NAME OF APPLICANT: EMPLOYEE # (6 DIGITS):
SCHOOL WHERE EMPLOYED:
COURSE APPLIED FOR:
SESSION: APPLICANT HAS APPLIED FOR: Part 2 Specialist
The signing of this form by a Supervisory Officer is required for admission to Part 2 or Specialist courses.
Admission could be delayed until this form is received.
For this purpose a Supervisory Officer is defined as follows:
(a)
For a teacher employed by a School Board, the Supervisory Officer is a Superintendent of the Board.
(b)
For a teacher employed by a private school, the Supervisory Officer is the Ministry of Education official appointed to provide
supervisory services for the school.
Note: A Principal’s signature does not satisfy this requirement.
PART 2 COURSES
Supervisory Officer’s Certification
I certify that the applicant named above has successfully completed
at least one (1) year (194 days) of successful teaching experience.
Signature of Supervisory Officer Date
Name of Supervisory Officer (printed) Telephone
Title of Supervisory Officer
School Board
SPECIALIST COURSES
Supervisory Officer’s Certification
I certify that the applicant named above has successfully completed
two (2) years (388 days) of successful teaching experience,
including at least one year (194 days) of experience in the subject
listed above.
Signature of Supervisory Officer Date
Name of Supervisory Officer (printed) Telephone
Title of Supervisory Officer
School Board
May 1 2018
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