OSDE - OKLAHOMA
State Department of Education
Residency program
Application Form
(This application should
be used when teacher is enrolled in the SDE Residency Program Only)
Use one form for each teacher!
Technology Center/Skill Center
Campus
Name of Resident Teacher
SSN
--
Date of Hire , Teacher Certificate
Level
Resident Teacher Program PID
Occupational Trade Area
Resident Teacher E-mail Address
Local Instructional Mentor's Name
Local Instructional Mentor's Trade Area
Local Instructional Mentor's E-mail Address
Local Instructional Leader's Name
(Administrative Level)
You will need to contact the local university to initiate the
traditional residency program.
Superintendent/Designee
Signature
(You may just type in the Superintendent's or Designee's name.
However, this will be considered a signed document upon submission.)
Superintendent/Designee E-mail Address
Date of Submitted ,
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Return by
the first Friday in September:
Lynn Hughes, Process and Planning Specialist
Instructional Services Division
Oklahoma Department of Career and Technology Education
1500 West Seventh Avenue
Stillwater, OK 74074-4364
Fax: 405-743-6871
E-mail:
lhugh@okcareertech.org
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This Web site is maintained by tmill@okcareertech.org Last Update 07/24/2006  Web pages copyright 2000 Oklahoma Department of Career and Technology Education |