Alternate Route Application: Structured Literacy/Dyslexia Interventionist | The Center for Effective Reading Instruction

Applicant Profile Information
Name*
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- International Address?
Business Address For Online Listing - USA*
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Business Address For Online Listing - International*
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Highest Degree Held*
Major*
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In order to receive certification as a Structured Literacy/Dyslexia Interventionist, you must hold a bachelor's degree or higher. Your degree can be in a field other than education. Documentation must include the name of the issuing institution as well as the year the degree was awarded. Professional licenses are not acceptable. Please upload a copy of a diploma or transcript showing completion of your degree. Section max file upload size 5MB.
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Accepted file types: pdf, jpeg, jpg, png, gif, doc, docx, Max. file size: 5 MB.
Alternate Route Documentation Portfolio: Structured Literacy/Dyslexia Interventionist
Personal Statement*
In order to receive certification as a Structured Literacy/Dyslexia Interventionist, you must provide a personal statement of no more than 5 typewritten pages that addresses your equivalent qualifications, with an emphasis on documenting equivalent knowledge and skill to that of certification candidates prepared through an IDA Accredited Provider. Section max file upload size 5MB.
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Accepted file types: pdf, jpeg, jpg, png, gif, doc, docx, Max. file size: 5 MB.
Resume/CV*
Section max file upload size 5MB.
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Accepted file types: pdf, jpeg, jpg, png, gif, doc, docx, Max. file size: 5 MB.
Please explain any other training received (Optional)
Two Colleague Support Letters*
Two (2) letters of support from colleagues in the field who hold the same, or equivalent level, of certification. Letters should speak to (a) your competencies with regard to serving the needs of students from a Structured Literacy perspective, with reference to and alignment with the KPS, as appropriate; and (b) their knowledge of your demonstrated ability to meaningfully impact student learning outcomes. Section max file upload size 5MB.
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Accepted file types: pdf, jpeg, jpg, png, gif, doc, docx, Max. file size: 5 MB.
One Student Case Study*
One (1) student (developing reader emphasizing single syllable word reading) case study, complete with background information, dates served, pre-post assessment data, priority scope and sequence established for the student that considers pre-assessment data and background information, discussion of progress/lack of progress, and recommendations in response to post-assessment data. Case study should be no more than 10 pages.
Section max file upload size 5MB.
Drop files here or

Accepted file types: pdf, jpeg, jpg, png, gif, doc, docx, Max. file size: 5 MB.
One Letter of Support from a Parent*
Accepted file types: pdf, jpeg, jpg, png, gif, doc, docx, Max. file size: 5 MB.
One (1) letter of support from a parent of a student (or the student themselves, if of the age of consent) that describes your relationship to the student, describes the frequency and duration of your work with the student, and speaks to the measurable and observable impact your work had on the student. Section max file upload size 5MB.
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Are you Applying From an IDA Accredited Institution/Program?*
- Yes
- No
Please state name of the Institution / Program*
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Please State Name of Institution / Program
Demographic Information
Are you Currently Teaching at a Public or Private School?*
- Public
- Private
What Grade(s) do you Teach?*
- Pre-Kindergarten
- Kindergarten
- 1st Grade
- 2nd Grade
- 3rd Grade
- 4th Grade
- 5th Grade
- 6th Grade
- 7th Grade
- 8th Grade
- 9th Grade
- 10th Grade
- 11th Grade
- 12th Grade
- Other
- None
Is your School in an Urban, Priority, or Rural district?*
- Yes
- No
How Many Students do you Impact in One Academic Year With Structured Literacy in the Classroom?*
Why Did you Seek CERI Certification? (optional)
Additional Information / Comments (optional)
Please include any additional information related to this application.
Applicant Affirmation
IDA Branch*
By checking 'I agree', I give permission for CERI to share my contact information with my local IDA branch
- I agree.
Affirmation*
1) I affirm that all of the information provided on this application is true, accurate and fully responsive to the questions asked.
2) I have read and agree to abide by the code of ethics of the Center For Effective Reading Instruction that are found within the Knowledge and Practice Standards for Teachers of Reading (KPS).
3) I agree to abide by all standards required to maintain my certification, including payment of annual fees and participation in continuing professional development activities.
4) I understand that, once certified, my certification status may be made available to the public.
- I agree.
Name as Applicant Would Like it to Appear on Certification
Name on Certification*
Please type your name exactly as you would like it to appear on your Certification. (Please do not include designations or abbreviations from other organizations as these will be omitted on your certificate.)
Payment
Have you already passed the KPEERI Exam?*
- No
- Yes
Legal Name*
The name submitted for the KPEERI exam must exactly match your legal name as it appears on your government issued photo identification. Please enter your name exactly as it appears on your driver's license, passport or other government issued ID.
First (Given) Name Last (Family) Name
When did you pass the KPEERI Exam?*
MM slash DD slash YYYY
Please upload KPEERI Score Report*
Accepted file types: pdf, jpeg, png, gif, doc, Max. file size: 25 MB.
KPEERI Exam*
Price:
KPEERI Processing Fee*
Price:
(non-refundable)
AR SLDI Certification Administrative Fee*
Price:
(non-refundable)
AR SLDI Portfolio Review Fee*
Price:
(non-refundable)
Total
$0.00
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Applicant Profile Information

Alternate Route Documentation Portfolio: Structured Literacy/Dyslexia Interventionist

Demographic Information

Applicant Affirmation

Name as Applicant Would Like it to Appear on Certification

Payment