Albany State University
Superintendent’s Assurance Form
Educational Leadership Supervised Residency
Specialist or Doctoral Level
I will commit to the following items:
I understand the Beginning Leader Candidates who participate in the Leadership Supervised
Residency for Initial Certification for Specialist or Doctoral Level must be in a leadership role as
defined by the local system in partnership with the College/university…
I understand the Beginning Leader Candidates who participate in the Leadership Supervised
Residency for Specialist or Doctoral Level shall apply the knowledge and practice and develop
the skills identified in Standards/Elements 1-6 through substantial, sustained, standards-based
work in real settings, planned and guided cooperatively by the institution and school district
personnel for graduate credit.
I understand a supervisor/building or system administrator or system designee shall be assigned
to fulfill the responsibilities outlined in the Guidelines for the Leadership Supervised Residency
for Initial Certification for Specialist or Doctoral Level.
I understand the Beginning Leader Candidate Support Team composed of the Beginning Leader
Candidate, institution personnel, and the supervisor/building or system administrator or system
designee shall be assigned to the Beginning Leader Candidates to fulfill the responsibilities
outlines in the Guidelines for the Leadership Supervised Residency for Initial Certification for
Specialist or Doctoral Level.
I understand the details outlined in the University/School System/Regional Educational Service
Agency Partnership Agreement for the Development of Educational Leaders and I support the
local school system commitments.
I am willing to grant and verify release time for Beginning Leader Candidates, if necessary.
(Candidate’s Name – Printed) (Candidate’s Signature)
(School System Name) (Date)
(Superintendent’s or designee name- Printed) (Superintendent’s or designee Signature)
NOTE: This is by no means a promise or assurance that upon completion of the program, the
candidate will be guaranteed an administrative position in this or any school system.
(Dean, College of Education Name- Printed) (Dean, College of Education – Signature)
