New York State Education Department

DIAGNOSTIC TOOL FOR SCHOOL AND DISTRICT EFFECTIVENESS (DTSDE)

OUTSIDE EDUCATIONAL EXPERT CANDIDATE APPLICATION

FOR

DISTRICT –LED INTERACTIVE INTERVENTION REVIEWS (IIT VISITS)

Directions: The Outside Educational Expert (OEE) candidate must briefly address each criteria below. If the criteria is not applicable, indicate N/A. The district must submit a separate application for each candidate. If the same OEE will be working with more than one school in a district, the district should complete one application and indicate the assigned schools.

Please submit the completed application(s) and resume to:

District: / Outside Educational Expert Candidate:
School(s): / Area(s) of Identification:
Criteria / Evidence / For SED use only /
a.  Experience in leadership and/or supervision of schools / 1234NA
b.  Experience with Common Core Learning Standards, curriculum and Standards alignment, assessment and instruction / 1234NA
c.  Experience/familiarity with the Regents Reform Agenda and Race to the Top Initiatives / 1234NA
d.  Experience in using data to implement specialized intervention strategies to improve the academic performance of students at-risk, including students with disabilities and English language learners / 1234NA
e.  Experience with restructuring/reorganization of grade configurations and/or the development of smaller learning communities / 1234NA
f.  Experience in the creation and implementation of programs for over-age/under-credited students / 1234NA
g.  Experience in the development and/or implementation of programs specifically designed to improve student attendance and/or tardiness / 1234NA
h.  Experience in innovative use of facilities and/or rezoning procedures as a strategy for school improvement / 1234NA
i.  Experience in planning, conducting and/or evaluating professional development relevant to school
improvement / 1234NA
j.  Experience in developing effective strategies for outreach to parents and community members / 1234NA
k.  Experience in the phase-out/closure of schools and in the development of new schools / 1234NA
l.  Experience with any other effective school improvement strategies that have resulted in improved student performance / 1234NA
m.  Experience in conducting a review of a school’s educational program, e.g., State reviews, Middle States Association reviews / 1234NA
n.  For candidates with New York State administrative experience: Experience as a leader of a school with an accountability status of “In Good Standing”. / 1234NA

I understand that the New York State Education Department (NYSED) requires OEEs to attend NYSED mandated training prior to participating on SED led IIT visits or on District led DTSDE visits. OEEs must participate in additional training as directed by NYSED. By signing this form, I agree to comply with NYSED training requirements.

X______Date ______

(Signature of OEE Candidate)

FOR SED USE ONLY:
SED Reviewer: ______Date: ______
Check one:
¨  The candidate is recommended.
¨  The candidate is not recommended for the following reason(s) ______
______
______
______

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