Forms for Statewide School Accountability
There are two sets of forms available at this site.
1. If you are a Charter School located in New York City and have received a request for Teacher Certification and Employee Records, please proceed to section 1
2. If you are looking for information on completing a Self Assessment for 08-09, please proceed to Section 2
Section 1: Teacher Certification and Employee Records for Charter Schools located in New York City
Pursuant to New York State Education Law, the No Child Left Behind Act
of 2001(NCLB) and the Individuals with Disabilities Education Act (IDEA),
New York State Education Department (NYSED) is requesting that all charter
schools provide reports and supporting documentation concerning teacher
certification and employee records. NYSED is also requesting
all charter schools to assure that the submitted data is complete and accurate.
Please download the Teacher Certification and Employee Records Form, Assurances
Form and Instructions by clicking the links below.
PLEASE READ THE INSTRUCTIONS CAREFULLY AND COMPLETE ALL APPLICABLE
TABLES . All tables must reflect current data.
The Teacher Certification and Employee Records Form consists of
seven Microsoft Excel tables. Each table can be accessed by clicking the
color-coded tabs at the bottom of the Excel screen. All charter schools
must complete Tables A, F and G. Charter schools with uncertified
teachers who posses a qualifying exemption must complete Tables B, C, D
or E. Following is a summary of the seven tables.
TABLE A – Professional instructional staff
TABLE B – Questionnaire for uncertified teachers with three years
of classroom experience
TABLE C – Questionnaire for uncertified teachers who are tenured or
tenure track college faculty
TABLE D – Questionnaire for uncertified teachers with two years of
TFA experience
TABLE E – Questionnaire for uncertified teachers with exceptional
experience
TABLE F – Non- instructional staff
TABLE G – Newly hired and terminated employees
DO NOT ATTEMPT TO COMPLETE THE TABLES WITHOUT REFERRING TO THE
INSTRUCTIONS.
The Teacher Certification and Employee Records Form and Assurances
Form, along with supporting documentation, must be submitted to NYSED no
later than January 16, 2009. Both forms must be emailed to emscapa@mail.nysed.gov. Additionally,
all supporting documentation along with the paper copies of the two completed
forms must be mailed via postal service to the address provided in the online
instructions.
If you have questions or require technical assistance, please contact
Dr. Moshe Gans at (718) 722-7108.
Instructions (25 KB) 
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Version
08-09
Teacher Certification & Employee Records Form (106 KB) 
08-09 Assurances Form (16 KB) HTML
Version
Section 2: Self Assessment System for Schools
In accordance with the No Child Left Behind (NCLB) legislation, Adequate Yearly Progress (AYP) must be determined for each public school and charter school in the State. To meet this requirement of NCLB, Commissioner’s Regulation Part 100.2(p) requires that a self-assessment be conducted in those schools for which decisions regarding AYP cannot be made based upon students’ participation in State assessments.
The deadline to e-mail the completed form for elementary and middle schools is June 11, 2009 and for high schools it will be August 6, 2009. Forms should be e-mailed to selfassessment@mail.nysed.gov.
Questions about this requirement may be directed to Shibu Joseph, at (718) 722-8556.
Self Assessment Form for 2008-09 (32 KB)
STAR form for Special Acts Schools (44 KB)
NCLB Statewide Self Assessment
Requirements for 2008-09 (28 KB) 
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Version