NEW JERSEY DEPARTMENT OF EDUCATION PO Box 500 Trenton, NJ 08625-0500 School Library Media Specialist (SLMS)/ Associate School Library Media Specialist (ASLMS) FINAL EVALUATION Upon completion, please mail the original form to the attention of Kenneth A. Figgs, manager, in care of Kristina Covington in the Office of Certification and Induction, PO Box 500, Trenton, NJ 08625-0500. The school district/approved private school should make a copy of this document prior to sending it to our office. Name of SLMS/ASLMS Candidate: ____________________ Social Security #: ____________ or Tracking Number Name of Administrator/Supervisor: ____________________ District/School: _____________ In accordance with N.J.A.C. 6A:9-13.14 and N.J.A.C. 6A:9-13.15, the SLMS/ASLMS candidate is authorized to complete the following functions: Satisfactory Unsatisfactory Comments 1. Deliver instruction in information literacy skills 2. Develop and coordinate school library media programs and resources 3. Deliver instruction in the evaluation, selection, organization, distribution, creation and utilization of school library media MENTORING/RESIDENCY COMPLETION A residency program of ______ months has been completed as agreed: YES NO NOTE: The SLMS/ASLMS residency may be no longer than 12 months. (circle one) TRAINING (For CE holders ONLY) SLMS/ASLMS candidate holding a CE has completed one of the following (check one) _____ Nine semester-hour credits through an approved NJ university/college program, and/or required coursework specified in the initial evaluation completed by an examiner in the Office of Certification and Induction when the candidate was issued their CE OR _____ 200 hours of formal instruction at a regional training center. (Please note the formal instruction can only serve as a substitute for the nine semester-hour credits of specified content. It cannot substitute for any additional coursework listed on the initial evaluation from the Office of Certification and Induction.) Please Note: Transcripts and/or college/university program completion form showing completion of the required coursework listed above must be attached. LICENSURE RECOMMENDATION (check one) Approved Insufficient Disapproved I ____________________ (Administrator/Supervisor), a representative of the school district/approved private school, certify that all requirements associated with the School Library Media Specialist mentoring/residency program for first-year novice media specialists have been fulfilled. ____________________________________________ Administrator/Supervisor Signature ____________________ Date _____________________________________________ SLMS/ASLMS Candidate Signature ____________________ Date COMMENTS: SLMS-B1 APPLYING FOR THE STANDARD CERTIFICATE 1. Go to http://www.state.nj.us/education/educators/license/ Candidates who have not previously applied online will have to register in the TCIS system. 2. To set up application click on “APPLY ONLINE.” When the new page opens, scroll down and click “APPLY ONLINE” once more. This will take you to the online system. 3. Read and follow all instructions on the online system page. 4. Once you are logged in, click “APPLY ONLINE” and follow the instructions for each of the four steps. 5. When you reach Step Two, answer ‘yes’ to all the screening questions. These questions concern: Holding a bachelor’s or higher degree Having a qualifying GPA Completing a formal preparation program Completing appropriate study requirements such as a major, 30 credits, 60 liberal arts credits, etc. 6. Continue completing the application for your standard certification appropriately. 7. Once you reach the “PAYMENT MODE” section, choose “CERTIFICATE PAYMENT NOT NEEDED” and submit your application. 8. After you receive your online application confirmation, there is ONLY one group of candidates that will owe a fee: Candidates who received their CE/CEAS prior to February 1, 2004 must pay $95 for their standard certificate. 9. Once the application has been submitted, ONLY the applicants listed above will need to go to the left column and click on “PAY BALANCE OWED OPTION.” Follow all instructions to pay whichever amount you owe. (Please note: If you do not fall in either category listed in #8 then this last step does not apply to you.) 10. You do not have to print the “APPLICANT CHECKLIST” that will pop up after submitting your application. Only candidates completing alternate route programs need to submit program completion documents, e.g., transcripts or letters of completion.