MassachusettsDepartment ofElementaryandSecondaryEducation

75PleasantStreet,Malden,Massachusetts02148-4906Telephone:(781)338-3806TTY:N.E.T.Relay1-800-439-2370

VI.GuidelinesforABEReviewPanelists

1)Regulations

In accordance with 603CMR 47.00:Licensure of AdultBasic EducationTeachers andPreparation ProgramApproval,reviewpanelmemberswillberecruitedandtrainedbytheDepartmenttoevaluateperformanceportfoliosandteachingdemonstrationsforcandidatesfortheprofessionalABElicense.

2)Eligibility

Criteriafor Participation:

a.Submission ofa completednomination formto the Department(seeAttachmentA).

b.Nominationby a current or previous supervisorand by at leasttwoABE teachers.

c.Possessionof one ofthe followingqualifications:

1.Fiveyears,oraminimumof2400instructionalhours,ofABEteachingexperience;or

2.ABETeacher’sLicenseattheprofessionallevel;or

3.ThreeyearsofABEteachingexperienceandtwoyearsofABEsupervisoryexperience;or

4.Threeyearsofteachersupervisoryexperiencewithinateacherpreparationprogramand,beginning2006,aminimumofthreeyearsofteacherpreparationsupervisoryexperienceandtwoyearsofABEteachingexperience.

d.Representative oftherange of ABE contexts and the geographicdiversitywithintheCommonwealth.

3)Compensation

a.Reimbursementfortravel and parking expenses.

b.Possiblestipendfor the review panel training.

c.Eligibilityforprofessionaldevelopment points (PDPs) upon completion ofthe Review Paneltraining andsix panelreviews over a one-yearperiod.

4)Participation Agreement

Panelreviewmemberswill signa statement of participationthatoutlines theirduties andresponsibilities(seeAttachmentB).

a.Confidentiality: Panelreviewmemberswillsignastatementofconfidentialityinwhichtheyagreeto ensure the privacy ofthe candidates andany learners referredto in the portfolios.

b.ConflictofInterest:Panelreviewmemberswillsignaconflictofintereststatementinwhichtheyagreenottoparticipateinthereviewofportfoliosbyanycandidatewhomtheyknowpersonally.MembersareaskedtobringanypotentialconflictofinteresttotheattentionoftheDepartment’sReview PanelCoordinator.

c.Non-DiscriminationStatement:Panelreviewmemberswillsignanon-discriminationstatementinwhichtheyagreenottodiscriminateagainstcandidatesonthebasisofage,color,disability,nationalorigin,race,religion, sex, orsexual orientation.

AttachmentA

MassachusettsDepartment ofElementaryandSecondaryEducation

75PleasantStreet,Malden,Massachusetts02148-4906Telephone:(781)338-3806TTY:N.E.T.Relay1-800-439-2370

ABETeacher’sLicenseReviewPanelNOMINATIONFORM

ThisformshouldbecompletedonlybyMassachusettsABEteachersorbyMassachusettshighereducationfacultyteachingundergraduateorgraduatecoursesordinarilytakenbystudentswhobecomecandidatesforteacherlicensure.Allinformation being requestedwill beused to ensure that reviewpanelsare representativeoftheMassachusettsABEteachingforce.

Pleasereturnthiscompletedformandresumeto:

ABELicensureCoordinator

MassachusettsDepartmentofElementaryandSecondaryEducation75PleasantStreet

Malden,MA02148-5023

Pleaseprinttherequestedinformationorchecktheappropriateresponse.

1.Name:_Title

2.ABE program:_

3.Program/Institutionaddress:

4.Homeaddress:_

5.Daytimephone:Ext.

6.Evening phone:

7.Email address:

8.FAX:

9.Preferredaddress for correspondence:Home

Work

Email

10.. Levelof education (highestdegreeattained):Bachelor’s

Master’s

Doctoral

11.Years of ABEteachingexperience:0-4

5-7

8-10

11 ormore

12.Professional organization(s) of whichyouare a currentmember(list upto three):

a)b)c)

13.. Ethnicity (Optional:usedtoensurethatcommitteesarerepresentativeof theMassachusettsABE teaching force)

_American Indian or Alaskan Native_Asian orPacificIslander

Black

_Hispanic origin

Notof HispanicOrigin

White

Other

14.Gender(Optional)Female

Male

15.. Employment supervisor name/title:_

16.. Employment supervisor address:

17.County of primary residence:

Barnstable / Berkshire / Dukes / Essex / Franklin / Hamden
Hampshire / Middlesex / Norfolk / Plymouth__ / Suffolk / Worcester

Other, pleasespecify

18.Areyoucertified/licensed toteach in Massachusettspublicschools?YesList all Massachusettsteachingcertificates/licensesheld:

No

19.This form was providedtomeby:_

ToBe Completedby ABE Practitioners

20.Areyouarecurrently working withinan ABE program?

No

Whatisthemost recent yearyou were affiliatedwithan ABE program?

YesWhat isyourcurrentposition?Teacher:Administrator:Counselor:Other:

Setting of current position:CBO

LEA

CHOC

Community College

If you arecurrently teaching, inwhat areaof ABEareyouworking? (checkall that apply.)

Basicliteracy

Pre-GED

GED

ESOL

NLL

Family Literacy

ToBe Completedby College/UniversityEducators

21.Areyoucurrently a facultymemberat aMassachusetts college/university?

No

Yes

Title:_

CurrentPosition:Teacher Preparation

Otheracademicdepartments

Other_

Primary academicdepartmental affiliation:

Most recent level taught: undergraduate

and/or graduate

Icertifythattheaboveinformationisaccuratetothebestofmyknowledge.IfIamchosentoparticipateintheABEPanelReview, Iunderstandthatallmaterialsare theproperty oftheDepartmentandshall remainconfidential.IagreethatIwillnotdiscriminateonthebasisofage,color,disability,nationalorigin,race,religion,sex,orsexualorientation,andthatIwilldiscloseanypotentialconflictsofinterest.IalsoagreetoparticipateintheABEreviewpaneltrainingandtoserveonaminimumofsixreviewpanelsoverthecourseofthenextyear.

Applicant’s Signature:Date:

ReviewPanelistNominationForm

ToBeCompletedbyEmploymentSupervisor

Pleaserespondtothefollowingquestion:

Whatcharacteristicswillthisapplicantbringtothisreviewprocessthatsetsher/himapartfromotherpotentialcandidates?

IsupportthenominationoftoserveonanABEReviewPanelforLicensuredescribedbythisformandaccompanyingmemo.

Name:_

Title:_

Signature:_Date:_

ReviewPanelistNominationForm

ToBeCompletedbyPeerABETeacher

Pleaserespondtothefollowingquestion:

Whatcharacteristicswillthisapplicantbringtothisreviewprocessthatsetsher/himapartfromotherpotentialcandidates?

IsupportthenominationoftoserveonanABEReviewPanelforLicensuredescribedbythisformandaccompanyingmemo.

Name:__Title:_

Signature:_Date:

ReviewPanelistNominationForm

ToBeCompletedbyPeerABETeacher

Pleaserespondtothefollowingquestion:

Whatcharacteristicswillthisapplicantbringtothisreviewprocessthatsetsher/himapartfromotherpotentialcandidates?

IsupportthenominationoftoserveonanABEReviewPanelforLicensuredescribedbythisformandaccompanyingmemo.

Name:__Title:_

Signature:_Date:

MassachusettsDepartment ofElementaryandSecondaryEducation

75PleasantStreet,Malden,Massachusetts02148-4906Telephone:(781)338-3806TTY:N.E.T.Relay1-800-439-2370

AttachmentB

ABE ReviewPanelParticipationAgreementForm

IherebyagreetoparticipateasamemberoftheABEPanelReviewforLicensure.IunderstandthatIwillneedtocompleteapanelreviewtrainingsuccessfullybeforeIameligibletoparticipate.AdditionallyIagreetocommittooneyearofserviceandtoparticipateinaminimumofsixweek-daypanelreviewsoverthenextyear.IalsounderstandthatIwillbeevaluatingABElicensurecandidates’performanceportfoliosandmakingrecommendationstotheDepartmentastowhetherornotcandidatesshouldbelicensed,andthattheDepartmentmakes the finaldetermination.

Initials

Additionally, I agree tothefollowingstatements:

1.StatementofConfidentiality

IunderstandthatG.L.c.66A,theFairInformationPracticesAct,protectstheprivacyofanymaterialssubmittedbyABElicensurecandidatesandthatanyinterviewsofordiscussionsregardingsuchcandidatesarestrictlyconfidential.IwillnotdiscussthecontentofanymaterialsorinterviewswithanypartieswhoarenotaffiliatedwiththeReviewPanelorwiththeOfficeofEducatorCertificationandLicensure.

Initials

2.ConflictofInterestStatement

InordertopreservetheintegrityofthePanelReviewprocess,ifIpersonallyknowacandidate,Ishall inform the ABEReview PanelCoordinator and excuse myself from that review.Further, ininstanceswheretheremaybeaconflictofinterestinreviewingacandidate,forwhateverreason,I agree to informthe Review Panel Coordinator and excuse myself fromthat review.

IunderstandthatifIdoparticipateinthereviewofanacquaintance’sportfolioanddemonstrationofteachingthatthisconstitutesaconflictofinterestandIwillbeaskedtoremovemyself from current andfutureReview Panels.

Initials

3.Non-DiscriminationStatement

I willnotdiscriminateonthe basis ofage, color,disability,nationalorigin,race,religion, sex, orsexual orientation, and I willdisclose any potentialconflicts of interest tothe ABE Review PanelCoordinator.

Initials

By signing below, I hereby agreetoall ofthe statements describedabove.

Name:

Title:

Signature:

Date:

ContactInformation

DaytimeTelephone:

EveningTelephone:

Email: