Get 2015 2016 Arizona Highly Qualified Attestation Form ... - Mpsaz

Filling out the 2015 2016 Arizona Highly Qualified Attestation Form is an essential process for Special Education teachers not serving as the Teacher of Record. This guide will provide you with a clear, step-by-step approach to ensure you complete the form accurately and efficiently.

Follow the steps to properly fill out the attestation form

1. Press the ‘Get Form’ button to access the form and open it in your document editor.
2. Enter your name in the designated field at the top of the form. This is an important identifier and should match your official documents.
3. Provide the last four digits of your Social Security Number (SSN) in the appropriate section. This information is needed for verification purposes.
4. Input the name of your school in the 'School' field. Ensure the school name is correctly spelled to avoid any identification issues.
5. Enter your Local Educational Agency (LEA) in the specified area. This helps in categorizing your employment.
6. Fill in your work email address in the 'Teacher Work Email' field. This should be an email you regularly check for communication regarding this form.
7. Indicate your school employment start date in the format mm/yyyy. This allows for accurate employment history tracking.
8. In the 'Please complete the following' section, confirm that you hold a bachelor’s degree or a more advanced degree from an accredited institution. Check the designated box.
9. Verify that you hold a valid Arizona Special Education Certificate by marking the relevant box and ensuring that it does not include HI and VI – Intern, Provisional, Reciprocal, or Standard certifications.
10. List the disability area(s) you work with in the designated field, ensuring specificity for clarity.
11. Provide details about your teaching assignment, including the grades and the number of periods taught in the identified disability area.
12. Select your qualification status by checking either 'Highly Qualified Teacher' or 'Non-Highly Qualified Teacher' based on your eligibility.
13. Sign the provided section to attest to the factual completion of the evaluation, and date your signature.
14. Have the Principal print their name, sign the form, and date their signature in the designated sections.
15. Once all fields are correctly filled, save your changes, and consider downloading, printing, or sharing the form as needed.

Complete your attestation form online today to ensure your status is accurately recorded.