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Get Institutionalorganizational Application For An Educational Staff Associate Certificate Form

SU OF PUBLI C T N W AS HIN GTO N INSTITUTIONAL/ORGANIZATIONAL APPLICATION FOR AN EDUCATIONAL STAFF ASSOCIATE CERTIFICATE Please complete the following questions and sign the affidavit. Type of ESA certificate requested: Role requested: Residency Residency Renewal Professional Continuing (if holds valid Initial) School Counselor School Psychologist Certificate requested: Residency Renewal $10 + $33 (OSPI) $43 Residency $35 + $33 (OSPI) $68 Professional $25 + $33 (OSPI) $58 Cont.

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How to fill out the Institutional/Organizational Application For An Educational Staff Associate Certificate Form online

Filling out the Institutional/Organizational Application For An Educational Staff Associate Certificate Form online is a crucial step towards obtaining your educational certification. This guide provides clear, step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to complete your application smoothly.

  1. Use the ‘Get Form’ button to access the application form and open it in your online interface.
  2. Begin by selecting the type of Educational Staff Associate (ESA) certificate you are requesting, such as residency, residency renewal, professional, or continuing.
  3. Indicate the specific role for which you are applying, such as school counselor or school psychologist, to ensure your application is processed correctly.
  4. Fill out your personal details, including your name (last, first, middle, and maiden/former name), address, date of birth, and optional social security number.
  5. Provide your contact information, including a business and home telephone number, to ensure the certification office can reach you if needed.
  6. If you have previously held a Washington certificate or permit, answer yes and provide your certificate number. If not, select no.
  7. If you have held an educational certificate in another state, complete the corresponding section and provide details on form SPI/CERT 4020C.
  8. For those applying for a continuing or professional certificate, list relevant coursework related to issues of abuse, including the class title, date, and institution where completed.
  9. List all educational institutions you attended, including community colleges, undergraduates, and graduate schools. Provide details such as the location, dates attended, degrees granted, and post-bachelor credits earned.
  10. Document your educational experience by listing all your prior teaching positions. Include the grades you taught, dates of employment, district, type of certificate held, and note the number of days if less than full-time.
  11. Sign the affidavit confirming that all information provided is accurate, and include the date and your city/state.
  12. Once all fields are completed, ensure you save any changes made. You may download, print, or share the completed form as per your requirements.

Get started and complete your application online today!

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