Forms & Applications

Masters & Advanced Credentials Program Plan Forms

A program plan lists the specific course requirements to be completed before the master's degree can be awarded. Students should meet with a faculty advisor to fill out their program plan.

• Course Substitution or Change of Program Plan

Program plans are specific to each program.

Doctoral Program and Masters of Arts in Education

• Bilingual/Cross-Cultural Education Program Plan

• Career & Technical Education Program Plan

• Curriculum & Insturction Program Plan

• Ed.D. Doctoral Program Plan / Admission Requirements

• Holistic & Integrative Education Program Plan

• Instructional Technology Program Plan  (updated 02/24/15)

• Kinesiology Program Plan

• Reading/Language Art Program Plan  (updated 6/23/15)

• Ed.S. School Psychology Program Plan  (updated 10/26/17)

• PPS School Psych Program Plan (updated 10/26/17)

• Science Education Program Plan

• Special Education MA Program Plan (updated 6/1/15)

• Special Education MS Program Plan (updated 3/2017)

• Teaching English to Speakers of Other Languages Program Plan

Additional Masters Programs

• Counseling & Guidance (MS) Program Plan) 2013

• Counseling & Guidance (MS) + (PPS) Credential Combined Program Plan

• Counseling & Guidance (PPS) Credential Program Plan

• Counseling & Guidance (MS) Program Plan) 2011

• Correctional & Alternative Education (MA) Program Plan

• Educational Administration (MA) Program Plan

• Rehabilitation Counseling (MA) Program Plan

• STEM (MS) Career & Technical Program Plan

• STEM (MS) Science & Environment Program Plan

• STEM (MS) Instructional Technology Program Plan

• STEM (MS) K-8 Mathematics Program Plan

Credential Processing Forms

Listed below are the individual download versions of credential applications and forms that may be required for processing of the formal application for credential recommendation and/or requests for services offered by the Credential Analysts. Please refer to the Credential Processing website for detailed information regarding our services.

To view and/or print the applications and forms, Adobe Acrobat Reader must be installed on your system. Please note that all applications and forms are available in the lobby of the Jim and Judy Watson College of Education Student Services (CE 102) and Palm Desert Campus (PDC) Student Services Office (RG 203).

Application for the Credential Recommendation:

• Administrative Services (PDF)

• Designated Subjects: Preliminary CTE (PDF)

• Designated Subjects: CTE/Special Subjects/Supervision & Coordination (PDF) 

• Education Specialist: Early Childhood Special Education, Mild/Moderate Disabilities and Moderate/Severe Disabilities (PDF)

• Multiple Subjects SB 2042 (PDF) 

• Pupil Personnel Services: School Counseling and School Psychology (PDF)

• Reading and Literacy Leadership Specialist and Reading and Language Arts Specialist (PDF) 

• Restriction Change and/or Appeal for Extension or Reactivation of Internship Credential (PDF) 

• Single Subject SB 2042 (PDF) 

Added Authorizations

• Adapted Physical Education (PDF) 

• Reading and Literacy (PDF)

Forms

• Application for Credential Recommendation

• Application for Designated Subjects Credential Recommendation (PDF)

• Designated Subjects Forms:
  • Designated Subjects: 

    Preliminary Application CTE (PDF)

  • Designated Subjects: 

    CTE/Special Subjects/Supervision & Coordination Application (PDF)

  • Designated Subjects:  

    Company Letterhead Sample

  • Designated Subjects:  

    Credential Worksheet

  • Designated Subjects:  

    Verification of Teaching Experience (for Clear applications only)

  • Designated Subjects:  

    Verification of Vocational Work Experience

• Certificate of Clearance Instructions (PDF)

• Fee Receipt (PDF)

• Request for Approved Subject Matter Competency Evaluation (PDF)

• Request for Course Substitution

• Request for Out-Of-State Program Completion Verification (PDF)

• Request for Pre-evaluation (PDF)

• Request for Program Completion Verification (PDF)

• Request for a Subject Matter Competency Completion/Four-Fifths Completion Letter (PDF)

C.T.C. Applications, Forms and Leaflets

(Direct C.T.C. link for Applications, Forms and Leaflets)

• Administrator Verification of Employment/Verification of Employment as an Administrator (CL-777)

• Certificate of Clearance (CL 900)

  • LiveScan Service Request Form / Request for Live Scan Service (41-LS)

  • Professional Fitness Questions Information

  • Professional Fitness Explanation Form (Form OA-EF)

  • How to Complete Professional Fitness Questions

• Credential Application Form/Application for Credential Authorizing Public School Service (41-4) - required for paper credential recommendations only

Credential Program Admissions Forms (Multiple Subject, Single Subject & Special Education)

• Approval for the Bilingual Added Authorization Program

• Change of Name and/or Mailing Address

• Credential Recommendation Form

• Program Admissions Application

• MS Intern Program Application

• SS Intern Program Application

• Request for Change of Program Option

Links

• CSUSB
  • Academic Scheduling (Class Schedules)
  • Student Financial Services: Campus eMarket Payment Method
  • Student Financial Services: Payment Methods
  • MyCoyote
  • University Police - Live Scan Service
• Commission on Teacher Credentialing (C.T.C.)
  • Applications, Forms and Leaflets
  • Contact Information
  • C.T.C. Website
  • ADDED AUTHORIZATIONS:
  • Adding a Teaching or Content Area to Multiple and Single Subject Credentials

  • 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

Examinations

• California Educator Credentialing Examinations
  • California Basic Educational Skills Test (CBEST)
    • Demonstration of proficiency in basic reading, writing and mathematics skills to fulfill Basic Skills Requirement
  • California Preliminary Administrative Credential Examination (CPACE)
    • Demonstration of skills in situational analysis, problem solving and decision making in educational leadership
      Note: The final administration of the current CPACE examination will be in February 2015. Field testing for the revised examination will take place between Fall 2014 and Winter 2015 and the initial administration will be scheduled for Summer 2015.
  • California Subject Examinations for Teachers (CSET)
    • Demonstration of Subject Matter Competency, Basic Skills Requirement via Multiple Subjects Plus Writing Skills and Preliminary Educational Technology at the foundational level
  • California Teachers of English Learners (CTEL)
    • Demonstration of competency in knowledge, skills and abilities necessary for effective teaching of English learners in order to obtain CLAD certificate, English Learner Authorization and Bilingual Authorization
  • Reading Instruction Competence Assessment (RICA)
    • Demonstration of knowledge and skills necessary for effective teaching of reading

NOTE: Please contact your assigned program advisor for the examination(s) required for your specific credential program.

Test Preparation Workshops

• CBEST, CSET & RICA test preparation workshops are available via the Accelerated Subjects-Matter Acquisition Program (ASAP) sponsored by the Riverside County Office of Education and CSUSB College of Education.
• U.S. Constitution Examination is offered by CSUSB College of Extended Learning