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Free Connecticut Ed 170 Form

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Embarking on a career in education within Connecticut necessitates a thorough understanding of various procedural steps, one of which involves the comprehensive ED 170 form issued by the Connecticut State Department of Education's Bureau of Educator Standards and Certification. As an essential document for educators at all phases of their careers, it outlines the requirements for those applying for a new certificate, renewing, or seeking endorsements in their teaching field. With instructions that span from initial applications to specific guidelines for applicants with out-of-state or prior teaching experience, this form encapsulates a critical process in the certification journey. Not only does it come with a nonrefundable $50 application fee, payable only via money order, cashier's check, or certified bank check, but it also emphasizes a stringent verification process of applicants' backgrounds, including criminal history and professional conduct. Applicants are prompted to disclose any previous criminal convictions, dismissals from educational roles, or disciplinary actions against their professional credentials, emphasizing the department's dedication to ensuring the integrity and safety of its educational environments. Additionally, the form acts as a conduit for endorsing a wide array of specialized teaching areas, further illustrating the comprehensive nature of educator certification in Connecticut.

Connecticut Ed 170 Sample

GENERAL APPLICATION FOR CERTIFICATE
PART I: PERSONAL INFORMATION (Print all information in blue ink and in uppercase letters.)
LAST NAME
FIRST NAME MI GENDER
SOCIAL SECURITY NUMBER BIRTH DATE (Month-Day-Year) - Required
ADDRESS (Street ONLY no P.O. Box) Apt. #
(City) (State)
(Zip Code) FORMER LAST NAME(S) Required
PHONE
(Home/Cell)
(Work)
E-MAIL ADDRESS
1. Haveyoueverbeenconvictedofanycrime,excludingminortracviolations? YES NO
2. Haveyoubeendismissedforcausefromanyposition? YES NO
3. Haveyoueversurrenderedaprofessionalcerticate,license,permitorothercredential YES NO
(including,butnotlimitedto,aneducationcredential);hadonerevoked,suspended,
annulled,invalidated,rejectedordeniedforcause;orbeenthesubjectofanyother
adverseordisciplinarycredentialaction?
PursuanttoConnecticutGeneralStatutesSection10-232d,theStateBoardofEducationmustsubmit,periodically,adatabaseofapplicants
foraninitialissuanceofacerticate,authorizationorpermittotheStatePoliceBureauofInvestigationforacriminalhistoryrecordcheck.
Eachapplicantseekinganinitialissuanceorrenewalofacerticate,authorizationorpermitmustalsosubmittoarecordscheckofthe
DepartmentofChildrenandFamilies’childabuseandneglectregistryestablishedpursuanttoConnecticutGeneralStatutesSection
17a-101k.Inaddition,theStateBoardofEducationisrequiredtosubmitperiodicallyforcriminalhistoryrecordscheckthedatabaseofall
personswhoholdanycerticate,authorizationorpermit.
NOTE:Ifyouanswer“YES”toanyoftheabovequestions,youmustattachasignedstatementofexplanation.Iftherearemultiple
incidentswithineachquestion,youmustlistandexplaineachseparately.Submitocialcopiesofcourtoradministrativerecord(s),
includingdispositionofeachuse.
CONNECTICUT STATE DEPARTMENT OF EDUCATION
Bureau of Educator Standards and Certication
P.O. Box 150471
Hartford, CT 06115-0471
www.ct.gov/sde/cert
ED 170
REV. 10/25
C.G.S.10-145
C.G.S.10-145d
PAGE 1
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˗ ˗
˗ ˗
˗ ˗
Race/Ethnicity
(Required)
˗
1. Native American
2. Asian/PacicIslander
3. Black
4. White
5. Hispanic
ED 170
PART II: LIST CERTIFICATION ENDORSEMENTS REQUESTED (See enclosed code list.)
ENDORSEMENT #1 ENDORSEMENT #2 ENDORSEMENT #3 ENDORSEMENT #4
Checkboxifbilingualendorsementissoughtforabovediscipline(s).
Ifrequestingendorsement090,098,pleaseindicatethespecicoccupational/vocationalarea(e.g.,carpentry)
PART III: EDUCATIONAL BACKGROUND
LIST THE NAMES OF COLLEGES OR UNIVERSITIES ATTENDED
Name of Institution State Major Field Year of College Credit or
of Study Graduation Degree Awarded
PART IV: LIST TEACHING, ADMINISTRATIVE OR SPECIAL SERVICE EXPERIENCE
Please provide your education and work (within the last ten years) history, starting with your most recent position. Do not
include student teaching, substitute or paraprofessional experience. Attach an additional sheet of paper, if needed.
NAME OF SCHOOL LOCATION
(City, State)
JOB TITLE SUBJECT/FIELD GRADE(S) DATES EMPLOYED
FROM (M/Y) TO (M/Y)
PART V: DO YOU HOLD/HAVE YOU HELD AN OUT-OF-STATE CERTIFICATE? YES NO
(specifystateandtypeofcerticate)
(Attach a copy of both sides of out-of-state certicates, covering any of the experiences listed above that are within the
last 10 years.)
PART VII: APPLICANT ATTESTATION
Icertifythattheinformationprovidedbymeonthisapplicationandanyaccompanyingdocumentscontainsnomaterial
misrepresentations,falsicationsoromissionsandthatalloftheinformationgivenbymeistrue,completeandaccurate.I
understandthatallapplicationandaccompanyinginformationmaybeveriedandthatanymaterialmisrepresentation,
falsicationoromissionmayresultinthedenialorrevocationofmycerticate(s),permit(s)orauthorization(s).
ORIGINAL SIGNATURE OF APPLICANT: DATE:
Information on this application is subject to disclosure pursuant to the Freedom of Information Act.
PAGE 2
Teaching Endorsements
010 Business,4–12
015 English,4–12
018 French,4–12
019 German,4–12
020Italian,4–12
021Latin,4–12
022Russian,4–12
023Spanish,4–12
024 OtherWorldLanguage,4–12
026History&SocialStudies,4–12
029Mathematics,4–12
030Biology,4–12
031Chemistry,4–12
032Physics,4–12
033EarthScience,4–12
034GeneralScience,4–12
035DriverEducation
040Agriculture,Pre-K–12
041VocationalAgriculture,4–12
042Art,PK–12
043Health,PK–12
044PhysicalEducation,PK–12
045HomeEconomics,PK–12
047TechnologyEducation,PK–12
049Music,PK–12
055PartiallySighted,PK–12
057DeafandHardofHearing,PK–12
059Blind,PK–12
062SchoolLibraryMediaSpecialist
072SchoolNurse-Teacher
073SchoolDentalHygienist-Teacher
089MarketingEducation,4–12
101WorldLanguageInstructor,Elementary
102RemedialReading&RemedialLanguageArts,1–12
104CooperativeWorkEducation/DiversiedOccupations
110 UniqueSubject-Area
111TeachingEnglishtoSpeakersofOtherLanguages(TESOL),PK–12
112IntegratedEarlyChildhood/SpecialEd.,Birth–Kindergarten
113IntegratedEarlyChildhood/SpecialEd.,Nursery-K–Elem.1–3
165ComprehensiveSpecialEducation,K–12
215English,MiddleSchool
226History&SocialStudies,MiddleSchool
229Mathematics,MiddleSchool
230Biology,MiddleSchool
231Chemistry,MiddleSchool
232Physics,MiddleSchool
233 Earth Science, Middle School
234GeneralScience,MiddleSchool
235IntegratedScience,MiddleSchool
305Elementary,PK–6
317 Portuguese,4–12
318 MandarinChinese,4–12
483 Dance,Pre-K–12
485 TheatreandDrama,Pre-K–12
511 Montessori,Elementary,1–6
512 Montessori,Primary,BirthtoKindergarten
826 VocationalDepartmentHead:TradeTechnology
ED 170
CONNECTICUT ENDORSEMENT CODES
Administrative Endorsements
085SchoolBusinessAdministrator
092IntermediateAdministrationorSupervision
093SuperintendentofSchools
097ReadingandLanguageArtsConsultant
105DepartmentChairperson
Adult Education Endorsements
088Non-EnglishSpeakingAdults
106HighSchoolCreditDiplomaProgram
107ExternalDiplomaProgram/NoncreditMandatedPrograms
Special Services Endorsements
061SpeechandLanguagePathologist
068SchoolCounselor
070SchoolPsychologist
071SchoolSocialWorker
268 SchoolMarriage&FamilyTherapist
Vocational Endorsements
082VocationalTechnicalAdministrator
090OccupationalSubject,VocationalTechnicalSchools
091Trade-RelatedSubjects,VocationalTechnicalSchools
098Trade&IndustrialOccupations–ComprehensiveHighSchool
103HealthOccupations–ComprehensiveHighSchool
108PracticalNurseEducationInstruction
109HealthOccupations–VocationalTechnicalSchools
001Pre-K–Grade8
002Pre-K–Grade6
003Pre-K–Grade3
004Grades1–8
005ElementaryEducation,1–6
006MiddleGrades,4–8
007AcademicSubjects
008Pre-KandKindergarten
009Bilingual,PK–12
011LicensedPracticalNurse
013Elementary,K–6
016English,7–9
017Speech,7–12
025History,7–12
027SocialStudies,7–12
028History&SocialStudies,7–9
036CoreCurriculum
037Psychology,7–12
038Sociology,7–12
039SecondarySubject
046VocationalHomeEconomics,PK–12
048Librarian,7–12
050SpecialSubject
051MentallyHandicapped1–12
052MentallyHandicapped7–12
053PhysicallyHandicapped,1–12
054PhysicallyHandicapped,7–12
056PartiallySighted,7–12
058Deaf,7–12
060Blind,7–12
063SpecialTeacherofReading,1–8
064SpecialTeacherofReading,7–12
065ComprehensiveSpecialEducation,PK–12
066GuidanceCounselor–Elementary
067GuidanceCounselor–Secondary
069PsychologicalExaminer
074ElementaryPrincipal
075GeneralSupervisor–Elementary
076SecondaryPrincipal
077GeneralSupervisor–Secondary
078Principal–CombinedSchool
079SpecialSupervisor
080AdministrativeAssistant
081SuperintendentofSchools
083SpecialAdministrative
086DirectorofAdultEducation(FullTime)
087DirectorofAdultEducation(PartTime)
094AdultEducation
095EducationSupervisor(StateDepartment)096
265 ComprehensiveSpecialEducation,1–12
**Certication Codes No Longer Issued. These codes may only be renewed by current endorsement holders**
INSTRUCTIONS FOR GENERAL APPLICATION FOR CERTIFICATION
Use this form for all requests EXCEPT:
•renewalofaConnecticutProfessionalEducatorCerticate(pleaseuseFormED179);or
•renewalofanInitialEducatorCerticate(pleaseuseFormED183).
A. For First-Time Applicants (Initial Educator Certicate):
• completeandsignapplication;
• submitocialtranscript(s)viaU.S.mail;e-transcriptsmustbesubmitteddirectlybythecollege(s)/universityto:
• submitED-125StatementofPreparingHigherEducationInstitution;and/or
• submitED-126StatementofProfessionalExperienceandcopyofout-of-statecerticate/licenseforapplicantswithpriorteaching
experience.
B. For Advancement to a Professional Educator Certicate:
• completeandsignapplication;
• submitpaymentof$375intheformofamoneyorder,cashier’scheck,orcertiedbankcheckpayableto“Treasurer,Stateof
Connecticut,”orpaymentmaybemadeonlineviacreditcard.Personalchecksarenotaccepted;
• submitocialtranscript(s)viaU.S.mailverifyingadditionalrequiredcoursework;e-transcriptsmustbesubmitteddirectlybythe
college(s)/universitytoteacher[email protected]; and
• submitED-126StatementofProfessionalExperienceverifying50monthsofsuccessfulserviceinaConnecticutpublicschoolor
approvednonpublicschool,underanInitialand/orProvisionalCerticate.
C. Cross Endorsement if You Hold a Connecticut Teacher Certicate:
• completeandsignapplication;
• submitpaymentof$100(perendorsement)intheformofamoneyorder,cashier’scheck,orcertiedbankcheckpayableto
“Treasurer,StateofConnecticut,”orpaymentmaybemadeonlineviacreditcard.Personalchecksarenotaccepted;
• submitocialtranscript(s)forcourseworkapplicabletoendorsementsought;and
• verifysuccessfulcompletionofapplicabletestingrequirements.
D. For Advancement of an Adult Education Certicate to the Professional Level:
• completeandsignapplication;
• submitpaymentof$100intheformofamoneyorder,cashier’scheck,orcertiedbankcheckpayableto“Treasurer,Stateof
Connecticut,”orpaymentmaybemadeonlineviacreditcard.Personalchecksarenotaccepted;
• submitocialtranscript(s)viaU.S.mail;e-transcriptsmustbesubmitteddirectlybythecollege(s)toteacher[email protected];
and
• submitED-126StatementofProfessionalExperienceverifying50monthsofsuccessfulserviceteachingadulteducationina
Connecticutpublicschool,underanInitialand/orProvisionalCerticate.
NOTES:
• TheBureauofEducatorStandardsandCerticationwillnotifyyoubye-mailifadditionalcredentialsarerequired.Ensureyouhave
providedacurrent,accuratee-mailaddress.
• Retainaphotocopyofallapplicationmaterialsforyourrecords.
How to contact the Bureau of Educator Standards and Certication:
E-mail:teacher[email protected]
Website:www.ct.gov/sde/cert
Fax:860-713-7017
Phone:860-713-6969MondayandThursdaybetween12-2p.m.atallothertimes24-hourautomatedphonesystem
(To speak with a sta member anytime during the greeting, press zero two times.)
CONNECTICUT STATE DEPARTMENT OF EDUCATION
Bureau of Educator Standards and Certication
P.O. Box 150471
Hartford, CT 06115-0471
www.ct.gov/sde/cert
ED 170
REV. 10/25
C.G.S.10-145
C.G.S.10-145d

Document Features

Fact Detail
Governing Law C.G.S. 10-145, C.G.S. 10-145d, P.A. 03-168
Application Fee $50 (nonrefundable), payable to “Treasurer, State of CT”
Payment Method Money order, cashier’s check, or certified bank check (No personal checks or cash)
Form Usage Application for Certification, Authorization, or Permit
Criminal History Record Check Required for initial issuance or renewal as per Connecticut General Statutes Section 10-221d
Department of Children and Families’ Check Applicants must submit to a records check of the child abuse and neglect registry
Submission Address P.O. Box 150471, Hartford, CT 06115-0471

How to Use Connecticut Ed 170

Once you have decided to apply for certification in the field of education within Connecticut, it is essential to follow the correct procedure to ensure your application is processed without any delays. The ED 170 form is a critical component of this process. Ensuring that you fill out this document accurately and provide all required attachments is crucial for a successful application. Below is a step-by-step guide designed to assist you in completing the Connecticut ED 170 form accurately.

  1. Start by preparing a NONREFUNDABLE application fee of $50. This should be in the form of a money order, cashier's check, or certified bank check made payable to “Treasurer, State of CT”. Personal checks and cash are not accepted.
  2. Enter your personal information, including your LAST NAME, FIRST NAME, MIDDLE INITIAL (MI), GENDER, SOCIAL SECURITY NUMBER, BIRTH DATE, and ADDRESS. Note that P.O. Boxes are not accepted for the address field.
  3. If you have had a former last name(s), make sure to provide this in the specified section.
  4. Provide your PHONE numbers (Home/Cell and Work) and E-MAIL ADDRESS.
  5. Answer the three questions about criminal convictions, dismissal from positions, and any adverse actions against your professional certificates or licenses. If you answer “YES” to any question, attach a separate signed statement of explanation for each incident and include official documents from court or administrative records.
  6. Mark your Race/Ethnicity, though this field is optional.
  7. For the section on Endorsement, enter the code(s) for the specific endorsement(s) you are seeking. If applying for a bilingual endorsement or specific occupational/vocational area, indicate accordingly.
  8. Under the education section, list all colleges or universities attended, including the name of the institution, the state it's located in, your major field of study, and the year of graduation, along with the degree awarded.
  9. Provide your work history for the last ten years. For each position, list the name of the school, its location, your job title, the subject/field, grades taught, and the dates employed. Exclude student teaching, substitute or paraprofessional experiences.
  10. For experiences out-of-state that fall within the last 10 years, attach a copy of both sides of any out-of-state certificates.
  11. Sign the certification at the bottom of the form to attest that all information provided is true and complete. Include the date right next to your signature.
  12. Prepare all additional required documents for your application type, such as official transcripts and letters of experience.
  13. Finally, mail your completed ED 170 form along with the $50 application fee and any required attachments to the address provided in the form: P.O. Box 150471, Hartford, CT 06115-0471.

After submitting your application, you will receive an email if additional information or documentation is required. Make sure to keep a copy of all materials submitted for your records. By carefully following these instructions, you can ensure your application is complete and processed in a timely manner. Remember to provide a current and accurate email address to receive timely updates on the status of your application.

More About Connecticut Ed 170

  1. What is the Connecticut ED 170 form?
  2. The Connecticut ED 170 form is a general application for certification used by the Connecticut State Department of Education's Bureau of Educator Standards and Certification. It's intended for individuals applying for a teaching certificate in the state.

  3. What methods of payment are accepted for the application fee?
  4. The application fee can be paid using a money order, cashier’s check, or certified bank check made payable to “Treasurer, State of CT.” Personal checks and cash are not accepted.

  5. Are there any specific sections on the form I need to be attentive to?
  6. Yes, particularly pay attention to the sections asking about previous convictions, dismissals for cause, and any past issues with professional certifications. These require detailed explanations and official documentation for any "YES" answers.

  7. How much is the nonrefundable application fee?
  8. The nonrefundable application fee is $50, which must accompany your ED 170 form for your application to be processed.

  9. Can I submit my transcripts electronically?
  10. Yes, official transcripts can be submitted electronically. E-transcripts should be sent directly by the educational institutions to [email protected]. This method is preferred as it can expedite the processing time of the application.

  11. What if I have previous teaching experience from another state?
  12. If you have prior teaching experience in another state, you must submit the ED-126 Statement of Professional Experience along with a copy of your out-of-state teaching certificate/license. This documentation is required to verify your experience.

  13. How will I know if additional information or documents are needed for my application?
  14. The Bureau of Educator Standards and Certification will contact you via email if further documentation or credentials are necessary for the processing of your application. Ensure your email address is current and accurately provided on the application.

  15. Where can I find more information or get assistance with my application?
  16. For more information or assistance, you can email the Bureau at [email protected], visit their website at www.ct.gov/sde/cert, or call at 860-713-6969. They have a 24-hour automated phone line available on Monday and Thursday between 12-4 p.m., and you can speak with a staff member by pressing zero two times during the greeting.

Common mistakes

Filling out the Connecticut Ed 170 form, which is crucial for the certification process for educators, involves providing detailed and accurate information. However, applicants often encounter common pitfalls during this process. Understanding these mistakes can help ensure the application is completed correctly, increasing the likelihood of approval.

Incorrect Fee Payment: One of the first steps in the application process involves the submission of a $50 nonrefundable application fee. This fee must be paid via money order, cashier’s check, or certified bank check, made payable to the "Treasurer, State of CT". A common mistake is attempting to pay this fee with personal checks or cash, which the form explicitly states are not accepted. This oversight can lead to delays in processing the application.

Incomplete Personal Information: The form requests detailed personal information, including last name, first name, middle initial (MI), gender, social security number, birth date, and contact details. Applicants sometimes leave fields blank or provide incomplete information. Notably, the form requires a physical address rather than a P.O. Box, and many overlook this requirement, providing inadequate contact information.

Omission of Required Documentation: If an applicant answers "YES" to questions regarding past convictions (excluding minor traffic violations), dismissals for cause from any position, or any disciplinary action related to professional credentials, it is mandatory to attach a signed statement of explanation. Furthermore, official copies of court or administrative records, including the disposition of each case, must be included. Failing to attach these documents can halt the application process since it leaves critical sections incomplete and questions unanswered.

Educational and Professional History Gaps: The form requires a detailed account of the applicant's educational background and work experience within the last ten years, starting with the most recent position. Excluding roles such as student teaching, substitute, or paraprofessional experience is a stipulation some applicants miss, leading them to include unnecessary information. Conversely, others might not provide a complete history, including significant gaps in employment or education, which raises questions about the applicant's qualifications and continuous professional development.

  1. Always follow the payment instructions carefully to avoid delays.
  2. Provide complete personal information as requested, paying special attention to the details that could easily be overlooked, such as the no P.O. Box requirement.
  3. Attach all required documentation for any "YES" answers related to your background checks, including explanatory statements and official records.
  4. Ensure your educational and professional history is comprehensive, correctly reflecting your experiences and qualifications over the past decade.

By avoiding these common mistakes and following the instructions provided by the Connecticut State Department of Education, applicants can streamline the certification process. This attention to detail not only demonstrates professionalism but also significantly increases the likelihood of a successful application.

Documents used along the form

When applying for a teaching certificate in Connecticut using the ED 170 form, applicants are often required to include additional forms and documents to complete their application process. Understanding these supplementary materials can significantly streamline the process. Here is a list of some of these forms and documents, along with brief descriptions:

  • ED 126 Statement of Professional Experience: This document is necessary for applicants with prior teaching experience. It provides a detailed account of their work history in the education field, including positions held, locations, and dates of employment.
  • ED 125 Statement of Preparing Higher Education Institution: Required for graduates of teacher preparation programs, this form is completed by the college or university to verify the applicant's completion of an educator preparation program.
  • Official Transcript(s): Applicants must submit transcripts from all colleges or universities attended. These transcripts provide evidence of the applicant's academic qualifications, including coursework and degrees earned.
  • E-Transcripts Submission: As an alternative to traditional mailed transcripts, applicants can have their educational institutions submit official transcripts directly via email to facilitate a faster processing time.
  • ED 179 Application for Continuation: Utilized by educators seeking to continue their Connecticut Professional Educator Certificate, highlighting the need for ongoing professional development and certification maintenance.
  • ED 183 Application for Renewal of an Initial Educator Certificate: This form is for individuals looking to renew their initial teaching certification, ensuring they remain qualified to teach without interruption.
  • Criminal History Record Check Authorization: Applicants must consent to a background check by the Connecticut State Police, in compliance with state law, to ensure the safety and security of students.
  • Department of Children and Families (DCF) Child Abuse and Neglect Registry Check: This verification is essential for identifying any history of child abuse or neglect, aligning with efforts to protect children’s welfare in educational settings.

Collectively, these documents complement the ED 170 form by providing a comprehensive profile of the applicant's educational background, professional experiences, and personal character. Diligently preparing and submitting these forms not only facilitates a smoother review process but also helps ensure that all educators serving Connecticut’s students meet the highest standards of professionalism and ethical conduct.

Similar forms

  • The Connecticut Ed 170 form, utilized for general applications for various types of educational certification, bears a resemblance to the Form ED 179, which is specifically designed for the continuation of a Connecticut Professional Educator Certificate. Both forms require personal information, educational background, and professional experience details. However, Form ED 170 is more comprehensive, asking for information regarding any criminal history, dismissal from positions, or disciplinary actions related to professional credentials. In contrast, Form ED 179 focuses on the continuity of an already established certification, making it somewhat less exhaustive in terms of the breadth of background information requested.

  • Another document similar to the Connecticut Ed 170 form is the Form ED 183, dedicated to the renewal of an Initial Educator Certificate. Like the ED 170, applicants must provide a detailed account of their personal details, education, and work history. Both forms serve as a means to assess the eligibility of individuals seeking certification or renewal in the education field. The key difference lies in their purpose: while the ED 170 can be used by first-time applicants or those seeking a new certification, the ED 183 is specifically tailored for educators looking to renew an existing Initial Educator Certificate. This specificity in the ED 183 form means it may additionally require evidence of ongoing professional development or other criteria necessary for the renewal process.

  • Similarly, the Connecticut Ed 170 form can be compared to the Form ED-126 Statement of Professional Experience. This document is used by applicants who need to verify their work experience in educational settings. Both the Ed 170 and the ED-126 collect detailed information about the applicant's professional background, including position titles, employment dates, and locations. The main distinction between these forms is that the Ed 170 is a comprehensive application for certification, encompassing areas beyond work experience, such as personal identification, educational qualifications, and legal attestations. In contrast, the ED-126 is narrowly focused on documenting and verifying an applicant's professional experiences in education, often as a complementary form to the main application process represented by the Ed 170.

Dos and Don'ts

When filling out the Connecticut Ed 170 form for general application for certification, it’s crucial to follow specific guidelines to ensure the process goes smoothly. Here’s a list of things you should and shouldn't do:

Do:

  • Complete all sections of the application accurately. This helps to prevent delays in the processing of your application.
  • Enclose the correct application fee of $50 in the form of a money order, cashier’s check, or certified bank check payable to: “Treasurer, State of CT”. No personal checks or cash are accepted, and this fee is nonrefundable.
  • Provide an official transcript. If possible, request that your college or university send e-transcripts directly to [email protected] to expedite the processing time of your application.
  • Sign the application form. An unsigned application will not be processed.
  • Attach additional documents as required, such as the ED-125 Statement of Preparing Higher Education Institution and/or ED-126 Statement of Professional Experience, along with a copy of any out-of-state certificate/license for applicants with prior teaching experience.
  • Keep a copy of the application and all accompanying documents for your records. This can be helpful for future reference or in case any information needs to be resubmitted.

Don't:

  • Send personal checks or cash for the application fee, as they are not accepted.
  • Leave sections incomplete. If a section does not apply, it is better to write “N/A” than to leave it blank. This assures the reviewer that you did not overlook any part of the application.
  • Forget to sign the application. An unsigned application is considered incomplete and will not be processed.
  • Omit the explanation and documentation for any “Yes” responses to questions about convictions, dismissals, or disciplinary actions regarding any certificates, licenses, or permits. Details and records must be included for a thorough review.
  • Use a P.O. Box for your address. The application requires a street address. If you do not provide this, it could delay processing.
  • Assume submission equates to immediate approval or denial. The approval process may take time, and the Bureau of Educator Standards and Certification will contact you if additional information is needed. Always ensure your contact information, especially your email address, is current and accurate.

Misconceptions

There are several common misconceptions about the Connecticut Ed 170 form that can confuse applicants. Here’s a look at some of the most frequent misunderstandings:

  • The application fee is refundable: It's important to understand that the application fee of $50, paid via a money order, cashier’s check or certified bank check, is nonrefundable. This means once you have submitted your application fee, you cannot get it back, regardless of the outcome of your application.
  • Personal checks and cash are accepted for the application fee: The form clearly states that the payment cannot be made with personal checks or cash. Acceptable forms of payment include money orders, cashier's checks, or certified bank checks, and they must be made payable to the “Treasurer, State of CT”.
  • Minor traffic violations need to be reported: When the form asks if you have been convicted of any crime, it specifically excludes minor traffic violations. Therefore, you do not need to include such incidents on your application.
  • All teaching experience must be included: The form requests information on your education and work history within the last ten years, excluding student teaching, substitute teaching, or paraprofessional experience. This guidance helps focus the application on relevant, professional teaching roles.
  • E-mail submission of all documents is preferred: While e-transcripts are encouraged to expedite processing, the form does not specify that all documents should or can be submitted via e-mail. Specific instructions are provided for the submission of different types of documents, including hard copies where required.
  • The form is for initial certification only: The Ed 170 form serves multiple purposes, including applying for initial certification, adding an endorsement, and more. Misunderstanding its purpose can lead applicants to fill out the wrong form for their needs.
  • Answers to the questions about past convictions or disciplinary actions are optional: Applicants might think twice about disclosing past convictions, dismissals, or disciplinary actions against their certifications. However, answering “YES” to any of these questions requires an attached signed statement of explanation, and failure to do so can have serious repercussions.
  • All applicants must submit Form ED-126 Statement of Professional Experience: While the Form ED-126 is an essential document for many applicants, especially those with prior teaching experience and seeking certain endorsements, it is not universally required for all applicants. Understanding the specific documentation you need to submit is crucial.
  • Renewal of an Initial Educator Certificate can be applied for using this form: Applicants looking to renew an Initial Educator Certificate should use Form ED 183, not the Ed 170 form. This distinction is crucial for ensuring the application is processed properly and for the correct certification purpose.

Understanding these misconceptions can help streamline the application process and reduce errors, making it smoother for applicants seeking certification or endorsement in Connecticut.

Key takeaways

Filling out the Connecticut Ed 170 form, an essential step for educators seeking certification, demands meticulous attention to ensure accuracy and compliance with the Connecticut State Department of Education's standards. Here are seven key takeaways to guide applicants through this process:

  • Application fees are strictly non-refundable. Applicants must enclose a $50 application fee in the form of a money order, cashier’s check, or certified bank check payable to the “Treasurer, State of CT.” It's crucial to remember that personal checks and cash are not accepted.
  • Completeness is key. Every section of the Ed 170 form must be filled out accurately. This includes personal information, educational background, and any professional experience, especially that acquired in the last ten years. Omitting information could delay the process or affect the application's outcome.
  • Applicants must disclose any criminal convictions, dismissals from positions for cause, or any adverse actions related to professional credentials. A “YES” response to these questions requires a detailed statement of explanation, along with official copies of court or administrative records.
  • Selection of endorsements is vital. Applicants can seek up to four endorsements on the same application, including bilingual endorsements if needed. It's critical to indicate the specific occupational or vocational area for certain endorsements to ensure the application is processed for the correct certification area.
  • Educational transparency is required. The form mandates the listing of all colleges or universities attended, along with the major field of study, year of graduation, and degrees awarded. This information must be accompanied by official transcripts or e-transcripts sent directly by the education institution to facilitate speedier processing.
  • Professional experience counts. Applicants with prior teaching experience, including out-of-state experience, must attach the ED-126 Statement of Professional Experience. This document verifies the applicant's teaching history and is essential for those applying for cross endorsement or higher-level certifications.
  • Communication with the Bureau of Educator Standards and Certification is essential. Upon the submission of an application, the Bureau will communicate primarily through email. It is imperative that applicants provide a current, accurate email address and retain copies of all submitted materials for their records. For further inquiries, detailed contact information, including an email address, website, fax, and phone number, is provided to facilitate easy communication with the Certification Bureau.

Understanding these key aspects of the Connecticut Ed 170 form can simplify the certification process for applicants, ensuring a smoother, more efficient path to becoming certified educators in Connecticut.

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