Credential Evaluation Forms, Office for Student Services

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Credential Evaluation Forms

 

Picture of student applying for application How to Apply for a Credential?

Are you ready to apply for your credential? The answer is yes only if you have completed all your credential requirements or are enrolled in the only remaining credential requirements this quarter. If you are ready to apply for your credential, follow the steps below.

Credential application deadlines for 2013-2014 academic year:
SUMMER QUARTER 2013 Thursday, July 25, 2013
FALL QUARTER 2013 Thursday, October 24, 2013
WINTER QUARTER 2014 Thursday, February 6, 2014
SPRING QUARTER 2014 Thursday, May 1, 2014

 

Please read carefully and follow steps 1 -– 3 below.

  1. Select the appropriate credential, you are applying for, from the credentialing forms below.
    • Type all the information on the form (handwritten forms will not be accepted).
  2. Attach photocopies, of all required documents, to the credential processing and evaluation forms.
    • Originals and photocopies of Verification of experience and examinations are required.
  3. Submit completed form and attached requirements to Student Services KH D2078.
    • FAX/E-mailed applications will not be accepted.
    • If you have any outstanding requirements once an evaluation is completed, you will be sent a deficiency letter indicating the outstanding requirement(s).
  1. Once all requirements have been met and verified, your application and University’s recommendation will be electronically sent to the California Commission on Teacher Credential(CCTC).
  2. The CCTC will email instructions, to the email on the application, on completing your portion of the credential application processing. CTCC requires a credit/debit card to pay for processing fees.

    PLEASE NOTE: The Credential’s Office no longer issues C-19 letters for electronically recommended credentials.

Credential applications are processed in the order they are received.

Credentialing Forms
blinking red iconPlease submit completed forms to the Office for Student Services at King Hall D2078
***NOTE: Adobe Acrobat Reader is required to read all forms.

PDF IconMultiple Subjects and Single Subjects Credential Evaluation & Processing Form Use this form to apply for a Multiple Subjects and Single Subjects credential.
PDF IconEducation Specialist Credential Evaluation & Processing Form Use this form to apply for a Education Specialist credential.
PDF IconEducation Specialist Added Authorization Processing Form Use this form to apply for an (ASD) Autism Spectrum Added Authorization, (OI) Orthopedic Impairments, (OHI) Other Health Impairments or to have the EL (English Learner) Authorization Added to a valid Education Specialist Level I or Level II.
PDF Iconrequires a live internet connection iconVerification of Employment as Education Specialist(CL-777.1) Use this form to verify employment as Education Specialist for Level I.
PDF Iconrequires a live internet connection iconVerification of Experience as an Education Specialist (41-EXP) (Level II) Use this form to verify teaching experience as an Education Specialist for Level II.
PDF IconAdministrative Services Credential Evaluation & Processing Form Use this form to apply for an Administrative Services Credential.
PDF Iconrequires a live internet connection iconVerification of Employment as an Administrator (CL-777) Preliminary Use this form to verify administrative position for the Preliminary Credential.
PDF Iconrequires a live internet connection iconVerification of Experience as an Administrator (CL-41) Professional Clear Use this form to verify experience as an administrator for the Professional Clear Credential.
PDF IconAdapted Physical Education Credential Evaluation & Processing Form Use this form to apply for an Adapted Physical Education Credential.
PDF IconHealth Services Credential: School Nurse Services Credential Evaluation & Processing Form Use this form to apply for a Health Services Credential: School Nurse Services Credential.
PDF IconProfessional Clear Clinical Rehabilitative Services in Audiology; Preliminary Speech-Language Pathology Services Credential Evaluation & Processing Form Use this form to apply for a Professional Clinical Rehabilitative Services in Audiology; Preliminary Speech-Language Pathology Services Credential.
PDF IconClinical Rehabilitative Services Professional Credential in Orientation & Mobility Credential Evaluation & Processing Form Use this form to apply for a Clinical Rehabilitative Services Professional Credential in Orientation & Mobility Credential.
PDF IconPupil Personnel Services with Advanced Specialization in School Counseling, Child Welfare and Attendance Services Credential Evaluation & Processing Form Use this form to apply for a Pupil Personnel Services with Advanced Specialization in School Counseling, Child Welfare and Attendance Services Credential.
PDF IconPupil Personnel Services with Advanced Specialization in School Psychology, Child Welfare and Attendance Services Credential Evaluation & Processing Form Use this form to apply for a Pupil Personnel Services with Advanced Specialization in School Psychology, Child Welfare and Attendance Services Credential.
PDF IconPupil Personnel Services with Advanced Specialization in Child Welfare and Attendance Services Credential Evaluation & Processing Form (add on to existing PPS Credential with Advanced Authorization In School Counseling OR In School Psychology) Use this form to apply for a Pupil Personnel Services with Advanced Specialization in Child Welfare and Attendance Services Credential(add on to existing PPS Credential with Advanced Authorization In School Counseling OR In School Psychology)
PDF IconProfessional Clear Reading/Language Arts Specialist Credential and Clear Reading Certificate Evaluation & Processing Form Use this form to apply for a Reading Language Arts Clear and Clear Specialist Reading Certificate.

 

*Note:Completing your portion of the credential application process (these are the instructions you should have received from CCTC):

  1. Go online and type in (or click) the following web address for the student login: https://teachercred.ctc.ca.gov/cctc_phase3/InteractionMgr?interactionmgr.interaction=Enter_ApplicantLogin
  2. A page entitled "Credential Recommendation – Applicant" will be visible. Under "Applicant Log In" enter your social security number and date of birth.
  3. Follow the instructions and enter all additional information (response to Character and Identification Clearance questions, address, credit card number, etc.)
  4. When all the necessary information has been completed; a Confirmation Page will be displayed. You should print out the Confirmation Page as a receipt.

The CCTC will review your credential recommendation and send you notification via e-mail within ten business days.