Get Ct Doe Certification Form

The Ct Doe Certification Form is essential for individuals seeking certification in education in Connecticut. This guide will assist you in accurately completing the form online, ensuring you provide all necessary information and meet the required standards.

Follow the steps to fill out the Ct Doe Certification Form online effectively.

1. Click ‘Get Form’ button to access the document and open it in your browser.
2. Begin by filling in your last name, first name, middle initial, and social security number in the designated fields.
3. Enter your birth date in the format Month-Day-Year. This is a required field.
4. Provide the name of your higher education institution, including the city, state, and zip code where it is located.
5. The authorized college or university official must complete the next section. Indicate if the applicant has successfully completed a planned program for certification, including details about the subject, field, or grade.
6. In sections 2a and 2b, detail where student teaching, practica, or internship was completed. Include the school or district name and the specific grade or subject, along with the dates of the experience.
7. Section 2c requires clarification on whether the student teaching or internship was waived due to pre-approved experience. If applicable, attach a written explanation along with the Statement Of Professional Experience form.
8. List the subject-area major in the provided space.
9. Fill in the date when all program requirements were completed using the mm/dd/yyyy format.
10. Respond to questions regarding whether the applicant is recommended for certification as a school psychologist with an internship deficiency, and if they are unconditionally recommended for certification.
11. The authorized official (dean of education or certification officer) must provide their original signature in the designated area and include their title, typed or printed name, date signed, phone number, and email address.
12. Finally, place the embossed or colored seal of the college or university in the designated area. Review all entries for accuracy and completeness before proceeding.

Complete your Ct Doe Certification Form online today to ensure your application is processed efficiently.