GENERAL CERTIFICATION APPLICATION INFORMATION

• Types of Certificates
• Endorsement Codes 
• Fees
• Mailing Addresses (Regular and Express)
• What Application Form Do I Use?

FORMS

The following forms are available in Adobe Acrobat PDF format.
These documents are best viewed when using Acrobat Reader 4.0 or higher. See also: How To Download and Print Publications and Forms

Please read all instructions completely.

For Individual Use

• ED 125 Statement of Preparing Higher Education Institution [PDF, 70KB]
• ED 126 Statement of Professional Experience [PDF, 59KB]
• ED 170A Short Form Application for Connecticut Initial Educator Certificate [PDF, 120KB]
• ED 170 General Application for Certificate [PDF, 231KB]
• ED 172A Application for Initial Educator Certificate for Holders of Temporary 90-Day Certificates [PDF, 130KB]
• ED 176A Application to Convert Standard or Permanent Certificate [PDF, 134KB]
• ED 179 Application for Continuation of Professional Educator Certificate [PDF, 242KB]
• ED 183 Application for Renewal of Connecticut Initial Educator Certificate [PDF, 138KB]
• ED 184 Application to Remove Course Work Deficiency And/Or Assessment Deferral [PDF, 79KB]
• ED 185 Application For Five-Year Renewable Coaching Permit [PDF, 107KB]
• ED 187 Request for Duplicate Certificate [PDF, 84KB]
• ED 192 Application for Connecticut Academic Assessment Waiver [PDF, 935KB]
• Verification of Professional Development - For ARC Completers ONLY [PDF, 82KB]

For District Use

• ED 172 Application for Temporary 90-Day Certificate [PDF, 100KB]
• ED 173 Application for Temporary Authorization for a Minor Assignment [PDF, 96KB]
• ED 173A Application for Extension of Early Childhood Endorsement (Grades N-3) to Elementary (Grades K-6) [PDF, 96KB]
• ED 175 Application for Extension of Substitute Teacher Authorization Beyond the 40-Day Limit [PDF, 96KB]
• ED 177 Application for Durational Shortage Area Permit (DSAP) [PDF, 76KB]
  Note: Districts must ensure that the appropriate Praxis II exam(s) / ACTFL (OPI & WPT) are successfully completed prior to application for DSAP per NCLB.
• ED 186 Application for Temporary Emergency Coaching Permit [PDF, 100KB]
• ED 188 Application for Nonrenewable Adult Educator Authorization [PDF, 89KB]

• Additional documentation or fees may be required to complete the application.
• Completed forms must be returned via postal mail and contain authentic signatures. Photocopies will not be accepted.
• Do NOT return the form via e-mail or fax.
  
  

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