ALPSS Cohort Application
  • Now accepting applications for the next ALPSS Cohort!

  • Before completing this application, please be sure to visit our website to learn more about our APPLICATION PROCESS as well as PROGRAM FEES & PAYMENT OPTIONS. 

    DO NOT complete this application until your transcripts have been approved for application. Please email alpss@cesa4.org if you have any questions.

    To be considered for the ALPSS (Alternative Licensing Pathways Supports & Services) program, this application must be completed in its entirety. Once submitted, you will receive an email from our system with a summary of your answers. Also, an application fee must accompany this application to be considered for review.


  • Format: (000) 000-0000.
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  • Format: (000) 000-0000.
  • Part II: Education History

    Complete the appropriate sections regarding your post-secondary education. NOTE: ALPSS does required OFFICIAL transcripts for ANY and ALL credits earned at the post-secondary level.
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  • Part III: Work Experience

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  • Part IV: Experience Working with Children

    For admission to the ALPSS program, candidates must provide proof of at least 20 hours of experience working with children. A candidate may be admitted to the ALPSS program with less than 20 hours, but those hours must be completed prior to beginning their Clinical Experience (pre- and student teaching). In the section below, document your experience working with children.
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  • Part V: Personal Reflection

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  • Part VI : Required Documentation

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  • Submission

  • AGREEMENT AND CERTIFICATION

    I certify that the information given by me in this application to the ALPSS program is accurate in ALL respects. I agree that if the information provided is found to be false in any way, it shall be considered sufficient grounds for rejection or rejection dismissal from the program.

    I understand CESA 4 (ALPSS) will perform a background check before acceptance to the program and that I must provide my social security number and driver's license as part of that process.

    I authorize the use of any information in this application to verify my statements, and I authorize past employers, attended schools or colleges, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such information.

  • CESA 4 and the Alternative Licensing Pathways Supports & Services (ALPSS) Program does not discriminate on the basis of age, sex, race, national origin, ancestry, creed, religion, pregnancy, marital or parental status, sexual orientation or physical, mental, emotional, or learning disability or handicap in its programs, activities, or employment.

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