Diocese of Columbus CHECKLIST FOR RENEWAL OF CERTIFICATE/LICENSE

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1 CHECKLIST FOR RENEWAL OF CERTIFICATE/LICENSE All forms are available online at Click on LPDC Forms. 1. Complete your IPDP (Individual Professional Development Plan). 2. Submit your IPDP to your building principal for his/her approval. (Elementary administrators should submit to their Pastors, and secondary administrators should submit to the Superintendent). 3. Submit your principal-approved IPDP to the LPDC for their approval. Mail to: Jeanne Gissel, HR Asst. for Teacher Personnel, 197 E. Gay St., Columbus, OH Accumulate the required college credit hours or CEUs for renewal of your license taken after the date of issue of the license and prior to the expiration date on the license to be renewed. OR Accumulate the required college credit hours or CEUs for renewal of your non-tax or permanent certificate taken after the approval date of the last verification form and prior to the expiration date on that verification form. 5. Submit Request for CEUs form (Page 4) to the LPDC along with verification of attendance at workshops, conventions, etc. If your plan has changed: Submit an IPDP Revision Form to your building principal. Submit your principal-approved IPDP Revision Form to the LPDC for approval. If your plan has not changed: 6. Submit approved IPDP and LPDC Verification Form for Certification/Licensure to your building principal for his/her approval. 7. Submit your principal-approved LPDC Verification Form, official transcripts and/or CEUs, and check to Office of Catholic Schools for $50. Mail to: Jeanne Gissel, HR Assistant for Teacher Personnel, 197 E. Gay St., Columbus, OH Apply for license renewal on the ODE website in your SAFE Account ( Our Diocesan LPDC IRN is ODE will require a credit card payment of $200. THINGS TO REMEMBER FOR RENEWAL OF CERTIFICATE/LICENSE To renew a five-year license, you will need to show evidence of 6 semester hours, 9 quarter hours, 18 CEUs or a combination of all three to equal 18 CEUs. To maintain a permanent or non-tax certificate as required by the Diocese of Columbus, you must show evidence of the same. You must have a new FBI background check every five years. If you have a permanent or non-tax certificate, it will become inactive with the ODE if you do not have a background check done when required. CEUs or credit hours must be completed before September 1 of the year your license or certificate expires. If work is not completed by September 1, an additional 3 semester hours or 4.5 quarter hours will be required. Additional CEUs will not be accepted for license renewal, only college coursework. Any teacher who does not have a current Ohio license or certificate in the field in which he or she teaches by September 1 will not be allowed in the classroom after that date. When submitting evidence of completed work to the LPDC, you must include all necessary information. See the Request to LPDC for CEU Credit form. Any college coursework must be accompanied by an official transcript (photocopies or grade reports will not be accepted). You must have your principal s signature if you are a teacher, your pastor s signature if you are an elementary principal, or the superintendent s signature if you are a secondary principal before submitting your IPDP to the LPDC. To receive credit for coursework to move to BA+18, BA+30, MA+18 or MA+30 on the pay scale only college coursework taken at an Ohio Department of Education approved institution may be counted. CEUs do not count toward this goal. Whenever you complete an activity for CEUs, send it in! Do not wait until the last minute or your license renewal, and therefore your contract, could be at stake. Applications for CEU credit must be approved before applying for Renewal. Renewal will not be signed at the same meeting as CEUs for each person. Columbus Diocese LPDC Forms Page 1 Revised 2015

2 LPDC-INITIATED IPDP REVISION FORM (Original IPDP must be attached to this form.) Name: School: Social Security #: X X X - X X - (last four digits) Action needed for approval: List each recommendation made by the LPDC separately. After each recommendation, explain how you have made changes to your original plan. 1 Recommendation Revised Goal/Plan 2 3 Signature below indicates approval of Revision Plan Signature Date Position (principal if you are a teacher, pastor if you are an elementary administrator, or superintendent if you are a secondary administrator) Your proposed Revision Plan has been approved by the Diocesan LPDC. Proceed with your plans. Date approved: Columbus Diocese LPDC Forms Page 2 Revised 2015

3 EDUCATOR-INITIATED IPDP REVISION FORM (Original IPDP must be attached to this form.) Name: School: Social Security #: X X X - X X - (last four digits) Date of current license issue (or verification approval for permanent or non tax certificate): Educator s signature: Reason for revising goal: New goal: Steps/Strategies Number of CEUs or college credit hours (must total at least 18 CEUs) Dates (start to completion) (e.g. 7/14-5/19) Documentation (official transcripts, certificates, principal letters, logs, etc.) Signature below indicates approval of Revision Plan Signature Date Position (principal if you are a teacher, pastor if you are an elementary administrator, or superintendent if you are a secondary administrator) Your proposed Revision Plan has been approved by the Diocesan LPDC. Proceed with your plans. Date approved: Columbus Diocese LPDC Forms Page 3 Revised 2015

4 LPDC VERIFICATION FORM FOR CERTIFICATION/LICENSURE Return this form with IPDP, check, and LPDC-issued CEUs and/or official transcripts to Jeanne Gissel, HR Assistant for Teacher Personnel. DO NOT SEND UNAPPROVED CEUs WITH THIS FORM. CEUs MUST BE APPROVED PRIOR TO SUBMITTING THIS FORM. Name of LPDC: Columbus Diocese LPDC Educator s name (please print): Educator s signature: Date: First Enter issue date from the license to be renewed OR If for non-tax or permanent certificate, date latest IPDP was approved by LPDC. Step 1. Enter semester hours taken since issue date of the license or certificate to be renewed/transitioned. Step 2. Enter quarter hours taken since issue date of the license or certificate to be renewed/transitioned. Step 3. Enter Local Professional Development Committee-Awarded CEUs earned since the issue date of the license or certificate to be renewed/transitioned. TOTAL Signatures below verify that your building principal, pastor, or superintendent and the LPDC have reviewed your IPDP and official verification of the required CEUs/transcripts and have approved your license renewal. Signature Date Position (principal if you are a teacher, pastor if you are an elementary administrator, or superintendent if you are a secondary administrator) Date approved: Columbus Diocese LPDC Forms Page 4 Revised 2015

5 REQUEST TO DIOCESAN LPDC FOR CEU CREDIT Name: Social Security #: X X X - X X - (last 4 digits) This is to certify that this teacher, employed by School, Diocese of Columbus, has completed the requirements to be granted CEUs. Verification as indicated below is attached. The LPDC will grant CEU credit for professional activities in the following areas. Please mark the type of professional development activity completed with an X. Please submit a separate request for each class or activity. There is no fee for this approval. 1) CEU granting conferences up to 9 CEUs Verification: certificate of completion or attendance or conference program Number of contact hours (0.1 CEUs per hour) 2) Religious Education Certification: Intro = 2 CEUs Basic = 2 CEUs Advanced = 4 CEUs Verification: copy of certificate 3) Professional presentations: up to 5 CEUs per presentation Verification: copy of program, presentation, or outline with log of hours for presentation and preparation 4) Mentoring 1) A Resident Educator: up to 5 CEUs 2) A pre-service teacher or administrator: up to 3 CEUs Verification: log of mentoring times and activities 5) Curriculum committee: Up to 9 CEUs (dependent upon time commitment) Verification: employing agency s participation list or certificate of participation or attendance. 6) Membership on Diocesan, local, state, or national committees up to 5 CEUs (as determined by LPDC) Verification: sponsoring agency s participation list or certificate of participation or attendance 7) Publication of article 2 CEUs (or more at the discretion of LPDC) Verification: copy of article in a professional journal 8) Publication of book up to 9 CEUs (or more at the discretion of LPDC) Verification: copy of book published for sale; must contribute to the effective practice of the education profession and/or the body of knowledge of the endorsement area 9) Peer observation CEUs (minimum of 5 class periods) Verification: summary stating the purpose and knowledge learned from the observation 10) Educational travel/educational projects up to 5 CEUs per project subject to principal and LPDC approval Verification: Complete Rubric for Educational Projects/Travel 11) Webinar participation Verification: certificate and/or Webinar Participation Form Number of contact hours (0.1 CEUs per hour) Signature Date Position (principal if you are a teacher, pastor if you are an elementary administrator, or superintendent if you are a secondary administrator) You may send this form and accompanying certificates as often as you wish, please do not wait until the last minute to get your CEUs approved. You may not send unapproved CEUs with your renewal request. Columbus Diocese LPDC Forms Page 5 Revised 2015

6 RUBRIC FOR EDUCATIONAL PROJECTS/EDUCATIONAL TRAVEL Name: School: Check one: Educational Project Educational Travel Educational Projects or Educational Travel must relate to at least one of the following: (check all that apply) Your school/diocesan goals Your own professional development Enhancement of student learning in your classroom Date(s)/Timeframe of your project or travel: (Travel and recreation time do not apply to CEUs) Please attach a request, written according to the rubric below. Paragraph 1 Explain the goal of this professional development. Describe how it relates to your professional development. Give the name and/or sponsor of the development opportunity, if applicable. How many total hours did you spend? Please break down into the following categories: Planning and preparation Time at sessions Research and writing of projects/papers Time when you were actively involved in professional development (personal learning) Paragraph 2 What materials and activities were used in the professional development activity? What did you learn from the experience? Paragraph 3 Explain how you plan to use what you have learned from this professional development experience to enhance student learning in your classes, or for your own professional development. Please attach any items which verify your attendance, such as a badge, invoice, agenda, handouts, notes, pictures, certificates issued, etc. Attach Request to Diocesan LPDC for CEU Credit form to the top of the packet and turn in to your principal/pastor/superintendent for his/her signature. Send the request along with these forms to the LPDC for approval. Columbus Diocese LPDC Forms Page 6 Revised 2015

7 WEBINAR PARTICIPATION FORM FOR LPDC APPROVAL Participant Name School SSN Webinar Title Date and Time Associated URL Hosting Organization Please contact Jeanne Gissel for approval of Other webinars before submitting X X X X X - Pre-approved: Office of Catholic Schools Office of Religious Education NCEA ASCD ODE INFOhio Other: Webinar Goals and Objectives How do the goals and objectives align to your IPDP? How will this information be applied? Examples: participating in individual or group activities, applying workshop content to classroom setting, dialogue with colleagues Contact hours (each hour is 0.1 CEUs) Signature: LPDC Approval: Date: Date: Please include this form with your Request to Diocesan LPDC for CEU Credit as well as any certificate of completion or attendance provided. Columbus Diocese LPDC Forms Page 7 Revised 2015

8 INDIVIDUAL PROFESSIONAL DEVELOPMENT PLAN Name: School: Social Security #: XXX-XX- (last four digits) What type of contract do you sign? Limited (one year) Multi-year Continuing Letter of Understanding What type of certificate or license do you currently hold? If you hold a license (not a certificate) Date issued: Expiration Date: 6/30/ If you hold a Non-Tax or Permanent certificate: Date of last verification form: Expiration Date: 6/30/ Please list the subject(s) you are currently teaching. I plan to: Renew my license Maintain my non-tax or perm. certificate Gain additional licensure I am working on: A master s degree or PhD Additional licensure Neither My Individual Professional Development Plan Goal: Columbus Diocese LPDC Forms Page 8 Revised 2015

9 Name: Steps/Strategies Number of CEUs or college credit hours (must total at least 18 CEUs) School: Dates (start to completion) (e.g. 7/14 5/19) Documentation (official transcripts or CEUs) Approval Signature Date Position (principal if you are a teacher, pastor if you are an elementary administrator, or superintendent if you are a secondary administrator) If not approved, action needed for approval: Your proposed IPDP has been approved by the Diocesan LPDC. Proceed with your plans. Date approved: Columbus Diocese LPDC Forms Page 9 Revised 2015

10 LPDC Meeting Schedule Meeting Date Deadline to Submit Materials October 1, 2015 September 24, 2015 December 3, 2015 November 25, 2015 February 4, 2016 January 28, 2016 April 7, 2016 March 31, 2016 May 19, 2016 May 12, 2016 June 9, 2016 June 2, 2016 CEU Equivalency 1 CEU = 10 clock hours of professional development 1 clock hour = 0.1 CEUs 1 semester hour = 3 CEUs 1 quarter hour = 2 CEUs Criteria for College/University Credit: 3rd or 4th year undergraduate or graduate course work that is: related to content area received from a 4 year accredited college successful completion of coursework Other college coursework may be accepted for CEUs, if related to content area Columbus Diocese LPDC Forms Page 10 Revised 2015

11 How to Maintain Teaching Status in the Diocese of Columbus Includes Five Year Professional Licenses, Permanent Certificates, and Permanent Non Tax Certificates Please note: All certificate and licensure coursework must be completed by June 30 of the year the license/certificate expires. If coursework is completed after this date, all certificates must be renewed and all licenses must be issued by the first day of the school year, or the teacher may not begin teaching. Renewal fee for LPDC renewal: $50, payable to Office of Catholic Schools (this is separate/additional to the fee charged by the ODE). Five Year Professional, Permanent, and Permanent Non Tax (Except High School Religion Teachers) Must complete 180 contact hours in any combination of 6 semester, 9 quarter hours, or 18 CEUs. Coursework and CEUs must be related to classroom teaching, the subject area of current teaching assignment, and goals listed on approved IPDP. Time Frame: Must renew every five years. IPDP: Must have a copy of current IPDP on file in the Diocesan Personnel Office. Renewal Process: Send proof of coursework or CEUs along with signed verification form (page 4 of the LPDC forms), plus processing fee of $50 to the LPDC for review and approval. After review and approval, the LPDC sign off on the renewal verification form. ODE Renewal Application must be completed and paid for online. Superintendent or designee will electronically sign off. There is no need to send a copy of your renewed license to the Office of Catholic Schools. ODE will send this. A new IPDP should be developed and sent to the LPDC for approval as soon as possible after the renewed license is issued, preferably by the September LPDC meeting. Diocese of Columbus Office of Catholic Schools Policy states, Teachers who have not filed current Individual Professional Development as required by the State of Ohio by April 15 will receive non renewal letters. High School Religion Teachers Must complete 180 contact hours of which 90 hours (3 semester hours, 4.5 quarter hours or 9 CEUs) must be in the area of religious education and pre approved by the Office of Religious Education and Catechesis. The additional 90 contact hours may be in Theology or General Education coursework or CEUs. Time Frame: Must renew every five years. IPDP: Must have a copy of current IPDP on file in the Diocesan Personnel Office. Renewal Process: Send proof of coursework/ceus to the Office of Religious Education and Catechesis, Office of Religious Education and Catechesis will issue renewal certificate. Send renewal form along with signed verification form (page 4 of the LPDC forms), plus processing fee of $50 to the LPDC for review and approval. After review and approval, the LPDC sign off on the renewal verification form. There is no need to apply for renewal on the ODE website. A new IPDP should be developed and sent to the LPDC for approval as soon as possible after the renewed license is issued, preferably by the September LPDC meeting. Diocese of Columbus Office of Catholic Schools Policy states, Teachers who have not filed current Individual Professional Development as required by the State of Ohio by April 15 will receive non renewal letters. Columbus Diocese LPDC Forms Page 11 Revised 2015

12 LPDC COMMITTEE Jeanne Gissel, Chairperson Office of Catholic Schools First Name Last Name School E mail Luna Alsharaiha St. Mary, Columbus lashara@cdeducation.org Carl Bucher Bishop Watterson High School cbucher@cdeducation.org Kate Cavello Immaculate Conception, Columbus kcavello@cdeducation.org Rob Dvorak St. Francis DeSales High School rdvorak@cdeducation.org Roxanne Holonitch St. Joseph Montessori rholonit@cdeducation.org Chris Iaconis St. Anthony ciaconis@cdeducation.org Ann Kempf Notre Dame Elementary akempf@cdeducation.org Cathie LaPlante Bishop Rosecrans High School claplant@cdeducation.org Jonathan Medaugh St. Rose, New Lexington jmedaugh@cdeducation.org Susan Parker St. Mary, Delaware suparker@cdeducation.org Don Schaefer Newark Catholic High School dschaefe@cdeducation.org Ryan Schwieterman Our Lady of Perpetual Help rschwiet@cdeducation.org Joyce Scullion St. Francis de Sales, Newark jscullio@cdeducation.org Kathy Servick Bishop Hartley High School kservick@cdeducation.org Stacey Smith St. Francis de Sales, Newark stsmith@cdeducation.org Dan Stone St. James the Less dstone@cdeducation.org Columbus Diocese LPDC Forms Page 12 Revised 2015