cde HQ Online System Respondent Information Form

for Special Education Teachers (Administrative Units)
***************************************************

Before you can access CDE's computer system to submit your Highly Qualified data, you will need a user login code and password. Information Management Services at CDE will assign a unique user login code and password for the person identified on this form who will be responsible for HQ Online System.

Please complete and return this form to:

Tina Tamayo
Office of Federal Programs Administration
Colorado Department of Education
1560 Broadway, Suite 1450
Denver, CO 80202
(303) 866-6705 (phone)
(303) 866-6637 (fax)

Administrative Unit Code: __________
Administrative Unit Name: ____________________________________________

Information about the person who will be responsible for submitting the Highly Qualified data:

Name: ____________________________________________
Title: ____________________________________________
Phone: ____________________________________________
Internet E-Mail Address: ____________________________________________

Signature of Special Education Director __________________________ Date_____


For CDE USE Only

CDE Custodian _____________________________Date__________



HQ Online System Respondent Information Form for Special Education Teachers
Last Modified: September 1, 2009.
For support or suggestions please contact the administrator at: ademaster@cde.state.co.us