The Highly Qualified Paraprofessional Portfolio Plan - Traverse Bay ...
The Highly Qualified Paraprofessional Portfolio Plan - Traverse Bay ...
The Highly Qualified Paraprofessional Portfolio Plan - Traverse Bay ...
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Form B<br />
CONTENT/SUBJECT AREA PORTFOLIO ASSURANCE STATEMENT<br />
___________________________________________________________<br />
Print full name<br />
___________________________<br />
______________________________<br />
Social Security Number Home Telephone #<br />
________________________________________________________________________<br />
Current Home Address City State Zip<br />
___________________________________<br />
Place of Employment (District)<br />
_____________________________<br />
Building<br />
I hereby assure the Michigan Department of Education that I have completed and<br />
attached my <strong>Highly</strong> <strong>Qualified</strong> <strong>Paraprofessional</strong> <strong>Portfolio</strong> and District Review<br />
Committee final recommendation as mandated by the federal No Child Left Behind<br />
legislation.<br />
__________________________________<br />
Signature of <strong>Paraprofessional</strong><br />
______________________________<br />
Notary or signature of building or<br />
district administrator<br />
Date: __________________________________<br />
Misrepresentation or falsification of information may result in loss of<br />
employment.<br />
PLEASE SUBMIT THIS FORM TO YOUR LOCAL<br />
DISTRICTOR PSA SUPERINTENDENT OR<br />
CHIEF ADMINISTRATOR BY JANUARY 8, 2006.<br />
Mandated by Federal No Child Left Behind Legislation<br />
8/31/2004
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