Subject Other Type Supplemental Authorization Type Subject Matter Authorization Type 47605 l Check one box to determine the appropriate option/s New to the profession teacher.

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