Documentation Information for Clock Hours
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Documentation Information for Clock Hours

These are the only acceptable forms of documentation for approved clock hours. Even if an agency is on the approved clock hour provider list, the clock hours are not eligible unless there is acceptable documentation. A certificate of completion, letter, or certificate of achievement or professional development cannot be used to document approved clock hours, unless the individual holds an ESA certificate and a state health professions license that requires continuing education. (ESA and License information)

Acceptable Documentation of Continuing Education

There are three acceptable forms of documentation:

In-service (clock hour) transcript issued by these providers:

  • An educational service district (ESD)
  • Anacortes School District
  • Bellevue School District
  • Bellingham Public Schools
  • Center for Strengthening the Teaching Profession
  • Central Valley School District
  • Edmonds School District
  • Ephrata School District
  • Everett Public Schools
  • Federal Way Public Schools
  • Fife School District
  • Franklin Pierce School District
  • Highline Public Schools
  • Issaquah School District
  • Kent School District #415
  • LaCrosse School District
  • Lummi Nation School
  • Monroe School District
  • North Thurston School District
  • Northshore School District
  • Renton School District
  • Riverview School District
  • Seattle Pacific University
  • Seattle Public Schools
  • Seattle University
  • Shoreline Public Schools
  • Snoqualmie Valley School District
  • Spokane Public Schools
  • Steilacoom Historical School District No. 1
  • Steptoe School District
  • Sumner School District
  • University of Washington at Tacoma
  • University of Washington Educational Outreach office
  • Vancouver Public Schools
  • Walla Walla Public Schools
  • Washington Education Association (WEA)
  • Washington Interscholastic Activities Association (WIAA no longer issues transcripts)
  • Wenatchee School District
  • Western Washington University Extended Education and Summer Programs
  • White River School District

The OSPI in-service registration form approved by OSPI and issued by the clock hour provider. OSPI in-service registration forms include:

  • Form SPI 1125* (Not available online)
  • Form SPI 1126 (Professional Growth Team Consultation and Collaboration)
  • Form SPI 1126-1 (ProTeach Online Assessment/ProCert Progam Professional Growth Team Member)
  • Form SPI 1128 (supervisor/NBPTS clock hours – this form replaced with 1128-1 and 1128-2)
  • Form SPI 1128-1 (Supervisor of Training)
  • Form SPI 1128-2 (National Board Assessment/Certification)
  • Form SPI 1128-3 (Professional Growth Plan Record of Continuing Education – system no longer available)
  • Form SPI 1128-4 (First Peoples' Language, culture, or oral tribal)
  • Form SPI 1128-5 (ProTeach Portfolio External Assessment)
  • Form SPI 1128-8 (Annual Professional Growth Plan (PGP) Verification and PGP Equivalency)

A payment voucher issued by North Central Educational Service District (ESD 171).
A WA State Clock Hour In-Service Certification Form from the Archdiocese of Seattle.

 

*The Form SPI 1125 is a four-part (Section I, II, III, IV) form with an affidavit signed by the participant. This form is given only to the approved clock hour provider for distribution and is not available via our website. The approved clock hour provider may remove the SPI logo and place their own logo on the top of the form. Providers are also able to add additional sections/requests for information to the form. However, changes in the overall look of the form should not be made to four sections of the form so that it may be recognized by participants and employers.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   Updated 9/26/2016

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