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Educator Licensure


Forms


Appeal Forms • Applications for Licenses • Providers of Workshops, etc. • Registration/Updates • Requests for Approval

Below you will find the online version of the forms from our office.  Each form is saved in the PDF format.  Please take the printed form and submit to your local Regional Office of Education.

Note: The following documents are in PDF File .pdf format and may contain form fields. In order for them to work correctly please visit http://www.adobe.com to download the latest version of Adobe Reader.

Requests for Priority Review of Applications

Appeal Forms


Applications for Licenses


Highly Qualified, Health/Safety, NBPTS Forms and NCLB District Reports

Providers of Workshops, Conferences, Seminars, etc.

Form # Form Name
77-21A updated
(6/14)
Evaluation Form
77-21B updated
(6/14)
Evidence of Completion Form


Registration/Update of License


Requests for Approval


Statement of Assurance

The following is a downloadable paper form. To submit Assurance Statement online, use ELIS