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The Connecticut Ed 170 form is a crucial document for individuals seeking certification to teach in the state. This application is managed by the Bureau of Educator Standards and Certification within the Connecticut State Department of Education. To complete the form, applicants must provide personal information, including their name, social security number, and contact details. Additionally, the form requires applicants to disclose any prior criminal convictions, employment dismissals, or issues related to professional credentials. A nonrefundable application fee of $50 must accompany the submission, and only specific payment methods are accepted, such as money orders or cashier's checks. The form also includes sections for educational history and professional experience, allowing applicants to detail their qualifications. Importantly, the Ed 170 form plays a vital role in ensuring that all educators meet the state's standards for safety and professionalism, as it mandates background checks and verification of credentials. Understanding the requirements and process involved in completing the Ed 170 is essential for aspiring teachers in Connecticut.

Documents used along the form

The Connecticut Ed 170 form is a crucial document for individuals seeking certification as educators in the state. Along with this form, several other documents are often required or recommended to facilitate the application process. Below is a list of common forms and documents that may accompany the Ed 170.

  • ED 125 Statement of Preparing Higher Education Institution: This form verifies the completion of an educator preparation program from an accredited institution. It is essential for applicants who have completed their education outside of Connecticut.
  • ED 126 Statement of Professional Experience: This document outlines the applicant's prior teaching experience. It is particularly important for those who have taught in other states and need to validate their experience.
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  • Official Transcripts: Transcripts from colleges or universities must be submitted to demonstrate the applicant's educational qualifications. E-transcripts are encouraged for quicker processing.
  • Criminal History Record Check: Applicants must undergo a background check through the State Police Bureau of Investigation. This is a standard procedure for ensuring the safety of students.
  • Child Abuse and Neglect Registry Check: A check against the Department of Children and Families’ registry is required to confirm that the applicant does not have a history of child abuse or neglect.
  • Application Fee Payment: A nonrefundable fee of $50 must be submitted with the application. This fee can be paid via money order, cashier’s check, or certified bank check.
  • Signed Statement of Explanation: If an applicant answers "yes" to any background questions regarding convictions or disciplinary actions, a detailed explanation must be attached.
  • Additional Endorsement Forms: For those seeking endorsements beyond their initial certification, additional forms may be required to document further qualifications and coursework.
  • Verification of Testing Requirements: Applicants for certain endorsements may need to provide proof of successful completion of specific testing requirements.
  • Photocopy of Application Materials: It is advisable for applicants to retain a copy of all submitted documents for their records, ensuring they have a reference for future inquiries.

Each of these documents plays a vital role in the certification process, helping to ensure that educators meet the necessary qualifications and standards. Being prepared with the correct forms and information can significantly streamline the application process for prospective teachers in Connecticut.

Similar forms

The Connecticut Ed 170 form serves as a general application for educator certification, similar to the ED 179 form, which is used for the continuation of a Connecticut Professional Educator Certificate. Both forms require applicants to provide personal information, including their educational background and work history. Additionally, both forms necessitate the submission of official transcripts and a nonrefundable application fee. The ED 179 form specifically focuses on those who already hold a certificate and are seeking to extend or renew it, while the Ed 170 is for new applicants seeking initial certification.

Another document comparable to the Ed 170 is the ED 183 form, which is specifically for the renewal of an Initial Educator Certificate. Like the Ed 170, the ED 183 requires personal details, educational history, and a nonrefundable fee. However, the ED 183 is tailored for those who have previously received an initial certificate and are looking to renew it, emphasizing the need for proof of continued professional development and teaching experience in Connecticut public schools.

The ED 125 form is also relevant, as it serves as a Statement of Preparing Higher Education Institution. This document is often required alongside the Ed 170 form to verify that the applicant has completed an educator preparation program. Both forms demand official documentation of educational qualifications, ensuring that applicants meet the necessary standards set by the Connecticut State Department of Education.

Similar to the Ed 170, the ED 126 form is a Statement of Professional Experience. This form is essential for applicants who have prior teaching experience, as it verifies their employment history. Both forms require a detailed account of the applicant's professional background, but the ED 126 specifically focuses on documenting previous teaching roles, which may influence the certification process.

The ED 175 form, which is used for applying for an emergency educator certification, shares similarities with the Ed 170 in that both serve as applications for certification. However, the ED 175 is designed for individuals who may not meet all standard certification requirements but are seeking temporary certification to fill immediate teaching needs. Both forms require personal information and an application fee, but the ED 175 has a different focus on urgency and temporary status.

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The ED 126A form is another document that parallels the Ed 170, as it is used to apply for a cross endorsement. Both forms require the submission of educational transcripts and a nonrefundable application fee. However, the ED 126A is specific to individuals seeking to add additional subject areas to their existing certification, thus expanding their teaching qualifications, while the Ed 170 is aimed at first-time applicants.

The ED 172 form, which is a request for a waiver of certification requirements, is similar to the Ed 170 in that both involve applications for educator certification. The ED 172 allows applicants to seek exceptions to certain certification criteria based on unique circumstances. While both forms require personal and educational information, the ED 172 focuses on justifying the request for a waiver rather than the standard certification process outlined in the Ed 170.

Lastly, the ED 173 form serves as a request for a temporary educator permit, which can be seen as a more immediate alternative to the Ed 170. Both forms require personal information and an application fee. However, the ED 173 is intended for individuals who need a temporary solution while they work towards meeting the full certification requirements, contrasting with the Ed 170's purpose of applying for standard certification.

Important Questions on This Form

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.

Misconceptions

Understanding the Connecticut Ed 170 form is essential for anyone seeking educator certification in the state. However, several misconceptions can lead to confusion. Here are nine common misunderstandings:

  • The application fee is refundable. The $50 application fee is nonrefundable. Regardless of the outcome, this fee will not be returned.
  • Personal checks are accepted. Only money orders, cashier’s checks, or certified bank checks made out to “Treasurer, State of CT” are accepted. Personal checks and cash will not be processed.
  • Only criminal convictions matter. The form asks about various disciplinary actions, including dismissals and credential revocations. All must be disclosed, not just criminal convictions.
  • All prior employment needs to be listed. Only relevant work history from the last ten years should be included, excluding student teaching, substitute, or paraprofessional experience.
  • Submitting e-transcripts is optional. While it is possible to submit paper transcripts, e-transcripts expedite processing and are strongly encouraged.
  • Only one endorsement can be requested. Multiple endorsements can be sought on the same application. Just ensure all necessary information is provided for each endorsement.
  • Failure to disclose past issues will not affect the application. Any misrepresentation or omission can lead to denial or revocation of certification. Honesty is crucial.
  • There is no need for additional documentation if questions are answered “no.” If you answer “yes” to any of the disclosure questions, a signed statement of explanation and supporting documents must be attached.
  • The form is only for new applicants. The Ed 170 form is also used for those seeking renewal or additional endorsements. Ensure you are using the correct version for your needs.

Being aware of these misconceptions can help streamline the application process and ensure that all necessary steps are taken. Proper preparation can make a significant difference in your journey toward educator certification in Connecticut.

Dos and Don'ts

When filling out the Connecticut Ed 170 form, consider the following do's and don'ts:

  • Do ensure that all personal information is accurate and complete.
  • Do submit the required nonrefundable application fee of $50 using an acceptable payment method.
  • Do attach any necessary documentation, especially if you answer "YES" to any of the conviction or disciplinary questions.
  • Do include official transcripts from all colleges or universities attended.
  • Do keep a photocopy of your completed application and all supporting documents for your records.
  • Don't submit personal checks or cash; only certified bank checks or money orders are accepted.
  • Don't leave any sections of the form blank; all required fields must be filled out.
  • Don't provide incomplete or inaccurate information, as this may lead to denial or revocation of your certification.
  • Don't forget to sign and date the application before submission.
  • Don't ignore the instructions regarding additional documentation for prior teaching experience or disciplinary actions.

Detailed Guide for Writing Connecticut Ed 170

Filling out the Connecticut Ed 170 form requires careful attention to detail. Ensure you have all necessary documents and information at hand before starting the process. Following the steps outlined below will help you complete the form accurately.

  1. Obtain the Form: Download or print the Connecticut Ed 170 form from the official website or acquire it from the Bureau of Educator Standards and Certification.
  2. Complete Personal Information: Fill in your last name, first name, middle initial, gender, social security number, and birth date.
  3. Provide Contact Details: Enter your street address (no P.O. Box), apartment number (if applicable), city, state, and zip code. Include your former last name(s) if applicable, and provide your phone numbers (home/cell and work) and email address.
  4. Answer Criminal History Questions: Respond to the three questions regarding past convictions, dismissals, and credential actions. If you answer "YES" to any, prepare a signed statement of explanation.
  5. Indicate Race/Ethnicity: Optionally select your race/ethnicity from the provided categories.
  6. List Endorsements: Specify the endorsements you are seeking by entering the appropriate endorsement numbers. Check the box if you are requesting a bilingual endorsement.
  7. Educational Background: List the names of colleges or universities attended, including the state, major field of study, year of graduation, and degree awarded.
  8. Employment History: Provide details of your work history over the last ten years, starting with the most recent position. Include the name of the school, location, job title, subject/field, grade(s), and dates employed.
  9. Sign and Date the Application: Certify that all information is true and accurate by signing and dating the application.
  10. Prepare Payment: Enclose a nonrefundable application fee of $50 in the form of a money order, cashier’s check, or certified bank check made payable to “Treasurer, State of CT.”
  11. Submit the Application: Send the completed form, payment, and any additional required documents to the Bureau of Educator Standards and Certification at the address provided on the form.

After submitting your application, you will receive notification via email regarding the status of your application or if additional credentials are required. Make sure to keep a copy of all submitted materials for your records.