Homepage Free Connecticut Ed 174 Form
Structure

In today's rapidly changing educational landscape, the Connecticut Ed 174 form embodies a crucial administrative procedure for those aspiring to enter the teaching profession without the traditional educational qualifications. Designed by the Connecticut State Department of Education and revised in January 2012, this form facilitates the application process for individuals seeking authorization as substitute teachers, specifically tailored for candidates who have not yet completed a bachelor's degree. The inclusion of personal information, educational background, and criminal and professional conduct history in the form highlights the state's comprehensive approach to ensuring the quality and reliability of substitute teachers entering the profession. Furthermore, the form requires applicants to list their substitute teaching experience and any unique qualifications, underscoring the importance of practical, hands-on experience in the educational field. The rigorous attestation process, both from the applicants and the employing agents, ensures the authenticity and accuracy of the information provided, thereby upholding the standards of the teaching profession in Connecticut. As substitute teaching becomes an increasingly integral part of the education system, understanding the nuances of the Ed 174 form and its implications for future educators is essential for those navigating the requirements and opportunities in substitute teaching within the state.

Connecticut Ed 174 Sample

ED 174

CONNECTICUT STATE DEPARTMENT OF EDUCATION

REV. 1/12

Bureau of Educator Standards and Certiication

C.G.S. 10-145, P.A. 11-27

P.O. Box 150471 – Room 243

C.G.S. 10-145d

Hartford, CT 06115-0471

Regs. 10-145d-420

 

www.ct.gov/sde

APPLICATION FOR SUBSTITUTE TEACHER AUTHORIZATION

FOR CANDIDATES WHO HAVE NOT COMPLETED A BACHELOR’S DEGREE

PART I: PERSONAL INFORMATION (Print all information in dark ink and in uppercase letters.)

 

LAST NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MI

 

 

GENDER (M/F)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOCIAL SECURITY NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BIRTH DATE (Month-Day-Year)Required

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS (Street)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Apt #)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(City)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FORMER LAST NAME(S)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(State)

(Zip Code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Race/Ethnicity

1.

 

 

Native American

 

 

 

 

 

 

 

 

 

 

 

 

(Home/Cell)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

Asian/Paciic Islander

 

 

E-MAIL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

Black

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Optional)

4.

 

 

White

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

 

 

Hispanic

 

 

 

 

 

 

 

 

 

1.

Have you ever been convicted of any crime, excluding minor trafic violations?

 

YES

NO

2. Have you ever been dismissed for cause from any position?

 

YES

NO

3.

Have you ever surrendered a professional certiicate, 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 10-221d, the State Board of Education must complete a criminal history records check on each applicant for an initial issuance or renewal of a certiicate, authorization or permit. Each applicant seeking an initial issuance or renewal of a certiicate, 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 a criminal history records check the database of all persons who hold any certiicate, 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 oficial copies of court or adminis- trative record(s), including disposition of each case.

Information on this application is subject to disclosure pursuant to the Freedom of Information Act.

PAGE 1

ED 174

PART II: EDUCATIONAL BACKGROUND

List all education you have completed, including high school, trade-related vocational school and/or other postsecondary schooling.

NAME OF SCHOOL

STATE DATES ATTENDED

From (M/Y) To (M/Y)

EDUCATION LEVEL COMPLETED

(H.S. Diploma, GED, Assoc. Degree)

List ALL substitute teaching experience or any other experiences you have had working with school-age children, along with any unique qualiications for the substitute position. (Please attach your resume, or a separate sheet, if necessary.)

PART III: APPLICANT ATTESTATION

I certify that the information provided by me on this application and any accompanying documents contains no material misrepresentations, falsiications 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 veriied and that any material misrepresentation, falsiication or omission may result in the denial or revocation of my certiicate(s), permit(s) or authorization(s).

ORIGINAL SIGNATURE OF APPLICANT

DATE:

PART IV: EMPLOYING AGENT INFORMATION AND ATTESTATION

The applicant will serve only as a substitute teacher in random assignments and only up to 40 days in one assignment.

Signature of Superintendent, Executive Director or designee attesting to the accuracy of information

(Original Signature: No Signature Stamps Accepted)

Typed or Printed Name of Person Signing Above

District

Street

City,

State, Zip Code

FOR OFFICE USE ONLY

The person named on this application is authorized of education listed above.

Authorized Signature:

Date

Title

Telephone

FAX Number

E-mail Address

is NOT authorized to serve as a substitute teacher for the board

Date:

Original Signatures Must Be On Form Submitted

PAGE 2

ED 174

CONNECTICUT STATE DEPARTMENT OF EDUCATION

REV. 1/12

Bureau of Educator Standards and Certiication

 

C.G.S. 10-145, P.A. 11-27

P.O. Box 150471 – Room 243

C.G.S. 10-145d

Regs. 10-145d-420

Hartford, CT 06115-0471

 

 

www.ct.gov/sde

INSTRUCTIONS TO APPLICATION FOR SUBSTITUTE TEACHER AUTHORIZATION

FOR CANDIDATES WHO HAVE NOT COMPLETED A BACHELOR’S DEGREE

THIS CHECKLIST MUST BE ATTACHED TO THE COMPLETE APPLICATION PACKET

Listed below are the required documents which must be submitted to the Bureau of Educator Standards and Certi- ication to process your request for a Substitute Teacher Authorization for candidates who have NOT completed a bachelor’s degree. This authorization will expire on June 30 of the school year during which it was approved.

Applicant:

a. Complete Parts I, II and III.

b. Return completed application to the superintendent of schools, executive director or designee.

Employing Agent:

a. Complete Part IV and mail application and supporting documentation to the Bureau of Educator Standards and Certiication at the above address.

Information on this application is subject to disclosure pursuant to the Freedom of Information Act.

Document Features

Fact Detail
Form purpose Application for Substitute Teacher Authorization for candidates who have not completed a Bachelor’s degree
Governing Laws Connecticut General Statutes (C.G.S.) 10-145, Public Act (P.A.) 11-27, C.G.S. 10-145d, Regulations (Regs.) 10-145d-420
Issuing Department Connecticut State Department of Education, Bureau of Educator Standards and Certification
Validity This authorization expires on June 30 of the school year during which it was approved.

How to Use Connecticut Ed 174

The process of applying for a Substitute Teacher Authorization in Connecticut, specifically designed for candidates who have not completed a bachelor’s degree, involves compiling and submitting necessary information to the Connecticut State Department of Education. Following the right steps ensures that the application is properly reviewed and processed. Each part of the form requires attention to detail to accurately reflect personal information, educational background, and attestations regarding the applicant's truthfulness and eligibility. Moreover, the employing agent's portion attests to the applicant's intended role and adherence to regulations.

  1. Begin by completing Part I: Personal Information. Use dark ink and uppercase letters to fill in your last name, first name, middle initial, gender, social security number, date of birth, address, phone number, and optional email address. If applicable, include your former last name(s) and select your race/ethnicity from the provided options.
  2. Answer the questions regarding criminal convictions, dismissals from position, and disciplinary actions related to professional certificates, licenses, or permits. If you answer “YES” to any, attach a detailed statement for each incident and include official documents concerning the disposition of each case.
  3. Proceed to Part II: Educational Background. List all educational institutions attended, including high school and postsecondary schools, states, dates attended, and the highest level of education completed for each. Additionally, detail any substitute teaching experience or other relevant experience working with school-age children. Attach your resume or a separate sheet if needed for extra space.
  4. In Part III: Applicant Attestation, certify the accuracy and truthfulness of the information provided in the application and accompanying documents. Review your entries thoroughly before signing and dating this section. Remember, falsifications, omissions, or inaccuracies can lead to the denial or revocation of authorization.
  5. The Part IV: Employing Agent Information and Attestation must be completed by the superintendent, executive director, or their designee. This section confirms the applicant’s future role as a substitute teacher, including limitations on assignment lengths and settings. The employing agent must provide their original signature—no stamp reproductions—to attest to the application’s accuracy.
  6. Finally, ensure that all required documents listed in the instructions are attached to your application packet. This includes the application form itself (Parts I through IV), any statements and official records concerning "YES" answers in Part I, and your resume or additional sheets for experiences listed in Part II.
  7. Submit the completed application packet to the employing agent (superintendent of schools, executive director, or design aee). They will then forward the documentation to the Bureau of Educator Standards and Certification for processing.

Upon submission, the application will undergo a review by the Connecticut State Department of Education. The provided information, along with the background checks required by state law, will determine the applicant's eligibility for a Substitute Teacher Authorization. It’s critical to ensure all information is accurate, complete, and submitted by the specified deadlines to facilitate a smooth review process.

More About Connecticut Ed 174

  1. What is the purpose of the Connecticut Ed 174 form?

    The Connecticut Ed 174 form is an application used by individuals seeking substitute teacher authorization in the state of Connecticut, particularly for those who have not completed a bachelor’s degree. This form gathers personal information, educational background, any criminal history, and substitute teaching experience to determine eligibility for substitute teaching authorization.

  2. Who needs to complete the Connecticut Ed 174 form?

    Any individual who wishes to serve as a substitute teacher in Connecticut and has not completed a bachelor’s degree needs to complete the Ed 174 form. This requirement is part of the process to ensure that substitute teachers meet certain educational standards and are properly vetted before working with school-age children.

  3. What information do I need to provide on the Ed 174 form?

    The form requires several types of information, including:

    • Personal details like name, social security number, address, gender, ethnicity, and contact information.
    • A declaration of any criminal history, dismissals for cause from any position, and any professional disciplinary actions.
    • Educational background, including high school, trade-related vocational schools, and other postsecondary schooling, plus any substitute teaching experiences or experiences working with school-age children.
    • An attestation by the applicant affirming the accuracy and truthfulness of the information provided.
  4. What happens if I answer "YES" to any of the questions about criminal history or professional discipline on the form?

    If you answer "YES" to any questions regarding criminal history, dismissals, or disciplinary actions against professional certifications or licenses, you must attach a signed statement explaining each incident in detail. Additionally, official copies of court or administrative records, including the disposition of each case, must be submitted with the application. This information is required to evaluate the eligibility for obtaining substitute teaching authorization.

  5. How do I submit the Ed 174 form, and what happens after submission?

    After completing the necessary parts of the form, you return the completed application to the superintendent of schools, executive director, or their designee. The employing agent then completes their section of the form and submits the application and supporting documentation to the Bureau of Educator Standards and Certification. Upon submission, the information provided will be reviewed, and a criminal history records check, along with a check of the Department of Children and Families’ child abuse and neglect registry, will be conducted. If approved, the authorization to serve as a substitute teacher will be granted, subject to the terms and limitations specified, such as the maximum number of days allowed in one assignment.

Common mistakes

Filling out the Connecticut ED 174 form, crucial for those aspiring to take up substitute teaching roles without a bachelor’s degree, demands attention to detail. Common mistakes can delay or negatively impact the application process:

  1. Not using dark ink or uppercase letters for personal information: The instructions specify these requirements to ensure readability and consistency. Ignoring this can make your application hard to process.
  2. Overlooking the requirement for original signatures: Photocopies or digital signatures might seem convenient but are unacceptable. The form necessitates original signatures in several sections, underscoring the importance of authenticity and personal accountability.
  3. Failure to attach additional documents when answering "Yes" to any of the personal history questions: If there are any past convictions, dismissals, or credential actions, the form requires a detailed explanation and official documents. Many applicants miss this step, potentially leading to incomplete applications.
  4. Omitting educational or substitute teaching experiences: Every bit of relevant experience counts. Neglecting to list all educational backgrounds, including trade or vocational schools, or failing to detail substitute teaching and experiences with school-age children, can weaken your application.
  5. Inaccuracy in filling out the "Employing Agent Information": This section is critical for verifying your potential employment and must be completed accurately by the superintendent or designated authority. Errors or incomplete information here can stall the verification process.
  6. Forgetting to attach the checklist and required documents: The checklist at the end of the form is meant to ensure all necessary documents are submitted. Overlooking this can result in submission of an incomplete application packet.

Avoiding these mistakes is crucial for a smooth application process. Paying close attention to the specific requirements of each section, ensuring all necessary documents are attached, and double-checking that all personal and employment information is filled out correctly and legibly can significantly enhance the chances of approval for a Substitute Teacher Authorization in Connecticut. Applicants are advised to review their application thoroughly before submission to avoid common pitfalls.

  • Applicants should remember to use dark ink and uppercase letters for clarity.
  • Ensuring all sections requiring an original signature have one avoids unnecessary delays.
  • Attaching a thorough explanation and the requisite documents when answering positively to any background question is essential for a transparent evaluation process.
  • Do not underestimate the value of detailing all educational and teaching experiences. Every detail contributes to building a strong application.
  • The accuracy of the "Employing Agent Information" impacts the verification process; it’s critical to double-check these details.
  • Finally, attaching the checklist and all required documents is a crucial last step that should not be overlooked.

By being mindful of these common errors and taking proactive steps to address them, applicants can navigate the process more effectively, showcasing their qualifications and readiness to contribute to Connecticut's education system as substitute teachers.

Documents used along the form

The Connecticut Ed 174 form serves as a vital document for candidates seeking Substitute Teacher Authorization, especially those who haven't completed a bachelor's degree. It's a comprehensive form that requires meticulous detail regarding personal information, educational background, and any past experience relevant to teaching. However, to ensure a complete application process, various other forms and documents often accompany the Connecticut Ed 174 form. Each plays a crucial role in painting a full picture of the candidate's qualifications and suitability for the role.

  • Resume or Curriculum Vitae (CV): Provides a detailed overview of the applicant’s educational background, work experience, skills, accomplishments, and any other relevant information that can support their application.
  • Transcripts: Official transcripts from all postsecondary institutions attended by the applicant are necessary to verify the educational qualifications listed on the application.
  • Criminal History Record Check Consent Form: Required to allow the Department of Education to conduct a background check, ensuring the applicant’s suitability to work with children.
  • Child Abuse and Neglect Records Check Consent: This consent form permits a check against the Department of Children and Families’ child abuse and neglect registry.
  • Letters of Recommendation: Letters from previous employers, educators, or professional mentors that attest to the applicant’s character, work ethic, and capabilities in an educational setting.
  • Proof of Completion of a Teacher Preparation Program: For those who have completed such a program, official documentation or certification must be submitted as part of the application process.
  • Fingerprinting Clearance: Some schools or districts may require fingerprinting as part of their background checks, separate from the state’s criminal history record check.
  • Signed Attestation of Truth and Accuracy: This document requires the applicant to attest that all information provided in the application and accompanying documents is accurate and truthful.
  • Certificate of Health: A recent health certificate from a licensed physician may be requested to ensure the applicant is in good health and capable of performing the duties associated with substitute teaching.
  • Identification Documents: Copies of government-issued identification (e.g., Driver's License, Passport) are typically required to verify the applicant’s identity.

Together, these documents complement the Connecticut Ed 174 form, creating a thorough application package for substitute teacher authorization. As every school district may have unique requirements, it's essential for applicants to check with the specific district they're applying to, ensuring that all necessary paperwork is submitted. This careful preparation not only demonstrates professionalism but also significantly enhances the applicant’s chances of obtaining the desired authorization.

Similar forms

The Connecticut Ed 174 form is similar to several other documents required for educational positions, focusing on ensuring that candidates meet the necessary requirements and qualifications before taking on a role in education. These documents each serve to collect important information from applicants, ensuring they are fit for their desired positions.

The first document similar to the Connecticut Ed 174 form is the Universal Application for Employment as a Locally Employed Staff or Family Member (DS-174). Both forms are designed to gather comprehensive personal and professional information from applicants, including education, work experience, and personal identification details. While the DS-174 is used for positions within the U.S. Department of State, particularly for overseas or local employment, it parallels the Ed 174 form in its thoroughness of background information required, encompassing education history and previous employment verification.

Another document that bears resemblance to the Ed 174 form is the Teacher Certification Application used in various states. Similar to the Connecticut Ed 174, this application is vital for individuals seeking official recognition and authorization to teach. Both documents require detailed personal information, educational background, and responses to questions related to criminal history and professional conduct. The Teacher Certification Application, like the Ed 174, plays a crucial role in the certification process, ensuring that candidates qualify under the state's education standards and regulations.

Lastly, the Ed 174 form is akin to the Substitute Teacher Application found in many school districts. While both are geared towards individuals aiming to teach, the Substitute Teacher Application specifically targets those looking for short-term, substitute teaching positions. It collects similar types of information, such as personal data, educational background, and teaching experience. Additionally, both forms include sections where applicants must disclose any criminal history and attest to the accuracy of the information provided, underlining the importance of integrity and transparency in the process of applying for teaching roles.

Dos and Don'ts

When applying for substitute teacher authorization in Connecticut, particularly when utilizing the Ed 174 form, applicants need to be mindful of both the dos and don'ts to ensure their application process is smooth and effective. Here is a guide to help navigate this process:

Do:
  • Provide accurate personal information: Ensure all personal information, especially your name, address, and contact details, are correct and filled out in uppercase letters as requested.
  • Fully disclose your criminal and professional history: Honestly answer questions about past convictions, dismissals, or any disciplinary actions against professional certifications. Attach a statement of explanation when required.
  • List all educational and related experiences: Include details about your high school, trade school, or any postsecondary schooling, as well as any substitute teaching experience or work with school-age children. Attaching a resume can provide a more comprehensive overview of your qualifications.
  • Sign the attestation: Your signature certifies that all the information you've provided is true and accurate. Failing to sign this section can invalidate your application.
Don't:
  • Leave fields blank: Ensure no section is left unfilled. If a section does not apply to you, indicate with 'N/A' (not applicable) instead of leaving it empty.
  • Use signature stamps: Original signatures are required on the application. Signature stamps are not acceptable and could result in your application being deemed as incomplete.
  • Forget to attach required documents: If you answer "YES" to any question about your criminal or professional history, you must attach a signed explanation and official copies of relevant records. Neglecting to include these can delay processing your application.
  • Submit without verifying information: Double-check all entered information for accuracy and completion before submission. Mistakes or omissions can lead to processing delays or denials.

Adhering to these guidelines when filling out the Connecticut Ed 174 form will help ensure a smoother application process for substitute teacher authorization. Remember, the objective is to provide a clear, truthful, and complete snapshot of your qualifications and background.

Misconceptions

When considering the Connecticut Ed 174 form, which is an application for substitute teacher authorization specifically designed for candidates who have not completed a bachelor's degree, there are several misconceptions that can easily lead to misunderstandings about the process and requirements. Clarifying these misconceptions is essential for applicants to navigate the application process effectively.

  • Misconception #1: One needs a bachelor's degree to be a substitute teacher in Connecticut.

    This is incorrect. The Connecticut Ed 174 form is specifically for individuals who haven’t completed a bachelor’s degree but wish to obtain authorization to work as substitute teachers. This pathway provides an opportunity for those who are still achieving their educational goals or have chosen alternative educational paths.

  • Misconception #2: Previous teaching experience is required to apply.

    While having some experience working with school-age children may be beneficial, the form itself does not specify that previous teaching experience is a prerequisite. Applicants are, however, encouraged to list any substitute teaching experience or experiences working with school-age children to strengthen their application.

  • Misconception #3: The authorization is permanent.

    The authorization for substitute teaching granted through the Ed 174 form is not permanent. It expires on June 30 of the school year during which it was approved. It's important for substitutes to be aware of this limitation and plan for renewal if they wish to continue in their roles.

  • Misconception #4: Anyone who applies will be accepted.

    Acceptance is not guaranteed for all applicants. The application includes an attestation section where the applicant must certify that the information provided is true and complete. Moreover, applicants must not have any convictions of crimes (excluding minor traffic violations), have never been dismissed for cause from any position, or had a certificate or license revoked or suspended for cause. Answers to these inquiries must be truthful, and any "YES" responses require a detailed explanation.

  • Misconception #5: The process is entirely done online.

    The application process for the Connecticut Ed 174 form involves filling out the form, which may include printing and manually completing it, and then returning the completed application to the superintendent of schools, executive director, or designee. While certain steps may be facilitated by online resources, the process is not exclusively online and may require the handling of physical documents.

Understanding these key points about the Connecticut Ed 174 form and its application process can help prospective substitute teachers set realistic expectations and prepare appropriately. By dispelling these misconceptions, individuals are better positioned to navigate the process effectively and contribute positively to education in Connecticut.

Key takeaways

Understanding the Connecticut Ed 174 form for substitute teacher authorization, especially for candidates without a bachelor’s degree, requires attention to specific instructions and components. Here are key takeaways to assist in filling out and using this form effectively:

  • The application process is designed for individuals aiming to teach in Connecticut public schools as substitute teachers without having completed a bachelor's degree. This reflects an inclusive approach to recruiting educators with diverse educational backgrounds.
  • Applicants are required to provide detailed personal information, including past education and any criminal history. Full disclosure and honesty in these sections are critical, as any misrepresentation can lead to the denial or revocation of the authorization.
  • The form mandates the listing of all educational history and any substitute teaching experience or experiences working with school-age children. This requirement emphasizes the importance of any educational or child-related background the applicant brings to the position.
  • Applicant attestation is an integral part of the application process, requiring the applicant's signature to certify the accuracy and honesty of the provided information. This step underscores the seriousness of the application and the commitment expected from prospective substitute teachers.
  • For the application to be considered complete, it must also include the employing agent's information and an attestation by a superintendent, executive director, or designee. This collaboration ensures that the applicant is supported by the hiring district and meets local requirements.
  • The application highlights a stipulation that the substitute teacher may serve in random assignments up to 40 days for one assignment. This rule is designed to manage substitute teaching periods effectively within the state’s education system.
  • Finally, it's essential to note that all information provided in the application may be subject to verification and is accessible under the Freedom of Information Act. This transparency ensures that the process adheres to state guidelines and maintains the integrity of educational standards.

Understanding these key aspects of the Connecticut Ed 174 form empowers applicants to navigate the application process with confidence. It reflects Connecticut's commitment to maintaining a robust, diverse, and qualified pool of educators to support its public education system.

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