Stephanie Vasquez Ict Ctle Certificate
Stephanie Vasquez Ict Ctle Certificate
Stephanie Vasquez Ict Ctle Certificate
Completion of Approved Continuing Teacher and Leader Education (CTLE) Hour(s) Certificate
All CTLE must be completed with Approved Sponsors and be reported using this form in addition to any electronic
reporting requirements.
Instructions for the Trainee:
Please complete Section I and retain your copies for eight years. It is not necessary to send a copy of this form to the
Office of Teaching Initiatives unless it is requested in the event of an audit or for use in obtaining an Initial
Reissuance. A separate form must be completed for each training.
Please complete Sections II and III. These sections must be completed by the Approved CTLE Sponsor authorized
individual. Sponsors must verify that the trainee completed the activity, the title, date(s) and number of hours
awarded. Records must be retained for a period of eight years. You may use an alternative form or format, however
that alternative must capture the same information that is requested on this form.
Section I:
First Name:Stephanie Last Name: Vasquez Middle Initial:
Select One or More Areas of Activity: Pedagogy Content English Language Learning
CTLE Date(s): from: 10 /24 /2018 to 10 /24 /_2018 Number of hours awarded 6
(mm) (dd) (yyyy) (mm) (dd) (yyyy)
Section III
I certify that the individual listed in Section I completed the CTLE cited above pursuant to Subpart 80-6 of the
Regulations of the Commissioner of Education.