The application for a waiver document shall include all of the following:
(a) Name of Employing Agency. The application shall identify the employing agency seeking a waiver.(b) Section Number. The application shall cite the specific Education Code or Title 5 section number(s) for which a waiver is being requested. In the case of waivers for the purpose of assignment in school programs addressing issues of educational reform, the application may instead identify the plan under which the reform will take place and, if applicable, the date when the plan was approved by the employing agency or the appropriate state agency, whichever came later.(c) Reason for Waiver. The application shall summarize the reason the waiver is being requested, including, but not limited to, the specific employment criteria for the position that must be filled, a description of the efforts to locate and recruit individuals who hold the appropriate credential or who can be assigned under one of the available assignment options, and a description of the efforts the employing agency has made to establish alternative training options such as co-sponsoring internships with institutions of higher education or establishing a District Intern program.(d) Proposed Solution. The application shall describe how the waiver will remedy the situation, give the rationale for the request including what makes the applicant the best candidate to fill the position, and describe any negative effect(s) that are likely to occur if the request is not granted.(e) Identification of Applicant. The application shall identify, by name, date of birth and Social Security number, the applicant for whom the waiver is requested.(f) If the applicant does not already have fingerprint clearance on file with the Commission, the application must include two fingerprint cards and the completed Application for Character and Identification Clearance (form 41-CIC, rev 11-93), and appropriate fee(s).(g) Requirements and Commitment. The request shall:(1) list the requirement(s) that the applicant must complete to be eligible for the credential which authorizes the service being requested and the anticipated date(s) of completion of those requirement(s),(2) include a commitment by the applicant, in the form of an original signature, to pursue a course of study leading to full certification, with the understanding that no subsequent waiver will be requested should the applicant fail to verify completion of requirement(s) leading toward the credential,(3) list the name and/or position of any person assigned to provide support and assistance to the applicant while he or she is serving on the waiver, and(4) state that the employing agency has made a commitment to support and assist the applicant, as feasible, in completing the credentialing requirement(s).(h) Additional Requirements (1) To fill a position to serve special education students, the employing agency must include the SELPA among those receiving notice of the intent to request a waiver.(i) Effective Date and Proposed Duration. The application shall specify the beginning date of service on the waiver and the date when the waiver will cease to be needed.(j) Public Notice. The request shall include verification that a notice of intent to employ the applicant in the position identified has been made public as follows: (1) If the waiver request is being submitted by a public school district, it must include a copy of the agenda item presented to the governing board of the district in public meeting with a signed statement from the superintendent, or his or her designee, that the item was acted upon favorably. The agenda item must state the name of the applicant, the assignment in which the applicant will be employed including the subject(s) and grade level(s) that he or she will be teaching and that the applicant will be employed on the basis of a credential waiver.(2) If the waiver request is being submitted by a county office of education, state operated school, or nonpublic, nonsectarian school or agency, it must include a dated copy of the notice that was posted at least 72 hours before the position was filled and a signed statement from the superintendent or administrator or his or her designee that there were no objections to the waiver request. The notice must state the name of the applicant, the assignment in which the applicant will be employed including the subject(s) and grade level(s) that he or she will be teaching and that the applicant will be employed on the basis of a credential waiver.(k) Signatures. The application shall include the signature of the district personnel administrator or superintendent or the county superintendent if service will be provided in a county-operated school or the administrator of the state-operated school or of the nonpublic, nonsectarian school or agency, or his or her designee certifying that the information provided is accurate and complete.(l) Fee(s). Effective July 1, 1996, the waiver request shall include payment of the fee(s) required by Section 80487. Waiver requests for individuals who hold a valid non-emergency teaching credential based on possession of a baccalaureate degree from a regionally accredited institution and completion of a professional preparation program that includes student teaching shall include payment of the fee(s) required by all subsections of Section 80487, as appropriate, except 80487(a)(1).Cal. Code Regs. Tit. 5, § 80122
1. New section filed 4-20-94; operative 5-20-94 (Register 94, No. 16).
2. Amendment of section heading and section filed 8-8-95; operative 9-7-95 (Register 95, No. 32).
3. Amendment of first paragraph and new subsection (l) filed 5-9-96; operative 6-10-96 (Register 96, No. 19).
4. Amendment of subsections (j)(1) and (j)(2) filed 12-23-98; operative 1-22-99 (Register 98, No. 52).
5. Amendment of subsection (g)(2) and repealer of subsection (h)(2) filed 5-21-2002; operative 6-20-2002 (Register 2002, No. 21). Note: Authority cited: Section 44225(q), Education Code. Reference: Section 44225, subdivisions (g) and (m) and 44235, Education Code.
1. New section filed 4-20-94; operative 5-20-94 (Register 94, No. 16).
2. Amendment of section heading and section filed 8-8-95; operative 9-7-95 (Register 95, No. 32).
3. Amendment of first paragraph and new subsection (l) filed 5-9-96; operative 6-10-96 (Register 96, No. 19).
4. Amendment of subsections (j)(1) and (j)(2) filed 12-23-98; operative 1-22-99 (Register 98, No. 52).
5. Amendment of subsection (g)(2) and repealer of subsection (h)(2) filed 5-21-2002; operative 6-20-2002 (Register 2002, No. 21.)