What is the Connecticut Ed 170 form?
The Connecticut Ed 170 form is an application for certification issued by the Connecticut State Department of Education. It is specifically used by individuals seeking to obtain an initial educator certificate, authorization, or permit. This form requires applicants to provide personal information, educational background, and details about their professional experience.
What is the application fee for the Ed 170 form?
The application fee for the Ed 170 form is $50. This fee must be submitted in the form of a money order, cashier’s check, or certified bank check made payable to the “Treasurer, State of CT.” Personal checks and cash are not accepted, and the fee is nonrefundable.
What information do I need to provide on the Ed 170 form?
When filling out the Ed 170 form, you will need to provide your full name, social security number, birth date, and address. Additionally, you must disclose any former names and provide contact information, including phone numbers and an email address. The form also requires you to answer questions regarding any criminal convictions, dismissals from positions, or issues with professional credentials.
What should I do if I answer "yes" to any of the background questions?
If you answer "yes" to any of the background questions on the Ed 170 form, you must attach a signed statement explaining the circumstances. If there are multiple incidents, each one should be listed and explained separately. You will also need to submit official copies of any relevant court or administrative records.
How does the criminal history check work for the Ed 170 application?
As part of the application process, the State Board of Education submits a database of applicants to the State Police Bureau of Investigation for a criminal history record check. Additionally, applicants must undergo a records check with the Department of Children and Families’ child abuse and neglect registry. This process ensures that individuals who are granted certification meet safety and ethical standards.
What educational history do I need to include?
Applicants must provide a detailed account of their educational history, including the names of colleges or universities attended, the state where they are located, the major field of study, and the year of graduation. This information helps verify that you meet the educational requirements for certification.
What kind of work experience should I list on the Ed 170 form?
You should list your work experience from the past ten years, starting with your most recent position. Include the name of the school, its location, your job title, the subjects or fields you taught, the grades you worked with, and the dates of employment. Do not include student teaching, substitute, or paraprofessional experience.
Can I submit electronic transcripts for my application?
Yes, you can submit electronic transcripts to expedite the processing of your application. These transcripts should be sent directly from the college or university to the designated email address: teacher.etranscript@ct.gov. This method is preferred and can help speed up the application review process.
What happens after I submit my Ed 170 application?
Once you submit your application, the Bureau of Educator Standards and Certification will review it. If additional credentials or information are needed, you will be notified via email. It’s important to provide a current email address to ensure you receive all communications regarding your application status.