DATE PREFERENCE FORM
DEVELOPMENTAL ON-SITE REVIEW DATE PREFERENCE FORM
Georgia Professional Standards Commission
200 Piedmont Avenue, Suite 1702
Atlanta, Georgia 30334
Office: (404) 232-2651 Fax: (404) 232-2760
Please indicate below the dates preferred for your institution's BOE Review. Please check your institutional calendar to make sure the dates do not conflict with vacations, etc.
FALL VISITS-PREFERRED DATES BETWEEN SEPTEMBER 1 AND NOVEMBER 30
SPRING VISITS-PREFERRED DATES BETWEEN JANUARY 15 AND APRIL 30
A PSC Developmental Review typically is scheduled Sunday afternoon through Noon on Wednesday.
| |Dates |Year |
|1st Choice | | |
|2nd Choice | | |
|3rd Choice | | |
Add a list of the Preparation Program(s) to be reviewed on an attached sheet including the program title, educator preparation rule number, degrees offered and certification levels.
Institution/Agency Name:
Professional Education Unit Name:
Address:
Phone #: Fax:
Review Coordinator (Type or Print Name):
Title:
E-mail:
Telephone: Fax:
Website Address:
Review Coordinator Signature:
Unit Head Signature:
................
................
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