Ed Prep Program READ Act Teacher Training Application

Application for Review of an Educator Preparation Program Course to Meet the READ Act Evidence-Based Teacher Training Requirement

Application Submisstion Date*

Section B: Applicant Information

Educator Preparation Program Name*

Department or College (if applicable)

Primary Contact Person for this Review Submission*

Primary Contact Telephone*

Primary Contact Email Address*

Title of Course*

Instructor(s) of Record*

Catalog/Website Link (if applicable)*

Section C: Minimum Statute and Rule Requirements

Please save as PDF and name file in the following format: EPPname_EBTT_SecC_minimum Ensure this document is uploaded in the "Application Attachments" section at the end of this form.

Section D: Reading Development Theory

Please save as PDF and name the file in the following format: EPPname_EBTT_SecD_readingdevtheory Ensure this document is uploaded in the "Application Attachments" section at the end of this form.

Section E: Course Model & Delivery

Please save as PDF and name the file in the following format: EPPname_EBTT_SecE_coursemodel Ensure this document is uploaded in the "Application Attachments" section at the end of this form.

Section F: Phase 2 Worksheet

Alignment to Colorado Educator Preparation literacy standards referenced in 1 CCR 301-101, section 4.02(5) through 4.02(12) Please save as PDF and name the file in the following format: EPPname_EBTT_SecF_worksheet Ensure this document is uploaded in the "Application Attachments" section at the end of this form.

Section G: Assurances

Please save as PDF and name the file in the following format: EPPname_EBTT_SecG_assurances Ensure this document is uploaded in the "Application Attachments" section at the end of this form.

Section H: Educator Preparation Program Review & Agreement of Application Completion

There are two documents to upload for this section: the district completed rubric and the signed agreement of completion. RUBRIC: Please save in EXCEL format and name the file in the following format: EPPname_EBTT_SecH_rubric Ensure this document is uploaded in the "File Attachments" section at the end of this form. AGREEMENT OF COMPLETION: Please save as PDF and name the file in the following format: EPPname_SecH_AgreementofCompletion_signature Ensure these documents are uploaded in the "Application Attachments" section at the end of this form.

Section I: Course Materials

Please save all corresponding course materials as a PDF and name the file in the following format: EPPname_EBTT_coursematerials Ensure this document is uploaded in the "Application Attachments" section at the end of this form.

Application Attachments

1. Section C: EPPname_EBTT_SecC_minimum 2. Section D: EPPname_EBTT_SecD_readingdevtheory 3. Section E: EPPname_EBTT_SecE_coursemodel 4. Section F (Phase 2 Worksheet): EPPname_EBTT_SecF_worksheet 5. Section G: EPPname_EBTT_SecG_assurances 6. Section H: EPPname_EBTT_SecH_rubric 7. Section H: EPPname_SecH_AgreementofCompletion_signature 8. Section I (Course Materials): EPPname_EBTT_coursematerials All files (except for the scored rubric) above need to include: · PDF format · A footer with the following: Ed Prep Program Name, date of submission, and page numbers If the supporting materials for your application are too large to be attached to the smartsheet form, please reach out to Marisa Calzadillas at Calzadillas_m@cde.state.co.us.

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