Cl 500 Form PDF Details

In the State of California, the Commission on Teacher Credentialing plays a pivotal role in maintaining the standards for the training, preparation, and certification of public school teachers. An essential aspect of this is ensuring that every classroom is guided by a fully qualified educator. The CL-500 form, titled "Declaration of Need for Fully Qualified Educators," stands as a crucial administrative tool toward this end. School districts, county offices of education, state agencies, and nonpublic schools or agencies use this form annually to officially declare their imminent need for fully qualified educators when they face a shortage. By completing the form, these entities certify that they have conducted a diligent search for fully qualified teachers to fill their vacancies and, if unable to find such teachers, will make reasonable efforts to recruit based on established priorities. The form encompasses a variety of permits related to specific teaching assignments, laying out the framework for expected need in areas like Bilingual Authorization or Special Education. Moreover, it requires a disclosure of the efforts made to recruit certified personnel, illuminating the agency's commitment to attracting qualified candidates. It becomes a testament to the necessity of employing temporary or emergency permit holders in situations where fully certified teachers are not available, thereby ensuring that the education of students remains uninterrupted.

QuestionAnswer
Form NameCl 500 Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namescalifornia cl 500 form, ca ctc 500 form, california ctc fully online, ca educators form

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State of California

Email: credentials@ctc.ca.gov

Website: www.ctc.ca.gov

Commission on Teacher Credentialing

 

Certification Division

 

1900 Capitol Avenue

 

Sacramento, CA 95811-4213

 

DECLARATION OF NEED FOR FULLY QUALIFIED EDUCATORS

Original Declaration of Need for year: _____________

 

Revised Declaration of Need for year: _____________

 

FOR SERVICE IN A SCHOOL DISTRICT

 

Name of District:

District CDS Code:

Name of County:

County CDS Code:

By submitting this annual declaration, the district is certifying the following:

∙A diligent search, as defined below, to recruit a fully prepared teacher for the assignment(s) was made

∙If a suitable fully prepared teacher is not available to the school district, the district will make a reasonable effort to recruit based on the priority stated below

The governing board of the school district specified above adopted a declaration at a regularly scheduled public meeting held on ____/____/____ certifying that there is an insufficient number of certificated persons who meet the district's

specified employment criteria for the position(s) listed on the attached form. The attached form was part of the agenda, and the declaration did NOT appear as part of a consent calendar.

Enclose a copy of the board agenda item

With my signature below, I verify that the item was acted upon favorably by the board. The declaration shall remain in force until June 30, _________.

Submitted by (Superintendent, Board Secretary, or Designee):

__________________________________

__________________________________

__________________________________

Name

Signature

Title

__________________________________ ___________________________________ ___________________________________

Fax Number

Telephone Number

Date

__________________________________________________________________________________________________________

Mailing Address

__________________________________________________________________________________________________________

EMail Address

FOR SERVICE IN A COUNTY OFFICE OF EDUCATION, STATE AGENCY OR NONPUBLIC SCHOOL OR AGENCY

Name of County ______________________________________________________

County CDS Code__________________

Name of State Agency______________________________________________________________________________________

Name of NPS/NPA ___________________________________________________

County of Location _________________

CL-500 12/2016

Page 1 of 3

The Superintendent of the County Office of Education or the Director of the State Agency or the Director of the NPS/NPA specified above adopted a declaration on ____/____/____, at least 72 hours following his or her public announcement that

such a declaration would be made, certifying that there is an insufficient number of certificated persons who meet the county's, agency's or school's specified employment criteria for the position(s) listed on the attached form.

The declaration shall remain in force until June 30, _________.

Enclose a copy of the public announcement

Submitted by Superintendent, Director, or Designee:

__________________________________

__________________________________

__________________________________

Name

Signature

Title

__________________________________

__________________________________

__________________________________

Fax Number

Telephone Number

Date

__________________________________________________________________________________________________________

Mailing Address

__________________________________________________________________________________________________________

EMail Address

This declaration must be on file with the Commission on Teacher Credentialing before any emergency permits will be issued for service with the employing agency

AREAS OF ANTICIPATED NEED FOR FULLY QUALIFIED EDUCATORS

Based on the previous year's actual needs and projections of enrollment, please indicate the number of emergency permits the employing agency estimates it will need in each of the identified areas during the valid period of this Declaration of Need for Fully Qualified Educators. This declaration shall be valid only for the type(s) and subjects(s) identified below.

This declaration must be revised by the employing agency when the total number of emergency permits applied for exceeds the estimate by ten percent. Board approval is required for a revision.

Type of Emergency Permit

CLAD/English Learner Authorization (applicant already holds teaching credential)

Bilingual Authorization (applicant already holds teaching credential)

List target language(s) for bilingual authorization:

__________________________________________

Resource Specialist

Teacher Librarian Services

LIMITED ASSIGNMENT PERMITS

Estimated Number Needed

__________________________

__________________________

_________________________

__________________________

Limited Assignment Permits may only be issued to applicants holding a valid California teaching credential based on a baccalaureate degree and a professional preparation program including student teaching.

Based on the previous year’s actual needs and projections of enrollment, please indicate the number of Limited Assignment Permits the employing agency estimates it will need in the following areas:

CL-500 12/2016

Page 2 of 3

TYPE OF LIMITED ASSIGNMENT PERMIT

ESTIMATED NUMBER NEEDED

Multiple Subject

Single Subject

Special Education

TOTAL

EFFORTS TO RECRUIT CERTIFIED PERSONNEL

The employing agency declares that it has implemented in policy and practices a process for conducting a diligent search that includes, but is not limited to, distributing job announcements, contacting college and university placement centers, advertising in local newspapers, exploring incentives included in the Teaching as a Priority Block Grant (refer to www.cde.ca.gov for details), participating in state and regional recruitment centers and participating in job fairs in California.

If a suitable fully prepared teacher is not available to the school district, the district made reasonable efforts to recruit an individual for the assignment, in the following order:

∙A candidate who qualifies and agrees to participate in an approved internship program in the region of the school district

∙An individual who is scheduled to complete initial preparation requirements within six months

EFFORTS TO CERTIFY, ASSIGN, AND DEVELOP FULLY QUALIFIED PERSONNEL

Has your agency established a District Intern program?

Yes

No

If no, explain. ___________________________________________________________________________

Does your agency participate in a Commission-approved

Yes

college or university internship program?

 

No

If yes, how many interns do you expect to have this year? _________________________________________

If yes, list each college or university with which you participate in an internship program.

______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

If no, explain why you do not participate in an internship program.

_______________________________________________________________________________________

_______________________________________________________________________________________

CL-500 12/2016

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How to Edit Cl 500 Form Online for Free

500 declaration form can be filled out effortlessly. Simply try FormsPal PDF editing tool to complete the job in a timely fashion. Our expert team is continuously working to develop the tool and enable it to be much faster for people with its cutting-edge features. Enjoy an ever-evolving experience now! Here is what you'd want to do to begin:

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Step 2: As soon as you open the tool, you will see the form made ready to be completed. Aside from filling in different fields, you can also perform some other things with the Document, specifically writing any words, editing the initial textual content, adding graphics, signing the document, and a lot more.

Pay attention when filling in this form. Make sure all mandatory areas are done correctly.

1. When filling out the 500 declaration form, be sure to complete all of the needed fields in their associated part. This will help to expedite the work, making it possible for your details to be processed quickly and accurately.

cl declaration qualified writing process shown (part 1)

2. Soon after performing the previous part, go to the next step and enter the essential particulars in these fields - The governing board of the school, Name, Signature, Title, Fax Number, Telephone Number, Date, Mailing Address, FOR SERVICE IN A COUNTY OFFICE OF, EMail Address, Name of County County CDS Code, Name of State Agency, and Name of NPSNPA County of Location.

Telephone Number, Title, and The governing board of the school inside cl declaration qualified

3. This next part is about The Superintendent of the County, Name, Signature, Title, Fax Number, Telephone Number, Date, Mailing Address, EMail Address, and This declaration must be on file - fill in each one of these empty form fields.

cl declaration qualified conclusion process clarified (step 3)

4. Filling in Type of Emergency Permit, Estimated Number Needed, CLADEnglish Learner Authorization, Bilingual Authorization applicant, List target languages for, Resource Specialist, Teacher Librarian Services, and LIMITED ASSIGNMENT PERMITS Limited is paramount in this fourth section - ensure to take the time and be mindful with every empty field!

Resource Specialist, Teacher Librarian Services, and CLADEnglish Learner Authorization inside cl declaration qualified

It's easy to make errors when completing the Resource Specialist, so make sure that you take a second look prior to deciding to finalize the form.

5. This last notch to conclude this document is crucial. Be sure you fill out the displayed blanks, including TYPE OF LIMITED ASSIGNMENT PERMIT, ESTIMATED NUMBER NEEDED, Multiple Subject, Single Subject, Special Education, TOTAL, EFFORTS TO RECRUIT CERTIFIED, A candidate who qualifies and, district, An individual who is scheduled to, and EFFORTS TO CERTIFY ASSIGN AND, prior to finalizing. If you don't, it can contribute to a flawed and possibly nonvalid form!

Part number 5 of submitting cl declaration qualified

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