Teacher Support and Coaching Endorsement Application

Oconee RESA Teacher Support and Coaching Endorsement Application
Candidates must meet the following criteria to apply for the MTSS Facilitator Endorsement Cohort:
1. Clear & renewable Georgia Teaching Certificate (T-4 or higher)
2. Must be employed by a Georgia school system.
3. Letter of recommendation from District and School Administrators in the employing school system.
4. Must have signed "Verification of Teaching Experience Form" from Human Resources Director. (See embedded PDF. Please print, complete, scan and upload.)
5. Minimum of three years of successful teaching experience.
6. Letter from immediate supervisor committing support to allow the candidate to complete all requirements in the school and/or district.
Application Date

MonthDayYear
GaPSC Cert. ID:*
Full Name*

First NameLast Name
DOB*

MonthDayYear
Date
Work E-mail*
Personal E-mail*
example@example.com
Work Phone*

Area CodePhone Number
Mobile Phone*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
System*
School*
Gender*

FemaleMale
Ethnicity*

American IndianAsianBlackWhiteHispanicMulti-RacialOther