Forms
Below you will find the online version of the forms from
our office. Each form is saved in the PDF format.
You will be able to type your information into these forms
and then PRINT them on your own computer. You will NOT
be able to save or submit this data to our office. Please
take the printed form and submit to your local Regional Office
of Education.
Please go to our Download area
to get the most updated Acrobat Reader.
 Requests
for Priority Review of Certification Applications
Instruction
Sheet for filling out a Form ONLINE
Applications for Certificates
73-01
(3/04) |
Application for Alternative Certificate |
|
|
Teaching Certificates: Early Childhood,
Elementary, Secondary, Special, Substitute, Provisional
Vocational, Transitional Bilingual, Resident Teacher,
Part-time Provisional |
73-03D
(8/05) |
School Service Personnel or Administrative |
73-03E
(12/08)
|
Application for Master Certificate 
|
73-03F
(9/07) |
Visiting International Teacher Certificate |
73-05
(09/07) |
State-Approved Program Verification |
73-23
(9/00) |
Provisional Vocational Certificate |
73-52
(1/08) |
Endorsement of Elementary, Secondary or
Administrative Certificate |
73-52A
(12/08) |
Application for Teacher Leader Endorsement of Issued Certificate |
73-63
(11/06) |
Request for Issuance of Provisional Certificate |
73-86
(3/04) |
Short-term Emergency in Special Education |
73-91
(8/03) |
Notice of Intent to Become a United States
Citizen |
73-93
(1/04) |
Application for One-Year Reinstatement |
73-94
(4/04) |
Interim Certification as School Counselor
Intern |
73-99
(9/07) |
Confirmation of State Certification Tests
Taken |
| |
Appeal
Forms
77-17
(9/08) |
Appeal to RPDRC of LPDC's Recommendation
for Nonrenewal of a Standard/Master Certificate or Regional
Superintendent's Recommendation for Non-issuance of a
Standard Certificate |
77-18
(9/08) |
Appeal to State Teacher Certification Board |
Higher
Education
National
Board for Professional Teaching Standards
NCLB District Reports
Providers
of Workshops, Conferences, Seminars, etc.
77-21A
(10/04) |
Evaluation Form |
77-21B
(6/08) |
Evidence of Completion Form |
Registration/Updates
of Certificates
73-10
(9/07) |
Certificate Registration Form |
77-08
(9/00) |
Notification of Change in Teaching Circumstances
(Exemptions) |
73-71
(10/08) |
Certification Update/Duplicate Certificate
Request/Name or address change |
73-83
(3/04) |
Verification of Teaching Experience for
Removal of Limitations on Limited Learning Behavior Specialist
I (LBS I) Endorsement |
73-85
(3/04) |
Request for Review of File to Remove Limitations
on LBS I |
73-92
(12/03) |
Certificate of Completion for LBS I Training
Sequence |
Requests
for Approval
73-26
(9/07) |
Request for Evaluation of Approval
Areas of Special Education |
73-42
(4/08) |
Approval of Other Special Education
Personnel |
73-44
(3/04) |
Notification of School Service
Personnel Intern Eligibility Status |
73-49
(9/07) |
Approval as a Bilingual or
ESL Teacher |
73-51
(12/08)
|
Request for Approval of a Speech and Language Paraprofessional |
73-53
(10/07) |
Educational
Interpreter Log |
73-67
(11/06) |
Bilingual Special Education
Approval |
73-72
(4/08) |
Nonpublic School
Request for Approval of Other Special Education Personnel |
73-95
(1/09) |
Paraprofessional
Approval/Approval for Paraprofessional Employment in Title
I Positions |
73-96
(12/08) |
Request for Authorization
to Employ Teacher in Position Otherwise Unfilled |
77-35
(12/05) |
Request for Approval as an
Educational Interpreter |
77-36
(8/06) |
Request to Report Status of
Bilingual Teacher, Special Education, and Rural School
Teacher as Highly Qualified for NCLB Purposes |
Statement of Assurance
The following are downloadable paper forms. To submit Assurance
Statements online, use
ECS
73-97
(8/08) |
Assurance Statement for Initial to Standard-Level
Teaching Certification |
73-98
(9/08) |
Assurance of Completion of Professional
Development for Renewal of Standard/Master Certificates |
77-34
(8/08) |
Assurance
of Local Assessment for Paraprofessionals |
Form
77-12 — Membership of Local Professional Development
Committees (10/07)
|
