| General |
As of |
|
1 |
FEE
Payment Schedule (for use with college applications only) |
07/05 |
|
2 |
Dean's
Affidavit
(Cert) |
05/97 |
|
3 |
4020B
(Institutional Character and Fitness Supplement - 4 pages) |
08/03 |
|
4 |
4020C
(Verification of Good Standing for Certificates Held in Other
States) |
08/01 |
|
5 |
4020E
(Institutional Verification of Program Completion and Character) |
7/07 |
|
6 |
4020F
(Continuing Certificate: Verification of Experience) |
10/01 |
|
7 |
4020F2
(Verification of Out-of-State Experience) |
02/06 |
|
8 |
1126
(Clock hrs-Professional Growth Team Consultation &
Collaboration) (Cert)
|
08/03 |
|
Teacher |
|
1 |
1535
(Institutional Application for Endorsement completed at WA college) |
10/05 |
|
2 |
4401
(Institutional Application for Teaching Certificate) |
05/09 |
|
|
Residency: |
|
|
3 |
4410-1
(pdf) (Verification List - Residency Teacher Provisional Status with Affidavit) (Cert)
(Fill-in-the-blanks version) |
11/07 |
|
|
4410-1A
(pdf) (Verification List – 5-yr Residency Teacher with Affidavit) (Cert) |
04/05 |
|
4 |
4410-2
(pdf) (Verification List - Residency Teacher Provisional Status without Affidavit) (Cert) |
11/07 |
|
|
4410-2A
(pdf) (Verification List – 5-yr Residency Teacher without Affidavit) (Cert) |
04/05 |
|
5 |
4413-1
(pdf) Verification List - Residency Teacher 2-yr Renewal with Affidavit) (Cert) |
01/05 |
|
6
|
4413-2
(pdf) (Verification List - Residency Teacher 2-yr Renewal without Affidavit) (Cert) |
01/05 |
|
|
Initial: |
|
|
7 |
4412-1
(pdf) (Verification List - Renewal of Initial Certificate) (Cert) |
08/00 |
|
|
Continuing: |
|
|
8
|
4411-1
(pdf) (Verification List - Continuing Certificate with Affidavit) (Cert) |
12/04 |
|
9 |
4411-2
(pdf) (Verification List - Continuing Certificate without Affidavit) (Cert) |
11/01 |
|
|
Professional: |
|
|
10 |
4421
(Institutional Form - Provisional Status/Employer Support Verification) |
10/04 |
|
11
|
4414-1
(pdf) (Verification List - Professional Certificate with Affidavit) (Cert) |
12/04 |
|
12
|
4414-2
(pdf) (Verification List - Professional Certificate without Affidavit) (Cert) |
12/04 |
|
|
Endorsement: |
|
|
13
|
4415-1
(pdf) (Verification List - Endorsement) (Cert) |
12/04 |
|
14
|
4415-2
(pdf) (Verification List - Endorsement via Pathway 2) (Cert) |
09/05 |
|
15
|
4422
(pdf) (Institutional Form - Pathway 2 Pedagogy Assessment/Employer Support Verification) |
03/10 |
|
|
Intern Substitute: |
|
|
16
|
4417
(pdf) (Verification List - Intern Substitute Certificate) (Cert)
(Fill-in-the-blanks version) |
03/01 |
|
|
Substitute: |
|
|
17
|
4418
(pdf) (Verification List - Substitute Certificate) (Cert) |
09/02 |
Administrator |
|
1 |
4200 (Requirements - Initial/Continuing/Residency Administrator) |
10/05 |
|
2 |
4201
(Institutional Application for Administrator) |
07/08 |
|
3 |
4001 F-C
(Prerequisite Experience for a Principal's Certificate) |
12/05 |
|
4 |
4201F-D
(Verification of Experience for the Professional Administrator's
Certificate) |
11/08 |
|
|
Residency: |
|
|
5
|
4212A-1
(pdf) (Verification List - Residency Principal, First Issue) (Cert) |
07/08 |
|
6
|
4212B-1
(pdf) (Verification List - Residency Program Administrator, First Issue) (Cert) |
07/08 |
|
7
|
4212C
(pdf) (Verification List - Residency Renewal Principal) (Cert) |
09/11 |
|
8
|
4212C-1
(pdf) (Verification List - Residency Renewal Program Administrator) (Cert) |
09/11 |
|
|
Initial: |
|
|
9
|
4210C
(pdf) (Verification List - Initial Superintendent) (Cert) |
07/08 |
|
|
Continuing: |
|
|
10
|
4211A1
(pdf) (Verification List - Continuing Principal if certificated
since 1998) (Cert) |
09/02 |
|
10
|
4211B
(pdf) (Verification List - Continuing Program Administrator) (Cert) |
05/98 |
|
12
|
4211C
(pdf) (Verification List - Continuing Superintendent) (Cert) |
05/98 |
|
|
Professional Administrator: |
|
|
13 |
4213B (pdf) (Verification List - Professional
Principal) |
07/08 |
|
14 |
4213B-1 (pdf) (Verification List -
Professional Program Administrator) |
07/08 |
|
15 |
1656A
(Word) (Professional Growth Plan for Renewal - Professional Principal and
Program Administrator) |
01/11 |
|
16 |
1656B
(Word) (Record of Continuing Education - Professional Principal and Program
Administrator) |
01/11 |
Educational Staff Associate |
|
School Psychologist/School
Counselor:
|
|
1
|
4301 (pdf) (Institutional Application for ESA) |
02/12 |
|
2
|
4301F (pdf) (Verification of ESA Experience) |
3/11 |
|
3
|
4310A-1A
(pdf) (Verification List - Initial ESA w/o cert other states) (Cert) |
9/05 |
|
4
|
4310A-2A
(pdf) (Verification List - Initial ESA w/cert in other states) (Cert) |
9/05 |
|
5 |
4311A-1
(pdf) (Verification List - Continuing ESA w/o cert other states) (Cert) |
07/95 |
|
6 |
4312A-1
(pdf) (Verification List - Residency ESA w/Dean's Affidavit) |
9/05 |
|
7
|
4312A-2
(pdf) (Verification List - Residency ESA without Affidavit) |
9/05 |
|
last updated: February 2012 |