Formal Request for Credential Recommendation

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Completing this form sends an official request for the Credential Program Manager to submit your credential recommendation to the Commission on Teacher Credentialing. Please submit this request only once you have met all the requirements for your credential and uploaded all documentation to the Student Hub.

Recommendations will be processed in the order they are received. Please complete question #5 on this form if this recommendation is time-sensitive.

Email *

Untitled Title

1. What is your name? *

2. What is your CWID? *

3. What credential and/or added authorization are you applying for? Select all that apply. *

Administrative Services Credential (Please note: employment verifications must include verified Adobe or DocuSign digital signatures or original pen ink signatures (no scans or photocopies))

Bilingual Authorization: Spanish

Certificate of Eligibility (Please note: employment verifications must include verified Adobe or DocuSign digital signatures or original pen ink signatures (no scans or photocopies))

Education Specialist: Mild to Moderate Disabilities (candidates admitted before Summer 2022)

Education Specialist: Mild to Moderate Support Needs (candidates admitted Summer 2022 and later)

Multiple Subject Credential

Pupil Personnel Services: School Counseling Credential

Reading and Literacy Added Authorization (Please note: employment verifications must include verified Adobe or DocuSign digital signatures or original pen ink signatures (no scans or photocopies))

Single Subject: Art Credential

Single Subject: Business Credential

Single Subject: English Credential

Single Subject: Health Credential

Single Subject: Mathematics Credential

Single Subject: Music Credential

Single Subject: Physical Education

Single Subject: Science Credential

Single Subject: Social Science Credential

Single Subject: World Languages Credential

Required

4. What type of credential are you applying for? *

Added Authorization

Intern Credential

Preliminary Credential

Clear Credential

N/A (for Certificate of Eligibility only)

Required

5. Is there anything else you would like to add? Be sure to complete this section if this is a time-sensitive recommendation due to employment needs or personal circumstances. Include specific dates, such as a date by which an employer has said that you must have your credential in place.

Supporting documentation is included in the credential recommendation that is sent to the Commission on Teacher Credentialing. Checking this box indicates that you have reviewed the documentation that will be included with the credential recommendation.

Supporting Documentation

I have read and acknowledged the supporting documentation that will be included in the credential recommendation that is sent to the Commission on Teacher Credentialing.

Required

Acknowledgement *

Check this box to acknowledge that you have reviewed all the requirements for your credential and determined that they are complete. Submitting this form will send a formal request to the Credential Program Manager to review your documentation for the credential recommendation.

Required

A copy of your responses will be emailed to the address you provided.

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