Credential Processing

Applications & Forms

Listed below are the credential/certificate applications and forms processed by our office, which may be required for the submission of the Application for Formal Credential Recommendation (select Required Documentation for specific documents and forms). NOTE: Applications and forms cannot be faxed or e-mailed to our office.

 

OFFICE APPLICATIONS & FORMS	PDF format	Word format
Application for On-line Credential Recommendation  NEW!
Application for Paper Credential Recommendation (Designated Subjects only)
Change of Name and Address
Designated Subjects: Company Letterhead Sample
Designated Subjects: Credential Worksheet
Designated Subjects: Request for Verification of Completion of Level I Requirements
Designated Subjects: Verification of Vocational Work Experience
Designated Subjects: Verification of Teaching Experience
Fee Receipt
Request for Course Substitution
Request for Fifth Year Evaluation (Out-Of-State Trained Teachers only)
Request for Pre-evaluation Form   NEW!
Request for Subject Matter Competency Evaluation
Request for Subject Matter Competency Completion/Four-Fifths Letter

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C.T.C. APPLICATIONS & FORMS	Reference Number	Link to C.T.C. Website
Application for Certificate of Clearance	N/A
Credential Application (Paper Credential Recommendation Only)	41-4
Request for Live Scan Service	41-LS
Subject Matter Authorizations	CL-852
Subject Matter Authorization Worksheet	CL-849
Supplementary Authorization for Multiple Subject	CL-629
Supplementary Authorization for Single Subject	CL-603
Supplementary Authorization Worksheet	CL-696B
Verification of Employment as an Administrator	CL-777
Verification of Employment as an Education Specialist	CL-777.1
Verification of Experience	41-EXP