6 CAR pt. 182, Appendix B
Arkansas Department of Education
An Arkansas qualified teacher (AQT) must have at least a bachelor's degree; must be appropriately licensed to teach; and must demonstrate content knowledge in the subject area(s). The Multi-Subject HOUSSE form (to designate content knowledge) may ONLY be used by teachers in Alternative Learning Environments or Special Education, who teach two or more subjects and seek Arkansas Qualified Teacher status as a Multi-Subject AQT.
Teacher Name ____ Date ____
School ____ School District ____
Choose level of AQT status being sought. Choose the content areas.
☐ Middle Childhood/Grades 4-8
☐ English
☐ Reading or Language Arts
☐ Mathematics
☐ Science: (Specify subject _______)
☐ Art
☐ Social Studies: (Specify subject _______)
☐ Music
☐ Foreign Language: (Specify language _______)
Indicate Instructional Class
☐ Alternative Learning Environment
☐ Special Education
1) BACHELOR'S DEGREE (Provide the appropriate information and documentation.)
Degree ____ Date Awarded ____ Institution _______
2) ARKANSAS TEACHING LICENSE (Check one and provide the appropriate information.)
☐ INITIAL
☐ NTLP PROVISIONAL
☐ PROFESSIONAL TEACHING PERMIT OR PPTL
☐ STANDARD
☐ RECIPROCITY PROVISIONAL (all requirements completed except AR History course)
Area ____ Level ____ Expiration date: _______
3) DEMONSTRATION OF CONTENT KNOWLEDGE AS A MULTI-SUBJECT TEACHER? (Check A or B, and provide the appropriate information and documentation.)
3.A. ☐ I passed the Praxis II: Middle School Content Knowledge (#0146), Praxis II: Middle School Multiple Subjects (#5141), or other appropriate state-mandated content-area assessment, or Multi-Subject licensure content test in other state.
Assessment _______
Passing Score _______
Date taken _______
OR
3.B. ☐ I am a Veteran teacher and I have accumulated >100 points on the Multi-Subject ARHOUSSE criteria survey with a minimum of 50 points in each content area. (Attach a copy of the Multi-Subject ARHOUSSE form.)
4) Are you AQT (i.e., do you have all of 1, 2, and 3 above)? Yes ____ No ____
If you do not meet all three criteria (1, 2, & 3 above) you cannot be designated as an Arkansas Qualified Teacher in these areas at this time. As appropriate, and in conjunction with the school/district administrator the teacher is to develop, maintain and adhere to a written plan for becoming an Arkansas Qualified Teacher in this area by the end of this school year.
Teacher's signature _______
Date _______
School District Administrator's name _______
School District Administrator's signature _______
Date _______
TEACHERS ARE TO ATTACH ALL APPROPRIATE DOCUMENTATION. COPIES OF ALL ARE TO BE MAINTAINED BY THE TEACHER AND KEPT ON FILE IN THE SCHOOL DISTRICT.
To establish Arkansas Qualified Teacher status as a Multi-Subject teacher a teacher must be teaching in one of the Instructional Classes listed below, and be teaching two or more of the content areas listed below. To demonstrate content knowledge via Multi-Subject ARHOUSSE a minimum of 50 points is required per content area taught.
Teacher Name __ Date __
School __ School District __
| Indicate level of AQT status being sought. ☐ Middle Childhood/Grades 4-8 | Indicate the content areas to be considered for this AQT designation. ☐ English ☐ Reading / Language Arts ☐ Math ☐ Science: (subject __ ) ☐ Art ☐ Social Studies: (subject __ ) ☐ Music ☐ Foreign Language: (subject _____ ) |
|---|---|
| Indicate Instructional Class ☐ Alternative Learning Environment ☐ Special Education |
The following would demonstrate content knowledge for Multi-Subject AQT criteria in full. Points
| Praxis II: Middle School Content Knowledge (#0146), Praxis II: Middle School Multiple Subjects (#5141), or other appropriate state-mandated content-area assessment | 100 points | |
|---|---|---|
| Multi-Subject content test taken for licensure in another state (describe) | 100 points |
To demonstrate content knowledge by individual subject, the following evidence must be in the content areas indicated above.
A teacher must accumulate a minimum of 50 points in each core content subject area that they are teaching.
| Content Area 1: __ College/University Coursework in the content area(s): List coursework __ __ __ | # credit hours: X 3 points |
|---|---|
| NBTS Certification for this content area | 100 points |
| Content Based Professional Development or Content Knowledge Activities: (Please use the AR HOUSSE to see examples of appropriate activities, committee service, textbook adoption, presentations, conferences, articles written, etc.) Describe Activity and use Point Value from Single Subject AR-HOUSSE form: __ __ _____ | Prof. Dev. Points 1 pt/hr up to 8 pts/year 40 pts max |
| Teaching Experience in this content area: Describe: __ __ | 10 pts per yr 25 points maximum |
| Must be a minimum of 50 points CONTENT AREA 1 Total Points: _____ |
| Content Area 2: _ College/University Coursework in the content area(s): List coursework __ | # credit hours: X 3 points |
|---|---|
| NBTS Certification for this content area | 100 points |
| Content Based Professional Development or Content Knowledge Activities: (Please use the AR HOUSSE to see examples of appropriate activities, committee service, textbook adoption, presentations, conferences, articles written, etc.) Describe Activity and use Point Value from Single Subject AR-HOUSSE form: _ ___ | Prof. Dev. Points 1 pt/hr up to 8 pts/year 40 pts max |
| Teaching Experience in this content area: Describe: _____ | 10 pts per yr 25 points maximum |
| Must be a minimum of 50 points | CONTENT AREA 2 Total Points: _____ |
| Content Area 3: _ College/University Coursework in the content area(s): List coursework __ | # credit hours: X 3 points |
| NBTS Certification for this content area | 100 points |
| Content Based Professional Development or Content Knowledge Activities: (Please use the AR HOUSSE to see examples of appropriate activities, committee service, textbook adoption, presentations, conferences, articles written, etc.) Describe Activity and use Point Value from Single Subject AR-HOUSSE form: _ ___ | Prof. Dev. Points 1 pt/hr up to 8 pts/year 40 pts max |
| Teaching Experience in this content area: Describe: _____ | 10 pts per yr 25 points maximum |
| Must be a minimum of 50 points | CONTENT AREA 3 Total Points: |
Duplicate form as needed to add additional content areas.
Teacher's signature
Date
School District Administrator's name
Date
School District Administrator's signature
Date
TEACHERS ARE TO ATTACH ALL APPROPRIATE DOCUMENTATION. COPIES OF ALL ARE TO BE MAINTAINED BY THE TEACHER AND KEPT ON FILE IN THE SCHOOL DISTRICT.