Form MO 500-2457 Application for Approval of Career Education Programs - Secondary/Adult Only - Missouri

Form MO500-2457 is a Missouri Department of Elementary and Secondary Education form also known as the "Application For Approval Of Career Education Programs - Secondary/adult Only". The latest edition of the form was released in February 1, 2018 and is available for digital filing.

Download a PDF version of the Form MO500-2457 down below or find it on Missouri Department of Elementary and Secondary Education Forms website.

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MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION
DIVISION OF LEARNING SERVICES – OFFICE OF COLLEGE AND CAREER READINESS
APPLICATION FOR APPROVAL OF CAREER EDUCATION PROGRAMS
SECONDARY/ADULT ONLY
INSTRUCTIONS
Applications should be submitted between September 1 and May 1 for consideration for the upcoming school year. Applications and
supporting documentation may be submitted electronically or via mail to the appropriate Career Technical Education (CTE) program.
For assistance in program development or implementation, contact the appropriate Department of Elementary and Secondary
Education (DESE) section.
Mailing Address:
Career Technical Education (CTE) program
Missouri Department of Elementary and Secondary Education
P.O. Box 480
Jefferson City, MO 65102-0480
CAREER TECHNICAL EDUCATION (CTE) PROGRAM
EMAIL
PHONE
Agriculture Education
dese.ag@dese.mo.gov
573-522-6538
Business Education
dese.bmit@dese.mo.gov
573-751-4367
Family Consumer Sciences and Human Services
dese.fcs@dese.mo.gov
573-751-7964
Health Sciences
dese.health@dese.mo.gov
573-751-3407
Marketing and Cooperative Education
dese.bmit@dese.mo.gov
573-751-4367
Skilled Technical Sciences
dese.ths@dese.mo.gov
573-522-5804
Technology and Engineering
dese.ths@dese.mo.gov
573-751-7764
Supporting Document Requirements
Provide the following information in a separate document:
1. Provide the rationale for the program. Must address all of the following:
a. Student Interest – The survey data must be derived from Missouri Connections or a similar student interest
assessment. An area career center request must include survey data from all sending schools assigned to that career
center.
b. Local/Regional workforce data
c. Anticipated enrollment and location of program
d. Letters of support from key business and industry and
e. Recommendations from an advisory committee (include a list of advisory committee members by position i.e. parent,
school board members, business/industry representative, etc.)
2. List the program goals and objectives in measurable terms.
3. Provide a topical outline of major units of instruction in the proposed program.
4. Identify program instructional contact hours, course sequence, and grade levels (if applicable).
5. Identify major methods of instructional delivery (laboratory, classroom, project-based, problem-based, etc.).
6. Identify the Career Technical Student Organization, and describe how it will be used to support curriculum, instruction, and
assessment.
7. Identify postsecondary partners and/or business/apprenticeship partners. Provide a brief summary of possible
postsecondary articulation agreements/dual credit agreements and/or partnership agreements that will be put in place once
program/course is operational.
8. Identify and describe opportunities for assisting students in transitions to the workplace or continued education through
such activities and experiential education, cooperative education, internships, apprenticeships, job shadowing, and job
placement.
9. Identify the assessment plan to measure student progress including competency achievement. Include the Technical Skill
Assessment (TSA)/Industry-Recognized Certificate (IRC) that will be used.
10. Identify the plan for evaluating the effectiveness of the program, including evaluation instrument(s) used methods of
evaluation, and how results will be used for program improvement. For secondary level programs, identify the process for
including program improvements in the overall district school improvement plan.
Notes:
Requests for new program approval must address items 1-10 above.
Requests for program expansion (adding additional instructor time to an already existing approved program in the same
building) must address any items listed above that will change as a result of adding additional instructor time.
Curriculum must be more advanced for an adult student to be eligible for financial aid.
Requests for approval of Project Lead The Way (PLTW) programs only need to complete Page 2 of the application and
address items 1, 2, and 6 above. Attach a copy of the signed agreement between the school district and PLTW.
https://
www.pltw.org/get-involved/register-pltw
Questions: Contact Coordinator of Career Education 573-751-3500 or email webreplyvae@dese.mo.gov.
The Department of Elementary and Secondary Education does not discriminate on the basis of race, color, religion, gender, national origin, age, or disability in its programs and activities.
Inquiries related to Department programs and to the location of services, activities, and facilities that are accessible by person with disabilities may be directed the Jefferson State Office
Building, Office of the General Counsel, Coordinator – Civil Rights Compliance (Title VI/Title IX/504/ADA/Age Act), 6th Floor, 205 Jefferson Street, P.O. Box 480, Jefferson City, MO
65102-0480; telephone number 573-526-4757 or TTY 800-735-2966; email civilrights@dese.mo.gov.
MO 500-2457 (Rev 2-18)
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION
DIVISION OF LEARNING SERVICES – OFFICE OF COLLEGE AND CAREER READINESS
APPLICATION FOR APPROVAL OF CAREER EDUCATION PROGRAMS
SECONDARY/ADULT ONLY
INSTRUCTIONS
Applications should be submitted between September 1 and May 1 for consideration for the upcoming school year. Applications and
supporting documentation may be submitted electronically or via mail to the appropriate Career Technical Education (CTE) program.
For assistance in program development or implementation, contact the appropriate Department of Elementary and Secondary
Education (DESE) section.
Mailing Address:
Career Technical Education (CTE) program
Missouri Department of Elementary and Secondary Education
P.O. Box 480
Jefferson City, MO 65102-0480
CAREER TECHNICAL EDUCATION (CTE) PROGRAM
EMAIL
PHONE
Agriculture Education
dese.ag@dese.mo.gov
573-522-6538
Business Education
dese.bmit@dese.mo.gov
573-751-4367
Family Consumer Sciences and Human Services
dese.fcs@dese.mo.gov
573-751-7964
Health Sciences
dese.health@dese.mo.gov
573-751-3407
Marketing and Cooperative Education
dese.bmit@dese.mo.gov
573-751-4367
Skilled Technical Sciences
dese.ths@dese.mo.gov
573-522-5804
Technology and Engineering
dese.ths@dese.mo.gov
573-751-7764
Supporting Document Requirements
Provide the following information in a separate document:
1. Provide the rationale for the program. Must address all of the following:
a. Student Interest – The survey data must be derived from Missouri Connections or a similar student interest
assessment. An area career center request must include survey data from all sending schools assigned to that career
center.
b. Local/Regional workforce data
c. Anticipated enrollment and location of program
d. Letters of support from key business and industry and
e. Recommendations from an advisory committee (include a list of advisory committee members by position i.e. parent,
school board members, business/industry representative, etc.)
2. List the program goals and objectives in measurable terms.
3. Provide a topical outline of major units of instruction in the proposed program.
4. Identify program instructional contact hours, course sequence, and grade levels (if applicable).
5. Identify major methods of instructional delivery (laboratory, classroom, project-based, problem-based, etc.).
6. Identify the Career Technical Student Organization, and describe how it will be used to support curriculum, instruction, and
assessment.
7. Identify postsecondary partners and/or business/apprenticeship partners. Provide a brief summary of possible
postsecondary articulation agreements/dual credit agreements and/or partnership agreements that will be put in place once
program/course is operational.
8. Identify and describe opportunities for assisting students in transitions to the workplace or continued education through
such activities and experiential education, cooperative education, internships, apprenticeships, job shadowing, and job
placement.
9. Identify the assessment plan to measure student progress including competency achievement. Include the Technical Skill
Assessment (TSA)/Industry-Recognized Certificate (IRC) that will be used.
10. Identify the plan for evaluating the effectiveness of the program, including evaluation instrument(s) used methods of
evaluation, and how results will be used for program improvement. For secondary level programs, identify the process for
including program improvements in the overall district school improvement plan.
Notes:
Requests for new program approval must address items 1-10 above.
Requests for program expansion (adding additional instructor time to an already existing approved program in the same
building) must address any items listed above that will change as a result of adding additional instructor time.
Curriculum must be more advanced for an adult student to be eligible for financial aid.
Requests for approval of Project Lead The Way (PLTW) programs only need to complete Page 2 of the application and
address items 1, 2, and 6 above. Attach a copy of the signed agreement between the school district and PLTW.
https://
www.pltw.org/get-involved/register-pltw
Questions: Contact Coordinator of Career Education 573-751-3500 or email webreplyvae@dese.mo.gov.
The Department of Elementary and Secondary Education does not discriminate on the basis of race, color, religion, gender, national origin, age, or disability in its programs and activities.
Inquiries related to Department programs and to the location of services, activities, and facilities that are accessible by person with disabilities may be directed the Jefferson State Office
Building, Office of the General Counsel, Coordinator – Civil Rights Compliance (Title VI/Title IX/504/ADA/Age Act), 6th Floor, 205 Jefferson Street, P.O. Box 480, Jefferson City, MO
65102-0480; telephone number 573-526-4757 or TTY 800-735-2966; email civilrights@dese.mo.gov.
MO 500-2457 (Rev 2-18)
LOCAL EDUCATIONAL INFORMATION
LOCAL EDUCATIONAL AGENCY (LEA)
COUNTY-DISTRICT CODE
PROGRAM CONTACT PERSON
TITLE
EMAIL ADDRESS
PHONE NUMBER
PROGRAM TYPE
New Program (program is new to a building regardless of whether or not it is running in another building within the district)
☐Yes ☐No
Is the program replacing another one? ☐ Yes ☐ No
If yes, name of the program being replaced ______________________________________________________________
Expansion ☐ Yes ☐ No (adding an instructor to a program in the same building)
☐ SECONDARY (04)
☐ ADULT (10)
SCHOOL YEAR
PROGRAM LEVEL
PROGRAM AREA
☐ Agricultural Education (01)
☐ Business Education (02)
☐ Cooperative (03)
☐ Marketing Education (04)
☐ Health Sciences (05)
☐ Project Lead the Way (PLTW) Biomedical (05)
☐ Family Consumer Sciences and Human Services (07)
☐ Skilled Technical Sciences (08)
☐ Project Lead the Way (PLTW) Engineering (10)
☐ Project Lead the Way (PLTW) Computer Science (10)
PROGRAM TITLE
PROGRAM/COURSE CODE
CLASSIFICATION OF INSTRUCTIONAL
NUMBER OF HOURS PER YEAR
PROGRAMS (CIP) CODE
BUILDING CODE
NAME OF BUILDING WHERE PROGRAM WILL BE LOCATED
.
ASSURANCE
Approval and funding, if applicable, is contingent upon compliance with the following assurances:
1. The program will have and continue to operate an advisory committee consisting of appropriate business, industry, school
administrator, parent, and student members.
2. The program will report state required performance measurement data, if applicable.
3. The program will comply with Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title IX
of the Education Amendments of 1972, the Age Discrimination Act of 1975, and the Individuals with Disabilities Education
Act Amendments of 1997.
4. The program’s teacher of record will have appropriate certification/licensure which corresponds to how data is reported to
Core Data.
5. Facilities and equipment are safe, adequate, and appropriate to meet program goals and content standards.
6. Articulation/dual credit agreements will be implemented with the appropriate postsecondary institution within one year of
program startup.
7. The appropriate career and technical student organization will be affiliated at the national level.
8. A fully-aligned, competency-based curriculum will be developed prior to beginning instruction.
9. Current state program standards will be met.
10. The program will be transitioned to the appropriate program of study.
11. Please see additional requirements on page 1.
AUTHORIZED REPRESENTATIVE SIGNATURE
DATE
PRINT AUTHORIZED REPRESENTATIVE NAME
AUTHORIZED REPRESENTATIVE EMAIL ADDRESS
AUTHORIZED REPRESENTATIVE PHONE NUMBER
MO 500-2457 (Rev 2-18)

Download Form MO 500-2457 Application for Approval of Career Education Programs - Secondary/Adult Only - Missouri

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