Cal. Code Regs. Tit. 5, Div. 4, Chap. 1, Art. 14 C.6

Current through Register 2024 Notice Reg. No. 25, June 21, 2024

Attachment C.6

FORM IS OPTIONAL - INFORMATION IS STILL REQUIRED FOR APPLICATION PROCESS

APLE for District Interns 2xxx-xx Reallocation Selection and Summary Sheet

List applicants who are eligible for reallocated applications in priority order, see Section 30703(c)(2) of Title 5 of the California Code of Regulations, with #1 being the highest priority. Be sure to include applications or required applicataion information, and LAA's for all pending reallocations recipients. The Commission selects applicants based on the priority you have assigned.

School Name:__________

	NAME	*SOCIAL SECURITY #	TEACHING SERVICE AREA
1.	___________________________	___________________________	___________________________
2.	___________________________	___________________________	___________________________
3.	___________________________	___________________________	___________________________
4.	___________________________	___________________________	___________________________
5.	___________________________	___________________________	___________________________
6.	___________________________	___________________________	___________________________
7.	___________________________	___________________________	___________________________
8.	___________________________	___________________________	___________________________
9.	___________________________	___________________________	___________________________
10.	___________________________	___________________________	___________________________
11.	___________________________	___________________________	___________________________
12.	___________________________	___________________________	___________________________
13.	___________________________	___________________________	___________________________
14.	___________________________	___________________________	___________________________
15.	___________________________	___________________________	___________________________
16.	___________________________	___________________________	___________________________
17.	___________________________	___________________________	___________________________
18.	___________________________	___________________________	___________________________
19.	___________________________	___________________________	___________________________
20.	___________________________	___________________________	___________________________
21.	___________________________	___________________________	___________________________
22.	___________________________	___________________________	___________________________
23.	___________________________	___________________________	___________________________
24.	___________________________	___________________________	___________________________
25.	___________________________	___________________________	___________________________
26.	___________________________	___________________________	___________________________
27.	___________________________	___________________________	___________________________
28.	___________________________	___________________________	___________________________
29.	___________________________	___________________________	___________________________
30.	___________________________	___________________________	___________________________

^* Please see attached State of California Information Practices Act (IPA) of 1977 & Use of Your Social Security Number

Cal. Code Regs. Tit. 5, Div. 4, Chap. 1, Art. 14 C.6