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* 1. Name of Organization

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* 2. Name of Organization's Point of Contact

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* 3. Email for Point of Contact

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* 4. Phone Number of Organization's Point of Contact

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* 5. Name of the certificate being offered to fulfill the requirements of the reading endorsement as specified in Section 1012.586, F.S.

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* 6. Approximately how many hours total (including online, face-to-face, independent reading, and the practicum) are required for the completion of the program?

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* 7. Has this organization been in continuous existence for at least the last 5 years?

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* 8. Select each of the following criteria regarding international recognition that is met by this organization.

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* 9. Provide evidence of coursework that shows a history of establishing standards for evidence-based interventions for struggling readers.

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* 10. Provide a thorough description of the coursework competencies to be mastered in the specific certificate program that has teachers develop a substantive understanding of six components of reading as a process: comprehension, oral language, phonological awareness, phonics, fluency, and vocabulary.

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* 11. Provide a thorough description of the coursework competencies to be mastered in the specific certificate program that addresses how teachers should scaffold student learning by applying the principles of research-based reading instruction and integrating the six components of reading. Teachers will engage in the systematic problem solving process.

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* 12. Provide a thorough description of the coursework competencies to be mastered in the specific certificate program that addresses how to select and administer appropriate assessments and analyze data to inform reading instruction to meet the needs of all students.

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* 13. Provide a thorough description of the coursework competencies to be mastered in the specific certificate program that addresses knowledge of students from differing profiles in order to understand and apply research-based instructional practices by differentiating process, product, and context.

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* 14. Provide a description of the documented clinical experience required to complete the certificate, wherein teachers demonstrate knowledge of the components of reading, as well as assessments and data analysis, to implement a comprehensive research-based reading plan of instruction for all students.

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* 15. Provide a thorough description of the coursework competencies to be mastered in the specific certificate program that addresses effective methods of identifying characteristics of conditions such as dyslexia, and a focus on multisensory interventions.

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