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005.28.47 Exh. A. Division of Elementary and Secondary Education Request to Present a Training ...

AR ADC 005.28.47 Exh. AArkansas Administrative CodeEffective: June 12, 2020

West's Arkansas Administrative Code

Title 005. Department of Education

Division 28. Division of Elementary and Secondary Education

Rule 47. Rules Governing Required Training for School Board Members

Effective: June 12, 2020

Ark. Admin. Code 005.28.47 Exh. A

Formerly cited as AR ADC 005.23.4 Exhibit A

005.28.47 Exh. A. Division of Elementary and Secondary Education Request to Present a Training Program to School Board Members

Currentness

Please compile the following information and submit it electronically via the Division's website:

http://www.arpdsam.org/

Pursuant to Section 6.03 of the Division of Elementary and Secondary Education Rules Governing Required Training for School Board Members (Rule), program providers must submit a detailed description of the entire program, including staff qualification, to the Department to be received at least thirty (30) days prior to the date of the program. This deadline will allow for review of the program to determine whether training and instruction credit pursuant to Ark. Code Ann. § 6-13-629 and this Rule may be awarded.

1.) Name and Address of Provider: __________________________________________________

____________________________________________________________

2.) Contact Person for Provider: Name: __________________________________________________

Address ____________________________________________________________

Phone Number: ____________________________________________________________

Fax: ____________________________________________________________

E-Mail ____________________________________________________________

3.) Title and Detailed Description of Program: _____________________________________________

____________________________________________________________

4.) Please indicate how the program content will apply to Section 5.00, Training Content, of the Rules Governing Required Training for School Board Members

5.) Date(s) program is to be presented: ________________________________________

6.) Members of provider's staff who will provide instruction at the program:

a.) Staff Member's Name: ____________________________________________________________

Address: ____________________________________________________________

Phone Number ____________________________________________________________

Fax Number: ____________________________________________________________

E-mail: ____________________________________________________________

List qualifications to present program (include relevant educational background, work experience, examples of similar programs presented, etc.):

____________________________________________________________

b.) Staff Member's Name: ____________________________________________________________

Address: ____________________________________________________________

Phone Number ____________________________________________________________

Fax Number: ____________________________________________________________

E-mail: ____________________________________________________________

List qualifications to present program (include relevant educational background, work experience, examples of similar programs presented, etc.):

____________________________________________________________

c.) Staff Member's Name: ____________________________________________________________

Address: ____________________________________________________________

Phone Number ____________________________________________________________

Fax Number: ____________________________________________________________

E-mail: ____________________________________________________________

List qualifications to present program (include relevant educational background, work experience, examples of similar programs presented, etc.):

____________________________________________________________

d.) Staff Member's Name: ____________________________________________________________

Address: ____________________________________________________________

Phone Number ____________________________________________________________

Fax Number: ____________________________________________________________

E-mail: ____________________________________________________________

List qualifications to present program (include relevant educational background, work experience, examples of similar programs presented, etc.):

____________________________________________________________

e.) Staff Member's Name: ____________________________________________________________

Address: ____________________________________________________________

Phone Number ____________________________________________________________

Fax Number: ____________________________________________________________

E-mail: ____________________________________________________________

List qualifications to present program (include relevant educational background, work experience, examples of similar programs presented, etc.):

____________________________________________________________

f.) Staff Member's Name: ____________________________________________________________

Address: ____________________________________________________________

Phone Number ____________________________________________________________

Fax Number: ____________________________________________________________

E-mail: ____________________________________________________________

List qualifications to present program (include relevant educational background, work experience, examples of similar programs presented, etc.):

____________________________________________________________

7.) Please add to this document any other information that you believe would be helpful in assisting the Division in determining whether to grant your request.

8.) The DESE shall promptly review the content of the program for compliance with any and all applicable statutes and Division rules to determine if any or all of the program content shall be deemed to provide training and instruction credit and shall establish the time period the training and instruction provider is approved to offer the program.

9.) Upon notification by the DESE of approval of the program (or parts thereof) for training and instruction credit, the provider may enroll participants in the program and offer the program for training and instruction credit for the set time period.

10.) The provider shall be responsible for the preparation and dissemination of proof of completion of the program (or parts thereof) to all attendees. All such proofs, or copies thereof, shall be submitted by the board member attendees to the superintendent of the district whose board they serve.

Submitted by: ________________________________________ Date: ______________________________

____________________________________________________________

FOR DESE USE ONLY

Date Provider Information Received _______________________________________________________

Date Reviewed: ____________________________________________________________

Request to Present Program: Approved: __________________________________________________

Denied: _____________________________________________

Date of decision: ____________________________________________________________

Signature of DESE Representative: ______________________________

Credits

Amended Jan. 14, 2012; Nov. 30, 2015; June 8, 2018; June 12, 2020.

Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.

Ark. Admin. Code 005.28.47 Exh. A, AR ADC 005.28.47 Exh. A

End of Document