Georgia Professional Standards Commission



Georgia Professional Standards Commission

NOTICE OF INTENT TO SEEK DEVELOPMENTAL PROGRAM APPROVAL

For GaPSC-approved Professional Education Units

Use this form to notify the GaPSC that you seek approval to offer new

educator preparation program(s) before your next continuing approval review.

Institution Name:

Name of the Professional Education Unit:

Name and Title of the Professional Education Unit head:

Phone: Fax: E-mail:

Address:

Academic year & semester to begin admitting candidates:

Attach unit governing body approval for the addition of the program(s)

In the table below, describe the program(s) for which you seek approval.

|Program Name |GaPSC Preparation |GaPSC |Initial Preparation |

| |Rule # |Certification Rule| |

| | |# | |

| | | |Bac. Degree |Cert-Only |Endorsement |Master's Degree |Specialist Degree |

| | | |Program Leading to|(non-degree) |Program |Program Leading to|Program Leading to|

| | | |Certification |Program Leading to| |Certification |Certification |

| | | | |Certification | | | |

| | | | | | | | |

| | | | | | | | |

Add additional rows to the table if necessary.

Name & Title of the person preparing this form:

Phone: Fax: E-mail:

Address:

Both signatures requested below are required to begin the GaPSC Approval process.

Your signature verifies that the institution has the resources to deliver the programs, as well as your support for and commitment to the sustainability of the programs.

Chief Executive Officer of the Institution Date E-Mail

Head of the Professional Education Unit Date E-Mail

Complete and fax to GaPSC Program Approval at 404-232-2760

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