Identification Forms

Form Name

Description of Form

Identification Form A

General Education Teachers—Elementary Level

Identification Form B

General Education Teachers—Middle and High School Level

Identification Form C

Special Education Teachers—Elementary Level

Identification Form D

Special Education Teachers—Middle and High School Level

Annual HOUSSE Forms
(annual process for each teaching assignment area)

Form Name

Description of Form

HOUSSE Plan of Assistance

HOUSSE Plan of Assistance—Teachers on the HOUSSE Plan of Assistance can no longer be counted as highly qualified. As a result of a recent review of Title II Part A by the Department of Education, OSPI has been directed to discontinue use of the HOUSSE Plan of Assistance beginning with the 2008-09 school year.

Points-Based HOUSSE Forms
(one-time completion, permanent process for each teaching assignment area)

Form Name

Description of Form

Washington Points-Based HOUSSE Content Knowledge Matrix—Form 2

Reference document for completion of Points-Based HOUSSE worksheets.

Points-Based HOUSSE Worksheet 2A

General and Special Education Teachers—Elementary Level

Points-Based HOUSSE Worksheet 2B

General and Special Education Teachers—Middle Level Grades (can also be used for K–8 Content Area Specialists)

Points-Based HOUSSE Worksheet 2C

General and Special Education Teachers—High School and K–12 Content Area Specialists

Points-Based HOUSSE Worksheet 2D

Social Studies Teachers—Middle and High School Level (General and Special Education)

Affidavit

Used to document background and experience claimed in the NCLB Points-Based HOUSSE if other documentation is not available. One signed affidavit required for each core academic subject.