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Download and Print
Follow these steps: 1) locate and save the appropriate form(s) to your desktop; 2) open the file and fill in the information using the fields provided; 3) print and verify application is complete before mailing. Forms
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NOTE: In order to access the pdf files you will need Adobe Acrobat Reader (version 5.0 or higher) installed on your computer.
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Fingerprints: Any applicant who does not hold a
valid Washington certificate at the time of application must be fingerprinted for a state
and national background check. We urge applicants to submit fingerprints as soon as possible.
To submit fingerprints electronically in person (no inked card is required,
and the process is often much faster) contact an ESD to arrange for scanning
of fingerprints.
If you are unable to come in person, you can request
fingerprint cards by sending an email with your name and mailing address to
cert@k12.wa.us.
Fee Payment: Fees are not refundable. Please ensure you select and submit the correct application as the OSPI $33 fee will not apply toward a future or corrected application and will need to be paid with each application submitted. Refund Policy
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(Non-Vocational)
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- Request for Replacement Certificate or Request for Name Change on Certificate
(for individuals who hold or have held a Washington certificate and have lost it, or wish to change the name on their certificate) [eCert or Paper]
- Substitute Certificate (any role)
(for individuals who hold or have held a regular Washington certificate) [eCert or Paper]
- Maintenance (renewal) of the Continuing Certificate (for individuals who hold valid Continuing certificates that require 150 clock hours for maintenance) [This form is the same for teachers, ESA's, and administrators] [eCert
or Paper]
- Verification of Active Duty Military Service (automatic extension of expiration date) (for individuals in Reserves/National Guard who are called up to active military service) [eCert or Paper]
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- ESA Residency Certificate Application - School Counselor, Psychologist
(for individuals who have never held a Washington ESA certificate in these roles and who have completed requirements outside Washington) [Note: This application can also be used for Conversion of an Expired Initial ESA to a Valid Residency ESA certificate in these roles] [eCert
or Paper]
- Residency ESA Reissuance
(for individuals who hold or have held a Washington Residency ESA
certificate, and have completed two years of employment in the role in
Washington) [eCert
or Paper]
- ESA Initial Certificate Application -
School Nurse, Occupational Therapist, Physical Therapist, Social Worker, Speech Language Pathologist or
Audiologist
(for individuals who have never held a
Washington ESA certificate in these roles and who have completed requirements outside
Washington) [eCert
or Paper]
- ESA Continuing Certificate Application - School Counselor, Psychologist
(for individuals requesting a continuing ESA
certificate) [eCert
or Paper]
- ESA Continuing Certificate Application - School Nurse, Occupational Therapist, Physical Therapist, Social Worker, Speech Language Pathologist or Audiologist
(for individuals requesting a continuing ESA certificate) [eCert
or Paper]
- ESA Residency Renewal and Professional Certificate Application - School Counselor, Psychologist
(for individuals requesting a renewal of their residency ESA certificate or a professional ESA certificate) [eCert
or Paper]
Limited ESA Certificates
- Emergency
ESA
(School Counselors, School Psychologists, School Social Workers
only)
(for individuals who have substantially completed a
preparation program for school psychologist, school counselor, or school
social worker - application must be approved by a school district which cannot
find a certificated ESA for the position)
[This form is the same for teachers, ESA's, and administrators] [Paper]
- Conditional ESA (School Nurses or School Speech-language Pathologist or Audiologists only)
(for individuals who do not qualify for a regular ESA certificate - application must be approved by a school district which cannot
find a certificated person in a specific ESA role) [Paper]
- Substitute Certificate (any role) (valid for life)
(for individuals who hold or have held a regular Washington certificate)
[This form is the same for teachers, ESA's, and administrators] [Paper]
- Transitional Certificate
(for individuals with lapsed Continuing Certificate - application must be approved by a school district) [Paper]
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