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In the evolving landscape of education, the State of Connecticut has established practical pathways to address teacher shortages through instruments like the Connecticut ED 177 form, a cornerstone in the state's strategy to fill teaching positions in critical shortage areas. This comprehensive form serves as the gateway for applicants seeking the Durational Shortage Area Permit (DSAP), outlining a structured procedure guided by specific criteria and document requirements. It embodies a response to the fundamental challenge of ensuring qualified educators are available where they are most needed, by facilitating a temporary certification mechanism. The ED 177 form enforces state education statutes and regulations, specifically centered around C.G.S. 10-145 and C.G.S. 10-145d, among others, highlighting the collaborative effort between candidates, school or district officials, and educator preparation providers. Each party plays a distinct role, from completing designated sections of the form to providing essential documents such as official transcripts and evidence of enrollment in a teacher preparation program. Moreover, the application process outlined in the ED 177 form reflects a bifurcated approach, catering to both first issuance and reissuance of the DSAP, thereby acknowledging the dynamic careers of educators and their continuous professional development. This integration of regulatory frameworks with practical needs signals Connecticut's proactive stance in tackling educator shortages head-on, ensuring that the state's education system remains robust and capable of delivering quality education across all disciplines and levels.

Connecticut Ed 177 Sample

 

INSTRUCTIONS – PAGE 1

ED 177

CONNECTICUT STATE DEPARTMENT OF EDUCATION

REV. 9/20

Bureau of Educator Standards and Certification

C.G.S. 10-145

P.O. Box 150471

C.G.S. 10-145d

Hartford, CT 06115-0471

Regs. 10-145d-421, 422

 

 

www.ct.gov/sde/cert

 

INSTRUCTIONS FOR FORM ED 177

APPLICATION FOR FIRST ISSUANCE OF THE DURATIONAL SHORTAGE AREA PERMIT (DSAP)

A Durational Shortage Area Permit (DSAP) may be requested by the school or district if a position cannot be filled by an appropriately certified candidate. An application for issuance of a DSAP cannot be initiated by the applicant. The effective date of the DSAP may be the date the original ED 177 is received, provided all requirements for issuance have been met on or before this date. An

ED 177 must be submitted prior to the first day of employment.

Please complete the appropriate section of the checklist below.

CANDIDATE

a. Complete Parts I, II, and III of the application form (ED 177).

b. Attach official transcripts showing the completion of at least 12 semester hours of credit in the subject for which the DSAP is requested. An official transcript showing the completion of a bachelor’s degree must be included if the candidate has never held certification in Connecticut.

SCHOOL OR DISTRICT OFFICIAL

The application form (ED 177) and supporting documentation must be submitted by the employing agent to the Bureau of Educator Standards and Certification. The “Evidence of Enrollment” form ED 177 (Attachment) may be submitted separately.

a. Complete Parts IV and V of the application form (ED 177).

b. Complete the “Evidence of Enrollment” form ED 177 (Attachment) Part A, if applicable. If this part is required, return the

Attachment to the candidate for signature by the appropriate higher education official where the candidate is enrolling in a teacher preparation program or the Alternate Route to Certification program. The Attachment need not be completed if the candidate holds a valid Connecticut certificate and is completing course work under a DSAP to fulfill requirements for a cross endorsement (except for endorsements 102, 112 or 113), or if the candidate has at least 20 school months of successful appropriate* teaching experience in an approved nonpublic school.

EDUCATOR PREPARATION PROVIDER

a. Complete the “Evidence of Enrollment” form ED 177 (Attachment) Part B and Part C, if applicable. The Attachment need not be completed if the candidate holds a valid Connecticut educator certificate and is completing course work under a DSAP to fulfill requirements for a cross endorsement (except for endorsements 102, 112 or 113), or if the candidate has at least 20 school months of successful appropriate* teaching experience in the same approved nonpublic school.

*The twenty months must be in the subject area or field for which the initial educator certificate will be sought (CT State Regulation 10-145d-412 (3)(A)).

 

INSTRUCTIONS – PAGE 2

ED 177

CONNECTICUT STATE DEPARTMENT OF EDUCATION

REV. 9/20

Bureau of Educator Standards and Certification

C.G.S. 10-145

P.O. Box 150471

C.G.S. 10-145d

Hartford, CT 06115-0471

Regs. 10-145d-421, 422

 

 

www.ct.gov/sde/cert

APPLICATION FOR REISSUANCE OF THE DURATIONAL SHORTAGE AREA PERMIT (DSAP)

A Durational Shortage Area Permit (DSAP) may be requested by the employing agent of a board of education if a position cannot be filled by an appropriately certified candidate. An application for issuance of a DSAP cannot be initiated by the applicant. The effective date of the DSAP will be the date the original ED 177 is received, provided all requirements for issuance have been met on or before this date. An ED 177 must be submitted prior to the first day of employment.

The following checklist outlines the sections of the form to be completed and documents which must be submitted by the employing agent in order for the Bureau of Educator Standards and Certification to determine eligibility for a DSAP.

CANDIDATE

a. Complete Parts I, II, and III of the application form (ED 177).

b. Attach official transcripts showing the completion of at least nine semester hours of credit during the validity period of the previous DSAP in the subject for which the DSAP is requested.

SCHOOL OR DISTRICT OFFICIAL

The application form (ED 177) and supporting documentation must be submitted by the employing agent to the Bureau of Educator Standards and Certification. The Attachment may be submitted separately.

a. Complete Parts VI and VII of the application form (ED 177).

b. Complete the “Evidence of Enrollment” form ED 177 (Attachment) Part A, if applicable. If this part is required, return the

Attachment to the candidate for signature by the appropriate higher education official where the candidate is enrolling in a teacher preparation program or the Alternate Route to Certification program. The Attachment need not be completed if the candidate holds a valid Connecticut certificate and is completing course work under a DSAP to fulfill requirements for a cross endorsement (except for endorsements 102, 112 or 113), or if the candidate has at least 20 school months of successful appropriate* teaching experience in an approved nonpublic school.

EDUCATOR PREPARATION PROVIDER

a. Complete the “Evidence of Enrollment” form ED 177 (Attachment) Part B and Part C, if applicable. The Attachment need not be completed if the candidate holds a valid Connecticut educator certificate and is completing course work under a DSAP to fulfill requirements for a cross endorsement (except for endorsements 102, 112 or 113), or if the candidate has at least 20 school months of successful appropriate* teaching experience in the same approved nonpublic school.

*The twenty months must be in the subject area or field for which the initial educator certificate will be sought (CT State Regulation 10-145d-412 (3)(A)).

INSTRUCTIONS – PAGE 3

ED 177

CONNECTICUT ENDORSEMENT CODES

Teaching Endorsements

010Business, 7–12

015English, 7–12

018French, 7–12

019German, 7–12

020Italian, 7–12

021Latin, 7–12

022Russian, 7–12

023Spanish, 7–12

024Other World Language, 7–12

026History & Social Studies, 7–12

029Mathematics, 7–12

030Biology, 7–12

031Chemistry, 7–12

032Physics, 7–12

033Earth Science, 7–12

034General Science, 7–12

035Driver Education

040Agriculture, Pre-K–12

041Vocational Agriculture, 7–12

042Art, PK–12

043Health, P –12

044Physical Education, PK–12

045Home Economics, PK–12

047Technology Education, PK–12

049Music, PK–12

055Partially Sighted, PK–12

057Deaf and Hard of Hearing, PK–12

059Blind, PK–12

062School Library Media Specialist

072 School Nurse-Teacher

073School Dental Hygienist-Teacher

089Marketing Education, 7–12

101World Language Instructor, Elementary

102Remedial Reading & Remedial Language Arts, 1–12

104Cooperative Work Education/Diversified Occupations

110Unique Subject Area

111Teaching English to Speakers of Other Languages (TESOL), PK–12

112Integrated Early Childhood/Special Ed., Birth – Kindergarten

113Integrated Early Childhood/Special Ed., Nursery -K–Elem. 1–3

165Comprehensive Special Education, K–12

215English, Middle School

226History & Social Studies, Middle School

229Mathematics, Middle School

230Biology, Middle School

231Chemistry, Middle School

232Physics, Middle School

233Earth Science, Middle School

234General Science, Middle School

235Integrated Science, Middle School

305Elementary, 1 – 6

317Portuguese, 7–12

318Mandarin Chinese, 7–12

483Dance, Pre-K–12

485Theatre and Drama, Pre-K–12

511Montesori, Elementary, 1–6

512Montesori, Primary, Birth to Kindergarten

826Vocational Department Head: Trade Technology

Administrative Endorsements

Adult Education Endorsements

 

 

085

School Business Administrator

088

Non-English Speaking Adults

092

Intermediate Administration or Supervision

106

High School Credit Diploma Program

093

Superintendent of Schools

107

External Diploma Program/Noncredit Mandated Programs

097

Reading and Language Arts Consultant

 

 

105

Department Chairperson

 

 

 

 

 

Special Services Endorsements

 

 

061

Speech and Language Pathologist

Vocational Endorsements

068

School Counselor

082

Vocational Technical Administrator

070

School Psychologist

090

Occupational Subject, Vocational Technical Schools

071

School Social Worker

091

Trade-Related Subjects, Vocational Technical Schools

268

School Marriage and Family Therapist

098

Trade & Industrial Occupations – Comprehensive High School

 

 

103

Health Occupations – Comprehensive High School

 

 

108

Practical Nurse Education Instruction

NOTE: Bilingual codes are not provided. Check appropriate box on application to request a bilingual endorsement.

PAGE 4

ED 177

CONNECTICUT STATE DEPARTMENT OF EDUCATION

REV. 9/20

Bureau of Educator Standards and Certification

C.G.S. 10-145

P.O. Box 150471

C.G.S. 10-145d

Hartford, CT 06115-0471

Regs. 10-145d-421, 422

www.ct.gov/sde/cert

 

APPLICATION FOR DURATIONAL SHORTAGE AREA PERMIT (DSAP)

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

LAST NAME

FIRST NAME

˗ ˗

SOCIAL SECURITY NUMBER

ADDRESS (Street ONLY, no P.O. Box)

CITY

˗

ZIP CODE

MIGENDER ˗ ˗

BIRTH DATE (Month-Day-Year) - Required

APT. #

(State)

FORMER LAST NAME(S)

PHONE

 

 

 

 

 

˗

 

 

 

 

 

˗

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Home/Cell)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Race/Ethnicity

 

 

 

 

 

 

 

˗

 

 

 

 

 

˗

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Work)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Optional)

E-MAIL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

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

 

 

 

 

YES

 

 

 

 

2.

Have you been dismissed for cause from any position?

 

 

 

 

YES

 

 

 

 

 

 

 

 

3.

Have you ever surrendered a professional certificate, license, permit or other credential

 

 

 

YES

 

 

 

 

 

 

 

(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?

 

 

 

 

 

 

1.Native American

2.Asian/Pacific Islander

3.Black

4.White

5.Hispanic

NO

NO

NO

Pursuant to Connecticut General Statutes Section 10-221d, the State Board of Education must submit, periodically, a database of applicants for an initial issuance of a certificate, 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 certificate, 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 certificate, 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 official copies of court or administrative record(s), including disposition of each case.

Original Signatures Must Be On The Form Submitted

PAGE 1

ED 177

PART II: EDUCATIONAL BACKGROUND

List the names of the colleges or universities attended:

 

 

Dates Attended

Major Field

Degree

Name of Institution

State/Country

From To

of Study

Awarded

 

 

 

 

 

 

 

 

 

 

PART III: CANDIDATE ATTESTATION

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

By checking the “I Agree” box, you agree your typed signature is the legal equivalent of your manual signature on this application.

I Agree

SIGNATURE OF CANDIDATE:

DATE:

PART IV:

SCHOOL OR DISTRICT REQUEST FOR FIRST ISSUANCE OF THE DSAP

1.No certified candidate suitable for the position is available to serve in the subject(s) requested. I hereby request issuance of a DSAP for the applicant to serve as:

 

 

 

Endorsement Required for Position

Specific Subject or Field to be Taught

Grade Level

(see endorsement code list)

Check box if bilingual endorsement is sought in above subject.

Indicate language of the bilingual endorsement

2.List the steps that have been taken to secure a suitable certified person, including dates and specific locations of newspaper, media, vacancy notices, university postings, Internet job positions, teacher agency listings, etc. Please note that advertisements must be within 6 months.

a. Total number of candidates who applied for this position:

b. Number of candidates who hold appropriate Connecticut certification:

c. Number of candidates interviewed for this position:

d.Reason(s) why certified candidates, if any, were not hired. Include any circumstances and conditions which make this position difficult to fill:

3.Indicate why a DSAP is requested for this particular uncertified applicant.

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

PAGE 2

ED 177

PART V: ATTESTATION AND SIGNATURE OF EMPLOYING AGENT

The candidate named on this application:

Has been or will be entered into the Connecticut State Department of Education (CSDE) electronic staff file Educator Data System (EDS), with an assignment code appropriate to the endorsement sought under the DSAP.

Will be given special attention in the form of supervision and other assistance, as appropriate.

Signature of Superintendent, Executive Director or Designee

 

 

Date

attesting to accuracy of information

 

 

(Original Signature: No Signature Stamps Accepted)

 

 

Typed or Printed Name of Person Signing Above

 

 

Title

School or District

 

 

Telephone

City

State Zip Code

 

 

 

 

E-mail Address – School or District Contact

 

 

 

Person

Fax

PAGE 3

ED 177

PART VI:

SCHOOL OR DISTRICT REQUEST FOR REISSUANCE OF THE DSAP

1. I hereby request reissuance of a DSAP for the applicant to serve as:

Specific Subject or Field to be Taught Grade Level Endorsement Required for Position

(see endorsement code list)

Check box if bilingual endorsement is sought in above subject.

Indicate language of the bilingual endorsement

PART VII: ATTESTATION AND SIGNATURE OF SCHOOL OR DISTRICT

The candidate named on this application:

Has completed a minimum of nine semester hours of credit in the subject or field requested during the validity period of the previous DSAP.

Has or will be entered into the CSDE Educator Data System (EDS), with an assignment code appropriate to the endorsement sought under the DSAP.

Has successfully served under the previously issued DSAP.

Will be given special attention in the form of supervision and other assistance, as appropriate.

An ED 177 Attachment is being submitted, if enrollment in a program is required for the endorsement.

Signature of Superintendent, Executive Director or Designee

Date

attesting to accuracy of information

 

 

(Original Signature: No Signature Stamps Accepted)

 

 

Typed or Printed Name of Person Signing Above

 

 

Title

School or District

 

Telephone

City

State Zip Code

 

E-mail Address – School or District Contact

 

 

 

Person

Fax

PAGE 4

ED 177 – Attachment

REV. 9/20

CONNECTICUT STATE DEPARTMENT OF EDUCATION

Bureau of Educator Standards and Certification

P.O. Box 150471

Hartford, CT 06115-0471

www.ct.gov/sde/cert

EVIDENCE OF ENROLLMENT IN AN APPROVED EDUCATOR PREPARATION PROGRAM

NOTE: This ED 177 Attachment need not be completed if the candidate holds a valid Connecticut teaching certificate and is completing course work toward a cross endorsement (except for endorsements 102, 112, or 113).

PART A: Verification of Employment (this part must be completed by the employing agent)

Candidate’s Last Name

First Name

 

 

MI

 

 

Social Security Number

Position/Subject or Field

 

 

 

 

 

Grade Level

 

 

Endorsement Required for Position

(see endorsement code list)

Check box if bilingual endorsement is sought in above subject.

Indicate language for the bilingual endorsement

The candidate named above is being considered for a position which requires the completion of course work under a Durational Shortage Area Permit (DSAP).

Signature of Superintendent, Executive Director or Designee

Date

(Original Signature: No Signature Stamp Accepted)

 

 

Typed or Printed Name of Person Signing Above

 

 

Title

School or District

 

 

Telephone

City

State

Zip Code

E-mail Address – School or Disrict Contact Person

PAGE 5

ED 177 – Attachment (continued)

Name of Applicant:

PART B: Evidence of Enrollment or Application to an Approved Planned Educator Preparation Program

Evidence of Enrollment for Admission to an Approved Planned Educator Preparation Program

The above-named candidate is currently enrolled in or has applied and been accepted for admission to a approved planned program leading toward the institution’s recommendation for certification in:

Position/Subject or Field

Grade Level

Date of Enrollment or Date of Acceptance into the Program

Total number of semester hours of credit required to complete this certification program:

Number of semester hours of credit the candidate has already completed:

PART C: Attestation and Signature of the Certification Officer or the Academic Director of the Alternate Route to Certification (ARC) Program

Signature of Certification Officer or

 

 

Date

Academic Director of the ARC Program

 

 

 

 

Typed or Printed Name of Person Signing Above

 

 

 

 

 

 

Title

Educator Preparation Provider (College, University, ARC)

 

 

Telephone

City

State

Zip Code

 

E-mail Address

Mail Completed Form To:

CONNECTICUT STATE DEPARTMENT OF EDUCATION

Bureau of Educator Standards and Certification

P.O. Box 150471

Hartford, CT 06115-0471

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

PAGE 6

Document Features

# Fact
1 Form ED 177 is issued by the Connecticut State Department of Education for the application of the Durational Shortage Area Permit (DSAP).
2 The form was revised in September 2020, indicating its latest version.
3 DSAPs can be requested by schools or districts when a position cannot be filled by an appropriately certified candidate.
4 Applicants cannot initiate the DSAP application; it must be submitted by the employing school or district.
5 The effective date of a DSAP may be the date the original ED 177 form is received if all issuance requirements are met.
6 The form is governed by Connecticut General Statutes C.G.S. 10-145 and C.G.S. 10-145d, as well as Regulations 10-145d-421 and 422.
7 Candidates must attach official transcripts proving at least 12 semester hours of credit in the subject area for initial DSAP issuance.
8 For reissuance of a DSAP, candidates need to show completion of at least nine semester hours of credit during the validity period of their previous DSAP.
9 An "Evidence of Enrollment" form (ED 177 Attachment) is required under certain conditions detailed on the application.
10 The Connecticut State Department of Education requires this form to be filled out with original signatures and sent to their Hartford office.

How to Use Connecticut Ed 177

Filling out the ED 177 Connecticut State Department of Education form is a crucial step for candidates seeking the Durational Shortage Area Permit (DSAP) and for school or district officials involved in the process. This permit allows schools to fill positions in shortage areas with candidates who might not fully meet the certification requirements but have relevant qualifications. By following the steps below carefully, applicants and supporting officials can ensure that the application is completed accurately, increasing the chance of successful issuance of the DSAP.

  1. For Candidates:
    1. Begin with Part I of the form. Use blue ink and write in uppercase letters to fill out your personal information, including your last name, first name, social security number, address, and contact details.
    2. Move to Part II and provide any additional details required, focusing on your qualifications and the specific shortage area you're applying for.
    3. Complete Part III with information about your educational background. Attach official transcripts showing at least 12 semester hours of credit in the subject area of the DSAP request, and include a transcript showing completion of a bachelor’s degree if you've never held certification in Connecticut.
  2. For School or District Officials:
    1. Fill out Parts IV and V of the ED 177 form, indicating your verification and recommendation for the candidate’s application.
    2. If applicable, complete the “Evidence of Enrollment” form ED 177 (Attachment) – Part A. Return the Attachment to the candidate for the signature by the appropriate higher education official.
  3. For Educator Preparation Providers:
    1. Complete the “Evidence of Enrollment” form ED 177 (Attachment) – Part B and Part C as applicable, ensuring all necessary endorsements and program details are accurately recorded.

Once all relevant sections are completed, the application along with the required documentation should be submitted by the employing agent to the Bureau of Educator Standards and Certification for processing. Make sure that original signatures are present on the form. It's essential for candidates and school or district officials to work closely together throughout this process to gather and submit all necessary information and documentation efficiently. Timeliness and accuracy in completing these steps are key to ensuring a smooth application process.

More About Connecticut Ed 177

  1. What is the Durational Shortage Area Permit (DSAP) in Connecticut?

    The Durational Shortage Area Permit (DSAP) is a special type of teaching permit issued by the Connecticut State Department of Education. It allows schools or districts facing difficulty in filling a teaching position with an appropriately certified candidate to request a permit for an individual who has yet to meet all certification requirements. Essentially, it's a temporary solution to teacher shortages in specific subject areas, enabling schools to hire professionals who are on their way to full certification.

  2. Who can initiate the application for a DSAP?

    An application for a DSAP cannot be started by the prospective teacher themselves. Instead, the application process must be initiated by the employing school or district. This means that a school or district identifies a candidate they wish to hire under the DSAP and then submits the necessary paperwork, including the ED 177 application form, to the Bureau of Educator Standards and Certification on behalf of the candidate.

  3. What are the steps a candidate must take when applying for a DSAP?

    • Complete Parts I, II, and III of the ED 177 application form, ensuring all personal information and details about educational qualifications are accurately filled in.
    • Attach official transcripts indicating the completion of at least 12 semester hours of credit in the subject area for which the DSAP is being requested. If the candidate has never held certification in Connecticut, they must also include an official transcript showing the completion of a bachelor’s degree.
    • For those applying for reissuance of the DSAP, candidates must attach official transcripts showing the completion of at least nine semester hours of credit in the subject area during the validity period of their previous DSAP.
  4. Is there any specific documentation that schools or district officials must submit when applying for a DSAP for a candidate?

    School or district officials are responsible for the submission of the complete ED 177 application form and any supporting documentation. This includes:

    • Completing Parts IV and V (for first issuance) or Parts VI and VII (for reissuance) of the form, which covers the official request and justification for the DSAP issuance or reissuance.
    • Filling out the “Evidence of Enrollment” form (ED 177 Attachment) if the candidate is enrolling in a teacher preparation program, Alternate Route to Certification program, or is completing coursework under a DSAP to fulfill cross endorsement requirements, unless they fall into specific exception categories.

    This collaborative effort between the candidate and the employing school or district ensures that all necessary steps are followed and that the candidate can legally work while pursuing full certification.

Common mistakes

Filling out the Connecticut Ed 177 form, a vital document for those seeking a Durational Shortage Area Permit (DSAP) in education, requires attention to detail and a thorough understanding of the instructions. Unfortunately, many applicants make errors that can delay or even jeopardize their application. Here are ten common mistakes to avoid:

  1. Not using blue ink and uppercase letters for personal information: The form specifies that all personal information must be printed in blue ink and uppercase letters. This requirement helps ensure that the information is legible and processed accurately.
  2. Entering a P.O. Box instead of a street address: The form clearly states that applicants should provide a street address, not a P.O. Box. This detail is crucial for verifying residency and sending correspondence.
  3. Omitting required sections: Candidates might overlook completing all required sections of Parts I, II, and III, while school or district officials might miss Parts IV, V, VI, or VII. Every section that applies to the applicant's situation must be filled out completely.
  4. Forgetting to attach official transcripts: Official transcripts showing the completion of at least 12 semester hours of credit in the subject area (or 9 for reissuance) are required. Failing to attach these can result in an incomplete application.
  5. Overlooking the “Evidence of Enrollment” form or the Attachment: This form or attachment is essential for confirming enrollment in a teacher preparation program or for documenting that the applicant is completing coursework under a DSAP to fulfill requirements for a cross endorsement or has the necessary teaching experience in an approved nonpublic school.
  6. Not providing a signed explanation for any “YES” responses to the criminal history, dismissal, or credential action questions: If any questions regarding criminal history, dismissal for cause from any position, or disciplinary action against a credential are answered with “YES,” the applicant must attach a detailed, signed statement explaining each incident.
  7. Inaccurate endorsement codes: The application asks for specific endorsement codes based on the subject area. Selecting the wrong code can lead to processing delays and potential denial of the correct DSAP.
  8. Submitting incomplete or incorrect contact information: Ensuring accurate and complete contact details, including email and phone numbers, is crucial. This information is used for all communications regarding the application.
  9. Ignoring the instructions for the race/ethnicity section: While this section might be optional, providing accurate information helps the Department of Education gather essential demographic data.
  10. Lack of original signatures: The Connecticut State Department of Education requires original signatures on the form. Photocopies or electronic signatures might not be accepted, leading to the rejection of the application.

To ensure a smooth application process for a DSAP in Connecticut, applicants and their supporting officials should carefully review all instructions and requirements on the Ed 177 form. Taking the time to double-check that all information is complete, accurate, and presented as required can make a significant difference in the outcome of your application.

Documents used along the form

When applying for a Durational Shortage Area Permit (DSAP) in Connecticut with the ED 177 form, applicants and school districts often need to prepare and submit additional forms and documents to support their application. These materials are necessary for verifying qualifications, meeting regulatory requirements, and ensuring a thorough evaluation by the Bureau of Educator Standards and Certification. Here's a list of documents and forms that are commonly used alongside the ED 177 form.

  • Official Transcripts: These documents provide evidence of the applicant’s academic qualifications, including a bachelor’s degree and coursework relevant to the teaching endorsement area.
  • Evidence of Enrollment form (ED 177 Attachment): This form is necessary for candidates enrolling in a teacher preparation or an Alternate Route to Certification program, documenting their enrollment status.
  • Praxis II Examination Scores: Many teaching positions require passing scores on Praxis II subject assessments, demonstrating the applicant’s knowledge and skills in a specific subject area.
  • Background Check Authorization: A form authorizing the Bureau of Educator Standards and Certification to conduct a criminal history record check, ensuring the candidate meets the state’s moral fitness standards.
  • Child Abuse and Neglect Registry Check Consent: Applicants must consent to a check of the Department of Children and Families’ child abuse and neglect registry, part of the assessment of the applicant's suitability for certification.
  • Experience Verification: For candidates who have teaching experience, a form or letter from previous employers verifying the length and relevance of teaching experience, especially if the experience contributes to meeting DSAP requirements.
  • Professional References: Letters or forms that provide professional references attesting to the candidate’s abilities, character, and teaching efficacy.
  • CT Educator Certification Application: For candidates applying for their initial educator certification in Connecticut, this application must be completed and submitted alongside the DSAP application if they are doing so concurrently.
  • Health Certificate: Some districts may require a recent health certificate or physical examination form to ensure the candidate is fit for teaching.
  • Proof of Identity and Work Authorization: Documentation such as a passport or driver’s license and, if applicable, a work visa, to verify the candidate’s identity and eligibility to work in the United States.

Compiling and submitting these documents alongside the ED 177 form is critical for a successful application for a Durational Shortage Area Permit. The documents provide a comprehensive profile of the applicant, enabling the Bureau of Educator Standards and Certification to make an informed decision. Thorough preparation and attention to detail in gathering these materials can significantly streamline the certification process.

Similar forms

The Connecticut Ed 177 form is similar to other documents used in various states for the purpose of educator certification and permits, particularly those dealing with shortage areas in education. Each of these documents serves a fundamental role in addressing the gap between available teaching positions and qualified candidates, with specific provisions tailored to the needs of the respective states.

First, the form shares similarities with the New York State Department of Education's Statement on the Qualification Form, designed for individuals seeking certification in areas of identified teacher shortage. Both forms require detailed educational and professional history, with particular emphasis on the subject area or field of shortfall. They also necessitate verification from the employing school district, underscoring the critical role of these documents in the strategic deployment of educators where they are most needed.

Second, it bears resemblance to the California Commission on Teacher Credentialing's Short-Term Staff Permit application. This document allows for the temporary employment of individuals in teaching positions for which the school district identifies an immediate need when fully credentialed teachers are not available. Similar to the Connecticut Ed 177 form, it includes sections for candidate information, educational background, and specific requirements related to the area of certification sought. Additionally, both states emphasize the need for employing agencies to play a significant role in the application process, further proving the parallels in their approach to addressing teacher shortages.

Lastly, the Teaching Permit for Statutory Leave (TPSL) in Texas is akin to Connecticut's DSAP in its provision for temporary teaching permits. The TPSL permits individuals to teach temporarily when regular staff members are on leave, addressing short-term shortages in specific subject areas or fields. Like the Connecticut Ed 177, applicants must demonstrate minimum qualifications, and their applications must be sponsored by the employing school district. Both forms facilitate a flexible, responsive approach to staffing challenges, ensuring that educational standards are maintained even in the face of staffing flux.

Dos and Don'ts

Navigating the Connecticut ED 177 form for the first issuance of the Durational Shortage Area Permit (DSAP) might seem daunting at first. However, understanding what to do and what not to do can simplify the process, ensuring your application sails through without unnecessary delays. Here's a concise list of dos and don'ts:

Dos:

  1. Review the entire form and instructions carefully before you start filling out the form to ensure you understand all requirements.
  2. Complete all relevant sections (Parts I, II, and III for candidates; Parts IV and V for school/district officials; Parts B and C for educator preparation providers) as applicable to your role in the application process.
  3. Attach all required documents, such as official transcripts and, if applicable, the “Evidence of Enrollment” form (ED 177 Attachment).
  4. Ensure that all information is accurate and thoroughly checked for any mistakes before submission.
  5. Use blue ink and uppercase letters for filling out the form, as specified in the instructions, to maintain clarity and legibility.
  6. Sign the application form. Original signatures are required for the form to be considered valid.

Don'ts:

  • Don’t leave sections incomplete. If a section does not apply to you, clearly mark it as “N/A” (not applicable) instead of leaving it blank to avoid confusion.
  • Don’t use a P.O. Box for the address field. The form specifies that the street address is required, not a P.O. Box.
  • Don’t underestimate the importance of honesty in your answers, especially concerning past convictions, dismissals, or any disciplinary action related to certifications.

Approaching the Connecticut ED 177 form with attention to these details will streamline the process, making it more manageable and less prone to errors that could delay the issuance of the DSAP. Remember, the goal is to present a complete, accurate, and honest application that meets all the Connecticut State Department of Education's requirements for certification.

Misconceptions

When dealing with the specifics of the Connecticut Ed 177 form, related to the Durational Shortage Area Permit (DSAP) process, there are several misconceptions that often arise among candidates and employing agents alike. Clearing up these misconceptions is crucial for a seamless application process.

  • Misconception 1: The applicant can initiate the DSAP process. It is a common myth that a candidate seeking certification can initiate the application for a DSAP. In reality, the application must be requested by the school or district in need of filling a position for which they cannot find an appropriately certified candidate.
  • Misconception 2: The DSAP is immediately effective upon application. Many assume that the DSAP becomes effective the moment the application is completed. However, the permit's effective date is the day the original Ed 177 form is received by the Connecticut State Department of Education, provided all requirements for issuance are met by that time.
  • Misconception 3: A bachelor’s degree is not required for DSAP eligibility. For first-time Connecticut certification, an official transcript showing the completion of a bachelor's degree is essential unless the candidate has previously held certification in Connecticut. This requirement underscores the necessity of a solid educational foundation for candidates.
  • Misconception 4: All parts of the ED 177 form are to be completed by the candidate. The ED 177 form is divided into sections that must be completed by different parties: the candidate, the school or district official, and, if applicable, the educator preparation provider. This division ensures that responsible parties provide accurate and comprehensive information.
  • Misconception 5: Coursework under a DSAP is unrelated to future certification areas. There's a belief that the credits earned while under a DSAP do not need to align with the subject area or field of the initial educator certificate sought. Contrary to this belief, the requirement is specifically designed to ensure that candidates are preparing for certification in areas where there is a genuine shortage.
  • Misconception 6: Previous teaching experience is irrelevant to the DSAP application. The truth is, at least 20 school months of successful appropriate teaching experience in an approved nonpublic school can waive some of the educational requirements for the DSAP. This acknowledges the value of hands-on teaching experience.
  • Misconception 7: Any teaching endorsement can be pursued under a DSAP. There's often a misunderstanding about the scope of endorsements available under a DSAP. The permit is specifically for positions that cannot be filled due to a shortage of certified candidates in certain areas. Therefore, only shortage areas endorsed by the Connecticut State Department of Education are eligible for DSAP.

Understanding these key aspects of the DSAP application process can help candidates and employing agents navigate the requirements more effectively, ensuring that all parties involved contribute to a well-qualified educational workforce.

Key takeaways

Understanding the Connecticut Ed 177 form is crucial for applicants and employing agents alike. This form, essential for the Durational Shortage Area Permit (DSAP) process, involves several key stakeholders and specific steps to ensure compliance. Here are five key takeaways to guide you through filling out and using the Connecticut Ed 177 form effectively.

  • The Connecticut Ed 177 form is designed specifically for the application for the first issuance or reissuance of the Durational Shortage Area Permit (DSAP), which allows individuals to teach in areas where there is a shortage of certified professionals.
  • The initiation of the DSAP application cannot be done independently by an applicant. Instead, it must be requested by the employing agent of a school or school district, highlighting the cooperative nature of the application process between candidates and employers.
  • Applicants are required to complete Parts I, II, and III of the form and attach official transcripts. These transcripts must show at least 12 semester hours of credit in the subject area for the DSAP request for first issuance, or at least nine semester hours of credit during the validity period of a previous DSAP for reissuance.
  • School or district officials play a critical role in the DSAP application process. They must complete designated parts of the Ed 177 form, submit it alongside supporting documentation, and may need to complete an “Evidence of Enrollment” attachment if the candidate is enrolling in a teacher preparation program or an Alternate Route to Certification program.
  • Educational preparation providers have responsibilities in the DSAP application process too. When applicable, they must complete the “Evidence of Enrollment” form ED 177 (Attachment) – Parts B and C. This requirement is waived if the candidate holds a valid Connecticut educator certificate and is completing coursework under a DSAP for cross endorsement, or has ample teaching experience in an approved nonpublic school.

Each step in completing and submitting the Connecticut Ed 177 form is integral to the DSAP application process, requiring accurate information and collaboration between the candidate, the employing school or district, and educational preparation providers. By observing these key points, applicants can navigate the process more smoothly and efficiently.

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