Licensing and leadership development for
educational administrators
Forms, worksheets, and grids
Below you’ll find links to most of the documents used in our
program, as well as links to examples of exemplary work submitted by
current and former students. Where possible, the documents are in
Word or Excel format to allow you to complete them electronically.
Application
Your completed application should include a writing sample (see
form for essay requirement specifics), transcripts, and a check for
the program fee.
Enrollment
Once admitted to the licensure program you will register online.
If you would like to take a class before applying to our program,
use the following form to register.
Licensure specific
Program checklist [.pdf]
This document is intended to provide you with a general
understanding of our processes as well as how you will progress as a
student in the program.
Creating the portfolio [.pdf]
This document will guide you in the process of creating your
licensing portfolio, the central component to our individually based
licensing program.
Project reflections [.doc]
Reflection is a core component for the University of Minnesota’s
licensure program. One or more reflections are required for each of the
core courses. Required reading from courses may be used to fulfill the
readings requirement within the reflection. Superb reflections go beyond
required readings and explore other sources of literature as well.
Student at the University of Minnesota have access to an excellent
library system that may be used in person or online. In addition, the
Resources link provides direct access to
many state and national associations and their publications. The four
frames of leadership incorporated in the reflection sheet format are
from Bolman, L. G., & Deal, T. E. (2003). Reframing Organizations:
Artistry, Choice, and Leadership Third Edition. San Francisco:
Jossey-Bass. See
APA
Citation Style for a brief description of APA citation formats for
various publications.
Pre-assessment and Plan of
Action templates
This form, which is completed in EDPA 5385 Licensure Seminar, is a
Minnesota Board of School Administrators' requirement as stated in M.R.
3512 and a requirement of the University of Minnesota. A Pre-assessment
and Plan of Action must be completed for each license sought. Submit
both your completed form and the
licensure course
matrix [.xls] to the director of Licensure and Leadership Development
for Educational Administrators, 330 Wulling Hall.
Culminating requirements
report [.pdf]
This form summarizes your professional and academic experiences. We
submit it to the Minnesota Department of Education once you complete
the program. It is to be completed at the END of your program.
Pre-panel checklist [.pdf]
This form helps you to prepare for the completion of your file,
materials from which we must send to the Minnesota Department of
Education as part of our endorsement of you.
Competency grids and lists
These forms are intended to be a reference for you. Each form
contains a complete list of the competencies for a particular area
of licensure. The language and structure of these documents
correlate to the Minnesota Department of Education's competencies
identified in MS 3512. Near the time you are scheduled to appear
before a review panel, you may wish to acquire a Microsoft Word copy
of one of these forms, in which you may type rather than write by
hand. Request one at licensure@umn.edu.
You must complete this form prior to your review panel.
K-12
Principal Licensure Portfolio and Evaluation Form [.pdf]
K-12
Principal Licensure Portfolio and Evaluation Form [.doc]
K-12 principal competencies short list [.pdf]
Superintendent
Licensure Portfolio and Evaluation Form [.pdf]
Superintendent Licensure
Portfolio and Evaluation Form [.doc]
Superintendent competencies short list [.pdf]
Director
of
Special Education Licensure Portfolio and Evaluation Form [.pdf]
Director of Special Education
Licensure Portfolio and Evaluation Form [.doc]
Director of special education competencies
short list [.pdf]
Director of
Community Education Licensure Portfolio and Evaluation Form [.pdf]
Director of Community Education
Licensure Portfolio and Evaluation Form [.doc]
Director of community education competencies
short list [.pdf]
If you have trouble accessing the documents, please try a
different computer or try later. If, after several tries, you cannot
download these forms, e-mail licensure@umn.edu for assistance.
Revised January 2008
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