Form Sfn 59877 PDF Details

In the realm of education, particularly for those who aim to specialize in the dynamic field of Science, Technology, Engineering, and Mathematics (STEM), the SFN 59877 form represents a crucial step. Issued by the North Dakota Education Standards and Practices Board, this form serves as an application for educators seeking a STEM Endorsement. Essentially, it is a gateway for educators to document and validate their preparedness and eligibility to teach STEM subjects. The form requires a variety of personal and professional information, including the educator’s license number or Social Security Number, contact details, and educational background. Additionally, it outlines the required components of the STEM endorsement process, such as a re-education plan, timeline, and the associated fee. Importantly, this endorsement necessitates completion of specific coursework and field experience in STEM education, emphasizing a trans-disciplinary approach and integration of content. Furthermore, the form addresses the legal aspects of information collection in compliance with the Federal Privacy Act of 1974, ensuring the applicant's Social Security Number is used solely for identification and recordkeeping purposes. Educators are asked to submit the completed form along with a fee, reinforcing the form's role as a formal step towards obtaining endorsement to teach STEM subjects in North Dakota, thereby fostering the growth of qualified STEM educators in the state.

QuestionAnswer
Form NameForm Sfn 59877
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names59877 stem endorsement form

Form Preview Example

STEM ENDORSEMENT

NORTH DAKOTA EDUCATION STANDARDS AND PRACTICES BOARD

SFN 59877 (04/2011)

 

 

 

 

 

Educator’s Professional License Number

Date License Issued (ESPB use only)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or Social Security Number (no dashes)

Last Name, First Name, MI

 

Maiden Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

State

Zip Code (9-digit)

 

College Student ID

 

 

 

 

 

Home Telephone Number

Work Telephone Number

Date of Birth

 

Email Address

 

 

 

 

 

High School Graduated (Name)

High School Graduated (Year)

High School Graduated (City)

 

High School Graduated (State)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prerequisite: Re-education Plan:

Timeline:

Fee:

Valid North Dakota Educator’s Professional License.

Work with an approved college of education to complete this form. List the coursework in your educational plan and return a copy of the form to ESPB for approval.

This endorsement must be completed prior to your first contracted employment as a STEM teacher in North Dakota. This timeline does not change your regular license renewal due date. $75 fee if adding this endorsement between license renewal periods. There is no additional fee to add this endorsement at license renewal time.

STEM Program of Study

The 12 SH of coursework must be specifically in STEM education and verified through official transcripts. Coursework must be from an approved teacher education program. Field Experience The experience requirement must be documented through an official transcript and/or letter documenting the STEM business/industry and STEM classroom experiences.

Coursework

Completed (SH)

Needed (SH)

STEM Philosophy (Trans-disciplinary coursework in science, technology, engineering, and mathematics). Must include all four areas.

STEM Curriculum (Trans-disciplinary approach to teaching science, technology, engineering, and mathematics). Must include all four areas.

STEM Methods

(Seamless integration of content and context of all four areas).

STEM Strategies

(Including but not limited to First LEGO League, First Tech Challenge, etc.)

STEM Field Experiences (Business/Industry and School Based) two days.

Total SH

Total SH

Signature of Applicant

Date

ESPB Review

Date

Executive Director, ESPB

Date

License Code

Type of Equivalency

Level of Preparation

07

Submit completed form and $75 fee to:

Education Standards and Practices Board, 2718 Gateway Ave, Suite 303, Bismarck ND 58503-0585 (701) 328-9641 office (701) 328-9647 fax

In compliance with the Federal Privacy Act of 1974, the disclosure of the individual’s social security number on this form is mandatory pursuant to North Dakota Century Code (NDCC) 43-50-02. The individual’s social security number is used by the Education Standards and Practices Board (ESPB) as an identification number for file control purposes, background checks, and recordkeeping. ESPB does not advocate, permit, nor practice discrimination on the basis of sex, race, color, national origin, religion, age or disability as required by various state and federal laws.

Payment/Credit Card Information

This documentation will be destroyed upon completion of processing.

Type of Payment

 

 

 

Amount

 

Visa

MasterCard

Check

 

$

 

 

 

 

 

 

Name as it appears on credit card

 

 

 

 

 

 

 

 

 

Credit Card Number

 

 

3 digit CVV number

Expiration Date

 

 

 

(on back of card)

 

 

 

 

 

Billing Address of credit card (if different than the mailing address)

 

 

 

 

 

 

 

 

 

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Step 1: Press the "Get Form" button at the top of this webpage to access our editor.

Step 2: The editor provides you with the opportunity to change PDF documents in a range of ways. Improve it with your own text, correct what's already in the PDF, and put in a signature - all readily available!

This PDF form requires specific data to be entered, therefore be sure to take your time to type in exactly what is requested:

1. First, while completing the Form Sfn 59877, start out with the part containing following fields:

Part no. 1 for completing Form Sfn 59877

2. Once your current task is complete, take the next step – fill out all of these fields - Coursework, Completed SH, Needed SH, STEM Philosophy Transdisciplinary, STEM Field Experiences, Signature of Applicant ESPB Review, Type of Equivalency, Total SH Date, Date Date, Level of Preparation, Total SH, Submit completed form and fee to, and In compliance with the Federal with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Total SH, Signature of Applicant ESPB Review, and Type of Equivalency in Form Sfn 59877

3. Completing This documentation will be, Type of Payment, Visa MasterCard Check, Amount, Name as it appears on credit card, Billing Address of credit card if, digit CVV number on back of card, and Expiration Date is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Writing section 3 in Form Sfn 59877

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