2017-2018 Teacher Leader Registry Application
This form combines Reading Recovery, Literacy Lessons, and Descubriendo la Lectura teacher leader applications.
Check boxes on page 1 of the application collect general information. Sections have been simplified and better defined, making it easier and quicker for teacher leaders, site coordinators, and university trainers to complete and review.
To be completed by all teacher leaders (pages 1–3)
Additional questions for teacher leaders providing support to Literacy Lessons intervention specialists (page 4)
Additional questions for Descubriendo la Lectura teacher leaders (page 4)
To be completed by the trainer responsible for the teacher leader’s professional development and affiliation (page 5)
Completing the forms
INFORMATION FOR TEACHER LEADERS
The application is to be completed and signed by the teacher leader, site coordinator, and university trainer (electronic signatures accepted). You are responsible for submitting the Request for Exemption form (when applicable) and for securing signatures from the site coordinator before sending the forms on to the university training center for completion. DO NOT SEND REGISTRY FORMS DIRECTLY TO RRCNA. They must be sent to your university trainer, who will sign off and submit to RRCNA for processing.
INFORMATION FOR TRAINERS TO SUBMIT FORMS
The trainer is responsible for collecting and reviewing all completed forms and forwarding in one batch to RRCNA for data collection by the final date for submission. Forms can be either emailed OR mailed via USPS, but must be submitted together in one batch. Emailed forms should include a list of all teacher leaders submitting applications as a cross check.
Email completed interactive PDF forms in one batch to Julie Reeves
OR print and mail completed forms in one packet to Julie Reeves – TL Registry
RRCNA, 500 W. Wilson Bridge Rd., Suite 250, Worthington, OH 43085
The form is an interactive, online PDF that must be saved to your computer before completing.
Download the Registry application
Simply right-click the file, then select “save target as” or “save link as” and designate a drive and/or folder where you’ll save and rename the file.
NEW! Interactive Request for Exemption
Download the new form
University trainers will determine due dates for teacher leaders.
October 9, 2017
All signed, reviewed, and approved forms must be received by RRCNA.